Patients who show up with stubbornly high cholesterol usually expect a genetic explanation. Dr. Shailesh Singh, an interventional cardiologist, cuts through that expectation on Twitter: “Your cholesterol isn’t high because of genetics. It’s high because you eat like s***, don’t move, and pretend you’ll ‘start Monday.’” He goes on to name three repeatable choices that, he says, drive most of what he treats in clinic. The claim is blunt, but it’s worth asking whether the evidence lines up with the bluntness.
