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Message
re: Calcium score CT
Posted on 1/15/24 at 8:03 pm to Hopeful Doc
Posted on 1/15/24 at 8:03 pm to Hopeful Doc
quote:
Crestor. A high-intensity, hydrophilic statin. Went generic sometime around ‘17. Always saw fewer side effects and fantastic results in patients on it, so when it was time to become a patient myself, I chose it.
Ah, I see.
quote:
PCSK9 inhibitor
Good to know. What are your thoughts on colestipol? I take that for reasons unrelated to my heart or cholesterol levels, but it seems like it's a pretty benign way to reduce cholesterol levels.
1
Posted on 1/15/24 at 8:05 pm to CajunTiger78
That’s worst than mine bro. You have some blockage somewhere and may need some stints. You are going to need them to figure that out. Also you are probably a good candidate for Reptha Srclk shots twice a month if it’s genetics.
You were definitely going to have a heart attack
You were definitely going to have a heart attack
Posted on 1/15/24 at 8:06 pm to TutHillTiger
frick all that bro you are beyond Cestor and shite I think but you will have to try all that for six months before you get approved
Posted on 1/15/24 at 8:14 pm to TutHillTiger
You sound like me, I was a big gym rat too. 360 at 50 plus but I was bigger than you.
I had all the about to turn 50 test and all my cardio test and passed everything with flying colors. A very good friend of mine that was in better shape but same age, was Marine officer etc, dropped dead after a 5 miles run a week after completing his annual physical, treadmill etc. He had a heart attack.
That was enough for me, took calcium test and got 300 something too. Waist is 35
I had all the about to turn 50 test and all my cardio test and passed everything with flying colors. A very good friend of mine that was in better shape but same age, was Marine officer etc, dropped dead after a 5 miles run a week after completing his annual physical, treadmill etc. He had a heart attack.
That was enough for me, took calcium test and got 300 something too. Waist is 35
Posted on 1/15/24 at 8:17 pm to CajunTiger78
Calcium score is becoming obsolete with the new Cleerly scan technology that will tell you exactly where the soft and hard plaque is located. It’s a life saving scan that is worth the price regardless of insurance. Don’t let your Dr put you on meds until you get the Cleerly results.
Posted on 1/15/24 at 8:28 pm to FieldEngineer
You may be correct, ask a cardiologist.
Yeah , it’s not that high. Changing the point, but if it weren’t for my nursing good friends I would not have made it. Because of all my lab results and ekg the doctor was saying it wasn’t a MI. Nurse just ignored him and kept treating me for a MI. And she instructed everyone else in the room to do the same. A second doc came in and agreed with the first. Pain was unbearable . Cracked several teeth. Thankfully, the cardiologist came to from across the street just before I coded.
Yeah , it’s not that high. Changing the point, but if it weren’t for my nursing good friends I would not have made it. Because of all my lab results and ekg the doctor was saying it wasn’t a MI. Nurse just ignored him and kept treating me for a MI. And she instructed everyone else in the room to do the same. A second doc came in and agreed with the first. Pain was unbearable . Cracked several teeth. Thankfully, the cardiologist came to from across the street just before I coded.
Posted on 1/15/24 at 8:31 pm to S1C EM
quote:
What are your thoughts on colestipol?
Fairly weak at lowering LDL levels with no significant mortality data one way or the other that I’m aware of. I would not take it for my LDL with what else is available. Ezetimibe or or bempedoic acid would be the others I’d consider adding, generally.
Posted on 1/15/24 at 8:39 pm to BabyTac
Man this got me. I laughed more than I should have.
Posted on 1/15/24 at 8:46 pm to BPTiger
Statin therapy is a good treatment plan.
Posted on 1/15/24 at 8:52 pm to CajunTiger78
Depressing thread. I need to get my shite together
Posted on 1/15/24 at 9:02 pm to CajunTiger78
You don’t care about your cholesterol. 1/2 to 1/3 of Louisianans will have a heart attack or stroke. THAT you should care about.
What can you do to reduce your risk? And, yes, with that ct calcium of your LAD - you’ve got significant risk.
Take a statin. Easy and cheap. Or increase your life insurance.
And FWIW Arthur Agatston, M.D is the cardiologist who founded the South Beach Diet. He developed the CT calcium, the score is in Agatston units. Yes eat well, don’t smoke and exercise, but don’t be a dumb arse- take the statins if needed- see Jim Fixx.
What can you do to reduce your risk? And, yes, with that ct calcium of your LAD - you’ve got significant risk.
Take a statin. Easy and cheap. Or increase your life insurance.
And FWIW Arthur Agatston, M.D is the cardiologist who founded the South Beach Diet. He developed the CT calcium, the score is in Agatston units. Yes eat well, don’t smoke and exercise, but don’t be a dumb arse- take the statins if needed- see Jim Fixx.
This post was edited on 1/15/24 at 9:16 pm
Posted on 1/15/24 at 10:22 pm to CajunTiger78
quote:
I will be following up with my Cardiologist in the next few days to go over the results and I am against getting on a statin
Good because statins increase artery calcification. A friend just got his score back plus 500 and has been on a statin for twelve years.
