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Is a calcium score of 0 fairly normal?

Posted on 5/29/26 at 12:08 am
Posted by wallowinit
Louisiana
Member since Dec 2006
17805 posts
Posted on 5/29/26 at 12:08 am
I’m not sure what to think about getting a score of zero today. The other number which I’m not too sure what it is was 2.6 cm.
I’ll be 69 in a month. I was expecting a good score but not zero. How could it even be zero?
Posted by DrDenim
By the airport
Member since Sep 2022
972 posts
Posted on 5/29/26 at 1:26 am to
I'm curious about how much consultation time you get with this. Whenever people like you come to the internet for answers to these questions that seem appropriate for your physician, I wonder, "why don't they ask the doctor this?" but I honestly have no clue if the doctor even makes themselves available after these kinds of tests so maybe you can't ask them, or.....

Or, you got all the answers you wanted from the doctor and now you want the TD/H&F answers (sorry, I got nothing for you other than this, no test is without flaws or weaknesses, so if you've only had 1 of these done, ever, don't look into the results too much, you need a series of tests, spread out over many months to get a better picture. Just my opinion, there's always the chance for there being an erroneous result due to many reasons, so I wouldn't get worried or excited about one result.)

I would assume the docs meet and have a chat with the patient about it, but I've been a nurse long enough to never make that assumption. I'm not attacking doctors, I just know how it is and that's how it is a lot. I don't work in the area of healthcare that would give me any awareness of what is being done in these particular diagnostic testing scenarios.
Posted by wallowinit
Louisiana
Member since Dec 2006
17805 posts
Posted on 5/29/26 at 1:53 am to
I consult regularly with my doctor, and my doctor commented that my score was perfect.

I’m just curious as to how common a score of zero is among people who post on this board.

I understand that a score of over 400 requires medical intervention and scores of over 1000 are being registered.

The score of zero just seems odd.

I would think there are plenty of calcium scores of zero represented on this board since this board is populated by people who are health conscious.
Posted by AthensRattler
Classic City, GA
Member since Dec 2013
945 posts
Posted on 5/29/26 at 3:00 am to
I have familial hyperlipidemia and regularly tote around total cholesterol over 250. In spite of my high cholesterol my calcium score was zero.

I wasn’t given the impression that the zero implies no risk. You can still have uncalcified obstructions. That said, based on the zero score, my high level of physical activity, and no family history of heart disease or stroke, i am still not on any statins at 44. We will continue monitoring.
Posted by DrDenim
By the airport
Member since Sep 2022
972 posts
Posted on 5/29/26 at 3:12 am to
Okay, well, it being late, you'll have to wait until tomorrow, but I know for a fact there has been threads on calcium scores in the past and I recall most people having lower scores as well as some 0's. I don't recall their ages, but it's been discussed. In the morning I'm sure more people will post up their experiences. It's an interesting topic for sure.

Are you able to get these tests easily? I'm gonna assume insurance picks it up if its deemed necessary, but what if it doesn't? I can never find a place that does them for an uninsured person.

Here's an old H&F calcium score test thread from a few years ago Heart calcium score test, I know there's been more though.
Posted by Loup
Ferriday
Member since Apr 2019
17057 posts
Posted on 5/29/26 at 7:28 am to
Here is my doctor's comment on my calcium score of 0. I'm 37 years old, not obese, pretty active. Screening was due to having chest pains and both of my grandpas died from heart attacks at pretty young ages. Chest pains are from costochondritis but I wanted some peace of mind and went through a battery of tests.

quote:

Your calcium score thankfully came back with a perfect score of 0, I recommend we just repeat this test in 5 years to assess for change.
This post was edited on 5/29/26 at 7:31 am
Posted by RedBeardBaw
Member since Feb 2017
453 posts
Posted on 5/29/26 at 7:31 am to
For what its worth, I'm 42 yo and did a calcium score test in March of this year and my score was 0. I was told, and also my experience, that insurance doesn't normally cover this test but even out of pocket it was only like $150-$175 if i remember correctly. Not a bad price for peace of mind due to family history of cardiac problems.
Posted by OldHickory
New Orleans
Member since Apr 2012
10825 posts
Posted on 5/29/26 at 8:09 am to
Your doctor can get this test covered if you have a history. Side benefit: if you’re a former smoker, you want a chest xray—and those aren’t covered until 50. This test can help see same type of issues.
Posted by Long Ball Larry
Baton Rouge
Member since Apr 2021
1618 posts
Posted on 5/29/26 at 10:21 am to
My last CAC score was late 2024 and I got a score of 1 (I was 51 yrs old at the time)
Since you are so old Im assuming you dont use ChatGPT , so I asked on your behalf:


Posted by Maytheporkbewithyou
Member since Aug 2016
14195 posts
Posted on 5/29/26 at 10:37 am to
I did the test last November. They called with the results. Told me my score was a 0 and that was it.

No consultation or any discussion. That was with the Arkansas Heart Hospital.
Posted by wallowinit
Louisiana
Member since Dec 2006
17805 posts
Posted on 5/29/26 at 10:38 am to
quote:

Since you are so old Im assuming you dont use ChatGPT

Yeah, I’m so old that I have to use Super GRØK. But I still like to talk to, and hear from actual biological neural networks.

AI is great, but you should query real people as well before making conclusions. AI can give some pretty off-the-wall stuff sometimes that seem plausible when upon further investigation, is really not. You have to be able to discern between the silly stuff and the serious stuff.

