Caption:
Painless yellowish nodules were observed on the patient’s palms (A) and elbows. B, Magnified view of the palmar lesions. These lesions are consistent with xanthelasma, likely resulting from severe hypercholesterolemia associated with a high-fat carnivore diet. Credit: JAMA Cardiologym 2024, Marmagkiolis et al.
“Pulse, 300, liver, failing, Cholesterol… 40?”
“That’s not so bad…”
“No, 40 pounds!”