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re: Just had my annual physical and got my blood panel back
Posted on 4/27/23 at 6:20 pm to dallastiger55
Posted on 4/27/23 at 6:20 pm to dallastiger55
quote:
Ok so if i want to look at getting a test, should i do Apo 1a or Apo B? Or both?
The one I linked above is a good overall selection. Here it is on quest - LINK
1
Posted on 4/27/23 at 6:55 pm to JustinTI
Awesome. Do I need someone to write an order?
How much?
How much?
Posted on 4/27/23 at 11:04 pm to dallastiger55
quote:
Did those levels look bad enough to start a statin?
That would literally be malpractice. Your numbers, while mostly useless, look fine.
Posted on 4/28/23 at 7:48 am to dallastiger55
quote:
Did those levels look bad enough to start a statin?
NO
Your numbers look great at your age.
Posted on 4/28/23 at 10:43 am to dallastiger55
quote:
Total Cholesterol- 188
HDL- 57
LDL- 118
Tryg- 59
Non-HDL- 131
Your numbers are borderline in/out of range. I'm sure some doctors would prescribe a statin based on them alone. Probably more of a patient call/risk tolerance view at your levels, family history, any hypertension, etc...Again, based on numbers alone. For reference, I'm around 40% higher than you in total, non-HDL, and LDL and am still working through the process. Statins are not a slam dunk for me despite having numbers that would indicate so.
In your case, the CAC score of 1400 is way, way more concerning. Anything greater than a 400 (at any age) is considered a severe risk. I know you had a heart cath, but still...
I would get the advanced panel linked previously and again below ($150, no doctor order needed). From there, I'd work with a cardiologist for sure. If you're current one is not up to date on modern testing, maybe get a second opinion after you get your labs. I would not mess around taking advice from people on the internet with a CAC of 1400 - myself included. Heart disease is still the #1 cause of all mortality, and I would take the long view on it - i.e. how will decisions you make today affect your health/longevity 20 years from now.
And one last point on CAC score. See the conclusion below from a study on CAC scores in adults under 50:
quote:
The presence of CAC among individuals aged between 32 and 46 years was associated with increased risk of fatal and nonfatal CHD during 12.5 years of follow-up. A CAC score of 100 or more was associated with early death. Adults younger than 50 years with any CAC, even with very low scores, identified on a computed tomographic scan are at elevated risk of clinical CHD, CVD, and death.
Labs:
LINK
Study:
LINK /
Posted on 4/28/23 at 2:09 pm to dallastiger55
Increase your healthy fats (olive oil, whole grains and legumes, avacado, etc.) and your cardio.
Posted on 4/29/23 at 7:13 am to dallastiger55
Based on your numbers, assuming you do not take blood pressure lowering medication and your blood pressure is normal, your 10 year heart attack risk based on predictors is around 1%. Based on this, you would not normally require a Statin. As a physician, the concerning thing is your elevated coronary calcium score. I am generally ordering this test when I have a patient who is on the fence about beginning a statin. If the coronary calcium score is elevated, I typically begin a Statin. Regarding ordering advanced lipid panels, I do not order these, as they do not change what I do most of the time. And when they are ordered, they almost always suggest starting a Statin, which can be determined with a basic lipid panel as well. Statins are not the end all answer, however. Typically you need to treat at least 30 patients with a Statin to prevent one heart attack. My recommendation is to eat a good diet. Rather than wasting your money on supplements, eat fresh fruit and vegetables, as they are cheaper and better for you. Exercise regularly. Live each day like it’s your last.
Posted on 4/29/23 at 8:44 pm to dallastiger55
Who’s your cardiologist? With that family history, and CAC score, I would think you would be on high dose statin. You are an outlier.
A CAC score of 1200 means you have had lots of ruptured plaques.
Statins will stabilize those plaques and reduce the ruptures turning into ischemic heart attack. Or that’s what they say at least, who knows.
And as previously said, advanced panels are good for what? It’s just take the statin or not.
A CAC score of 1200 means you have had lots of ruptured plaques.
Statins will stabilize those plaques and reduce the ruptures turning into ischemic heart attack. Or that’s what they say at least, who knows.
And as previously said, advanced panels are good for what? It’s just take the statin or not.
This post was edited on 4/29/23 at 8:47 pm
Posted on 4/29/23 at 10:28 pm to BigPerm30
ApoB is something my prevention NP checks twice a year along with a shot load of other things due to a heavy family history.
My normal chol panel is perfect .. but she checks homocysteine, CRP among other things.
My normal chol panel is perfect .. but she checks homocysteine, CRP among other things.
Posted on 4/29/23 at 10:34 pm to dallastiger55
I see you’re in Jennings .. if that’s right, look into APEX Prevention in lafayette. She’s a NP working under a cardiologist and specializes in prevention.
Worth a phone call.
Worth a phone call.
Posted on 4/29/23 at 10:36 pm to Rust Cohle
I wanted an advanced panel because it provides more, better information - which should help you decide whether to take a statin or not. All current research points to Apo-B being a better indicator of potential cardiovascular risk than any of the traditional measurements. Standard panels provide zero information on Lp(a) levels, which are shown to affect risk.
In my case, the standard panel showed I was a borderline case of FH. The advanced panel put my markers as much more mixed - some in range, some just barely out of range. Again I prefer to have more and better information in any situation...but especially here at a relatively minor cost compared to all the money spend on health.
In my case, the standard panel showed I was a borderline case of FH. The advanced panel put my markers as much more mixed - some in range, some just barely out of range. Again I prefer to have more and better information in any situation...but especially here at a relatively minor cost compared to all the money spend on health.
Posted on 4/30/23 at 12:07 pm to JustinTI
I’ve lowered my lipoprotein(a) by adding in a small amount of healthy carbs, psyllium husk a few times a week, enduracin twice a day, cutting out as much sat fat as possible and taking zetia.
Posted on 4/30/23 at 12:18 pm to dallastiger55
Don’t get on a statin
Cholesterol is overrated, your hdl still seems to be good
Increase the animal fat and proteins from grass fed animals. If you’re using any seed oils then ditch them
Cholesterol is overrated, your hdl still seems to be good
Increase the animal fat and proteins from grass fed animals. If you’re using any seed oils then ditch them
Posted on 4/30/23 at 2:30 pm to dallastiger55
GO ON A CARNIVORE DIET
Posted on 5/1/23 at 8:45 am to TKLSUMD
quote:
Based on your numbers, assuming you do not take blood pressure lowering medication and your blood pressure is normal, your 10 year heart attack risk based on predictors is around 1%. Based on this, you would not normally require a Statin. As a physician, the concerning thing is your elevated coronary calcium score. I am generally ordering this test when I have a patient who is on the fence about beginning a statin. If the coronary calcium score is elevated, I typically begin a Statin. Regarding ordering advanced lipid panels, I do not order these, as they do not change what I do most of the time. And when they are ordered, they almost always suggest starting a Statin, which can be determined with a basic lipid panel as well. Statins are not the end all answer, however. Typically you need to treat at least 30 patients with a Statin to prevent one heart attack. My recommendation is to eat a good diet. Rather than wasting your money on supplements, eat fresh fruit and vegetables, as they are cheaper and better for you. Exercise regularly. Live each day like it’s your last.
while i agree with your message, you should look at the studies on the ones i posted. especially nak, CB and the pom juice.
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