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.

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Posted by lsu777

Lake Charles

Member since Jan 2004

31441 posts

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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