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re: Doc said my cholesterol is far too high.

Posted on 1/3/21 at 6:53 pm to
Posted by Rust Cohle
Baton rouge
Member since Mar 2014
1937 posts
Posted on 1/3/21 at 6:53 pm to
quote:

Hereditary, more than likely


Only 1 in 500 have hereditary hypercholesterolemia. The majority of heart disease may be familiar, but it’s not genetic.

Statins have not been proven to make people live longer. They may help people with heart disease.

Op’s HDL and triglycerides are envious. No real studies with this combo showing increased CAD, see Dave Feldman. I think their are some ways to lower ldl, exercise and abstaining from ETOH. But if you are using alcohol as a tool, it could suggest you may have some stress in your life that could cause the most progression of heart disease.
Posted by bayoubengals88
LA
Member since Sep 2007
18887 posts
Posted on 1/3/21 at 9:07 pm to
quote:

Rust Cohle
You’ve expressed views similar to mine. I just can’t believe that eggs, cheese, and red meat are bad for me.
I’ve also read Peter Attia state that the cholesterol we consume has almost nothing to do with our actual levels.

Regarding alcohol, maybe it’s not as bad as I led on. On average, I drink 2-3 times per week. It was just elevated with being off work for the holidays.

I’ll have to look up ETOH. Thanks.

Looked it up...that makes sense in context. Just never seen it referred to that way. I’m adding exercise again as soon as I get over this congestion.

SO, what would you tell my doctor??
This post was edited on 1/3/21 at 9:10 pm
Posted by LSU Patrick
Member since Jan 2009
73470 posts
Posted on 1/5/21 at 7:11 am to
Your HDL looks good. I would focus on raising it instead trying to directly lower your LDL and Tri. Switch to whole grains in place of white bread, rice, etc., increase your physical activity, switch to healthier oils like olive oil, cut out processed and deep fried foods. Do that and see how your numbers look after a few months. It they are still high, then a statin might be needed. I would try changing if your lifestyle first though.

Oh, and eat more fish, especially salmon, tuna, sardines, herring. Just make sure if they are canned that they are in water or olive oil. Don’t bread them. Just steam, broil, bake, grill, or pan fry in olive oil.

I got my HDL up over 100 one year when I followed that diet 80% of the time and was training for a marathon. My LDL went down accordingly. My triglycerides have never been high. I think that is really more hereditary.
This post was edited on 1/5/21 at 7:24 am
Posted by Utah Tiger
Palm Beach, FL
Member since Sep 2005
1126 posts
Posted on 1/8/21 at 3:37 am to
Get a NMR-Lipoprotein test or a Cardio IQ. This has a ton of data that you get back including if your LDL's are Type A or Type B. One is large and fluffy and the other is small. The small ones get into your arteries when you get inflammation. Cholesterol is only bad when you have inflammation in your body big time. You can lower inflammation keeping your glucose levels in proper range, being your ideal weight,proper diet and sleep and exercise.
Posted by emanresu
Member since Dec 2009
9355 posts
Posted on 1/10/21 at 3:04 am to
quote:

CRP is a nonspecific marker of inflammation that is not used as a marker for your risk of MI

Incorrect. It can be used when risk stratifying for ASCVD to determine whether they are put on statins. It's one of the risk-enhancing factors above and beyond cholesterol, age, etc. From UpToDate:

quote:

the presence of one or more of the following factors can be very important in informing and shaping the clinician-patient discussion of CVD risk and primary prevention therapies (see 'Identify risk-enhancing factors' above):

-Family history of premature atherosclerotic CVD (men <55 years of age, women <65 years of age)

-Primary hypercholesterolemia

-Metabolic syndrome (see "Metabolic syndrome (insulin resistance syndrome or syndrome X)")

-Chronic kidney disease with estimated glomerular filtration rate between 15 and 59 mL/min/1.73 m2

-Chronic inflammatory conditions (eg, rheumatic diseases, HIV, etc)

-History of premature menopause before age 40 years or pregnancy associated conditions (eg, preeclampsia)

-High-risk race/ethnicities (eg, South Asian)

-Lipid abnormalities including elevated lipoprotein(a) =50 mg/dL (=125 nmol/L) or elevated apoB =130 mg/dL

-Biomarkers including C-reactive protein (CRP) =2 mg/L and ankle-brachial index (ABI) <0.9


It's also on the ACC/AHA algorithm (lower left):

This post was edited on 1/10/21 at 3:15 am
Posted by ConfusedHawgInMO
Member since Apr 2014
3495 posts
Posted on 1/21/21 at 10:05 am to
quote:

The first drug he gave me, I took for a few weeks and noticed I started having knee and ankle pain, especially if I had been sitting down or just waking up and getting back on my feet. The joints felt stiff and had pain in them and that is one of the potential side effects of some of them. ... Crestor


Wow that describes my experience. I legit just thought it was getting old. So Lipitor changed that?
Posted by rjokerlsu
Big Spring, TX
Member since Apr 2007
6887 posts
Posted on 1/31/21 at 7:36 am to
Before you are compelled to try statins, try your best to aim for a low fat diet.

I believe cholesterol and high blood pressure are the two most overmedicated health conditions in this country.

Do you like oatmeal and avocadoes? I have personally had good success with a product called Nutrim, which contains a very high grade of oats. But it substantially helped to lower my cholesterol.
Posted by elcid
Band Camp
Member since Mar 2007
3036 posts
Posted on 1/31/21 at 9:52 am to
quote:

My HDL level is usually in the low end of the range: 35-40, though.


That’s from the gear
Posted by X123F45
Member since Apr 2015
27353 posts
Posted on 2/1/21 at 7:41 pm to
quote:

Do you use a French press for coffee? That can raise your cholesterol quite a bit.




Yeah. The paper filter serves a purpose. I was shocked to learn that little fact this year
Posted by Louie11
Member since Dec 2020
70 posts
Posted on 2/1/21 at 8:30 pm to
Eat a bowl of oatmeal everyday , drink a glass of red wine, eat healthy diet, lose weight and exercise. Your numbers will come down without drugs.
Posted by bayoubengals88
LA
Member since Sep 2007
18887 posts
Posted on 2/2/21 at 7:26 pm to
quote:

Yeah. The paper filter serves a purpose. I was shocked to learn that little fact this year

Is this a joke??
Posted by bayoubengals88
LA
Member since Sep 2007
18887 posts
Posted on 2/2/21 at 7:28 pm to
quote:

Eat a bowl of oatmeal everyday , drink a glass of red wine, eat healthy diet, lose weight and exercise. Your numbers will come down without drugs.


I’ve cleaned up my diet a good bit over the past month, and I’m now drinking less and working out at least 4 days/week.

Oh, I’ve also cut coffee from my diet. I just can’t stand the taste and smell post covid.
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