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First time poster - cac, cholesterol, statins, semi-cooperative dr.

Inner Circle Member Forum >> Coronary Disease & Cholesterol Protocol >> First time poster - cac, cholesterol, statins, semi-cooperative dr.

njurkovi

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Posted: 4/17/2018 3:29:09 PM
 
First of all, thank you for a wonderful forum! Lots of useful information that will take me weeks to go through.

A couple of years ago I had a falling out with my long time doctor over statins, that he has prescribed for a relatively mildly elevated cholesterol.
Haven’t had any tests done for several years; finally decided to go to my wife’s dr (she likes him a lot) for physical. Upfront, I told him that a really, really don’t want to go on statins and he was semi-receptive.
Did basic blood panel; these are (I think) all the relevant results:

total C 216
hdl-c 29
trig 148
ldl-c 150 (martin-hopkins calc.)
glucose 89
vitamin d 41

He said, OK, maybe we don’t need to do anything agressive but let’s do CAC
That came back as 426 and it got me worried.

After this, there wasn’t much room for discussion, he put me on crestor (I am not taking it) and sent me to cardiologist (stress test etc - still haven’t gone). THis seems kind of a waste of time (I am 57, active in martial arts, spar with guys half my age; not really sure how they are going to ’stress’ me by mildly walking), but I will go through the motions anyway. That is not to say that there isn’t a lot of room for improvement in both diet and exercise (I will leave this for another post)

Nevertheless, I like the Dr. and despite "statin-blindness" I would like to keep him as my primary physician. I wanted to get some more lipid tests done (VAP, NMR...) and he said OK, but let’s do that after you are on crestor for 3 months.

Well, I beg to differ. What I want to do is establish a good baseline and then see the changes produced by diet and exercise in 3 months. My hope is that I can then go to him and say - you see, I did all this without statins.

I will pay for the tests myself. My question is - what test should I do right now (VAP, NMR, something else?). 

(I do remember, from long time ago, that my VAP wasn’t good - a lot of small particle ldl)

Also, any suggestion for a reliable lab where I can order the tests myself would be appreciated!

Thank you.

Tags: , LDL-C ,calcium score,LDL-P,Lp(a),Statins

Bob Niland

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Posted: 4/17/2018 3:51:04 PM
Edited: 4/17/2018 3:55:18 PM (1)
 
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njurkovi

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Posted: 4/17/2018 7:57:01 PM
 
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Posted: 4/17/2018 8:29:55 PM
 
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Malcolm

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Posted: 4/17/2018 9:01:37 PM
 
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njurkovi

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Posted: 4/18/2018 9:48:32 AM
Edited: 4/18/2018 1:13:40 PM (2)
 
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Posted: 4/18/2018 10:08:49 AM
 
Bob,
For ref. Thyroid panel from 2015
TSH 1.29
Thyroxine (T4) 7.4
T3 Uptake 30
Free Thyroxine Index 2.2
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Posted: 4/18/2018 11:19:34 AM
Edited: 4/18/2018 2:30:35 PM (3)
 
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njurkovi

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Posted: 4/18/2018 1:03:41 PM
 
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Posted: 4/18/2018 5:07:26 PM
 
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Posted: 4/19/2018 12:32:12 AM
 
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Posted: 4/19/2018 8:13:23 AM
 
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Posted: 4/19/2018 12:46:27 PM
 
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Posted: 4/19/2018 1:20:20 PM
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Posted: 5/14/2018 11:37:24 AM
 
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Posted: 5/14/2018 4:08:42 PM
 
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Posted: 5/14/2018 5:40:30 PM
 
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Posted: 5/14/2018 11:58:29 PM
 
Thank you, I will look into all that when time permits.

I assume there is no special action to be taken in regards to my ApoE status?


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Posted: 5/15/2018 8:24:24 AM
 
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Posted: 5/15/2018 10:20:50 AM
 
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Posted: 5/15/2018 1:22:30 PM
 
Bob,
You might consider whether it was excess protein instead of excess fat.  Protein can increase blood sugar, trigs, and small particles.  Try avocados, nuts, olives, in lieu of meat.
L
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Posted: 5/16/2018 12:23:56 AM
 
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Posted: 5/16/2018 8:23:39 AM
 
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Posted: 5/16/2018 1:56:56 PM
 
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Posted: 5/16/2018 2:28:00 PM
 
Njurkovi: i am on the same boat too related to that snp
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Posted: 5/16/2018 4:28:17 PM
 
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Posted: 5/19/2018 6:58:19 PM
 
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Posted: 5/19/2018 11:46:43 PM
 
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Posted: 5/20/2018 12:23:06 AM
 
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Posted: 5/20/2018 9:52:21 AM
 
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Posted: 5/20/2018 5:14:50 PM
 
Thank you, for now I think I will employ the standard WB diet/supplements and see where the numbers go. 


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Posted: 5/21/2018 4:21:30 PM
 
Forza1, thanks for the comment
NJ


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Posted: 5/21/2018 4:44:25 PM
 
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