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My doc is freaking out about my cholesterol!

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  • My doc is freaking out about my cholesterol!

    She wants me on statins. I read through griff's post (Cholesterol Primer) and I think I'm actually closer to ok than she thinks, but I need input on what to do about these levels.
    I've been Primal roughly a month and a half. My cholesterol's been high since college, but it used to be my trigs driving it up (I can't remember the numbr, only that it was high.) About 2 year ago, I was diagnosed with hypothyriodism, which has a symptom of high cholesterol. At that point, my total and LDL were minorly high.

    Lipid Panel:
    total: 287
    trigs: 70
    HDL: 62
    Calculated (Friedwald) LDL: 211
    Iranian LDL: 183

    It seems my LDL is high regardless.
    Life is not a journey to the grave with the intention of arriving safely in a pretty and well preserved body, but rather to skid in broadside, thoroughly used up, totally worn out, steak in one hand, chocolate in the other, yelling "Holy F***, What a Ride!"
    My Latest Journal

  • #2
    See if you can make her a deal: You'll try to get the numbers down with diet for 90 days, then you'll talk.

    I'm no expert on the particular numbers, but statins really seem like they're just a "cheat" to get the numbers down. I don't know of any evidence that they improve anyone's health or reduce the risk of anything in particular.

    Good luck. Let us know how it goes!

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    • #3
      I just had mine checked last week, and my numbers are pretty similar. I'm planning on getting NMR or VAP to determine to actual LDL number and, more importantly, the size of the LDL particles. Here's a link I just found on Google searching for 'LDL particle size':
      http://www.lbl.gov/Science-Articles/...particles.html
      From what I've read here and on other blogs, low-carbers typically have large LDL particles which are benign at worst. This drives up the calculated LDL score, but it's not actually a bad thing.

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      • #4
        I think there's two ways to handle this. It's well within your rights to ask for a chance to try lifestyle changes first. Most doctors that I know would agree to this. Just make the appointment for 90 days.

        If your doc refuses (in Ontario that's an ethical no-no) take the script, smile, nod and make an appointment for 90 days. Lots of folks don't fill their perscriptions.

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        • #5
          Would switching doctors be an option? Lying to your doctor doesn't seem like the basis of a good relationship...

          Comment


          • #6
            Eh. I'm not taking the meds. That's a given. If she asks, I'll tell her I didn't take them. If it's not down in 3 mos, I'm going to try and really bear down on why the numbers are high.
            Life is not a journey to the grave with the intention of arriving safely in a pretty and well preserved body, but rather to skid in broadside, thoroughly used up, totally worn out, steak in one hand, chocolate in the other, yelling "Holy F***, What a Ride!"
            My Latest Journal

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            • #7
              Statins are actually addressed in part of the Primal Blueprint book, in the event you hadn't had a chance to read that, you may want to? In the end, they're semi-effective at best, and only in a very small subset of those on them. I agree tho, no reason to be on a med just cuz your doctor thinks you should be-- this country is obsessed with medical interventions for the smallest things, now doctors are subscribing to that mentality... no reason you should too!

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              • #8
                Have you had any personal history of heart disease or early heart disease in your family? I'm assuming from your avatar that you are a woman, which makes help a statin could give less certain. How old you are also matters.

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                • #9
                  How do your thyroid numbers, TSH, FT4, FT3 look? Maybe a thyroid med increase is in order and would help the cholesterol levels.

                  Comment


                  • #10
                    I second the suggestions of a VAP test and mentioning that statins have no effect on the mortality of women. And you might want to ask her if she's read Good Calories, Bad Calories or any of the other literature out there that's against the lipid hypothesis. I asked my doctor, he said that he had "some nutrition book at his bedside table, unread for months" but he still refused to pull the statins for now.

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                    • #11
                      I'm a 25 yo female. Still waiting on the results from my thyroid test. I have no history, have no family history of heart disease. I requested a VAP test and it didn't happen. I have another "free" dr. I go to (on the City's penny, their free- to- employee- families dr.), that is running the thyroid work that seems more receptive to PB. She follows the blood type diet. My original Dr. knows that if I don't agree with a med, I won't take it, and tries to work with me on that (usually). Finding another dr. is tricky because my insurance does not cover office visits to anything except a specialist (internal medicine and gynos don't count) and my TSH values are usually normal, so most drs. won't look past that.
                      I have read the PB, that's one of the reasons I refuse to take the statins.
                      Life is not a journey to the grave with the intention of arriving safely in a pretty and well preserved body, but rather to skid in broadside, thoroughly used up, totally worn out, steak in one hand, chocolate in the other, yelling "Holy F***, What a Ride!"
                      My Latest Journal

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                      • #12
                        Good lord, 25 and your doctor wants to medicate you up. What is wrong with the world today...

                        Good luck hon. We are all with you 100%!

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                        • #13
                          She's already tried to get me on Advair (that got shot down), several rounds of antibiotics (before I knew better), an anti migraine medicine (I filled it for the days NOTHING helps and I'm dying), anti- depressants (several versions, each of which failed), and now Crestor. She knows that I detest non- crucial meds, but makes the cursory effort so she can cover her hide if she has to.
                          Life is not a journey to the grave with the intention of arriving safely in a pretty and well preserved body, but rather to skid in broadside, thoroughly used up, totally worn out, steak in one hand, chocolate in the other, yelling "Holy F***, What a Ride!"
                          My Latest Journal

                          Comment


                          • #14
                            Agree with yodie. In fact, I'd ask your doc about the significance of large versus small LDL particles. If he/she gives you a blank stare, find another doc. A large percentage of docs giving lipid tests have absolutely no idea what the important numbers are, and that the test they are giving you doesn't include the only numbers that are important.

                            Comment


                            • #15
                              Do you have copies of all test results? If not, request them. You are entitled to them.

                              The normal range for TSH is fairly broad so you may have a lot of wiggle room. I think FT4 and FT3 are better tests to determine the appropriate level of meds.

                              Many believe TSH should be below 2 and closer to 1 for optimal health. More importantly, many people think FT4 and FT3 should be at or above mid range of their respective ranges.

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