I have a very high calcium score. What next?

Posted by dpframing @dpframing, Aug 24, 2018

Just joined the site and I'm looking to share with others who have had a high calcium score. I found out today that mine is 2996 and I am scared by this. I am 61 and I am totally asymptomatic. Now I feel like a walking time bomb. I am thinking of requesting an angiogram to see if there's any narrowing anywhere and if it can be corrected with a stent. After a second heart doctor told me that the plaque buildup might be uniform over the course of years with no big problem areas, I am encouraged. But the score still freaks me out, specifically my LAD at 1333. I don't smoke or drink but I have to lose 40 lbs.

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I am a 67 year old with a CAC of 613. Pre-diabetic. BMI of 23. On Rosuvastatin 20 mg, Aspirin 81mg, and Amilodipine 5mgs daily
My LDL 36. Total Choletestrol 117, Triglyceride 64, HDL 67.
My cardiologist is recommending Ozempic 0.25 mg /week by injection for cardiac protection (not for weight loss or diabetes). My out of pocket expense will be $560 a month.
Anyone else got recommendation to start on Ozempic?
Any thoughts? Thank you

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@rtchacko

I am a 67 yr old female with a CAC of 613. On rosuvastatin 20 and Aspirin 81mg. I am a pre-diabetic. My cardiologist is recommending ozempic for cardio-protection. My BMI is 23. My out of pocket expense will be $ 575/month. Does any other cardiologist recommend this?

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I haven’t heard of ozempic for cardio, but wegovy has been approved by the FDA for cardio and, therefore, even Medicare covers it, but you hit the donut hole very quickly and have large out of pocket until the next year. That was fine with me because it made me feel so bad I wouldn’t have continued taking wegovy after two months anyway.

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@llynch17056

I haven’t heard of ozempic for cardio, but wegovy has been approved by the FDA for cardio and, therefore, even Medicare covers it, but you hit the donut hole very quickly and have large out of pocket until the next year. That was fine with me because it made me feel so bad I wouldn’t have continued taking wegovy after two months anyway.

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Thank you. What I understand is both Ozempic and Wegovy are GPL-1 class of medications. I am pre-diabetic and that is why my cardiolgist recommended ozempic. Ozempic helps with insulin resistance as well. From the research I have done from limited evidence out there, GPL-1 group of drugs may give an additional 20% cardiovascular protection, which is significant in my opinion. Yes, I am hearing that the side effects can be difficult to tolerate. I haven't started that yet.
My insurance told me if my cardiologist preauthorizes it, I will have to bay a big co-payment for the first month and afterwards, it will be minimal for a year. I am still trying to decide.

REPLY
@rtchacko

Thank you. What I understand is both Ozempic and Wegovy are GPL-1 class of medications. I am pre-diabetic and that is why my cardiolgist recommended ozempic. Ozempic helps with insulin resistance as well. From the research I have done from limited evidence out there, GPL-1 group of drugs may give an additional 20% cardiovascular protection, which is significant in my opinion. Yes, I am hearing that the side effects can be difficult to tolerate. I haven't started that yet.
My insurance told me if my cardiologist preauthorizes it, I will have to bay a big co-payment for the first month and afterwards, it will be minimal for a year. I am still trying to decide.

Jump to this post

I am on Medicare Advantage and my first month was something like $25, my second month was something like $125, then my third month and the months thereafter were closer to $1,000 because I hit the donut hole. Another problem with that is that it can effect my other meds to be higher because of what Medicare paid for those first two months. Anyway, I felt so bad. The reason you lose weight is because you are so nauseated and feel so bad you don’t eat. Not for me. For many reasons.

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