Clinical Pearl Wednesday #79

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Have a patient with dyslipidemia? Do not assume it is primary in nature. Consider the differential for secondary causes of dyslipidemia:

High LDL: biliary cirrhosis, hypothyroidism, anorexia nervosa, nephrotic syndrome

Low HDL: obesity, tobacco abuse, diabetes mellitus

High triglycerides: hypothyroidism, alcohol abuse, diabetes mellitus, chronic kidney disease

I see alcohol abuse as one of the primary causes of elevated triglycerides at my men’s health practice. Once the men stop drinking excessively, the triglycerides decrease.

Keep these causes in mind and ensure you do a thorough history and evaluation on your patients with dyslipidemia as it could be related to something else other than diet!

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