High Lipoprotein(a) but CAC Score 0

Posted by leeosteo @leeosteo, Mar 19 3:22pm

Hi, I'm new to this discussion on heart and blood health.

I just recently took my first Lipoprotein(a) test. Since heart disease runs on my mother's side of the family I thought I should take the test. I'm 68, active at the gym, eat clean diet. The test result was 172 nmol. My PCP immediately suggested a statin (avorstatin?).

Two years ago I had a Cornary Artery Calcium (CAC) test because my husband was put on a statin and requested the same test. His cardiologist suggested I get the same. The result was 0.

Over the last 15 years my overall cholesterol has been going up. I just assumed this was menopause related. Both my HDL and LDL have been creeping up (triglycerides are ok). So for 15 years my doctors have all said don't worry, your covered by your HDL.

So here I am with my PCP suggesting a avorstatin (sp?). I don't want to take a statin just yet because I don't understand why I should. In addition, I have osteoporosis. I understand that statin's are not good for your bones.

Has anyone else experienced this? What did you do?

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Profile picture for leeosteo @leeosteo

@kathleen1314 , funny... I'm the exact same way with researching the condition and all options in order to feel comfortable with any medication. I have that "comfort line" also. I've never taken meds until my osteoporosis diagnosis. I took a year researching and met with a specialist before agreeing to take the med. I'm also sensitive to meds. I just tried AI co-pilot yesterday. It helped explain the medical issue and why doctors immediately go to statins. Then I got into diet and meal plans in co-pilot. Turns out that I'm eating exactly all the right foods now and have been most of my life. I guess this explains why my CAC=0. Maybe my risk factor (because of lpa) is low? More questions for the doctor (smile).

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@leeosteo
Yay! I always feel more peace if I have done everything which I can to gain knowledge and to attack the situation. Then no matter what the result I know that I did the best with what was available to me at the time.
I find that cronometer works well for me for inputting my daily food and supplements. I have a gluten intolerance which can cause inflammation and affect how I absorb my nutrients so I am careful to make sure that I eat well and supplement as needed. I just use the free cronometer but I have several friends that have used to more expensive cronometer with good results.

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Profile picture for mcchesney @kathleen1314

@leeosteo
Yay! I always feel more peace if I have done everything which I can to gain knowledge and to attack the situation. Then no matter what the result I know that I did the best with what was available to me at the time.
I find that cronometer works well for me for inputting my daily food and supplements. I have a gluten intolerance which can cause inflammation and affect how I absorb my nutrients so I am careful to make sure that I eat well and supplement as needed. I just use the free cronometer but I have several friends that have used to more expensive cronometer with good results.

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@kathleen1314 , ok... now you sound like a sister from another mother (smile). I have gluten intolerance and use cronometer free version also. It's been very helpful. As has been my new tool .. AI Co-Pilot. I try to get most of my needs through food vs supplement. It's more absorbable. I'll supplement if needed. So I change my diet and monitor with cronometer. For instance, I drink Fairlife fat free milk to get calcium for my osteoporosis. It's a complete protein (with all amino acids), high calcium, lower sugar and lactose free. Researching how to lower LDL further I came across soy and oat milk as substitutes. But I need the amino acids to support bone health which led me to oat bran (includes beta-glucan; high soluble fiber that is know to reduce ldl cholesterol). I eat steel cut oats today but will include beta-glucan now. Btw, beta-glucan is gluten free. Technically Fairlife should be ok reducing ldl but I may go the next level with alternating with soy or oat based milks.

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Profile picture for njx58 @njx58

There is absolutely no debate in the established medical community on the link between saturated fats, LDL, and heart disease. Heredity is also a factor. As a rule, YouTube should not be the primary source of information. When a YouTube video tells you "everything we've been told is wrong!", I run away, period. When the doctor publishes peer-reviewed research, then I listen. Otherwise, not a chance.

