I pretty much joined this group and have been working on this problem for maybe 3 years. My numbers are much like yours except didnāt get as concerned about the blockage to seek a medical solution. I did manage to lower my CAC from 323 to 303 this yearā¦ I will go through my stack and give you the reason I think it may help.
Glucosamine,chondroitin,MSM+Hyalurionic acidā¦ I use Doctorās Best and itās about 1000 of each of those things plus some collagen. Malcolm Kendrick wrote a book " The Clot Thickens" where he questions the conventional thinking about heart disease. He spends a lot of time on the glycocalyx and he thinks these supplements help. They are longevity supps. Also many of them bind to lectins in your food, which is another possible reason they are longevity supps. That brand that I take says to take 5 pills/day so I take with every meal. It just seems to me you should take a lectin binder with your food.
Vitamin K2 and K!..I now take this from Life Extension with vitamin D and Iodine. Itās important to take both k1 and k2. Itās also important if you take one fat soluble vitamin to take them all. Chris Masterjohn points out that large doses of a fat soluble vitamin causes your body to send out the biochemical clean up crew to get rid of the extra and they canāt discriminate, thus you can get a relative deficiency in A, E. I take 1000k1,1000k2mk4,100k2mk7,125mcgD3,10000IU A,150mg Annatto-E from Dr Tan. Thatās a tocotrienol. K2 helps put the calcium in your bones where it goes instead of into your arteries. A big deal, so take a lot, but you donāt want to be short of the other fat solubles either.
I take homocystex plus, which supplies riboflavin 5 phosphate,pyridoxal 5 phosphate, methylfolate and methlycobalamin, alsoTMG. This is because of MTHFR, but honestly I think most would benefit from it. It makes me feel more chill, which I think comes from the folate, but I also recently had a homocysteine of 5. A big deal if you want to avoid heart disease. I wish I could quicky elaborate more on the MTHFR stuff, but it has been a few years since I did my 23 and me and figured out what to do about it. Chris Masterjohn again would be a great guide for this.
I take Gotu Kola 500 and French Maritime bark extract 350, known to be good at keeping plaque from breaking off and killing you.
Arginine 750 and Citrulline 250 these are really good at keeping your NO in good supply. Kendrick says to say YES to NO. NO is nitric oxide and I used to take beet extract, but it takes a lot and this is better for a few reasons. This is getting too long though.
Vitamin C is a hugely unappreciated vitamin. Linus Pauliing said in the 1990ās that if you run short then that is when lp(a) needs to be used to help fix the mess. People say you canāt change lp(a) because itās genetic, but mine moves around quite a bit and when I take a lot of C it goes down. Currently it is unmeasurably small. I take 1 gram 3 times a day.
Coq10, 3 grams of Niacin IR, and garlic extract need no explanation.
I use berberine, acarbose and a mostly KETO diet. I eat veggies and some fruit and beans and take acarbose with them. I would say low carb in any form, but especially low grain and fructose.
I really like the BB12 + LA-5 trubiotic for my yogurt. That stuff is solid gold. Add a little flax oil and the linoleic acid will be turned into CLA in the proper isomer instead of the crap they sell. I donāt understand how they can even call it CLA. Also add arginine to this yogurt and it will turn into spermadine. Magic!! and it helps protect your gut barrier function.
Iāve seen several places and it is generally acknowleged that most plaque starts with damage from oral bacteria. Read Michael Lustgartenās free ebook āmicrobial burden and what you can do about itā. Some microbes are fantastic and we canāt live without them, others are killing us. Kinda like people.
I run 2 miles with my heartbeat around 130. 3 days a week now,used to do it more. I lift weights some, but not more than 20 minutes 3 days a week.
Thatās about all Iāve got, hope it helps and hope I didnāt wear you out reading all this, good luck.