Lopid

Let’s talk about Lopid. In the trenches of lipid management, where statins get the glory, this old-school fibrate, gemfibrozil, is a workhorse we still reach for in specific, tricky situations. It’s not a first-line star anymore, but in the right patient, it’s incredibly effective. I remember a case early in my practice that cemented its value for me—a gentleman in his 50s, let’s call him David, with severe hypertriglyceridemia (his TGs were hovering around 1200 mg/dL), statin-intolerant, and terrified of pancreatitis.