I have a very high calcium score. What next?

Posted by dpframing @dpframing, Aug 24, 2018

Just joined the site and I'm looking to share with others who have had a high calcium score. I found out today that mine is 2996 and I am scared by this. I am 61 and I am totally asymptomatic. Now I feel like a walking time bomb. I am thinking of requesting an angiogram to see if there's any narrowing anywhere and if it can be corrected with a stent. After a second heart doctor told me that the plaque buildup might be uniform over the course of years with no big problem areas, I am encouraged. But the score still freaks me out, specifically my LAD at 1333. I don't smoke or drink but I have to lose 40 lbs.

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@christianzane

Nothing can reverse calcification of the arteries except for some surgeries using artery sized blades or lasers that scrape it off and a catheter using sound waves which breaks it up, although I have read about some people having natural calcification regression with LDL levels below 60. The main thing you can do is take a statin to stabilize the plaque and harden up that gooey soft stuff which is what breaks off and causes all sorts of problems. Exercise/diet/low BP/low inflammation all help arterial health as well.

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My cardiologist has told me that yes, calcium regression is possible if you live to 150 as it's glacially slow, but low LDL along with a statin lowers the risk as you describe

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@agb

True. Mine is inherited and both of my kids have abnormal cholesterol levels, so it's not just diet. My diet is plant based, I'm at a good weight and exercise daily, and it still takes 3 drugs to get the cholesterol numbers down and to where I'm told over time, it will start to reverse what my body has done for the past 68 years. I've researched this for years: diet can lower your cholesterol numbers by around 20% at most. Your mileage may vary

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Nothing can reverse calcification of the arteries except for some surgeries using artery sized blades or lasers that scrape it off and a catheter using sound waves which breaks it up, although I have read about some people having natural calcification regression with LDL levels below 60. The main thing you can do is take a statin to stabilize the plaque and harden up that gooey soft stuff which is what breaks off and causes all sorts of problems. Exercise/diet/low BP/low inflammation all help arterial health as well.

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@writer418

Ok but I also know you can limit your eaten cholesterol a great deal and your body can still produce high levels. Depends who you are but I agree generally that one should avoid saturated fats and a lot of red meat but, even if you do, there's no guarantee your cholesterol levels with go down anywhere near what they will with medication IMO and that of many others. 🙂

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True. Mine is inherited and both of my kids have abnormal cholesterol levels, so it's not just diet. My diet is plant based, I'm at a good weight and exercise daily, and it still takes 3 drugs to get the cholesterol numbers down and to where I'm told over time, it will start to reverse what my body has done for the past 68 years. I've researched this for years: diet can lower your cholesterol numbers by around 20% at most. Your mileage may vary

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@writer418

There are doctors out there who say that what you eat has nothing to do with cholesterol. I’ve read the initial tests for cholesterol were done on rabbits and have nothing to do with humans. This is from a credible source (a heart doctor) but look it up yourself.

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I have fought high calcium levels most of my 84 years. In the past few years I have learned that various readings in Multiple Myeloma have much to do with the calcium levels. you might ask about MM (Amyloidosis, etc.) oldkarl

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Ok but I also know you can limit your eaten cholesterol a great deal and your body can still produce high levels. Depends who you are but I agree generally that one should avoid saturated fats and a lot of red meat but, even if you do, there's no guarantee your cholesterol levels with go down anywhere near what they will with medication IMO and that of many others. 🙂

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@writer418

Okay so here's the book I read/listened to where the doctor insisted that what you eat has no relationship to the cholesterol your body produces. His name is Dr. Peter Attia: "Outlive, the science and art of longevity" He seems legit to me. Of course, he's selling stuff like his podcast, books etc. but he is a well-respected doctor with testimonials from well-known people. I have not vetted him like a seasoned journalist. See for yourself. He's all over the internet.

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My research, and what I follow, is that your environment is 75% of the risk, and genes the last 25% (I've seen numbers as high as 90/10, but I'll go with the most common numbers). Meaning, what you eat, how you exercise, sleep quality, etc., matters a great deal. And since I'm beating my family history with my lifestyle, I'm a believer.

That means near daily cardio exercise, a mostly plant based diet, no red meat, no tropical oil, no fried foods, etc. It's working for me (yes, also with drugs), so consider all the options and choose what works for you

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@jasper1072

Anyone take Niacin? I saw a recent publication that Niacin may actually be worse for CV disease.
"How excess niacin may promote cardiovascular disease"
https://www.nih.gov/news-events/nih-research-matters/how-excess-niacin-may-promote-cardiovascular-disease#:~:text=A%20metabolite%20of%20niacin%20(vitamin,effects%20of%20too%20much%20niacin.

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Thanks for sharing this. I did the initial patient study on Niacin where we got up to 3000 mg/day. It did lower LDL and raise HDL, and I was on this (at 2000) until a few years ago when word started getting out that the high Niacin intake had a negative effect. The world is still learning what works and what doesn't

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Got it, thanks.

Here's his Wiki - not sure it sounds favorable. Didn't complete residency? Not board certified? No fellowship training?
https://en.wikipedia.org/wiki/Peter_Attia

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Okay so here's the book I read/listened to where the doctor insisted that what you eat has no relationship to the cholesterol your body produces. His name is Dr. Peter Attia: "Outlive, the science and art of longevity" He seems legit to me. Of course, he's selling stuff like his podcast, books etc. but he is a well-respected doctor with testimonials from well-known people. I have not vetted him like a seasoned journalist. See for yourself. He's all over the internet.

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@writer418

I’ll look up the book where it comes from but it was written by a doc and he was absolute in his statement that what you eat has nothing to do with cholesterol. Sorry if I don’t have that at my breakfast table but I promise to send.

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I agree, my diet is pretty much pristine and I know my body produces the cholesterol. For me I have a high VLDL level and Lp(a). But my doc doesn't want me to eat eggs so I am more comfortable following her advice. I figure she knows more than I do about all of this.

Donna

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