Long term statin use linked to heart disease
Take 15mg Vitamin K MK-4 three times a day
Vitamin K reverses calcification
Amazon
Posted on 1/15/24 at 10:33 pm to CajunTiger78
A positive CAC score kind of means that you have already had a heart attack. Your plaque has ruptured, and calcium has been deposited when it’s been repaired. The difference between a rupture that heals in a way that doesn’t restrict blood flow, and one that causes someone to die is not known.
Some people will have ruptured plaque and not have a heart attack. The lesion will heal minimally, then some people will have a rupture and have a big clotting cascade affect and have 100% occlusion. Some people can have hundreds of ruptured plaques, and they have a high level of calcium deposits, and never have a big heart attack. It’s like the calcium reinforces the arterial wall. Even before you inject the contrast for the angiogram, you can see the coronary arteries lined with calcium, these are the people that have collaterals that are like natural bypasses.
Someone can have an angiogram with no CAD, then walk out in the parking lot and have a rupture that causes 100% occlusion. I’m sure that’s less likely to occur than someone who has mild, moderate or severe CAD.
The study’s show that there’s no benefit in fixing a lesion unless you are having chest pain. So you should not be having a heart Cath unless you were having chest pain.
Next step would be to do a treadmill study. If you really want a cath, just say you have chest pain when you mow the lawn, then it goes away when you stop.
Some people will have ruptured plaque and not have a heart attack. The lesion will heal minimally, then some people will have a rupture and have a big clotting cascade affect and have 100% occlusion. Some people can have hundreds of ruptured plaques, and they have a high level of calcium deposits, and never have a big heart attack. It’s like the calcium reinforces the arterial wall. Even before you inject the contrast for the angiogram, you can see the coronary arteries lined with calcium, these are the people that have collaterals that are like natural bypasses.
Someone can have an angiogram with no CAD, then walk out in the parking lot and have a rupture that causes 100% occlusion. I’m sure that’s less likely to occur than someone who has mild, moderate or severe CAD.
The study’s show that there’s no benefit in fixing a lesion unless you are having chest pain. So you should not be having a heart Cath unless you were having chest pain.
Next step would be to do a treadmill study. If you really want a cath, just say you have chest pain when you mow the lawn, then it goes away when you stop.
Posted on 1/15/24 at 11:01 pm to CajunTiger78
In case you check in on this thread again later, I'll add my $0.02:
For starters: *** this is not medical advice & I'm not a medical professional. ***
... that being said, it is understandable these days that people are wary of getting shackled to big pharma products for the rest of their lives-- especially if there are more natural alternatives.
1) In this case, vitamin K might be your friend. It's especially important if you're taking a lot of vitamin D. Vitamin K (I forget if K1 or one of the K2s or all types of K) helps ensure that calcium goes where it's supposed to go in the body. And people who take D without K can experience issues with the excessive D causing calcification of blood vessels & arteries.
2) As someone else mentioned, nattokinase can also be very helpful. Nattokinase is an enzyme created by certain bacteria in fermented soy (named for the Japanese dish "natto" where I believe it was discovered) so that the bacteria can consume the soy protein. Since you lift and a lot of lifters avoid soy products, it is important to note: nattokinase is NOT soy itself; it's just the enzyme bacteria use to break soy down. In any case, a lot of research shows nattokinase is highly effective at cleaning the blood and helping to clean plaque (and even covid spike related crud / clots) out of arteries.
Here's a short, relevant video I watched recently-- mostly discussing K, but bringing up nattokinase at the end:
youtube
The guy in the video has a lot of related content on his channel. He lists himself as a "certified dietary supplement professional" vs a doctor, so bear that in mind... you might want to check out other sources as well. When I just went on to youtube to copy the above link, youtube suggested countless videos from other content creators about K2 and/or nattokinase and effects on heart/artery health from an array of sources, some of which I think were doctors. My point is to be thorough in your due diligence-- especially if it ends up at odds with doctor advice.
3) Fasting / intermittent fasting can be beneficial as well.
Depending on how much work you want to put into avoiding getting put on statins, these are the first 3 topics I would start researching. And I personally think this is where a platform like youtube shines, as the more you click on vidoes covering these topics, the more it will feed you similar content so you don't have to hunt for info as much.
Last thoughts:
1) I can't find it now, but read an article last year about vitamin K... this gist was that for potency it's important to get a good brand of K and avoid having magnesium stearate or similar mineral-based fillers in the formulation as they can interact with the K and degrade it in the bottle. Can't remember, but I think oil based K supplements were found to retain potency a little better.
2) While you can overdose on anything, it is supposedly difficult to OD on vitamin K. Again-- not medical advice / do your own research-- but if I had a potential heart issue, I might look to take double or more than the daily dose at least for a couple / few days or intermittently.
