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There are times where we have no choice but to rely on pharmaceuticals. But we need to do our own research and make our own decisions. We can’t 100% trust the medical profession. Just like we can’t trust the political system, and big business.
I’ve become a Keto/Carnivore fan. Protein, fats, vegetables and other single ingredient natural foods and condiments.
We each have to make our own conclusions, my take is if someone is overweight, pre diabetic or diabetic, or have a hundred other issues, where is the harm trying Keto for 3-6 months and test for improvements.


P226 9mm CT
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Posts: 1146 | Location: Vermont | Registered: March 24, 2010Reply With QuoteReport This Post
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As a result of statins I got Rhabdomyolysis, also known as rhabdo, is a serious medical condition that occurs when muscle tissue breaks down and releases its contents into the bloodstream: Spent a week in the hospital and could not feed or toilet myself. On a much lower dose at present,
 
Posts: 17639 | Location: Stuck at home | Registered: January 02, 2015Reply With QuoteReport This Post
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Picture of Mr. Peteroniman
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diet - if it comes in its own wrapper eat it, if it is boxed or canned don't
eggs
beef
venison
oranges
peas
etc...
I know that it is easier said than done but, yeah, I'm getting better at it

fix the problem, or treat the symptoms (which causes more problems) - your choice


-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-~-


All his life he tried to be a good person. Many times, however, he failed.
For after all, he was only human. He wasn't a dog.”
― Charles M. Schulz
 
Posts: 2062 | Location: Florida Panhandle | Registered: June 25, 2012Reply With QuoteReport This Post
Get my pies
outta the oven!

Picture of PASig
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I looked up on the VA app what the doc wants me to try:

Rosuvastatin, 5mg every other night

I don’t know anything about this stuff and whether it’s worth pursuing or not I guess I’ll try and see what happens.


 
Posts: 35033 | Location: Pennsylvania | Registered: November 12, 2007Reply With QuoteReport This Post
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Picture of Ranger41
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quote:
Originally posted by TBH:
There are times where we have no choice but to rely on pharmaceuticals. But we need to do our own research and make our own decisions. We can’t 100% trust the medical profession.


Not trying to start an argument but If I have to do my own research and make my own decisions regarding my medical treatment, I have the wrong doctor. There is no way I am competent to substitute my judgement for that of my physician.

What I am competent in doing is in performing due diligence when selecting a doctor. My criteria are a proven track record and one who explains what he is doing and why. I currently have a GP, Cardiologist, and Urologist. They are excellent and I trust them with my life.

If you can't trust your doctor, I urge you to find one you can.


"The world is too dangerous to live in-not because of the people who do evil, but because of the people who sit and let it happen." (Albert Einstein)
 
Posts: 985 | Location: Rural Virginia - USA | Registered: May 14, 2002Reply With QuoteReport This Post
Left-Handed,
NOT Left-Winged!
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In 2003 when I started a new job the employment physical showed cholesterol in the 260's. I think I didn't even have a PCP then so I signed up with one at the practice my wife (now ex) went to. She put me on Zocor and my total cholesterol dropped to the 160's consistently. Later I changed to Pravachol because it was covered at a lower cost on my insurance. Numbers were a bit higher but not bad.

I don't remember the ratios and everything else. Around 2016 I was having some other issues and had a girlfriend that was anti-meds (yeah, I know) and asked my doctor if it could be because of the statins. She said no, I was just getting old, and I had to stay on the statins the rest of my life.

So I got off the statins, got a new doc, a male that is very highly regarded for internal medicine. He looked at my sans-meds numbers, said the HDL and ratio were really good for my age, and the total number a little over 200 wasn't that big a deal. For the next few years through late 2019 I was borderline but still good and he said no meds. Cue COVID and I didn't get a physical in 2020-2022. I gained about 20 pounds working at home and living with my teenage son who just gotten his driver's license - "Hey Dad I'm going to pick up 5 Guys, what do you want? Hey Dad, I'm getting Pizza what do you want?"

I got a physical and full blood workup in late 2023 and my numbers are back to where they were in 2003.

261 total (high), 194 LDL (high), 49 HDL (low), 92 Triglycerides (quite good)

Doc said if it's not better this year probably need to go back on a statin. So it does seems that there is a correlation to weight because I am about same now as I was 20 years ago, and in the 2015-2021 time frame I was about 20 pounds less.

BUT the more I look into this, the more I realize that a direct causal link between dietary cholesterol and blood cholesterol has never been proven medically, nor has a direct causal link between blood cholesterol and heart disease. It's always been more or less assumed, and the food and pharmaceutical industries have made a lot of money off of it.

