Peter Attia recommends a CT Angiogram which I am getting in November. It shows both hard and soft plaque per Attia and my cardiologist.
My cardiologist had one himself.
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yeah, I personally tested high with cleerly and I’ve been on red yeast rice extract/niacin/CoQ10 with both of the Calroy products for nitric oxide and glycocalyx support. I also significantly decreased saturated fat intake.
….retesting in November. If still high, I will get on a Pcsk9 inhibitor (genetically, I am a statin non-responder, so that would be my next best option)
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If you were a statin non-responder (if that’s even a thing), red yeast extract would be equally useless because it contains a statin.
yes although arguably it might be more effective because of a more synergistic affect than an isolated statin dose…
… Monacolins, pigments (like citrinin), stigmasterol, organic acids, and amino acids (including gamma-aminobutyric acid).
we will see.
Attia also said, “ For people who can’t tolerate statins, I like to use a newer drug, called bempedoic acid (Nexletol),”
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If you’re a statin non-responder and are going on a PCSK-9 inhibitor, I’d really try to find some other lipid lowering compound, like bempedoic acid or ezetimibe (Zetia), to take with Repatha. My experience was that Repatha added to a statin was far better than Repatha alone.
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JuanDaw
#67
Strawberry powder (28 g) per day reduces small dense LDL from 638 nml/L to 535 nmol/L in four weeks.
Click table 4 for the figures.
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Bicep
#68
CRP went down a little too.
DavidW
#69
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Suggest trying melatonin instead of trazodone. Plus good sleep hygiene- cold, dark, quiet room, maybe “sleep divorce” (that is, sleep alone), fixed wake-up time, throw some meditation in there for good measure.
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I am glad somebody mentioned CIMT!
This is the preferred method for the integrative cardiologist, Dr James Roberts. And also of Dr Terry Grossman.
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A very good take on CAC by a preventive cardiologist
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JuanDaw
#74
More from the Skepticalcardiologist.
For the last 40 years, Americans have been mistakenly advised that all saturated fat in food is bad and contributes to heart disease. Since cheese contains such a high proportion of saturated fat, it has also been targeted. Dietary recommendations suggest limiting real cheese consumption and switching to low-fat cheese.
This concept is not supported by any recent analysis of data, and as I’ve pointed out in a previous post , saturated fat is not clearly associated with increased heart disease risk. There are many different saturated fats and they have varying effects on putative causes of heart disease such as bad/good cholesterol and inflammation.
In addition, the milieu in which the fats are consumed plays a huge role in how they affect the body.
Cheese varies widely in taste, texture, and color and the final ingredients depend on a host of different factors including:
- the type of animal milk used
- the diet of the animal
- the amount of butterfat
- whether the product is pasteurized or not
- the strain of bacteria active in the cheese
- the strain of mold active in the cheese
As a result the bioactive ingredients in cheese will vary from type to type.
Recent scientific reviews of the topic note that dairy products such as cheese do not exert negative effects on blood lipids as predicted solely by the content of saturated fat. Calcium and other bioactive components may modify the effects on LDL cholesterol and triglycerides.
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rivasp12
#75
The ultrasound test ties into this article
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JuanDaw
#76
No statin?
Wait for comments to snowball, like your exchange with many, in the cardiovascular thread.
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I have to say, statins are my least favorite drug. They cause a lot of muscle soreness that I didn’t have before. They make me feel older. 
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rivasp12
#78
Haha. No doubt you’re right.
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AnUser
#79
You can use another drug.
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AnUser
#80
If you mind, what is your ApoB JuanDaw?
