{"podcast":{"title":"Dr. Paika Podcast","slug":"dr-paika-podcast-7573769","podcast_index_feed_id":7573769,"rss_url":"https://feeds.transistor.fm/dr-paika-podcast","website_url":"https://mohammedpaika.com/dr-mohammed-paika","image_url":"https://img.transistorcdn.com/1kYkQ-AF4msM0XLeGkmSFjtXbngCZI-0rCzfM8GVoIQ/rs:fill:0:0:1/w:1400/h:1400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9lNGNl/MTliYWE0MmYyMTY1/NWNjZTA2MWU0Zjgx/N2I5YS5wbmc.jpg","author":"Mohammed Paika","episode_count":58,"summary":"Welcome to the Dr. Paika Podcast — where medicine, fitness, and humanity come together. Hosted by Dr. Mohammed K. Paika, M.D., double board-certified in obesity & internal medicine with over two decades of hospital experience, this show dives deep into the science of health, obesity, longevity, and mindset — but with compassion, not complexity. From hospital medicine to the gym floor, from patient care to personal growth — every episode blends real clinical insight with practical, inspiring stories that help you live better and think deeper. 💡 Topics include: Obesity & metabolic health Longevity & fitness Nutrition & preventive medicine Doctor insights from 20+ years in hospitals across the US! Mindset, mental health, and motivation 🎧 Subscribe for weekly conversations that are honest, empowering, and rooted in science — all from a doctor who believes medicine should heal the mind and body.","last_synced_at":null,"page_url":"https://stenobird.com/podcast/dr-paika-podcast-7573769"},"episode":{"title":"The New Cholesterol Guidelines Changed Everything | Why Your LDL of 128 May Be Too High | Dr. Paika Podcast","slug":"the-new-cholesterol-guidelines-changed-everything-why-your-ldl-of-128-may-be-too-high-dr-paika-podcast","published_at":"2026-04-26T13:30:00+00:00","page_url":"https://stenobird.com/podcast/dr-paika-podcast-7573769/the-new-cholesterol-guidelines-changed-everything-why-your-ldl-of-128-may-be-too-high-dr-paika-podcast","show_page_url":"https://stenobird.com/podcast/dr-paika-podcast-7573769","url":"https://share.transistor.fm/s/4a8271f8","audio_url":"https://media.transistor.fm/4a8271f8/00338a05.mp3","summary":"#CholesterolGuidelines #HeartHealth #LDLCholesterol #ObesityMedicine #PreventiveCardiology Your cholesterol may look “normal”… but is it actually safe? The new cholesterol guidelines changed everything. Medicine is moving away from waiting for heart attacks and toward preventing them before they happen. In this video, Dr. Mohammed Paika—double board-certified in Internal Medicine and Obesity Medicine—breaks down the latest cholesterol guidelines, what LDL numbers really matter, why belly fat and visceral fat increase cardiovascular risk, and how obesity medicine fits directly into heart disease prevention. We’ll cover: ✔ New LDL targets explained ✔ Why “normal cholesterol” may not be enough ✔ Lipoprotein(a) — the hidden genetic risk ✔ CAC score (heart scan) and when you should get one ✔ Statins, ezetimibe, PCSK9 inhibitors, and treatment strategy ✔ Why belly fat is often the bigger warning sign This is not just about cholesterol. This is about protecting your heart, brain, kidneys, and future. Lower LDL. Earlier. Longer. TIMESTAMPS 00:00 – Hook: Your Cholesterol May Look “Fine”… But Is It Safe? 01:42 – Why the New Cholesterol Guidelines Changed Everything 03:58 – Heart Disease Starts Years Before Symptoms 05:44 – LDL Targets Are Back: What Numbers Matter Most 07:36 – Why LDL Below 100, 70, and 55 Matters 09:28 – Belly Fat vs Visceral Fat: The Real Risk 11:22 – Obesity Medicine and Cholesterol Are Deeply Connected 13:05 – Why Hypertension Is Often a Metabolic Problem 14:48 – The New PREVENT-ASCVD Risk Calculator Explained 16:32 – Why “Low Risk” Can Still Be Dangerous 18:06 – Lipoprotein(a): The Hidden Genetic Cholesterol Risk 19:44 – Who Should Get Lp(a) Tested? 20:56 – CAC Score: Should You Get a Heart Scan? 22:23 – Statins, Ezetimibe, PCSK9 & What I Tell My Patien…","meta_description":"#CholesterolGuidelines #HeartHealth #LDLCholesterol #ObesityMedicine #PreventiveCardiology Your cholesterol may look “normal”… but is it actually safe? Th…","key_points":[],"chapters":[],"topics":[],"duration_seconds":1343,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/dr-paika-podcast-7573769/episodes/the-new-cholesterol-guidelines-changed-everything-why-your-ldl-of-128-may-be-too-high-dr-paika-podcast/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/dr-paika-podcast-7573769/the-new-cholesterol-guidelines-changed-everything-why-your-ldl-of-128-may-be-too-high-dr-paika-podcast.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}