Familial hypercholesterolemia.

Lifelong LDL burden. Adult telemedicine specialist care.

Board certified in Clinical Lipidology & Obesity Medicine · Licensed in all 50 states & DC

What we treat

The number

FH is a genetic high-LDL state from birth. Heterozygous FH is common enough to miss in ordinary primary care. Homozygous FH is rare and needs aggressive, specialist-level LDL lowering.

What we do

Confirm the phenotype, cascade first-degree relatives, and treat ApoB/LDL hard. Adult telehealth only — we do not offer pediatric FH care.

Named agents

High-intensity statin, ezetimibe, PCSK9 monoclonal antibodies, Leqvio (inclisiran), Lipfendra (enlicitide, indicated including HeFH). Medication cost is not in membership.

Adult care, named drugs

Leqvio's US label includes HeFH and HoFH down to age 12. This clinic is adult telemedicine. Pediatric indication is label context, not an offer of pediatric care.

First line

High-intensity statin + ezetimibe

Most adults with HeFH still start here. Intolerance is handled on the statin-intolerance pathway, not by abandoning the ApoB target.

Injected PCSK9

Repatha and Leqvio

Monoclonal antibody or inclisiran siRNA when LDL/ApoB remains far from target. Dosing and access are worked through your pharmacy.

Oral PCSK9

Lipfendra (enlicitide)

FDA-approved 16 July 2026 for LDL-C in adults, including heterozygous FH. Adjunct to diet and exercise. Prescribed when indicated.

Medication cost is not included in membership. No compounded medications. Eligibility is confirmed at signup.

Common questions

No. This is an adult telemedicine clinic. Pediatric FH belongs with a pediatric lipid specialist. We will help adult relatives who screen in on cascade testing.
Not always. A Dutch Lipid Clinic or similar clinical score plus family history often establishes HeFH. Genetic testing is used when it changes cascade or therapy, not as a gate to care.
No. Direct-pay membership from $199/month. You get an itemized receipt for HSA/FSA. Drugs are billed at the pharmacy you choose.

Membership

Direct-pay lipidology. Cancel anytime. Licensed in all 50 states and DC. Labs and imaging are billed to your insurance; medication is billed at your pharmacy.

Lipid Care

$199/mo
Essential lipid management with Dr. Winiarski. Video every 12 weeks, lab orders, prescriptions to your pharmacy.
  • Video appointment every 12 weeks
  • Lab orders and treat-to-target lipid plan
  • Prescriptions to the pharmacy you choose
  • *Does not include cost of medication