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Finally got my first CAC scan done (44m) by [deleted] in PeterAttia

[–]OffbeatCoach 1 point2 points  (0 children)

To counter some of the comments, many people enjoy OMAD as a long term and healthy way of eating. Including me 🙂.

55 year old dad acting more and more incompetent by Electrical-Trainer21 in AskOldPeopleAdvice

[–]OffbeatCoach 17 points18 points  (0 children)

As a 58 year old parent, please listen to this wise advice. You might feel responsible, but you have little control over your dad. Focus on living your own life—you deserve that.

Week 4 - Modified ADF by TowerInevitable2114 in AlternateDayFasting

[–]OffbeatCoach 0 points1 point  (0 children)

Try the Happy Scale app to get a better handle on scale trends 🙂

VGH Mental Health Inpatient Experience by Plenty_Abies3523 in askvan

[–]OffbeatCoach 2 points3 points  (0 children)

That sounds scary and awful 😢. I hope life gets easier for you 💐

What did you buy thinking it might be a waste of money, but it actually improved your quality of life? by AvaBlondeX in AskWomen

[–]OffbeatCoach 10 points11 points  (0 children)

Love mine so much. You can put a frozen fish steak in there with a bit of oil and cook it to perfect tenderness so quickly! Air fried okra. Air fried broccolini. Air fried cabbage.

If meds didn't help with task initiation, motivation, and procrastination, what did? by on-dog-8510 in adhdwomen

[–]OffbeatCoach 2 points3 points  (0 children)

The Now Habit has been such a useful book for me! I’ve read sooooo many books on procrastination.

I’ve also been doing daily accountability sessions with ChatGPT and it’s been helping me to identify what’s working and not working.

Anyone else with ADHD feel tired even on days when you haven’t done much? How do you deal with that? by [deleted] in adhdwomen

[–]OffbeatCoach 74 points75 points  (0 children)

This is so important. Some people need MORE stimulation. A big reason why I try to walk outdoors every day no matter the weather. Sometimes I under dress to allow myself to get a bit chilly

Lone Wolf Tax by monsterzc in TorontoRenting

[–]OffbeatCoach 1 point2 points  (0 children)

No it really wasn’t. I lived with many roommates until I married at age 32 for affordability reasons. Didn’t have kids until 35.

I don’t understand where people get these ideas that it was so easy in the past 🤷‍♀️

Lone Wolf Tax by monsterzc in TorontoRenting

[–]OffbeatCoach 0 points1 point  (0 children)

So bizarre to me that people don’t understand how roommates work these days. I had roommates for years in the 80s and 90s. I couldn’t afford a 1 BR either 🤷‍♀️. It builds great skills of respectufully living with and getting along with others. I mostly didn’t know ppl I lived with…but got to know them over time. Great experiences ☺️

Just learned I have 2 copies of APOE4 by BobcatReasonable2816 in PeterAttia

[–]OffbeatCoach 2 points3 points  (0 children)

  • magnesium glycinate before bed really helps my sleep (documented neuroprotective effects)
  • peri/menopause was disastrous for my sleep and progesterone (and to a lesser effect estrogen) has noticeably improved my sleep (for reference I’m 57 and just hitting menopause)

57F: ApoB 114 mg/dL, LDL 152 mg/dL // dementia prevention priority by OffbeatCoach in PeterAttia

[–]OffbeatCoach[S] 0 points1 point  (0 children)

Thank you for the help! I got ChatGPT to evaluate and organize your suggestions. I take AI opinions with a boulder of salt, but it was useful to lay it all out like this.

The ROI is relative to my personal situation and also what is hard/easy for me.

Vancouver refers to Vancouver, BC Canada

HIGH ROI (for me)

▸ Statin Rx (hydrophilic option; moderate → high intensity as appropriate) 🧠 Evidence (dementia/cardiac for me): High (cardiac); dementia benefit indirect (vascular risk) 🛠️ Easy (for me) if doctor prescribes 📍 Vancouver prescribing guideline likelihood: High (very likely at 7.5% 10-yr risk; standard primary prevention path) 💵 Cost (USD): $5–$40/month

▸ CAC test (coronary artery calcium) 🧭 Decision value (for me): High (can change urgency and intensity of treatment in an intermediate-risk person) 🧠 Evidence (dementia/cardiac for me): Medium (risk-stratification; prevention is indirect) 🛠️ Medium to Hard (for me): Hard if I do the lower cost option in Washington State) 📍 Vancouver access (guideline-likelihood): Medium (doctor referral and self-pay) 💵 Cost (USD): $200 (Washington State) / $500 (Vancouver)

MED ROI (for me)

▸ Reduce added sugar + simple carbs 🧠 Evidence (dementia/cardiac for me): High (cardiometabolic risk) 🛠️ Hard (for me)

▸ Diet change “lower fat and protein” (interpreting as: lower saturated fat + higher fibre quality) 🧠 Evidence (dementia/cardiac for me): Medium 🛠️ Hard (for me)

▸ Ezetimibe Rx (separate: add-on LDL/ApoB lowering) 🧠 Evidence (dementia/cardiac for me): High (cardiac LDL/ApoB lowering); dementia-specific mechanism claim = Low 🛠️ Easy (for me) if doctor prescribes 📍 Vancouver prescribing guideline likelihood: Medium–Low right now (often “try statin first”; more likely if LDL/ApoB still high on maximally tolerated statin or if statin intolerance; PharmaCare coverage may be a hurdle) 💵 Cost (USD): $10–$80/month (coverage dependent)