It seems that many people don’t consider that based on how they respond. They just take what AI says and run with it. Savvy people never do that. It can cause discomfort.

Hopefully you don’t have to learn that lesson the hard way.
Posted by Long Ball Larry
Baton Rouge
Member since Apr 2021
1618 posts
Posted on 5/29/26 at 12:14 pm to
AI helps me make all important life decisions
Posted by Lawyered
The Sip
Member since Oct 2016
38413 posts
Posted on 5/29/26 at 1:33 pm to
My moms was real close to zero like single digits which shocked us all honestly . She has never exercised unless you count shopping at Marshall’s .

You’ll never meet someone who loves a sonic burger or cheese sticks more than her haha and I don’t think she’s drank a bottle of water this millennium. Only cokes

Weird how it all works out
Posted by wallowinit
Louisiana
Member since Dec 2006
17805 posts
Posted on 5/29/26 at 6:49 pm to
I really like hearing these stories. That’s wonderful for your mom.

I’m really curious about what contributes to a score of zero. I have not been the picture of health in my actions as I smoked and drank a lot, but I only smoked when I drank.

However, I have been aware of simple carbohydrates versus complex carbohydrates as it was put to me in a book I read back in about 1989. I was aware of ketosis since about 1985 when I met someone who was actually trying to get into ketosis at the time. I became a proponent of whole foods and not processed food a very long time ago as well. there were long periods of time when I was just totally abusive of eating and drinking and doing everything when I got up to 234 pounds at 5 foot nine.


There are also pretty long periods of time when I ate very well avoiding high glycemic foods and eating small meals multiple times a day. I lost 50 pounds doing that, but I didn’t do anything about maintaining my muscle mass and I depleted my muscle mass.


That’s pretty much how my life has been about half the time doing right and about half the time being totally abusive to my body.

I always stayed in decent shape because we went snow skiing every year and if you don’t go snow skiing in shape you end up risking serious injuries and wasting a lot of money and time. And I love to snow ski. Maybe that contributed.


I’ve been locked in on nutrition and physical therapy for the last 2 1/2 to 3 years. One of the supplements I take I am taking for the purpose of clearing my arteries. Maybe that worked. Not knowing if I had a high calcium score at any point leaves me guessing. The supplement is Nattokinase.
I really would like to think that it was that supplement that did it because that would be pretty slick.
The deal is that I really would like to know what contributed the most to that reading so it’s interesting hearing other people stories.
Posted by CrawDude
Baton Rouge
Member since Apr 2019
5862 posts
Posted on 5/30/26 at 10:33 am to
quote:

I consult regularly with my doctor, and my doctor commented that my score was perfect. I’m just curious as to how common a score of zero is among people who post on this board. I understand that a score of over 400 requires medical intervention and scores of over 1000 are being registered. The score of zero just seems odd.

I’m in your age group and I have siblings and other relatives of similar age that have had CAC scores done in the past few years all which were 0, so I’m sure it’s not uncommon. However, my CAC, done a few years ago was 550 - I’m 6’2”, 180 - heaviest I’ve been in my life (by design). I’m active and resistance train - consistently. No history of heart disease in my family, no obesity in any family member, and most of my older relatives lived into their 90s. I passed a follow up threadmill stress with flying colors. The cardiologist placed me on low dose aspirin and satin, for slightly elevated LDL - which he told me ahead of time he would do if I had a CAC higher than 0.

Asked him a few weeks ago at my annual if any follow up tests were warranted (CT angiogram, Cleery Test, etc) and he said no, unless I began showing symptoms - chest pains, shortness of breath, anomaly in ECG. I probably would be more concerned of the high CAC score if the family had a history of heart disease but at least I know now not ignore or dismiss any symptoms that could be associated a potential heart issue. Of course I have now watched dozens of YouTube videos by cardiologists on CAC scores, and I feel comfortable with what the score tells you, and does not tell you, in regards to cardiovascular health.
Posted by OysterPoBoy
City of St. George
Member since Jul 2013
45012 posts
Posted on 5/30/26 at 10:34 am to
You better drink some milk my baw.
Posted by wallowinit
Louisiana
Member since Dec 2006
17805 posts
Posted on 5/30/26 at 12:25 pm to
quote:

You better drink some milk my baw.

I removed dairy from my diet for probably a couple years until recently. I thought it was the dairy that was keeping me stuffy in the sinuses.

I’ve been eating “dirty“ carnivore for about seven or eight months with the first three months being strict carnivore. The dirty part means I am supplementing with whey protein. Plant free though.

I decided to try some dairy because I guess there is some nutritional benefits to the dairy fat and C:15. However, I find that the dairy has not induce any kind of reaction. It seems the stuffiness just comes with the pollen around here as I live under a canopy of live oak trees.

What are your thoughts on consuming dairy?
Posted by wallowinit
Louisiana
Member since Dec 2006
17805 posts
Posted on 5/30/26 at 12:30 pm to
That sounds like a really good approach.
I think that with your history and your family’s history along with your positive attitude about it and with your doctors care and advice, your risk is likely much lower than the score indicates.
Posted by JinFL
Duuuval
Member since Oct 2004
4467 posts
Posted on 5/30/26 at 12:51 pm to
Lp(a) - what is that score?
Posted by wallowinit
Louisiana
Member since Dec 2006
17805 posts
Posted on 5/30/26 at 3:16 pm to
I can only guess that since there’s been no indications of an issue that some threshold hasn’t been reached to trigger that test. However, you have me curious so I’m going to request it when I go next time.
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