I am a 67 year old active female. Have been searching for a cardiologist without any luck for the last 4 years that would give me other tools besides a statin and aspirin to help me stop the progression of plaque build up after having a 299 calcium score 5 years ago. I had been following a low carb, paleo diet for 10 years prior to the scan with no wheat, flour, sugar, grain diet for 10 years maintaining a BMI of 21 following a 80 lb weight loss. I didn’t test my Calcium Score again since no one seem to know what to do with that score. My family history on both sides is not reassuring. Dad died at 45 after successive heart attacks, brother at 30 after recovery from bypass surgery, older brother still living after bypass surgery, grandparents died from heart disease and stroke in 50s and 60s. I actively searched for a cardiologist to offer me more options. didn’t reveal anything.
Besides Echo cardiograms and 2 nuclear stress tests that they said were okay (or didn’t reveal anything) they all seem to have the same answer, take a statin and aspirin. I finally found an integrative cardiologist who did a more detailed lipid test but said that due to my risk and evidence of disease, albeit asymptomatic, that she too determined that I needed to take a statin and aspirin and that I should discontinue my paleo diet for a Mediterranean diet and add grains and dairy and the equivalent of 2 teaspoons of non saturated fats a day.
Adding those things was a disaster for me and I proceeded to gain 20 lbs and being sensitive to carbs it reignited my bingeing disorder. However, 2 months ago I managed to get some treatment for SIBO (methane) and through much effort I also lost those extra 20 lbs by going back to a paleo, a higher fat, and no grain diet with occasional sheep yogurt.
The integrative cardiologist said that while I am asymptomatic that I am due to have “an event” within the next 5 years (that was 3 years ago). She had me do labs including a “Bostonheart Diagnostics test” while in her office. I wonder in retrospect if my results were somewhat skewed by the following factors:
1. –On the way to her office we got stuck in terrible traffic in NYC and my stress level was off the charts (being quite late for the appointment).
2. –With no warning about a test ahead of time I had eaten a high fat keto breakfast that morning and wasn’t fasting as the test required (she said that was okay)
3- I had just done 3 or 4 weeks of keto and had lost a modest amount of weight.
4.-a conventional lipid panel a month later show that all my lipids came down substantially (total cholesterol and triglicerides, etc.) into my usual (still considered high by conventional standards) range but not in the 473 (total cholesterol) that was usually in the mid 200s!
This test was done in 2017 and a recent lipid test numbers are in yellow below for comparison. I plan to ask my PCP doctor for an NMR in the next few weeks so I can look at particle size.
These are some of the results from The 2017 Bostonheart diagnostic labs:
- LpPLA2 activity 234
- VLDL-C 26
- LDL-P greater than 3500
- Tri 97/ ( current labs =64)
- HDL-C 68 (current labs= 65.6)
- Direct LDL-C 379/(current lab= 131)
- ApoA-1 170
- ApoB/ApoA-1 1.6
- Lathosterol 161 (this part I learned indicates I am a high absorber/producer of cholesterol
- Beta-sitosterol 252
- Campesterol 169
- HbA1c 5.0/(current lab=5.5)
- Glucose 84/ (current lab=76)
- Insulin 4
My BMI is now back to 20.
I have hashimotos, take T3 and a little T4,
I take 5mg of zetia (my cardiologist suggests twice that) with 5mg of crestor much lower than the 20 to 30 mg dose my cardiologist recommends.
I take vitamin D3, K2, 3000 fish oil (just upped that), Ubiquinol, nattokinase, atrantil, Magnesium citrate 300mg at each meal, MetasporeBiotic, vitamin e,
My thyroid antibodies were positive (not sure on amounts)
Have done a couple treatments for SIBO and SIFO. Am wondering if an AIRE device would help me since my SIBO was methane based?
Am having trouble getting more than 5-6 hours sleep due to bladder issues and leg cramps that wake me at 5am.
If I do another calcium score what further action can I take to lower my plaque build up?
Have purchased and read Dr. Davis’s books, listening to all of his videos, adopting the protocols for foundation of the program as well as for heart disease. Just made my first batch of l. reuteri yogurt. I worry that there’s not much more I can do as a higher risk person. Any suggestions would be much appreciated.
Most recently I have been monitoring my pre and post meal blood sugar with a glucometer and notice that even after a “low carb meal” (for example meat or fish, salad and cooked greens and olive oil that it can still go from 98 to as high as 142 ! I have tried cutting back on vegetable portion sizes and protein.) Also I am unsure if given my background I am over doing saturated fats (coconut oil and butter) because I am a high producer/absorber of cholesterol and am unsure if that makes me more susceptible to plaque build up given that fact?
Any feedback on the above or suggestions would be gratefully appreciated!