re: Dr Wants to Prescribe Statins..I Disagree

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Ask him what kind of kickbacks he gets from the statins he prescribes.

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Then ask him if you can get a % of that kick back if you let him 'prescribe' you that medication.

I don't think he's getting a kickback. I just think he's old school. He's probably in his 60's and still going off of info & science from the 80's and 90's.

He's completely against my diet too btw.

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I just think he's old school. He's probably in his 60's and still going off of info & science from the 80's and 90's.

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Probably the case.

It is just amazing how people actually believe doctors receive kickbacks.

Does every doctor receive them? Is it just a select few?

There are approximately 1 million doctors in the US. Do they all receive payment? How much do they get?

Scruffy must have missed out on the application for the kickbacks.

Fill us in Scruffy. Are PCPs compensated in any way for prescriptions?

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I've been doing keto and he about freaked out at all the eggs, butter, bacon, red meat, etc I eat.

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Low-density lipoprotein (LDL): Low density lipoprotein particles include three subclasses (LDL I–III), LDL I (large buoyant LDL), LDL II (intermediate density LDL), and LDL III (small dense LDL). Through several clinical investigations, it is now widely recognized that small dense LDL, compared to the normal LDL, is more strongly associated with the development of coronary heart disease.

Small, dense low density lipoprotein (sdLDL): Small dense low density lipoprotein is a new emerging risk factor for cardiovascular diseases. Too many small dense LDL (sdLDL) is considered to be a bad thing. Small dense low density lipoprotein particles have small size which enables them to penetrate easily into the arterial wall, which promote the formation of plaques in the arteries.

It can be used as a predictor of future cardiovascular events and in secondary prevention of stable coronary artery disease. sd-LDL can also predict mortality from AIS (acute ischemic stroke). It was found that patients with AIS who had elevated sd-LDL had 5.5-fold higher risk of dying during hospitalization. Several genetic and environmental factors affect LDL particle size, among these environmental factors dyslipidemia, obesity and insulin resistance, all lead to increased level of sd-LDL.


Your Triglyceride/HDL Ratio
This ratio is a very good predictor of coronary heart disease, because it can be used to predict your level of small dense LDL. It is many times more useful than Total Cholesterol.

This is calculated by dividing Triglycerides by HDL.
TG/HDL ratio less than 2 is ideal
TG/HDL ratio above 4 is too high
TG/HDL ratio above 6 is much too high


Lipid Panel Test

Range
Total Cholesterol........140 - 200 mg/dL
This number is not useful and is pretty much irrelevant.

Triglycerides............35 - 150 mg/dL
Lower is better. Below 150 mg/dL

HDL "good cholesterol"........>50 mg/dL
Higher is better. 60 mg/dL is desirable.

LDL "bad cholesterol".........60 - 135
If you are below 200 and you have low Triglycerides and high HDL and low inflammation (a low C-Reactive Protein range), then you have nothing to worry about.

Risk....0.00 - 4.45
Calculated by dividing Total Cholesterol by HDL.

On a low carb high fat diet, Total Cholesterol will tend to increase and LDL will tend to increase, but Triglycerides lowers and HDL rises. If your TG:HDL ratio is close to 1, then you ain't got nothing to worry about. Also LCHF diet will decrease sdLDL and decrease HbA1c over time.

And just FYI, statins are bs. I've been looking into this shite for my mom. She's on it, but she is coming off of it very soon. Just look at how statin drugs work. It's scary as frick. Want to be a diabetic? Take statins. Want hardening of the arteries? Take statins. Want to frick up your hormones? Take statins. (low t anyone?) Want to frick up the very important vitamin K2 (tells calcium where to go in the body. takes calcium out of the arteries and puts it in your bones and teeth)? Take statins. Want a frick up brain? Take a statin. Like working out with no muscle gains? Take a statin. Want your body to stop producing CoQ10? Take a statin.

Our liver is smarter than any fricking doctor.

Here's a couple of videos:
Statins: Trivial Benefit at a Great Cost (4:25)
David Diamond - An Update on Demonization and Deception in Research on Saturated Fat...(59:13)

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Overall the numbers are ok imo. He says my cholesterol concerns him and it may be time to look into statins. I'm thinking it's time to look for a younger PCP.

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I totally agree. You can come to my "practice". I don't take insurance but for a straight $100 per visit I'll tell you you're right too.

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How would that even work?

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Don't they have a prescribing number or something linked to their office? Perhaps it could be tracked that way.

Kickbacks are one of those things that gets mentioned so often I just assumed it happened.

Edited my post because I didn't read the whole thread yet.

Everything in RCA's post is good science and you should disregard anything in this thread but that.

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Ask him what kind of kickbacks he gets from the statins he prescribes.

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They're all generic. No one markets statins anymore.

Doctors aren't God's.

They should be giving advice based on the latest research, not ordering patients to take medicine.

We all have to be responsible for our own health and not dependent on a doctor who is overworked and spending a few minutes listening to our heart and reading some numbers on a paper.

Physicians are great for acute care, infections and chronic illnesses. They aren't so great when it comes to general health advice.

I use my physician for a general physical once a year. I just want my blood work and vitals and his opinion.

His opinion last time was to put me on a statin, mostly because my ldl was a little high and my grandfather died of a heart attack.

Well,my LDL was only barely high, by HDL was in the 80s and the ratio was crazy good. Triglycerides low. Blood pressure amazing. I'm in great shape and in my 30s.

When he recommended a statin it made me question anything he'd tell me in the future honestly.