Starting on Repatha

Posted by gussie @gussie, Dec 15, 2025

At the beginning of the year my cardio wants me to start the injectables of Repatha. I have tried every statin for the last 3 years and have had some sort of side effect with each one. I also suffer from IBS-D and the first side effect listed is diarrhea. Once it's in your body for a month you could have side effects for awhile. Is anyone on the alternative for cholesterol problems?

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gussie, I've decided to bypass Repatha and try Incliseran.
pain, swelling, redness at injection site, joint pain. pain or burning on urination.loose or frequent stools ,cough, shortness of breath, wheezing, low fever or chest tightness, pain in arms or legs. difficulty breathing.
Sound any better to you.
I'd like to wait for crisper which is in clinical trial.
I have a three to five year risk window.
There must be some patients that don't have gastroenterological side effects.
I hope you are one of those.

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Profile picture for gently @gently

gussie, I've decided to bypass Repatha and try Incliseran.
pain, swelling, redness at injection site, joint pain. pain or burning on urination.loose or frequent stools ,cough, shortness of breath, wheezing, low fever or chest tightness, pain in arms or legs. difficulty breathing.
Sound any better to you.
I'd like to wait for crisper which is in clinical trial.
I have a three to five year risk window.
There must be some patients that don't have gastroenterological side effects.
I hope you are one of those.

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@gently I am 84 and I feel so much better when not taking any statin but can’t get my total under 200. But I have so many GI problems I’m afraid to take something that stays in my body for a month. My cardio knows I have a complex immune system and my body over reacts to most drugs. But at my age I have to do something

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gussie, I've decided to bypass Repatha and try Incliseran.
pain, swelling, redness at injection site, joint pain. pain or burning on urination.loose or frequent stools ,cough, shortness of breath, wheezing, low fever or chest tightness, pain in arms or legs. difficulty breathing.
Sound any better to you.
I'd like to wait for crisper which is in clinical trial.
I have a three to five year risk window.
There must be some patients that don't have gastroenterological side effects.
I hope you are one of those.

Jump to this post

@gently are you saying you got all these side effects on Repatha?

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Hello. I couldn't take statins. Muscle cramps and spasms. I also have psoriatic arthritis so the muscle issues with PA were horrible. I am on Embrel and tolerate it well. I also do fine with Repatha. My cholesterol is now in a good range. I don't tolerate alot of medications and I am happy with it! Best wishes.

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Profile picture for gussie @gussie

@gently are you saying you got all these side effects on Repatha?

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@gussie gussie, no. Sorry for the confusing message. I never took Repatha or Incliseron. I am trying to get into the next clinical trial for gene editing https://newsroom.heart.org/news/first-in-human-trial-of-crispr-gene-editing-therapy-safely-lowered-cholesterol-triglycerides.

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@gussie gussie, no. Sorry for the confusing message. I never took Repatha or Incliseron. I am trying to get into the next clinical trial for gene editing https://newsroom.heart.org/news/first-in-human-trial-of-crispr-gene-editing-therapy-safely-lowered-cholesterol-triglycerides.

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the side effects were just a list of side effects possible from Incliseran and not Repatha.
We can always quit after the first injections. I'm a little younger than you are, but my cholesterol is way worse. We need to do something, and there aren't many choices. I hope you have good luck.

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the side effects were just a list of side effects possible from Incliseran and not Repatha.
We can always quit after the first injections. I'm a little younger than you are, but my cholesterol is way worse. We need to do something, and there aren't many choices. I hope you have good luck.

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@gently I have never had a cardiac event or stroke. My body feels so much better when I'm not taking a statin. Last months labs were 248 total HDL 81. LDL 143. At least a statin I can stop but with Repatha in my system it's kind of stuck there especially if there are nasty side effects. Thanks for all the info

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Profile picture for reenieb @reenieb

Hello. I couldn't take statins. Muscle cramps and spasms. I also have psoriatic arthritis so the muscle issues with PA were horrible. I am on Embrel and tolerate it well. I also do fine with Repatha. My cholesterol is now in a good range. I don't tolerate alot of medications and I am happy with it! Best wishes.

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@reenieb Thanks for the info. My GI problems seem to flair with most meds. She is starting me with one month supply so I guess I'll chance it

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I saw your post and was wondering how it was going with the Repatha for you?

Here is a comment I made on another post by someone else about my experience so far and my background with intolerance to statins. I don't know if this will help but I have had surprisingly good success with Repatha with no side effects, and if it did cause gastrointestinal issues I would probably get them because I have an extremely sensitive stomach.

I was unlucky in the roll of the genetic dice in that my father was 100% Northern Italian and he had the apo A-I Milano gene. His cholesterol never went above 130 his entire life, and he exercised very little and ate whatever he liked. I have heterozygous hyperlipidemia inherited from my mother. Her cholesterol was 300+ most of her adult life, and like me, she could not tolerate statins.

In my own case, I had three episodes in my mid forties that caused my cardiologist to put "allergic to statins" on my charts after trying four different statins over a two year period because the muscle pain was constant. My GP continued to argue with me and told me it was all in my head, so I fired her. The first two episodes involved muscle spasms in my neck that briefly cut off my carotid artery and caused me to pass out in the middle of lifting weights. In both instances I woke up on the floor. Fortunately, I was using a machine and the floor was rubber. The third instance was when I was doing my morning 3.2 mile run with hills. I was going down hill full speed when both of my quads locked up sending me flying onto the road and causing road burns on my hands, forearms, and knees. That episode was the one that caused my doctors to take me off of statins. Mind you, at that time I was lifting weights four days a week (heavy four day split), and running six days a week (I should also add that I kept this workout routine or ones similar to it for the last twenty two years and never had another episode involving my muscles seizing up, so I am confident that it was the statins). My body fat percentage was 11% and I was watching my diet with lots of vegetables, fruits, legumes, whole grains, and fish with the occasional steak. However, even with that heavy workout routine my cholesterol was just under 300.

As you can imagine, I am thrilled to be on Repatha and am only disappointed that it was not available when I was in my mid forties; it might have saved me from having four stents.

From my last lipid panel, Dec 15, 2025:
Cholesterol 108
Triglycerides 84
HDL 50
VLDL Calculated 17
LDL Calculated 41
Cholesterol/HDL Ratio 2.2
LDL/HDL Ratio 0.8

I will be seeing my cardiologist in February and will post any pertinent updates.

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Looking good. Thanks, It is important to understand the value of this medication and recognize that I might not cause side effects.

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