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@njx58 // in 2020 the American College of Cardiology published a thorough analysis of studies involving saturated fat and exonerated saturated fats coming from quality sources:
https://www.jacc.org/doi/10.1016/j.jacc.2020.05.077

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Profile picture for leeosteo @leeosteo

@kathleen1314 , ok... now you sound like a sister from another mother (smile). I have gluten intolerance and use cronometer free version also. It's been very helpful. As has been my new tool .. AI Co-Pilot. I try to get most of my needs through food vs supplement. It's more absorbable. I'll supplement if needed. So I change my diet and monitor with cronometer. For instance, I drink Fairlife fat free milk to get calcium for my osteoporosis. It's a complete protein (with all amino acids), high calcium, lower sugar and lactose free. Researching how to lower LDL further I came across soy and oat milk as substitutes. But I need the amino acids to support bone health which led me to oat bran (includes beta-glucan; high soluble fiber that is know to reduce ldl cholesterol). I eat steel cut oats today but will include beta-glucan now. Btw, beta-glucan is gluten free. Technically Fairlife should be ok reducing ldl but I may go the next level with alternating with soy or oat based milks.

Jump to this post

@leeosteo
Please consider a post on what you have found that works. I would be very interested.
Thank you!

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Profile picture for leeosteo @leeosteo

@leeosteo Download the free Claude app and ask what the two treatments that will be released next year. Also, look up the Pauling Protocol. Someone with 2 Nobel prizes in Chemistry should probably not be dismissed so quickly by the medical community.

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For Lp(a), the Pauling Protocol might help. I believe that it is worth trying. Pauling discovered Vitamin C and Lp(a). I am willing to try it personally along with anything medical professionals can come up with.

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Profile picture for leeosteo @leeosteo

@loriesco , I seem to remember your Mayo Connect name from the Osteoporosis Mayo Connect group. I'm on my 24th month of Forteo and looking at Reclast also. I take Krill oil daily along with VitD/K2 drops. The rest is diet. I track my nutrients via Cronometer.com. Supplement were needed.

I've been tracking my cholesterol since 2007 and have a good trend chart. My cholesterol starting going above normal range after menopause. Honestly, I believe my bones and cholesterol is menopause driven mostly, except for the new Lp(a) score. Now I know there's some genetics driving that. I'm curious your sequence for 5 yr Tymlos/Reclast. Is it 2 yrs Tymlos, 1 yr Reclast, another 2 yrs Tymlos? Also, may I ask your age? Just curious which doctor helped you to get bioidentical HRT? The research I've done re osteoporosis and now cholesterol has most of this connected to estrogen lose.

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@leeosteo My sequence is one Reclast, then the following year - two years of Tymlos which will end this fall (2026) the next summer one Reclast and one the next following summer and I should be done. My age is 69. I think my 5 year plan was done a little differently because of my needs. Anyone does the BHRT these days. I'd suggest going to an endocrinologist or women's menopause clinic. I am at UCSD so I use a gal in the menopause/gynocology dept. Dr. MacCaulay. Yes, menopause will do ya in for sure! 😉

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Profile picture for loriesco @loriesco

@leeosteo My sequence is one Reclast, then the following year - two years of Tymlos which will end this fall (2026) the next summer one Reclast and one the next following summer and I should be done. My age is 69. I think my 5 year plan was done a little differently because of my needs. Anyone does the BHRT these days. I'd suggest going to an endocrinologist or women's menopause clinic. I am at UCSD so I use a gal in the menopause/gynocology dept. Dr. MacCaulay. Yes, menopause will do ya in for sure! 😉

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@loriesco , when did you start BHRT?

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Profile picture for mcchesney @kathleen1314

@leeosteo
Please consider a post on what you have found that works. I would be very interested.
Thank you!

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@kathleen1314 , will do. Just starting out so may take some time to realize results.

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Profile picture for leeosteo @leeosteo

@loriesco , when did you start BHRT?

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@leeosteo when I was 47 I did it for 11 years and then I stopped at 58 and then I started again about nine months ago.

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