Compounds & Therapies
Lovaza and Vascepa: How the Two Prescription Omega-3s Differ from Each Other and from OTC Fish Oil and Krill Oil
Two prescription omega-3s are commonly confused. Lovaza (EPA+DHA) treats severe hypertriglyceridemia; Vascepa (pure EPA) is the only one with cardiovascular outcomes evidence. Plus: where OTC fish oil and krill oil fit, and the dose-dependent atrial fibrillation signal.
Nattokinase — Fibrinolytic Enzyme Supplement
Nattokinase is a serine protease enzyme extracted from natto, the traditional Japanese fermented soybean food. It was discovered and characterized by Sumi and colleagues in 1987 as the active fibrinolytic constituent in natto, with strong in vitro…
Practices & Lifestyle
High-Dose Niacin for Lipids
Niacin (nicotinic acid, vitamin B3) at pharmacologic doses (typically 1,500-2,000 mg/day) has substantial effects on the lipid profile — raising HDL by 15-35%, lowering triglycerides by 20-50%, lowering LDL by 5-25%, and lowering lipoprotein(a) by…
Statins vs PCSK9 Inhibitors vs Bempedoic Acid vs Inclisiran
Modern lipid management has four major pharmacological pillars: statins (the dominant first-line therapy), PCSK9 inhibitor monoclonal antibodies (evolocumab and alirocumab, the most potent LDL-lowering option), bempedoic acid (the newer non-statin…