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Dr. William Cromwell

Clinical Lipidology
Raleigh, NC
34 years experience male

Locations

Lipoprotein and Metabolic Disorders Institute

Raleigh, NC

Address

8300 Health Park Drive, Suite 320, Raleigh, NC
Directions

My office hours

Thursday: 8:00am - 5:00pm
Show more

Fax

9194298143

Insurances accepted

No Value

About

Bio

Since 1990 my practice has specialized in the management of cholesterol and lipoprotein disorders. Over the past 20 years I have served as the Medical Director or Chief of Divisions of Atherosclerosis and Lipoprotein disorders in several health care systems. In addition to being certified by the American Board of Clinical lipidology, I am a Fellow of the American Heart Association Council on Atherosclerosis, Thrombosis and Vascular Biology, as well as a Fellow of the National Lipid Association. Academically, I am Adjunct Associate Professor in the Hypertension and Vascular Disease Center at Wake Forest University School of Medicine. I have served on expert panels publishing national recommendations on the evaluation and management of patients with familial hypercholesterolemia, as well as clinical utilization of lipoprotein and inflammatory biomarkers. Additionally, I have published over 20 peer-reviewed book chapters, invited review articles, and original research in lipid and lipoprotein disorders.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Clinical Lipidology

Family Medicine

Doctor Q&A

395 Answers
50 Agrees
The number of answers this doctor has agreed with.
A 49-year-old male asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Find and Fix Causes: Both genetic and acquired conditions cause riglyceride (TG) elevations. Often, high tg occurs with high blood pressure, high blood sugar, low "good" c... Read More
A 39-year-old male asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Yes, Ask Your Doctor: Elevated LDL is an important modifiiable risk factor for decreasing risk of cardiovascular disease. High LDL can be present due to inherited and acqui... Read More
A member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Use for Management: LDL can be estimated by cholesterol (LDL-C) or measured by NMR LDL particle number (LDL-P). When LDL-C and LDL-P disagree, CHD risk tracks with LDL-P,... Read More
A 49-year-old male asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Depends on Number: The type of LDL particle (small, dense pattern B versus large, fluffy pattern A) is not a key factor in determining LDL-related risk. Although pattern... Read More
A 41-year-old male asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Yes, But ....: You can eat almonds, but need information. First, identify the problem. Possible causes include; genetic (familial hypercholesterolemia, familial comb... Read More
A 22-year-old male asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Generally Yes: HDL and LDL are lipoprotein particles that affect risk of cardiovascular disease (CVD). Increased HDL particles are associated with lower CVD risk, wh... Read More
A 26-year-old male asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Many Considerations: First, identify the problem. Possible causes include both genetic (familial combined hyperlipidemia, familial hypertriglyceridemia, familial dysbetali... Read More
A 40-year-old female asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Find and Fix Causes: First, identify the problem. Possible causes include; genetic (such as familial combined hyperlipidemia) and non-genetic (insulin resistance, type II ... Read More
A 58-year-old female asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Due to High HDL-C: Total cholesterol measures the cholesterol contained in all lipoproteins including low density lipoprotein (ldl), intermediate density lipoprotein (id... Read More
A 31-year-old member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Not Usually: Hdl cholesterol (hdl-c) levels over 100 are vary uncommon. In general, high hdl-c may be the result of genetics (hyperalphalipoproteinemia), exercise,... Read More
A 46-year-old member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
It Depends: Talk to your physician. Your level of cardiovascular risk (high, moderate, or low) is the first thing to consider. Ldl-c goals vary by risk (goal < 10... Read More
A 65-year-old female asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Yes: Yes, propel is essentially a no calorie flavored water that is safe for daily consumption.
A 40-year-old member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Need Information: Cardiovascular (cvd) risk is related to the number of LDL particles (ldl-p) and HDL particles (hdl-p). When ldl-p is high or hdl-p is low cvd risk is ... Read More
A 36-year-old member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
8 to 12 weeks: Diet, exercise and smoking cessation can all increase hdl-c levels. The time needed to see an optimal effect can range from 8 to 12 weeks.
A 38-year-old male asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Not all once daily: Atorvastatin should be taken once daily. Orlistat 120 mg is usually dosed three times a day with each main meal containing fat. The dose may be taken... Read More
A 17-year-old female asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Usually Yes: So long as you avoid taking them together you can try transitioning from MiraLAX (polyethylene glycol) to fiber one.
A 54-year-old male asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Start With Lifestyle: These factors often occur as part of Insulin resistance or metabolic syndrome. Start with a combination of increased activity and diet changes. Focus... Read More
A 47-year-old female asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Be Careful: Green coffee appears to be safe based on the limited research that has been done so far (no serious side effects were reported). However, it is import... Read More
A 40-year-old member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Not Overweight: From your information your body mass index (bmi) is 17.2, which is underweight.
A 24-year-old female asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Unknown.: Phentermine is a pharmaceutical diet pill. Phentramine consists of 20:1 hoodia extract, guarana extract, and a proprietary blend of cha de bugre, gins... Read More
A 33-year-old member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Find and Fix Causes: The first step is to determine if the LDL is elevated due to an acquired medical condition. If treatable conditions are identified i would manage thos... Read More
A 44-year-old member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Uncommon Side Effect: Vytorin (ezetimibe and simvastatin) is a combination of Simvastatin and ezetimibe. Hair loss is not a commonly reported adverse effect of either medic... Read More
