← Return to Extremely high calcium score at 42 - is there any positive here??

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@steveny

That is a positive note, no question. I'm glad to hear you've successfully made the changes and feel healthy. Interesting about Prozac too. I've also thought about getting on one of those to deal with this. A little worried about the reported weight gain side effects, just given how bad extra weight is for this condition.

I'm wondering if you have had any repeat CAC testing or if there are any other metrics/tests you're using to monitor the situation? This is one of the things I'm trying to figure out -- if I take the statin and make the dietary changes, how will I measure if I'm actually improving my heart risk? This is complicated by the apparent tendency of statins to actually raise CAC by calcifying soft plaque. So in my case, I could do the right things for the next few years and still see a big jump in my CAC score, I think. So what other metrics are there? I guess LDL levels? The cardiologist I saw this week spoke confidently about a low LDL number reducing soft plaque. But can I measure that? Do you?

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Replies to "That is a positive note, no question. I'm glad to hear you've successfully made the changes..."

My cardiologist advises that the CAC test is just a one time only thing. It's a diagnostic that indicates the need for statins, other meds and lifestyle changes. Make the changes and you can substantially reduce the chances of a heart attack.
As for metrics, ldl levels under 70 is what is recommended for patients with high CAC scores. I just had my yearly blood test and my ldl is 58, unchanged from last year, so that's good.
For added peace of mind, I try to minimize the amount of times I google topics like "high CAC scores". It'll stress you out and that's definitely bad for your heart.