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High Lipoprotein(a) but CAC Score 0

Heart & Blood Health | Last Active: 10 hours ago | Replies (82)

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@kathleen1314 , yes it looks like we're somewhat similar.. exception my very high lpa. I'll be 69 this year and this is the first potential cardio issue in my life. I have no symptoms. My bloodwork standard lipid panel results came back slightly elevated overall, LDL and HDL but my doctor said not to worry. Then the lpa results and she's immediately recommending statin. I was caught off guard thinking I'm ok with CAC=0. The more I research the more I can see your comments are probably right on. My PCP is probably trying to protect me from a future event. However, I'd prefer more tests to understand the full picture before taking a statin. Even though the outcome may be the same, a statin. I also think I should consult with a cardiologist first. Thanks for your input.

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Replies to "@kathleen1314 , yes it looks like we're somewhat similar.. exception my very high lpa. I'll be..."

@leeosteo Statins do nothing to lower LPa and a few studies showed that it might even increase it. Niacin ( vit B3) has been shown to lower it about 15-20% . There are some new drugs nearing approval that can lower it 80% or so. At your age a cac score of 0 is actually unusual and I would find something else to worry about. Repeat the test in a few years just in case .

@leeosteo
Yes, I agree. I find that I have a "line" that I have to cross to feel "comfortable" with any decision. I have to feel that I have done everything I can and researched all options in order to feel comfortable with any medication or supplement. I have an additional problem though I overreact to most meds and many supplements. I see to have a genetic condition that lends to this reaction.
So for me to take a med like a statin I would have to be desperate, because there is a good chance, based on past experiences, that I will experience the one in a million reaction. My husband is different and is taking statins with good results. He loves them and is irritating me because my home now seems full of foods that we didn't eat before he felt statin would protect him from them...sigh
Something that is really helping me with working thru all my options is AI copilot. I am not as enamored with Ai google and the Google ai mode for personal health questions, but copilot is better at finding all options and placing them into context. Might give it a try and see if it helps you work thru your options.