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Replies to "The endo who prescribed HRT did not do bone marker tests other than once yearly. I'm..."
Osteoporosis & Bone Health | Last Active: Nov 20 10:00pm | Replies (130)
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The endo who prescribed HRT did not do bone marker tests other than once yearly. I'm not sure how rapidly HRT affects those markers.
My LDL is 165. Doctors have been pushing statins on me for decades but I've refused them. I find it interesting that in recent years, they have not recommend them for me even before my CAC score came out to be zero. They seem to become most concerned when an LDL level reaches 195 or higher and now evaluate the total picture, not just the numbers; ratios of triglycerides to HDL, LPa, APOB. My brother developed type 1 diabetes from statins so I'm really adverse to taking them.
Replies to "The endo who prescribed HRT did not do bone marker tests other than once yearly. I'm..."
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Sure, I was just wondering how powerful HRT is.
With ldl 160, my thought is you might want to seek a second opinion from a different cardiologist. After you repeatedly decline a therapy, docs usually charted it and may not ask you again. Mine had been up n down 130-165 and I didn't want a statin until 2 years ago. Even with level of 100 after a healthy diet, cardiologist still wanted it be under 70 in my case so there i went. Some cardiologists think the soft plaques may be more dangerous since they don't have a good way to detect them. CIMT and ultrasound on peripheral vasculature may help a bit to gauge if there are plaques in those places. As far as blood sugar concern while on statins, I don't think it's confirmed regarding the causality yet. I happen to have borderline pre-diabetic (Hba1c 5.7) before statin use. Was controlled via diet and didn't see any worsening. Overall, I feel controlling blood sugar is easiest, next is blood lipids; nothing is as bad as this bone problem that we have 🙁
Sorry I'm off topic. Wish you the best!