A 61-year-old female asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Depends on Particles: Both labs and risk factors are important in knowing cardiovascular (cvd) risk. More than cholesterol, cvd is related to the number of LDL (ldl-p) and ... Read More
A 49-year-old member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Many Factors: Your physician will need to check for several inherited and acquired medical conditions that can affect your LDL levels. Another alternative is to see... Read More
A 38-year-old member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Get 100% DV : Most multivitamins contain similar ingredients. The harvard school of public health suggests a once daily multivitamin with extra vitamin d. The linus... Read More
A 54-year-old male asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
No Contraindications: You can take the omega 3 listed without difficultly in combination with Lipitor (atorvastatin) and your other medications.
A 35-year-old member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Particle Question: Ldl is a lipoprotein that can be measured by cholesterol (ldl-c) or particle number (ldl-p). Because cholesterol in LDL is highly variable, ldl-c ofte... Read More
A 39-year-old female asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Find and Fix Causes: The first step is to determine if the LDL is elevated due to an acquired medical condition. If treatable conditions are identified i would manage thos... Read More
A 21-year-old male asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
No: Mefenamic acid is a nonsteroidal anti-inflammatory drug (NSAID) used to treat mild to moderate pain. This medicine may also be used to treat menstrual... Read More
A 25-year-old male asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Depends on Particles: Cardiovascular (cvd) risk is related to the number of LDL and HDL particles (ldl-p, hdl-p). Ldl can be estimated by cholesterol (ldl-c) or measured by... Read More
A 42-year-old member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Depends on Particles: Atherosclerosis is related to the number of LDL particles (LDL-P) and HDL particles (HDL-P). High LDL-P and low HDL-P are both related to atherosclero... Read More
A 37-year-old member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Depends: The need for LDL lowering therapy should be determined after a sequence of events. First, conditions that may contribute to elevated LDL levels should... Read More
A 48-year-old member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Yes: Long term diet changes to decrease inflammation include: limiting saturated fat and trans fats; increasing intake of omega-3 fatty acids (fish oil); l... Read More
A 35-year-old member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Very Unlikely: While use of garlic preparations has been promoted to aid in management of cholesterol clinical trials have not shown a significant, consistent benefi... Read More
A 33-year-old member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Many Benefits: In addition to aerobic cardiovascular benefits, lacrosse training provides an opportunity improve balance, strength, flexibility, coordination, and de... Read More
A 33-year-old member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Yes: From an exercise perspective stott pilates provides an excellent opportunity for increasing strength (especially in core muscles), muscle tone, and bu... Read More
A 31-year-old male asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Not A Common Symptom: The symptom you describe is not a side effect you would expect from lipitor (atorvastatin). I would continue the medication - the good news is at leas... Read More
A female asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Need To Know More: If your doctor determines you have high or moderate cardiovascular risk your will need to consider meds. Also, k not all high hdl-c states are cardio... Read More
A 36-year-old member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
There Are Many: Modifiable sources of atherosclerotic risk include smoking, elevated blood pressure, metabolic syndrome, obesity sedentary lifestyle, high LDL particl... Read More
A 43-year-old member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Not Uncommon: Atherosclerosis begins when areas of the artery wall thicken due to risk factors like high LDL particle levels, smoking or high blood pressure. If the... Read More
A 54-year-old male asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Depends on Particles: Cardiovascular (cvd) risk is related to LDL (ldl-p) and HDL (hdl-p) particle number. Because cholesterol in LDL and HDL particles is highly variable, ... Read More
A 29-year-old member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Yes with good diet: From an exercise perspective kickboxing provides an excellent opportunity for burning calories, increasing strength and tone, and enhancing cardiovasc... Read More
A 36-year-old member asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Many Considerations: See your physician. The first step is to determine why your lipid values are abnormal. Several inherited and acquired medical conditions will affect l... Read More
A 50-year-old female asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Indigestible Plant: Dietary fiber, the non-digestible part of plants in our diet, consists of soluble and insoluble fibers. Soluble fiber dissolves in water and functions... Read More
A 70-year-old female asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
NMR LipoProfile: The NMR lipoprofile is a test that counts the number of lipoprotein particles in blood. Using nuclear magnetic resonance (NMR) technology the specific... Read More
A 31-year-old female asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Yes: There are no known interactions or problems in taking Lipitor (atorvastatin) and protandim at the same time.
A 28-year-old male asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Omega-3 Fattty Acids: Fish oils contain two active omega-3 fatty acids, dha and epa. Most fish oil products contain both dha and epa, but supplements enriched in dha or epa... Read More
A 20-year-old male asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
D3, 5000-8000 IU day: When diet and sun exposure are insufficient to raise vitamin d levels many physicians recommend a daily dose of 5, 000-8, 000 iu of vitamin d3 . Once ... Read More
A 28-year-old male asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
LDL Cholesterol: Blood fats, cholesterol and triglyceride, are not soluble in water and are not transported in blood by themselves. Instead, lipids are carried by vari... Read More
A 61-year-old female asked:
Dr. William Cromwell
Clinical Lipidology 34 years experience
Talk With Your Doc: This is a complex case with many considerations. I suggest talking to the treating physician about his/her recommendations for evaluation and manageme... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

