Severe coronary calcifications found incidentally on scan

It is difficult for specialists to manage their own fields with the new research on method and medication.
It is important to gather and "scrutinize" our reports until we understand them. It is easy to have incorrect expectation of medical providers.
Looking at simple x-ray, the orthopedist laughed that all my calcium was in my arteries instead of my bones.
But what can we do about those calcifications. We can start the Mediteranean diet that we already know can protect or arteries, and exercise or take the commonly prescribed (but questionable) statins.
I did what you'll probably do, call a cardiologist, have extensive testing find out that I'll probably die of what most people die of --heart disease. I'm skipping the statins https://www.youtube.com/watch?v=B90biITp5LA
Excellent advice--self advocacy
I hope your atherosclerosis is mild.

Finding this out, gives you a chance to do something about it. Switching from a red meat eating diet to a Mediterranean diet or even vegetarian can offset these problems. You can ask your cardiologist about this, And seminars I’ve gone to. They say that every person with prostate cancer should have a cardiologist working with them..

Have you been on a statin? Believe it or not, statins can cause increased calcification by solidifying atherosclerotic plaques, thereby not allowing them to break off and cause thrombosis. That’s what kills you, not the narrowing of the artery.
It’s a real controversial topic, even now. It used to be thought that statins “cleansed” the arteries like Drano, but it works a lot differently.
Your cardiologist can order a Cardiac CAT scan and it will show all the different arteries and their varying degrees of atherosclerosis. Best,
Phil

Get a heart calcium score, so at least you have a number to work with. Exercise - increase it.

Vitamin K, don't take vitamin D or D3 without K. Even if you don't take D, think about K. Taking D without K may cause calcium deposits, may, and everyone is individual.

On Vitamin K and arteries:
https://www.eatingwell.com/vitamin-k2-benefits-11684923
Vitamin K2 also plays a role in keeping your heart healthy. “Vitamin K2 helps prevent calcium buildup in the arteries, reducing arterial stiffness and lowering the risk of heart disease,” says Davis. When arteries become less flexible, it makes it harder for blood to flow easily, thus increasing the risk of heart-related issues, such as high blood pressure, heart disease and even heart failure. “Studies suggest that adequate K2 intake is linked to better cardiovascular outcomes over time,” says Davis.

Consider this kind of diet, or a diet with low meats and animal products:
https://gamechangersmovie.com

Seen a cardiologist today. They said the CT was inconclusive and only showed the outside walls and not the inside which was the important part. They did an EKG in The office. Ordered fasting lipids and a stress test. I mentioned the vitamin D,calcium,Fosamax I was on and could it be the cause and they said no.

Probably genetic; my wife’s brother ran 7 NYC Marathons and wound up with 3 heart stents. When my wife had an episode of fainting and vomiting she was rushed to ER, but NO heart attack.
Subsequent cardiologist recommended Cardiac Calcium Score (CAT scan) and found diffuse calcifications in her coronary arteries.
He said her brother’s history was the single factor which made him order the test, since her triglyceride and lipids numbers were ridiculously low and she also is an avid runner. She’s been on a statin for the past 5 yrs and doing fine.
Can’t beat the genetics you’ve been dealt, unfortunately.

...I had read that Vitamin K2 M7 (not other forms of K2s) help to deposit more calcium in bones versus the cardiovascular system. This is in the context of adequate intake of Vitamin D3 and calcium. People in the northern part of the US , especially New England have inadequate exposure to sunshine (from OCT to APR) to produce enough endogenous Vitamin D.

Caution: Vitamin K supplementation should be discussed with the cardiologist if taking blood thinners. Consider a subscription to ConsumerLab which is advertiser free and supported only by subscribers.

Haven’t heard of any of that. And it wasn’t mentioned during my appointment but thanks for your input.

My cardiologist said that the Calcium is not simply deposited in your arteries because it happens to be in your bloodstream and goes THERE instead of your bones; it’s a very complex reaction which has more to do with the make-up of the atherosclerotic plaque itself.
In other words, you don’t get osteoporosis from calcium getting re-routed somewhere else, nor is calcium in the coronary arteries a consequence of that. Hope this helps!
Phil

I learned a valuable tip from watching the videos on You-Tube produced by the prostate cancer research institute (pcri.org). ''You may know more about your disease than the doctor." That was from a medical oncologist who has limited his practice to the prostate for twenty years! I can personally attest to being more informed than two clinicians. First the radiation oncologist did not know about the PROStox test by MiraDX. It is a genetic mouth swab test to determine whether the External Beam Radiation Therapy [EBERT] called SBRT poses a greater risk for delayed urinary tract symptoms. (RTOG>2). My $500 out of pocket test result showed that I had a LOW risk. Apparently 10-15% may be at HIGH risk.

Example 2 The medical oncologist was unaware of a study that 6 months of ADT was similar in results to 24-30 months [82% vs 88%) with high intensity radiotherapy. He looked it up on his smartphone and said we'll revisit our plans at six months if the ADT is tolerated. No ego involved. What I am emphasizing is to be proactive on the knowledge front. To quote 'Condoleezza RICE who paraphrased RR," Distrust and verify!" Maybe that is too strong but recommendations must be seen in the context of financial incentives of the employer. Well over 80% of providers are corporate.