Re: Re: Cholesterol Question AND RECOMMENDATION

[Guest guest]

Forgive me, Is that 1% ABSOLUTE RR PER YEAR OR LIFETIME? KEVIN PS OMEGA-3 INDEX TEST?HOW WOULD A VAP CHANGE YOUR TREATMENT? PSS I TREAT PATIENTS WITH MUSCLE ACHES AND PAINS ON STATINS FOR THREE

MONTHS WITH COQ10 300-400MG DAILY, THEN RESTART THE STATIN THEY WERE ON. 50-80% HAVE NO RECURRENT PROBLEM. THOSE THAT RECUR GET ANOTHER MONTH ON JUST COQ10 AND SWITCHED TO LOW DOSE CRESTOR DAILY OR PRAVACHOL DAILY AND THEN DROPPED TO MONDAY WEDNESDAY FRIDAY. MODIFIED FROM RECOMMENDATIONS BY UPTODATE. ONLY A FEW CANNOT TOLLERATE STATIN AFTER THAT. MANY IMPROVE ON ORAL CHOLESTYRAMINE LITE ONCE TO THREE TIMES DAILY. THNAKS KEVIN To: Sent: Wednesday, August 29, 2012 5:17 PM Subject: Re: Cholesterol Question

Cholesterol levels are just numbers.

Absolute reduction in primary events with the use of statins is 1%.

So for every 100 patients you put on statins, only 1 will benefit.

Statins are almost worthless and using lipid panels to determine if they are effective even more so.

My suggestion.

Get a heartscan - calcium score and further stratify her risk.

Get a VAP or NMR lipid test.

Get an omega-3 index test

Switch her to a Paleo diet.

Steve

stown, NJ

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> 56 year old woman with:

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> Tchol 330

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> LDL 244

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> HDL 76

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> TAG 50

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> POS FH CAD

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> Stable for years in this range.

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> Failed Red Yeast Rice (won't take statins)

> Did try Lipitor once with little change in #s

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> Umm . . . ideas?

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> Pamela

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