Dr. Charles Mok says patients with low to moderate heart risk should start with lifestyle changes, especially quitting smoking and controlling blood pressure, before turning to medication. Drugs work best as a second step, not the first.
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I want to talk about kind of some conventional treatments, and what I think about is a little bit more unconventional treatments that, that are clearly beneficial now, but the world's too new to know about it. We always take a lifestyle first approach. And for people who are low to medium, low risk for what we call, you know, major adverse cardiac event, or mace, we calculate a, you know, MACE score for people. I always start with lifestyle and then jump into, into therapeutics. Those therapeutics can be pharmacological, they can be supp. And for modifying risk factors. Smoking is a huge risk factor for ascvd, hypertension, which is high blood pressure, a very strong risk factor as well. And we manage those, again, lifestyle first, therapeutics second.