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My New Cardiologist and Her Views on LDL and Statins

Inner Circle Member Forum >> Coronary Disease & Cholesterol Protocol >> My New Cardiologist and Her Views on LDL and Statins

Wagmore

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Posted: 12/21/2019 2:39:06 PM
 
After reading and a lot of discussion on this Forum back in June, I stopped taking Crestor. Just prior to stopping, here were a few of my NMR numbers:

LDL Particle Number: 475 nmol/L
Small LDL Particle no.: <165 nmol/L
HDL: 91 mg/dL
Trig: 50 mg/dL
LDL calculated: 60 mg/dL (yes, I know we ignore this but it’s the first thing my cardiologist looked at) 

Four months later in Oct after being off Crestor here are the same NMR numbers:

LDL Particle number: 876 nmol/L
Small LDL Particle number: <165 nmol/L
HDL: 100 mg/dL
Trig: 74 mg/dL
LDL calculated: 131 mg/dL

I just shared this data with my new cardiologist now that I am back in Fl for the winter. My discussion revolved around how to stabilize or reverse my high CAC scores (somewhere in the range of 770-880).

Her comments:
1. She views the CAC score as a "risk factor" to be considered along with all other risk factors such as genetics, smoking, consuming a diet too high in fat, especially saturated fat, etc.
2. She said "statins may not reduce your score but there is ample evidence that they do drastically reduce the risk of a cardiac event".
3. She does not do particle counts but does want me to do a direct LDL test, not calculated, after restarting my statin. She wants that to be 70 or less.
4. She prescribed 10 mg /day of Zetia...something she called a statin booster.

Questions please:

1. Do my numbers above make sense relative to "on a statin" vs "off a statin"? There is quite a difference in the two sets of numbers.
2. What is the "direct LDL" measure and is it any more valid or is it still to be ignored?
3. What is Zetia and do we think it is effective should one decide to use a statin?

As usual, thanks to all for the comments and advice! I am on the fence about restarting Crestor, depending on your views on my numbers.

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max1001

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Posted: 12/21/2019 3:26:27 PM
 
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Bob Niland

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Posted: 12/21/2019 7:29:42 PM
 
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Wagmore

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Posted: 12/23/2019 10:43:20 AM
 
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Bob Niland

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Posted: 12/23/2019 11:22:38 AM
Edited: 12/23/2019 11:45:17 AM (1)
 
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Malcolm

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Posted: 12/23/2019 11:24:03 AM
 
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Bob Niland

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Posted: 12/23/2019 11:53:32 AM
 
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Posted: 12/23/2019 1:39:03 PM
 
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Posted: 12/23/2019 3:43:02 PM
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Posted: 12/24/2019 8:18:01 AM
 
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Posted: 12/26/2019 11:41:32 AM
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Posted: 12/26/2019 12:36:19 PM
 
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Posted: 12/26/2019 12:39:04 PM
 
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Posted: 12/26/2019 2:06:47 PM
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Posted: 1/5/2020 4:00:17 PM
 
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