Master Thread on Statins: The Four Horsemen

1) How statins nuke your mitochondria

2) How statins cause T2DM

3) How statins cause CVD

4) How statins cause cardiomyopathy

#statins #bigpharma Image
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More from @sam_soete

May 30
Mitochondria: An Epic Origin Story

What are they? Where do they come from? And why are they here?

This 🧵unravels the mystery behind the origins of the most important and enigmatic organelle in our body.

#mitochondria #metabolism #science #biology Image
In the depths of time, when the universe was but a tender babe, an epoch unfathomable, there existed naught but primordial cells.

1.5 billion years ago, a singular ancient invasion by a eubacteria of an archea host occurred. Image
This invasion or engulfing, depending on who or what we give the moral high-ground, may have been the quintessential step in the most important evolutionary leap since the origin of life itself:

The transition from a primitive cell to a complex higher organism (eukaryote). Image
Read 45 tweets
May 27
𝗦𝘁𝗮𝘁𝗶𝗻𝘀 destroy your skeletal muscle, why would they be any good for your 𝗵𝗲𝗮𝗿𝘁?

This 🧵 dives deep into mechanisms underlying statin induced cardiomyopathy.

#statins #cardiomyopathy #CHF #heartfailure #health #bigpharma Image
Over 64 million people suffer from heart failure worldwide.

To what extent is statin therapy contributing to the epidemic of congestive heart failure (CHF) worldwide?

Statin cardiomyopathy is a complication that can occur in 1-3% of people. Image
M𝗶𝘁𝗼𝗰𝗵𝗼𝗻𝗱𝗿𝗶𝗮 are once again the linchpin linking statins to CHF.
Read 25 tweets
May 26
The Art of War:

According to an old story, a lord of ancient China once asked his physician, a member of a family of healers, which of them was the most skilled in the art.
The physician, whose reputation was such that his name became synonymous with medical science in China, replied, “My eldest brother sees the spirit of sickness and removes it before it takes shape, so his name does not get out of the house.
“My elder brother cures sickness when it is still extremely minute, so his name does not get out of the neighbourhood. “As for me, I puncture veins, prescribe potions, and massage skin, so from time to time my name gets out and is heard among the lords.”
Read 4 tweets
May 25
Unveiling the Paradox: Do Statins Fuel the Fire of Heart Disease?

This is a deep dive 🧵into the mechanistic relationship between statins and coronary heart disease.

#statins #CVD #heartdisease #cholesterol #mitochondria Image
The ‘bad & good cholesterol hypothesis’ has lost its foundation.

Although lowering the LDL-C/HDL-C ratio is possible with drugs such as statins, this is not effective in preventing cardiovascular disease (CVD).
Proxy measurements such as LDL-C are a breeding ground for scientific arrogance.

Does the measurement really mean what you think it means?

Have you looked into the assumptions that connect the proxy and the real thing?

Let's dig in.
Read 31 tweets
May 14
Statins, given like Halloween candy to those with >10% risk of CVD, can cause insulin resistance & diabetes.

A prime example of "double think".

This 🧵 explores how statins impede insulin sensitivity & damage our pancreas.

#statins #diabetes #T2DM #CVD #cholesterol Image
Let's start off by reminding ourselves that diabetes and the broader category of metabolic syndrome is one of the leading risk factors for CVD.

Any drug that claims to be protective of CVD, should not be impeding insulin sensitivity.
Statins are associated with increased incidence of T2DM, 10-28% in some studies.

One way this happens is by a reduction in insulin secretion - a hormone that facilitates glucose uptake from the bloodstream into cells. Image
Read 27 tweets
May 12
Statins are nuking your mitochondria.

This 🧵explores how statins impact our metabolic pathways and how this relates to the side-effects people experience.

#Statins #Mitochondria Image
Statins act by reversibly and competitively inhibiting HMG-CoA reductase, a key enzyme in the mevalonate pathway of which cholesterol is a final product.
Cholesterol acts as an intermediate for steroid hormones, bile acids and vitamin D, CoQ10 and is crucial to the integrity of all cell membranes.

This partly explains the plethora of statin-associated symptoms (SAS) that manifest in up to 30% of patients.
Read 25 tweets

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