4
Recommendations
770
Thank you notes
Dec 11, 2012
Very accurate & Thorough. Impressive.
Apr 30, 2013
Very high quality opinions.
HealthTap member
Mar 31, 2015
Dr. Cromwell is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks! Just had Coratid Subclavian bypass bc both 100% blocked yet it’s in my aorta so this Info is very helpful. Have familial high cholesterol. Thank you very much!
HealthTap member
Thanks for your quick reply! Thanks dr. for your quick response. Am trying to see some lipidologist here in UAE. If you have aby idea then pls share. Am concerned.
HealthTap member
Thanks for your quick reply! I have been taking lipitor for 3 years and had many adverse reactions not making the connection I stopped taking it I feel grate.

Education & Training

Medical/Graduate school

Louisiana State University School of Medicine
Graduated 1987MD

Residency

Regional Medical Center of Hopkins County

Residency

Trover Clinic Foundation, Regional Medical Center

Awards

Mead Johnson Graduate Fellowship, American Academy of Family Physicians
Fellow, American Heart Association Council on Atherosclerosis, Thrombosis, and Vascular Biology
Fellow, National Lipid Association

Affiliations

National Lipid Association (Southeast chapter)
American Heart Association
National Lipid Association

Publications

Measurement issues related to lipoprotein heterogeneity.
Development of tachyphylaxis among patients taking HMG CoA reductase inhibitors.
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less