Summary : This image is an illustration of a healthy eating plate, emphasizing the increase of certain food groups for a balanced diet. illustration: Main Message : • The image shows a round plate filled with a variety of foods, primarily vegetables, fruits, whole grains, beans, legumes, nuts, seeds, and herbs. • A large green arrow points to the plate, accompanied by the text: "Increase: vegetables, fruits, whole-grains, beans, legumes, nuts, seeds, herbs, spices and water". Scene Overview : • The plate is visually divided into sections, each containing different plant-based foods such as leafy greens, tomatoes, berries, grains, nuts, and legumes. • The foods are presented in bowls and loose arrangements, with vibrant colors (greens, reds, yellows, browns) dominating the palette. • The background is white, and the plate is bordered with a wooden rim. Technical Details : • No scale bar or magnification is present. • The only on-image text is the dietary recommendation. • The illustration is clear, with high contrast and realistic food depictions. Spatial Relationships : • The arrow and text are positioned to the left of the plate, directing attention to the food selection. • Foods are evenly distributed around the plate, with no single food group dominating the visual space. Analysis : • The illustration visually reinforces the recommendation to increase intake of plant-based foods and water for a healthy diet. • The diversity of foods shown suggests variety and balance, with an emphasis on minimally processed, whole foods. • The absence of animal products or processed foods highlights a plant-forward dietary pattern.

Should the same treatment algorithm be used in pregnant women and during lactation? <table><thead><tr><th colspan="3">Should the same treatment algorithm be used in pregnant women and during lactation?</th></tr></thead><tbody><tr><td>We suggest using the same treatment algorithm with caution both in pregnant and lactating women after risk-benefit assessment. Drugs contraindicated or not suitable in pregnancy should not be used.</td><td>↑</td><td>Strong consensus¹<br><br>Expert consensus</td></tr></tbody></table> ¹≥90% agreement

Summary : This illustration shows a woman feeding a young child with a spoon, surrounded by various foods representing a balanced diet. illustration: Scene Overview : • Main subjects are a woman and a child, depicted in white outline on a green background. • The woman is holding a spoon and feeding the child, who is reaching out with one hand. • The composition is central, with the figures occupying the middle of the image. • The colour palette is limited to green, white, and yellow/orange line art for food items. Technical Details : • No scale bar or magnification is present. • No text or UI elements are visible. • The illustration style is simple and schematic, with no shading or detailed features. Spatial Relationships : • The woman and child are in the foreground, with food items arranged in the lower part of the image. • Food items include a plate with chicken drumsticks and slices, an apple, bananas, grains or seeds, a bowl of soup or porridge, a plate with a whole fish, and leafy greens with an avocado. • The food is distributed evenly on both sides of the central bowl, suggesting variety. Analysis : • The image visually communicates the importance of feeding young children a diverse and nutritious diet, including protein (chicken, fish), fruits (apple, banana), grains/seeds, and vegetables (leafy greens, avocado). • The central action of spoon-feeding highlights care and attention to child nutrition. • The arrangement of foods suggests a message about balanced meals for healthy growth.

Chart 5 Recommendations for pregnancy to menopause <table><thead><tr><th>Recommendations</th><th>Strength</th><th>Quality</th></tr></thead><tbody><tr><td>Women should be screened for dyslipidemia before pregnancy or as part of the routine obstetrical laboratory examination.</td><td>E</td><td>Low</td></tr><tr><td>For women taking lipid-lowering medications prior to pregnancy, all, except bile acid sequestrants, should be stopped when the woman becomes pregnant, or is trying to become pregnant.</td><td>B</td><td>Moderate</td></tr><tr><td>Women should be educated on the importance of pregnancy avoidance when lipid-altering therapies other than bile acid sequestrants are used.</td><td>A</td><td>Moderate</td></tr><tr><td>Total-C and TG levels in women with normal pregnancies should not exceed 250 mg/dL. If they do, the clinician should consider and evaluate preexisting or acquired medical or obstetrical conditions, including hypothyroidism, chronic kidney disease, liver disease, uncontrolled diabetes mellitus, or preeclampsia.</td><td>A</td><td>Moderate</td></tr><tr><td>Hypercholesterolemia during pregnancy and breast feeding, especially in women with FH, may be treated with bile acid sequestrants.</td><td>B</td><td>Low</td></tr><tr><td>Women with FH may be treated with LDL apheresis during pregnancy and breast feeding.</td><td>A</td><td>Low</td></tr><tr><td>Very high TG (≥500 mg/dL) may be treated during pregnancy with diet/lifestyle management plus prescription omega-3 fatty acids; fenofibrate or gemfibrozil may be administered beginning early in the second trimester, based on clinical judgment. These agents may be used during breast feeding.</td><td>B</td><td>Low</td></tr><tr><td>PCOS is a high-risk condition for dyslipidemia, metabolic syndrome, and obstetrical complications of preeclampsia, hypertension, diabetes, and premature delivery. All patients with PCOS, regardless of age, should undergo initial lipid and diabetes screening and more frequent follow-up screening is recommended, even if initial values are normal.</td><td>A</td><td>Moderate</td></tr><tr><td>The approach to risk stratification and atherogenic cholesterol treatment goals for women with PCOS should be the same as described for all patients with dyslipidemia in the NLA Recommendations for Patient-Centered Management of Dyslipidemia – Part 1 (Jacobson 2015).</td><td>A</td><td>Moderate</td></tr><tr><td>Therapeutic management of dyslipidemia in PCOS should focus on diet, exercise, and lipid-lowering medication, if needed. Use of metformin should also be considered to lower TG and reduce insulin resistance.</td><td>A</td><td>Moderate</td></tr><tr><td>Contraceptive choice impacts dyslipidemia. COC should generally not be used by women ≥35 years of age who smoke because of additive stroke and MI risk.</td><td>A</td><td>High</td></tr><tr><td>Sex HT should not be used for prevention or treatment of ASCVD.</td><td>A</td><td>High</td></tr><tr><td>Menopausal sex HT is an option for treatment of significant menopause symptoms during menopause transition for women at minimal risk for ASCVD.</td><td>A</td><td>Moderate</td></tr></tbody></table>