by NF52 » Sun Jun 17, 2018 9:47 pm
Like you, I had sky high LDL-P, and Lp(a), although with a clear CAC. I am on a low dose of atorvastatin, which has halved the LDL-P score (haven’t checked the Lp(a), but expect it to not change much. I too asked my Dr. about Dayspring’s recommendations to aggressively treat high LDL-P with Zetia and/or niacin. His response was that changes in LDL-P scores from Zetia, which were impressive, weren’t found to result in any further reduction in “cardiac events”, and that no cardiologist he knew was recommending niacin because of risk of side effects. He predicted that we’ll know much more about Lp(a) in 5 years, but that LDL-P may not always track well with actual cardiac risk.
But of course we’re all N=1 subjects in our own decisions on what to do with these results!
Thanks NF52. Appreciate your thoughts. Curious as to how low your particle count has gotten and how long it took to reduce it with the atorvastatin. I have read both in Bredesen's book as well with Dr. Brian Edwards posts and book that 700 should be the goal (Dayspring noted 800), and below that can cause plaque regression. I did take Lipitor a number of years ago but stopped as I felt tired and experienced muscle spasms. If I do go on a statin I am leaning towards perhaps a low dose of Crestor or Zocor. I don't know my Lp(a). Had asked my cardiologist to order it with this last blood work but it didn't go through for some reason. I have checked by genetic code for Lp(a) (rs10455872; rs3798220) and both appear normal. So hopefully its not an issue, but I'll see for sure on the next bloodwork.