Most of what I see now says the real issue is excessive sugar in everything and simple carbs that spike your blood sugar, cause an insulin dump, then blood sugar crash, then release of glycogen, more insuling, and finally stabilization. The swings and excessive sugar transport cause arterial inflammation that gives the cholesterol a place to stick. The benefits of a lot of new diets is reduction in simple cabs and free sugar, since processed foods are loaded with sugar.
 
Posts: 5016 | Location: Indiana | Registered: December 28, 2004Reply With QuoteReport This Post
goodheart
Picture of sjtill
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PASig—just as a reminder to newer SigForum members: I’m a retired cardiologist. Much of my career was spent in groups developing evidence-based practice guidelines for heart disease prevention.
Rosuvastatin was tested in a trial called the JUPITER trial, in which subjects were enrolled who had normal cholesterol levels but high levels of C-reactive protein, a marker of inflammation.
The subjects who received rosuvastatin vs. placebo had a 36% reduction in primary endpoint (heart attack, etc.), 17% reduction in all-cause mortality. An adverse effect seen was an increased identification of diabetes in those at elevated risk; but even those people had fewer heart attacks, etc. than developed new diabetes.

I take rosuvastatin 10 mg daily; my wife does the same; we have for years.

Rhabdomyolysis (mentioned above) is a known but uncommon adverse event associated with statins; that’s why statins are stopped if people develop excessive muscle pain.

An important point of the JUPITER trial is that statins (at least rosuvastatin) had benefits that go beyond lowering cholesterol and LDL, that is an anti-inflammatory benefit.

Of all the available statins, rosuvastatin (Crestor) is the “cleanest” in terms of not interacting with other drugs; and is very potent in lowering LDL at low doses.

Since I retired, there has been no change in the universal recommendation of statins for heart disease prevention by all expert groups.

Here is the pertinent text from UpToDate, the standard online reference work for physicians:

quote:
SUMMARY AND RECOMMENDATIONS

●Clinical use – Statins are powerful drugs for lowering low-density lipoprotein (LDL) cholesterol. They have proven benefit in primary and secondary prevention of coronary heart disease but do not improve noncardiovascular disease outcomes. (See 'Efficacy' above.)
●Choice of statin – The choice of statin depends upon a number of factors, including the degree of hyperlipidemia, pharmacokinetic properties, drug interactions, the presence of kidney function impairment, and cost.
•Potency – Rosuvastatin and atorvastatin are preferred in patients who require a potent statin because of high cardiovascular risk or who require >35 percent reduction in LDL cholesterol. (See 'Potency' above.)
•Kidney function impairment – In patients with severe kidney function impairment, we suggest treatment with atorvastatin or fluvastatin (Grade 2C). These medications do not require dose adjustment. (See 'Chronic kidney disease' above.)
•Chronic liver disease – In patients with chronic liver disease who require a statin because of high cardiovascular risk, we suggest complete abstinence from alcohol and the use of pravastatin at a low dose (Grade 2C). (See 'Chronic liver disease' above.)
•Drug interactions – Fewer pharmacokinetic drug interactions are likely to occur with pravastatin, fluvastatin, rosuvastatin, and pitavastatin because they are not metabolized through the CYP3A4 (table 4). (See 'Drug interactions' above.)
•Muscle-related adverse events – There are no clear data that the adverse event profile differs significantly among statins. However, pravastatin and fluvastatin appear less likely to cause muscle toxicity than other statins. This problem, including predisposing drug interactions and an approach to management, is discussed elsewhere. (algorithm 1) (See "Statin muscle-related adverse events".)
●Monitoring
•Creatine kinase – We suggest not routinely monitoring serum creatine kinase (CK), but it is useful to obtain a baseline CK level for reference purposes prior to starting statin therapy. Patients treated with statins should be alerted to report the new onset of myalgias or weakness. (See "Statin muscle-related adverse events", section on 'Monitoring'.)
•Aminotransferases – We suggest checking baseline aminotransferase levels prior to initiating statin therapy; routine monitoring of these levels is not necessary for patients on statins. (See 'Hepatic dysfunction' above.)
•Thyroid-stimulating hormone – We suggest checking a thyroid-stimulating hormone level prior to initiating statin therapy. (See 'Muscle injury' above.)


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Posts: 18539 | Location: One hop from Paradise | Registered: July 27, 2004Reply With QuoteReport This Post
Left-Handed,
NOT Left-Winged!
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^^^ Thanks, if I go back on a statin I will discuss these options with my doctor.
 
