Is anyone taking repatha

Posted by marxas @marxas, Jun 19, 2024

I have a 1900 calcium score no stents or bypass 50% blockages age 65. I’ve been on statins for 20 years. Just had heart angiogram . They want to now treat with repatha

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Profile picture for vaniag @vaniag

I have been on Repatha for 4 years. It helps. I am not seeing the tremendous drops in LDL like everyone else. My LDL runs between 85 and 100, down from a high of 198. I am statin intolerant so on Nexletol as well (Insurance does not like this combination but have a great team getting it approved at Inova). My Mother’s LDL dropped to 34 on Repatha and low dose statin.

No one seems to know why I am not seeing the tremendous decreases in LDL. The cardiologists want it at 55, but even though I eat a modified Mediterranean diet, exercise, not overweight, take meds, and negative for FH - that is as low as it goes for this body. I have high Lp(a) as well and enrolled in the Horizon trial. Doing all I can…but no one has figured out why I am a zebra…

But Life is Good. I am happy they have so many alternatives for us zebras.

Have a wonder-filled day!

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Curious, have they checked your parathyroids and thyroids?

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Profile picture for naiviv @naiviv

Anyone is taking Repatha? Any improvement in cholesterol? Thanks

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Thyroid is good. I will ask my PCP about parathyroid tests. Why are you asking? Any relation to lipids?

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Profile picture for naiviv @naiviv

Anyone is taking Repatha? Any improvement in cholesterol? Thanks

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I took 9 shots of Repatha @naiviv . It only dropped my LDL about 15% and I experienced increasingly intolerable side effects.

I have some similarities with @vaniag and am curious. Repatha works well for my dad, too. I think his LDL got as low as 8 on Repatha. My LDL goal is 55, same as yours and it is currently 88. You mention modified Mediterranean diet. Would you elaborate? What drugs are you taking? I do have FH but do not have elevated LP(a). What is the Horizon trial? Like you, I am in a place of doing all I can. It’s a good place to be.

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Profile picture for naiviv @naiviv

Anyone is taking Repatha? Any improvement in cholesterol? Thanks

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I have been doing the Mediterranean diet for quite awhile and it has worked greatly. Lost 30 pounds since Dec 2023 and keeping my weight. Don’t eat desserts only z piece of dark chocolate now and then but not much so far. No red meat at all. Only fish, chicken and turkey. Veggies/salad/legimes/beans and fruits. No soda at all. I don’t drink or smoke. I take Levoxyl for Thyroid. My labs have been excellent. I don’t get Repatha; I asked for my husband who started it last week. I take Metformin for pre-diabetes (my parents suffered from late-onset diabetes at age 79/84. My glucose has been low thanks to diet, exercise and med. I don’t know what is the Horizon trial.

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Profile picture for naiviv @naiviv

Anyone is taking Repatha? Any improvement in cholesterol? Thanks

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Sorry to hear Reaptha didn’t work for you. It took me 3 months to stop having mild side effects. Not fun, but it was my only solution for high cholesterol. I had issues with every statin and even Zetia.

I have Celiac Disease, so no gluten…but I also do not tolerate dairy, shellfish or eggs. So basically I modify the Mediterranean Diet to all my food issues. Lots of veggies, poultry and fish. I also keep carbs to a minimum.

I take Repatha and Nexletol. Nexletol is bempedoic acid…a precursor to where statin drugs impact the liver. Nexletol has been great - no side effects at all but it doesn’t lower LDL as much as statin. My insurance hates the combo…very expensive.

The Horizon trial is for people with high Lipoprotein(a) and heart or vascular disease. I had a heart attack 5 years ago, so when the docs found my Lp(a) was over 300 nmol, I was eligible for the trial.

Some researchers found that Repatha sometimes doesn’t work well for women. Works great for my mother so not sure why not for me. They will figure it out one day. My PTH and thyroid are fine…probably something else in the liver. We forget cholesterol is a liver disease that affects the heart.

So good to connect with all of you. Heart disease really “sucks”. I did everything they tell you to avoid it…sometimes those genes win.

Life is good. 😊

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Profile picture for naiviv @naiviv

Anyone is taking Repatha? Any improvement in cholesterol? Thanks

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It seems you have tried everything but at least something is working. Stay healthy and safe. Thanks

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Profile picture for naiviv @naiviv

Anyone is taking Repatha? Any improvement in cholesterol? Thanks

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The best

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Profile picture for naiviv @naiviv

Thyroid is good. I will ask my PCP about parathyroid tests. Why are you asking? Any relation to lipids?

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Parathyroids have a major impact on calcium in your system. If you go on the mayo clinic website and do a search, it will explain the interaction of the parathyroids and calcium and cholesterol.

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Profile picture for naiviv @naiviv

Anyone is taking Repatha? Any improvement in cholesterol? Thanks

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Great. I will. Thanks

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Profile picture for vaniag @vaniag

I have been on Repatha for 4 years. It helps. I am not seeing the tremendous drops in LDL like everyone else. My LDL runs between 85 and 100, down from a high of 198. I am statin intolerant so on Nexletol as well (Insurance does not like this combination but have a great team getting it approved at Inova). My Mother’s LDL dropped to 34 on Repatha and low dose statin.

No one seems to know why I am not seeing the tremendous decreases in LDL. The cardiologists want it at 55, but even though I eat a modified Mediterranean diet, exercise, not overweight, take meds, and negative for FH - that is as low as it goes for this body. I have high Lp(a) as well and enrolled in the Horizon trial. Doing all I can…but no one has figured out why I am a zebra…

But Life is Good. I am happy they have so many alternatives for us zebras.

Have a wonder-filled day!

Jump to this post

What was your Lp(a)?
Did that come down too?

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