Baltimore Lipid Center

Dr. Gregory Pokrywka, MD FACP FNLA FASPC NCMP

Our ServicesMeet Dr. Pokrywka

Baltimore Lipid Center Services

Focus on diagnosis and treatment of Lipid Disorders (cholesterol and triglycerides), Preventive Cardiology (prevention and treatment of atherosclerotic cardiovascular diseases such as heart attacks and strokes) and prevention and treatment of Dysmetabloic disease (e.g. diabetes and obesity)

Lipid Clinic Consultation Service

As the Baltimore area’s only Lipid Clinic specializing in women (men seen also!) and directed by an elected Fellow of the National Lipid Association/Fellow of the American Society for Preventive Cardiology/Board Certified Menopausal Practitioner, Baltimore Lipid Center is unique! Patients are seen by self and cardiologist/endocrinologist/ GYN/ pediatrician/ primary care doctor referral, from throughout the region. Onsite assessment of lab work and onsite ECAQ carotid imaging allows simple, state of the art risk assessment and management. Our on-site Board-certified Clinical Nutritionist consults on almost all patients (usually covered by insurance) . Common reasons for referral are second opinion about the treatment, statin intolerance/side effects, premature or severe family history of cardiovascular disease, diabetic and pre-diabetic cholesterol and triglyceride issues, very high cholesterol/triglyceride values, and progression of the disease (e.g. repeated cardiovascular events) on conventional therapies.

Primary Care

My primary care/internal medicine practice is a concierge practice. Build a closer relationship with your physician who can spend more time with you (instead of trying to see 30 patients per day). The annual fee is $1,500/year (unchanged since 2010). Advantages of this type of practice also include the ability to email the physician, the incredible help of Office Manager Kristen Evans to help guide you through specialist appointments, pre-ops, prior authorizations (and navigate the complex healthcare system in general), and 90-minute Annual Preventative Exam. 

Extra Cranial Atherosclerosis Quantification (ECAQ)

“ECAQ” is a simple in office ultrasound procedure to assess the presence of atherosclerotic plaque. This information is used to gauge the intensity of lipid (cholesterol and triglyceride) lowering therapy you need to reduce your heat attack and stroke. To find out more follow this link.

Menopausal Consultation Service

As a North American Menopause Society (NAMS) Certified Menopausal Clinician, Dr. Pokrywka is attuned to the unique medical issues of the last 40-50% of a woman’s life-the menopause. 

Medical Cannabis 

Dr. P has attended Md Medical Cannabis Committee meetings and provides Medical Cannabis advice and certification for official Maryland approved indications, which are chiefly chronic pain, PTSD, and anorexia/wasting syndromes. (Contrary to popular opinion, anxiety and insomnia are NOT approved indications in Maryland for medical cannabis)

Nutritional and Medical Weight Loss Consultation

Dr. P works with our on-site Board Certified Clinical Dietitian (usually covered by insurance) to assess your diet and leverage a nutritional and exercise program to reduce your risk for cardiovascular disease, diabetes, and if necessary obesity-related complications. We often utilize such concepts as “low-carb”, “intermittent fasting” and “time-restricted feeding”. Bariatric medications (“weight-loss meds”) are often utilized when needed, and referral for bariatric surgery can be done.

Opioid and Alcohol Treatment

Dr. P has treated addictions patients (opioid and alcohol) since 2010 and has been Medical Director at First Step Addictions Center. He utilized a “medically assisted therapy” approach, combining medications like sublingual suboxone and Vivitrol injections, with mandatory counseling and on-site drug testing. This part of the practice is “cash-only” as insurance plans pay little or nothing for this type of treatment but WILL cover the medications. 

Cardiovascular disease is the leading cause of death and a reduction in quality of life in the United States. It is often preventable. Dr. Pokrywka is a National thought leader in the prevention of cardiovascular disease, and has published and lectured extensively coast to coast on the topics of advanced cholesterol/lipoprotein testing, prevention of cardiovascular disease and diabetes, and focuses (not exclusively) on Menopausal women and the above problems. We always encourage aggressive lifestyle changes first and use appropriate medications next when indicated.

QCovid™ risk calculator®i_id=91355974&segment_id=80081&te=1&user_id=6b4003a109c1268978775b4185e88ddc

Apolipoprotein C-III reduction in subjects with moderate hypertriglyceridaemia and at high cardiovascular risk | European Heart Journal | Oxford Academic

“Myocarditis: COVID-19 Is a Much Bigger Risk to the Heart than Vaccination - via @ConversationUS -
#COVID19 #covidvaccine #vaxnews #vaccines #vaccineswork #covid19vaccines #COVID19vaccine #vaccination

A 21 day crossover study of 16 obese women finds eating high amounts of fish & cheese is better than a Mediterranean diet (30% vs 20% protein) at controlling fasting insulin and glucose levels

Glenn Beck is a millionaire who could have gotten the vaccine free but instead chose to get covid twice with all of the complications that come with it entering his lungs.

I have no sympathy.

7 things you can do to prevent a stroke - Harvard Health

#DYK exercise is a stroke reducer? While you’re setting your goals for the new year, make sure you’re including exercise at least five days a week. Learn more: #RethinkCVRisk

#health #excercise #stroke

Because I skip 1-2 meals most days, and eat a mainly sugar-free diet, my liver is trained and easily and steadily takes care of my glucose needs, in a process called gluconeogenesis. It’s way smarter than my eyes and mouth 😉 10/n

Reducing spikes in blood glucose is considered healthy in the long run. In mice, the drug Acarbose blunts the spike & they live 4-17% longer 🐭 Consider eating some protein before carbs, reduce sugar and avoid high “GI” foods like rice and bread. Refs + more info👇

Omicron Variant May Help Beat Delta, Study Suggests - The New York Times

E.O. Wilson, a Pioneer of Evolutionary Biology, Dies at 92 - The New York Times

Vaccines Prevent Severe Disease From Omicron, New Studies Say - The New York Times

The New COVID-19 Pill, Paxlovid, Interacts with Many Medications: Cardiac Patients Take Note – The Skeptical Cardiologist

How To Achieve The “New Normal” Life With COVID-19 – The Skeptical Cardiologist

Reminder: THERE IS NO LAB TEST called LDL. LDL refers to a heterogenous group of the lipoprotein family defined by a specific density range. LDL-C IS NOT A LIPOPROTEIN but rather a lab metric that provides the collective cholesterol cargo of all LDLs per unit volume @society_eas


Do Hangover Cures Like Cheers Really Work? – The Skeptical Cardiologist

There Are Now 2 New COVID Antivirals. Which One's For You? | American Council on Science and Health

Tracking the New Outpatient Treatments For COVID-19 in Early 2022: We Have an Effective Pill! – The Skeptical Cardiologist

Scientists Have Taught Spinach to Send Emails. It Doesn't Involve a Computer

After a #COVID19 vaccine, non-serious side effects, like arm pain or brief tiredness are common and a sign that your child’s body is building protection against COVID-19 illness. Everyone ages 5 years and older should get vaccinated as soon as possible.

HeartHealth Tip of the Day:
Enjoyment of a hobby is associated with an 8-fold lower risk of future cardiovascular events such as heart attack or stroke due to improvement in vascular health.

We're grateful for vaccines. We're grateful for everyone working hard & taking steps to keep our communities safe. Merry Christmas from all of us at Vaccinate Your Family. Have a safe, healthy, merry Christmas! 💚 ❤️

FDA Approves Inclisiran, a Twice-Yearly Injection to Lower LDL Levels |

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