Posts: 5016 | Location: Indiana | Registered: December 28, 2004Reply With QuoteReport This Post
If you see me running
try to keep up
Picture of mrvmax
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The issue is the lack of time a doctor spends properly diagnosing a patient, then determining the best course of action. I'm not faulting their knowledge or lack thereof.

Every doctor I've ever had, cardiologist, primary care, orthopedic, gastro, neurologist, endocrinologist - averages 5-10 minutes per visit. They aren't taking time to fully evaluate, they throw out a blanket assessment that is commonly used for all their patients. They come up with it off the top of their head and they don't go back and research. I don't expect them to know everything, but I've been told, by doctors, that they don't have time, they need to get a certain amount of patients in and out to pay the bills. How can they properly diagnose and develop a plan in 5-10 minutes, off the top of their head?

You may ask how I know they are not spending more than the 5-10 minutes. Its obvious when they ask the same questions each visit or ask something that was covered in a previous visit that doesn't apply.

The exception is one of my wife's specialist who spends 30-60 minutes per visit (he takes no insurance and visits are $250-$500 each). Also, there was a cancer doctor my daughter had that routinely looked at her case between visits and would call to check in on her progress. In my lifetime those are the only two I've seen. And I've been to way too many doctors between my family and I.

So why put my trust in them, that they have my best interest in mind? What other profession routinely diagnoses in 5-10 minutes on life threatening questions? Is it to my benefit to research what I can to discuss with them?

I changed employers and was denied life insurance due to my record of medications I've been prescribed. I was shocked at how many were prescribed over the years, the majority which never removed the problem (with exceptions like antibiotics). My neurologists alone prescribed several that never worked. Look up what money your doctor takes from pharma, you might be surprised.

There are exceptions to what I've experienced, but I think the medical field has driven the way doctors operate. Its the norm from my experiences.

Questioning my doctors is to my benefit and I think everyone should do the same. My two cents to the OP's original question. Its to his benefit to ask why - its his health that is at risk.
 
Posts: 4264 | Location: Friendswood Texas | Registered: August 24, 2007Reply With QuoteReport This Post
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Picture of Ranger41
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If you want to see a physician get spun up, just ask him how the medical insurance companies are affecting how he practices medicine.


"The world is too dangerous to live in-not because of the people who do evil, but because of the people who sit and let it happen." (Albert Einstein)
 
Posts: 985 | Location: Rural Virginia - USA | Registered: May 14, 2002Reply With QuoteReport This Post
So let it be written,
so let it be done...
Picture of Dzozer
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About 3 years ago my cholesterol went up to the highest number on the "normal" range. I was prescribed a statin (Atavorastatin) "just to get ahead" of anything. Turns out I'm allergic to statins and it caused me to get pancreatitis.

The interesting part of the story happened recently at my last cardiologist appointment. Everything looked good, but I'm still at that highest number of the "normal" range. The doc asks me if I'm sure it was the statin that caused the pancreatitis... WTH?!? Am I sure?

He asked because he thought they would be good since I'm at the high end of "normal". WTH?!?
I had freaking pancreatitis - for those who don't know, its the worst - and this was a close one.

What the hell is with the push to get me to take statins for being at the high end of the "normal" range? I've been in that spot for years.... I think that's just my number. But to risk that kind of illness for that - I'm still kind of stunned he even said it. But they had better not mention it again - geez...



'veritas non verba magistri'
 
Posts: 4027 | Location: The Prairie | Registered: April 28, 2007Reply With QuoteReport This Post
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I’ve been on Simvastatin for several years now, the only side effect encountered was lower leg cramps, but this hasn’t been a problem for quite awhile.


Bill Gullette
 
Posts: 1559 | Location: Behind the Pine Curtain  | Registered: March 06, 2008Reply With QuoteReport This Post
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Picture of armme
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quote:
Originally posted by captain127:
I said look at my LDL ( which is high- a good thing) no thanks.


I understand this to be the opposite; LDL is the "lousy" cholesterol.

Typo? Am I understanding wrong?
 
Posts: 280 | Location: NC | Registered: August 29, 2008Reply With QuoteReport This Post
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quote:
Originally posted by bettysnephew:
If you do make the step to taking statins, start taking coQ10 if you are not already taking the supplement. Statins have a tendency to reduce coQ10. The coQ10 tends to relieve some of the regular side effects of the statin. If you are already taking the supplement consider doubling the dosage if it is not already maximum. I take my simvastatin at night and coQ10 in the morning. Before I learned about coQ10, I was having muscle/cramping issues.


^^^^^^THIS
But with me it is Rosuvastatin that I take and at 40 mg per day
 
Posts: 479 | Location: Greenfield, IN | Registered: December 29, 2014Reply With QuoteReport This Post
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