Good luck with your next appointment and hope you don't end up having to stress too much over the statin / alternatives issue.
quote:
I will be following up with my Cardiologist in the next few days to go over the results and I am against getting on a statin. I feel great and do not have High blood pressure but I do have high cholesterol
For starters: *** this is not medical advice & I'm not a medical professional. ***
... that being said, it is understandable these days that people are wary of getting shackled to big pharma products for the rest of their lives-- especially if there are more natural alternatives.
1) In this case, vitamin K might be your friend. It's especially important if you're taking a lot of vitamin D. Vitamin K (I forget if K1 or one of the K2s or all types of K) helps ensure that calcium goes where it's supposed to go in the body. And people who take D without K can experience issues with the excessive D causing calcification of blood vessels & arteries.
2) As someone else mentioned, nattokinase can also be very helpful. Nattokinase is an enzyme created by certain bacteria in fermented soy (named for the Japanese dish "natto" where I believe it was discovered) so that the bacteria can consume the soy protein. Since you lift and a lot of lifters avoid soy products, it is important to note: nattokinase is NOT soy itself; it's just the enzyme bacteria use to break soy down. In any case, a lot of research shows nattokinase is highly effective at cleaning the blood and helping to clean plaque (and even covid spike related crud / clots) out of arteries.
Here's a short, relevant video I watched recently-- mostly discussing K, but bringing up nattokinase at the end:
youtube
The guy in the video has a lot of related content on his channel. He lists himself as a "certified dietary supplement professional" vs a doctor, so bear that in mind... you might want to check out other sources as well. When I just went on to youtube to copy the above link, youtube suggested countless videos from other content creators about K2 and/or nattokinase and effects on heart/artery health from an array of sources, some of which I think were doctors. My point is to be thorough in your due diligence-- especially if it ends up at odds with doctor advice.
3) Fasting / intermittent fasting can be beneficial as well.
Depending on how much work you want to put into avoiding getting put on statins, these are the first 3 topics I would start researching. And I personally think this is where a platform like youtube shines, as the more you click on vidoes covering these topics, the more it will feed you similar content so you don't have to hunt for info as much.
Last thoughts:
1) I can't find it now, but read an article last year about vitamin K... this gist was that for potency it's important to get a good brand of K and avoid having magnesium stearate or similar mineral-based fillers in the formulation as they can interact with the K and degrade it in the bottle. Can't remember, but I think oil based K supplements were found to retain potency a little better.
2) While you can overdose on anything, it is supposedly difficult to OD on vitamin K. Again-- not medical advice / do your own research-- but if I had a potential heart issue, I might look to take double or more than the daily dose at least for a couple / few days or intermittently.
Good luck with your next appointment and hope you don't end up having to stress too much over the statin / alternatives issue.
Posted on 1/15/24 at 11:06 pm to CajunTiger78
I had a CTA with contrast at age 40 because of a family history of heart disease. My score came back at a "6".
Right or wrong, I've been on statins since my early 20s. At 11% bodyfat my cholesterol is 300-400 off meds. Low HDL, high trigs. Cardiologist credited the statins for my low CTA score.
I've been trying to keep dive on particle size and some other indicators. I tolerate the statins well enough though, so I don't see myself stopping them.
Right or wrong, I've been on statins since my early 20s. At 11% bodyfat my cholesterol is 300-400 off meds. Low HDL, high trigs. Cardiologist credited the statins for my low CTA score.
I've been trying to keep dive on particle size and some other indicators. I tolerate the statins well enough though, so I don't see myself stopping them.
Posted on 1/16/24 at 2:09 am to dragginass
I was on crestor for 15 years before my calcium test, and lisenapril for 10
Posted on 1/16/24 at 4:30 am to CajunTiger78
Just out of curiosity...what led you to "get" a cardiologist to begin with?
Posted on 1/16/24 at 5:10 am to Hopeful Doc
quote:
Fairly weak at lowering LDL levels with no significant mortality data one way or the other that I’m aware of. I would not take it for my LDL with what else is available. Ezetimibe or or bempedoic acid would be the others I’d consider adding, generally.
Food for thought. If I ever have a need for lowering my LDL, I'll keep in mind. Thanks! My last test in December for LDL was 99.
Posted on 1/16/24 at 5:55 am to CajunTiger78
quote:
will ask for further testing to take a closer look as I understand a CAC score is not a definite for actual arterial blockage
I think you will be having a heart cath.
Posted on 1/16/24 at 6:10 am to CajunTiger78
I believe genetics messes with your cholesterol level more than your diet does.
A friend of mine at healthy as hell, no fried foods period. His cholesterol would be above 500. His brother (also healthy) died from a heart attack while jogging one morning.
Bad cholesterol genes.
I can eat fried food all day and my cholesterol never goes high. Good genetics.
A friend of mine at healthy as hell, no fried foods period. His cholesterol would be above 500. His brother (also healthy) died from a heart attack while jogging one morning.
Bad cholesterol genes.
I can eat fried food all day and my cholesterol never goes high. Good genetics.
This post was edited on 1/16/24 at 6:12 am
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