Yes, it was a pleasure to get my cardiac aspect of the fellowship under Dr. Houston.
Isolation increases bad health outcomes and dementia … so being engaged with a community seems a sensible thing to do when possible. There are things to try once you have standard medical rule out of serious causes for fatigue, such as NTFactor Lipids and/or Methylene Blue, NAC Ethyl Ester, and Phosphatidyl serine. These would be common items I advise for my patients, but make sure to get advice from your doctor on this.
Cleerly is a valuable addition, and should be part of most CTCA’s.
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Thanks I’ve tried all those except methylene blue, it kinda scares me. I’ve heard copper helps some but I’ve tried so much and nothing. My latest is Urolithin A by Timeline. Will give it 6 months - it’s relatively expensive. Anyway I thought last night I’m asking you too many questions but I’ve decided to get that heart test when my 77 year old brother gets back from his expedition in Antarctica (talk about different lives we have) and can drive me to Parker. I’ll let you know results. Thanks again.
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Hi Beth, I did think a baby aspirin was what was taken but wasn’t sure if actually in a full blown attack that’s why I mentioned the dosage on mine. These are also enteric coated and from what Kiwi said sounds like they aren’t as fast acting.
I’ve been thinking of a glucose monitor - only have a trac phone which rarely use maybe I should get an iPhone it seems most of these tracking things eg sleep etc use that. I need to see my doc re all this, don’t think she’s that up on things, she was never alarmed re my cholesterol numbers and other people have given me the info on my heart. But she is good if I learn and take info to her, she’s not offended. Interesting you see Grant I was wondering if he had a practice other than being in the ER. I’m in CO though and not many docs in my town that deal with functional medicine. At 71 I’ve had feelings of giving up especially since I broke femur 4 years ago and then a bad knee replacement and am a mechanical mess besides the fatigue, but there’s longevity on both parents side so I could be like this 20 plus more years. You’re very fortunate to have a good PT! I’m in such a state now wouldn’t even want to commit to an appt - it’s ridiculous.
You’re so right about the generosity of people here it’s amazing. They’re so darn smart too, I don’t understand all these studies they post, too much chemistry. 
Thanks for your generosity too - will look into that monitor.
Dr. Houston has been associated with Calroy Health Sciences and their products Arterosil HP and Vascanox which support endothelial health. I’ve taken both of those products for a couple years but not sure if they really helped (recent cat scan revealed some aortic atherosclerosis). Do you have any thoughts on the efficacy of those products?
Houston to my knowledge certainly believes in and pushes these products. It is always a challenge if someone has a financial interest. I’m presuming he does, but haven’t asked him.
He does testing of endothelial function (EndoPAT) and arterial stiffness, CardiaX (Vibrant) Genetics testing (which is a fascinating test with action points, and for folks with a premature family history of CAD I think people should take is as there are specific things to do). Some of the mutations primarily effect the endothelium, others the endogenous nitrate system. For those, Arterosil (endothelial dysfunction/glycocalyx) or Vasconox (Nitric Oxide) can be a useful part of the treatment plan.
I’m taking Vasconox, and get it less than 50% of retail as a physician which makes it a bit more affordable.
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Pat25
#107
To the fantastic recommendations of Dr. Fraser, I would want to add light exposure, since you mentioned being indoors quite a lot. I won’t go into too much detail, but I recognise the debilitating (autoimmune) exhaustion. (For years on end, also while doing a lot of cardio, eating whole food diet of lots of homegrown foods with added supplements to ensure I’d get at >200% RDA of all important minerals, vitamins, etc. Next to countless other things I tried.) Nothing seemed to help and I was despaired, but light exposure really makes a difference for me. Ideally outdoors, but I use other ‘means’ in wintertime.
Good luck!
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Thanks Pat25 I’ve heard Andrew Huberman talk about this. I haven’t been outside in so long and was thinking the other day that’s not good. I do have a Rush red light lamp but it sits there as can not figure out best way to situate it and me as it’s pretty small. Still….it’s there I need to use it. Bryan Johnson the man of Don’t Die and Blueprint fame said once he didn’t use red light as didn’t seem valuable enough for his time but recently he showed his morning routine and he’s now using it. Has two huge panels and stands between them. That makes it so easy but I bet those cost a small fortune. I also have a morning lamp for SAD I sometimes use but don’t see much benefit from it. You all are helping me get my act together it’s just hard when you have such malaise there’s a lot of inertia even though you know what do you need to be doing. I did get a blood restriction deal and use it on my bad leg 4 or 5 times a week now concentrating on glutes as saw that there is usually an imbalance between glutes and quads, the quads being so much stronger. So there is that I do, and stretch, occasional wall push ups. I’m really glad you’re feeling better sounds like you’ve had your struggles too.
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Pat25
#109
I’m sorry to hear about all the challenges you are dealing with, Candleflower. I really hope things will improve for you.
Member @约瑟夫_拉维尔 has a Podcast with a lot of fantastic interviews, more recently with some pioneers in (research about) circadian photobiology. I had also previously seen several of Huberman’s fascinating interviews on this topic, but Joseph’s interviews really shedded new light on this. He posted them recently in a thread - you may find them very interesting also. I did make new adjustments to my indoor lighting based on that. (There is little sunlight where I live a good part of the year).
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I don’t think the aspirin is the savior in this situation, Apo B management with 50’s for Lp(a) negative and 30’s if Lp(a) positive is the approach, and if you’ve got disease at <60 years or age or family history of disease before that time, get a CARDIA-X from Vibrant.
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Hi DrFraser, thought of you when I read this —wish the FFRCT software was more available.
“But again, as with CAC, there are limitations to CCTA. Say, for example, the CCTA spots a narrowing. You might still have to undergo a catheterization with all its attendant risk and expense to make a determination if the blockage is significantly compromising flow.
Enter the coronary CTA with FFRCT which uses an improved software application to create a digital 3D model of the arteries leading to the heart. Computer models then simulate blood flow within those arteries to assess whether the flow has been restricted by any narrowings or plaque buildup.
In the recent PRECISE trial when catheterizations were performed based on a CTA with FFRCT finding that there was critical blockage, patients were only one-third as likely to have what turned out in retrospect to be an unnecessary catheterization showing no obstructive disease. In other words, the patients who got caths probably really needed them, and appropriately got stents.”
I have my patients do a CTCA with Cleerly Analysis. This is currently the recommendation of Dr. Mark Houston who is a cutting edge Cardiologist at St. Thomas and Vanderbilt. That will give you solid information about the nature of any plaques and their significance.
You can look up Cleerly CTCA analysis online.
Simon One (among other places) offers it - cash pay isn’t cheap $1570
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Yes he was talking to a Dr. James Mims from CLEERLY but I thought Dr. Ronald Hoffman (this was on his website/radio show) said it doesn’t show actual blood flow if there is a narrowing, necessitating further tests, but this FFRCT software does show it, so wondered if you’d heard of it - seems for now only available in Chicago to limited patients. I may have misunderstood all of this though - if so I apologize.
I cannot find details beyond this. in regard to your question.
Ultimately, Cleerly should answer the question of medical vs. interventional management, which is the useful delineation of getting a CTCA. A standard CTCA is negative, is great (I can get these for as little as $311 in the Nashville region); however if there are abnormalities, quantifying those sufficient to make the decision of intervention vs. medical management can effectively be accomplished with this analysis.
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