I have a very high calcium score. What next?

Thank you for your reply and for the feedback. I read the article which deals with the heart valve. Fortunately, I don’t have that issue. I have only one artery with a cholesterol issue, the LAD. All of my tests, and they were extensive, showed a heart working well especially for a female my age — no symptoms. I’ll continue to watch for additional research and info for K2 and heart disease. In the meantime, I’ll follow my doctor’s recommendation. It can’t hurt.

You might want to further investigate that claim as I haven't seen any definitive proof that K2 (MK-7) can remove or regress calcium, I remember reading a study posted from the American Heart Association about that recently so here it is. I think the goal with a high CAC score is to stabilize soft plaque with statins which in turn actually increases calcium buildup, but the calcification seems to be more stable then that gooey stuff that breaks off and causes all sorts of trouble.
https://www.heart.org/en/news/2022/04/25/despite-hopes-vitamin-k2-supplements-fail-to-slow-calcium-buildup-in-heart-valve

ahl ... reducing plaque is always a good goal. My reading, however indicates calcified plaques cannot be reduced.

My doctor put me on vitamin K2. I had already been on a statin for 20 years and have very good cholesterol numbers but an high LAD score and my blood pressure was well controlled. She said K2 helps to dissolve plagues. Her goal is to put all cardiologists out of business. PS her husband is a cardiologist! I’ll be going for another calcium test in the fall so we’ll see if there is any progress. I take a D3K2 combo since I was also low in vitamin D. It can’t hurt and it might help. I also eat wisely. Heart disease runs in both sides of my family but I’ve made it to almost 80 following her advice so I’ll continue to do so.

Here are a few articles that talk about ADD vs. EDD. They're not large studies, so I'm not sure if the results would be the same if thousands of people were studied, but worth a read:
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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3371460/
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https://www.acc.org/latest-in-cardiology/journal-scans/2013/04/19/16/08/alternate-day-dosing-with-statins
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This URL is related to Crestor/Rosuvastatin only:
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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2691915/

Thanks. Had heard of that idea, didn't see test that its effects were similar to edd

I guess I've been lucky not having any problems being on 20mg of Crestor. You might ask your doctor about doing alternate day dosing (ADD). Some people find relief from that. I've read a few articles that stated your cholesterol levels take many weeks to go back to where they were before starting a statin, so doing ADD "shouldn't" have much impact in your cholesterol levels (but of course, check with your doc). And articles I've read stated that there's not a significant difference in cholesterol levels between groups doing ADD and groups doing EDD (every day dose). Might be worth discussing with your doc.

I am going back on 5mg generic crestor after 3 weeks off. Originally started in January with 20mg.
I have also started taking COQ10, which is supposed to offset the muscle enzyme that statin takes out.
Thsnks for your input

When I went on Crestor 10mg I had muscle cramps in my legs for about 8 weeks, my doctor told me to try to deal with it and ignore it and take a wait and see approach and eventually it went away, if it's tolerable try to wait it out a few months and see if it goes away.

Thank you. I am doing most of that, except eat a lot of fish, some chicken, and once in a while red meat, no dairy or cheese. Also take a baby aspirin, although had to get off statin twice because of muscle aches, will go back on at 5mg rosuvastatin. While on statin cholesterol went from 214 to 161.