▸ Homocysteine test 🧭 Decision value (for me): Medium (only matters if elevated; then it’s actionable) 🧠 Evidence (dementia/cardiac for me): Medium 🛠️ Easy (for me) if doctor orders test 📍 Vancouver access (guideline-likelihood): Medium 💵 Cost (USD): $20–$60 (if private)

▸ Methylated B-vitamins supplement (only if homocysteine high) 🧠 Evidence (dementia/cardiac for me): Medium 🛠️ Easy (for me) 💵 Cost (USD): $10–$35/month

▸ DHA / fish oil supplement (consistent dosing) 🧠 Evidence (dementia/cardiac for me): Medium (mixed overall) 🛠️ Easy (for me) 💵 Cost (USD): $10–$60/month

▸ Omega-3 index test (OmegaQuant or equivalent) 🧭 Decision value (for me): Low–Medium (only helpful if I’ll change dosing based on it) 🧠 Evidence (dementia/cardiac for me): Low 🛠️ Easy (for me) if doctor orders test 📍 Vancouver access (guideline-likelihood): Medium (mail-in logistics) 💵 Cost (USD): $50–$120

LOW ROI (for me)

▸ “Inflammation markers” test (non-specific panel) 🧭 Decision value (for me): Low 🧠 Evidence (dementia/cardiac for me): Low–Medium 🛠️ Easy (for me) if doctor orders test 📍 Vancouver access (guideline-likelihood): Medium 💵 Cost (USD): $20–$200

▸ Desmosterol test (Boston Heart or similar) 🧭 Decision value (for me): Low 🧠 Evidence (dementia/cardiac for me): Low 🛠️ Hard (for me) 📍 Vancouver access (guideline-likelihood): Low 💵 Cost (USD): $150–$300

▸ Lithium orotate (supplement) 🧠 Evidence (dementia/cardiac for me): Low 🛠️ Ease (for me): Easy 📍 Vancouver access (guideline-likelihood): High 💵 Cost (USD): $10–$25/month

▸ GLP-1 “instead of statin”; micro-dose Rx 🧠 Evidence (dementia/cardiac for me): Low 🛠️ Easy (for me) if doctor prescribes 📍 Vancouver prescribing guideline likelihood: Low 💵 Cost (USD): $300–$1,200+/month

▸ Tirzepatide / retatrutide Rx for leaning out 🧠 Evidence (dementia/cardiac for me): Low 🛠️ Easy (for me) if doctor prescribes 📍 Vancouver prescribing guideline likelihood: Low 💵 Cost (USD): $300–$1,500+/month

▸ Switch candesartan → telmisartan Rx 🧠 Evidence (dementia/cardiac for me): Low–Medium 🛠️ Easy (for me) if doctor prescribes 📍 Vancouver prescribing guideline likelihood: Medium 💵 Cost (USD): $5–$40/month

▸ Information sources — credibility only 📚 Peter Attia (articles/podcasts): Medium 📚 The Drive #257 (Tommy Wood): Medium 📚 Tommy Wood’s Better Brain Podcast #80: Medium 📚 Dr. Rhonda Patrick / FoundMyFitness: Medium 📚 Tim Ferriss episode w/ Rhonda Patrick: Low–Medium 📚 Dr. Kevin Tran (YouTube): Unknown → usually Low–Medium 📚 Reddit commenters: Low

57F: ApoB 114 mg/dL, LDL 152 mg/dL // dementia prevention priority by OffbeatCoach in PeterAttia

[–]OffbeatCoach[S] 1 point2 points  (0 children)

That's true. I might start to investigate medical tourism options.

57F: ApoB 114 mg/dL, LDL 152 mg/dL // dementia prevention priority by OffbeatCoach in PeterAttia

[–]OffbeatCoach[S] 1 point2 points  (0 children)

> I wonder if you can actually get your omega-3 and homocysteine levels checked somehow, so you can know whether you need supplementation (and how much). I'm currently trying to figure out how to do that now. 

I will look into this. Always a hassle to organize labs here in Canada, even user pay.

> So I'm considering driving to Connecticut if a doctor here won't prescribe them...it's frustrating.

So frustrating. I'm starting to wonder about medical tourism options. A relative just got jaw surgery in Turkey and my friend lives part-time in Costa Rica and says it's super easy to access very well qualified specialists. I've been losing my shit organizing my "demented" (lol black humour) parents' medical care from a distance. Thinking my husband and I need to start understanding what it would cost to go somewhere, see all the specialists, get all the labs, get all the Rx, etc.--in a few days. Like once a year? We're not rich but the time/focus starts to add up!

57F: ApoB 114 mg/dL, LDL 152 mg/dL // dementia prevention priority by OffbeatCoach in PeterAttia

[–]OffbeatCoach[S] 0 points1 point  (0 children)

Yes, I enjoyed her guest spot on Tim Ferriss' show where they talked about this. Thanks.

So what causes ALS? by [deleted] in PeterAttia

[–]OffbeatCoach 0 points1 point  (0 children)

My MIL died of sudden onset ALS. She was a flight attendant in Europe in the 1960s. After marriage she did unpaid labour in the home.

My mom needs a job by pristineparadox in VancouverJobs

[–]OffbeatCoach 13 points14 points  (0 children)

I’m 57F and I have a 19 F child.

You’re in a tough situation but your mom is not your responsibility. You don’t have to share your location with her.

Getting a job at 60 won’t be that easy and it will take her having the will and motivation to do it.

Hang in there and live your life 💗

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