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Thanks - yep, I understand the CLEERY process. Obviously, their scans and process will not directly align with CAC scores, especially when the other CAC scores were obtained with different equipment.
An increase from 35 to 1907 over 20 years is not unexpected - but, even that is in excess of what some say is expected - on the order of 15% per year which would equal around 575 or so. To get to 1907 the year over year increase would be around 25%/year.
I have read hundreds of threads about CAC scores - none have ever gone down, but most of them were comparing scores around 3-5 years apart, and most used the same facilities for the scoring.
Many of those reporting made significant lifestyle changes as you have - but, again, none reported lesser scores. My sense is that the lifestyle changes you made have slowed the increase, but other factors are likely present.
Frankly, even if your CAC score stayed the same over a period of 18 months it would highly unusual.
Please keep reporting on your findings.
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One significant change from 2001 was the initiation of Atorvastatin in 2001. The approximate annual increase was about 52%/yr in the first 10 years, 40%/yr in the next 7 years, and -1.3%/yr in the last 1.8 years. Guessing that much of the first 10+ years might have been catch up to stabilize the prior soft plaque built up over many years.
The thing is- all of this information is really not what is at the core of my coronary status or prognosis. CLEERLY seems to be the tool that can quantitatively show my disease status and help me understand what has been accomplished so far, and what might need to be done going forward. It's just hard to find cardiologists and/or imaging sources to perform the CLEERLY analysis. Also, want to have my 2020 CCTA analyzed, but same problem, no one has agreed to analyze.