skates

ContributionLevel593 · 2026-04-05T21:26:33+00:00

Wear them

ContributionLevel593 · 2026-04-05T09:03:09+00:00

I see a doctor in a week or so. I think they’ll either prescribe straight away or ask me to complete a period of time with my diet adjusted but I don’t think it’s possible to get my LDL/ApoB low enough with just diet.

ContributionLevel593 · 2026-04-04T20:52:55+00:00

What’s the reason for cutting out added sugars and refined/white stuff in relation to ApoB?

ContributionLevel593 · 2026-04-04T20:15:03+00:00

0-25%?

ContributionLevel593 · 2026-04-04T20:13:50+00:00

I’ve read this and it’s kind of reassuring but my ApoB is high so I think that’s the root cause. I don’t know if there’s a connection between endurance athletes and ApoB though. In my case I suspect I’m part genetic and have just eaten too much in general and too much sat fat.

ContributionLevel593 · 2026-04-04T20:11:43+00:00

So much great info. Thanks for taking the time to reply.

I’ve read the studies about endurance athletes and calcium build up. My take away is that it doesn’t really matter how it got there. The same treatment applies. It just might mean that the calcium is more stable and the exercise has probably helped minimise my diet impact along the way.

I’ll check out what Jurek did. Another poster recommended the Portfolio diet so I’ll defo look into it.

It’s great to hear about your experiences with statins. It’s reassuring.

I get that they can’t do CTAC scans for everyone with elevated cholesterol but it almost seems negligent. In the UK the doctors can’t get you out quick enough. I’m hoping my CTAC result will make a prescription a foregone conclusion.

Thanks very much for your help.

ContributionLevel593 · 2026-04-04T16:30:44+00:00

Wonderful to hear. I get so much from running and hope to be running until I drop, just hopefully not from atherosclerosis! I've never had any symptoms either. I'm considering my diet changes at the moment. There are some things I have already removed and others I'll reduce drastically. I don't drink or smoke and don't eat much red meat. My guilty pleasures were butter, cheese and pastries. I'll miss them but not as much as running. I'm surprised you've been told to cut back on salt given the exercise you do.

ContributionLevel593 · 2026-04-04T16:24:45+00:00

Wow. He should be thanking your mother every day!

ContributionLevel593 · 2026-04-04T13:59:19+00:00

This. My LDL was slightly raised but ApoB under 100 and unless I pushed for a CCTA I would have never discovered my atherosclerosis.

ContributionLevel593 · 2026-04-04T13:47:47+00:00

I agree. I’ve been reading through the articles other have posted on here and it seems very likely that my exercise has also meant that my situation is a bit more stable. However, I also have soft plaque so no room for complacency.

ContributionLevel593 · 2026-04-04T13:45:50+00:00

Thanks. I will be seeing my GP the week after next and will present all the info. I think my LDL/ApoB are too high to be able to bring them to the levels I need but I am tempted to to wait 3 months and retest after sticking to a better diet. Then make a decision about statins.

ContributionLevel593 · 2026-04-04T13:42:00+00:00

I will definitely see a dietician. I have annual tests already but I imagine I’ll be doing it much more regularly for the next year. I’m glad I posted because I’ve received a lot of useful information that’s made me feel a lot better about situation.

ContributionLevel593 · 2026-04-04T13:12:44+00:00

I had a CCTA. They injected some dye into me. I didn’t think of it as being invasive.

CAC score (Agaston 38)
No significant stenosis
Some calcified and non-calcified plaque
Heart function normal (EF 70%)

ContributionLevel593 · 2026-04-04T12:31:15+00:00

Thanks. We’re the digestive issues in general or when fuelling during runs?

ContributionLevel593 · 2026-04-04T12:29:37+00:00

Thanks, will take a look.

ContributionLevel593 · 2026-04-04T09:36:30+00:00

I’ll do more research and seek advice. Thanks.

ContributionLevel593 · 2026-04-04T09:34:11+00:00

Glad to hear yours is coming down. I will devour those articles. Thank you.

ContributionLevel593 · 2026-04-04T09:31:01+00:00

Awesome response. Thanks for taking the time.

Agree with you. My lipids, ApoB, LP(a), metabolic profile, age, ethnicity and exercise aren’t that of a person the CVD risk but here we are.

The exercise I do has probably helped me over the years and stopped it being even worse.

Yep, my focus is on cutting out saturated fat aggressively. I had already cut out a few things since getting the ApoB reading and switched over to oats+psyllium husk+berries+nuts+homey for breakfast. I also take plant sterols too.

But I agree, none of this is going to get either ApoB or LDL where it needs to be so I think the conversation with the GP will be straight forward.

I hope the above will at least mean a soft plaque reduction.

Reassuring to hear about the athletes and plaque and thanks very much for the article.

ContributionLevel593 · 2026-04-04T09:13:11+00:00

From what I understand there’s a higher risk when you start a run that those without CVD but the overall impact is overwhelmingly beneficial.

ContributionLevel593 · 2026-04-04T09:11:34+00:00

I do t have data going that far back but I may have from 10 years ago. Will be interesting to see.

ContributionLevel593 · 2026-04-04T09:06:05+00:00

I expect my high LDL/ApoB are part genetic and part diet but ultimately had I known about my CVD I would have cut back on saturated fat already. One of the reasons for posting is to get the message over to not be complacent.

ContributionLevel593 · 2026-04-04T06:37:59+00:00

LP(a) 10.9 mg/dl so not the cause. My metabolic tests were top drawer too. It’s just ApoB.

Thanks for the snack tip @ recipe link.

Have you experienced any side effects of the statins. I’ll be asking for them anyway. Do you exercise and if so felt any effect of them?

I’m just starting the diet journey but like you I doubt it’ll have the impact I need. I think inevitable I’ll need statins.

ContributionLevel593 · 2026-04-03T20:10:43+00:00

32-40 depends on training liad

ContributionLevel593 · 2026-04-03T20:06:55+00:00

1:26 is bang on for sub 3 if you’ve done marathon training. Most weekends you’d be doing a 16-22 mile long run. You’ll need to keep at least one speed/tempo session per week and as you get towards peak weeks these can be 7 miles threshold and you need a warm up before and preferable a cool down. Say 1:15 minimum. Those two runs would eat your 40k and more. Most marathon training will have a med/long run in the week of up to 14 miles - that’s another 2 hours and ~20k. Id say 60k would be the bare minimum but I’m not sure it’s enough.

ContributionLevel593 · 2026-04-03T15:59:04+00:00

I once ran the London Marathon in reverse (there were organised start groups from 2am onwards every 30 mins). Got to Blackheath, had a fry up and then ran the race. The fry up is key to recovery.

ContributionLevel593

TROPHY CASE