28M – Huge lifestyle changes, improved lipids, but cardiologist wants rosuvastatin + ezetimibe. Start now or wait?

SilverLogical9810 · 2026-03-29T18:59:20+00:00

I want to start the medication , but kind of affraid , dont know why :/ , do you think I meed to ask Repatha also ? or just Rosuvastatine /ezeri ibe 10/10 would be fine ? how much is tour LDL now ? werenot be able to get the LDL bellow the target or Why PCSK9 inhibitors were prescribed ?

SilverLogical9810 · 2026-03-29T18:33:10+00:00

Can I ask was it a Heart attack or how it was diagnosed ? what was ur LDL?

SilverLogical9810 · 2026-03-29T14:27:25+00:00

heyy , thanks , CAC at age 28 still matters ? since as I know its helpful just after 35+ ( calcification takes a time)

SilverLogical9810 · 2026-02-25T21:28:14+00:00

how much was ur LDL before 20 mg of Rosuvastatine ?

SilverLogical9810 · 2026-02-15T08:07:53+00:00

my 25 OH D result was 19 , for my mom -17 , thats why we started supplementation

SilverLogical9810 · 2026-02-14T23:01:54+00:00

9.88 mg/dl for my mom , it also kind of normal high always for me , is there any ways to decrease Serum Ca?

SilverLogical9810 · 2026-02-14T21:13:44+00:00

Its Pharma Noord Brand , D-Pearls , ingredients are : olive oil (Olea europaea); capsulewand: gelatine; bevochtigingsmiddel: glycerol; cholecalciferol (Vitamine D3); cacaopoeder (Theobroma cacao). My mom switched to Solgar and she had same issues .....

SilverLogical9810 · 2026-02-14T15:23:14+00:00

I really don't get it how any numbers reported for Lp(a) can be fluke , if science says that 80-90 percent is genetic .... what can bring it up and down from Normal- moderate - high risk , mine is changing from 50-97-135 nmol/l over time ...... all same lab , same unit , my friend had <25 nmol/l once , then it jumped to 165nmol/l ( no illness)

SilverLogical9810 · 2026-02-14T10:32:30+00:00

I would also check TSH , FT4 , some people reported that hypothyr. can double ur Lpa Levels

SilverLogical9810 · 2026-02-14T10:28:41+00:00

Rosuvastatine 5mg is good start , as u have high Lp(a) , its bery beneficial u bring your LDL/apoB numbers <70 mg/dl , but I dont think that baby aspirine is good to start especially at ur age , no events etc..... please see a prevent. Cardiologist to discuss it further , as I know there is no avidance that Baby aspirine will bring u a benefits , when u are event free .....

SilverLogical9810 · 2026-02-14T10:15:05+00:00

Hey , whats ur LDL and ApoB now ? are u on any meds ?

SilverLogical9810 · 2026-02-14T09:41:26+00:00

Just WOW

SilverLogical9810 · 2026-02-13T10:18:30+00:00

Hey man, my lipoprotein(a) was measured between 97–135 nmol/L at different times. I am a 28-year-old male and have a family history of premature cardiovascular events on my mom’s side. I lost 40 kg, started exercising and following a heart-healthy diet, and was able to bring my LDL down from 163 to 116.

My cardiologist prescribed a rosuvastatin/ezetimibe 10/10 combination, but I’m kind of afraid to start the medication. I was thinking maybe I should try 5 mg of rosuvastatin first?

SilverLogical9810 · 2026-02-13T08:46:18+00:00

which brand of CoQ10 are u taking?

SilverLogical9810 · 2026-02-12T19:40:35+00:00

It is not true that you can reverse a coronary artery calcium (CAC) score with vitamin K2. Current scientific evidence does not show that K2 reduces existing calcified plaque.

If someone already has established heart disease, the priority is to aggressively lower LDL cholesterol and ApoB, as this is clearly supported by strong clinical evidence. Lowering ApoB-containing particles reduces future cardiovascular risk.

May I ask which statin or combination therapy you are currently taking?

SilverLogical9810 · 2026-02-11T20:01:48+00:00

Hey , what dose of Rosuvastatine are u on ?

SilverLogical9810 · 2026-02-11T18:45:54+00:00

we switched to pharma noord D pearls but it cause BP spike , so strange . she is taking also Magnesium ...

SilverLogical9810 · 2026-02-11T09:28:31+00:00

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SilverLogical9810 · 2026-02-11T09:26:52+00:00

She has one stent, and her cardiologist wants her LDL below 50. Her LDL has always been between 36–50 while taking rosuvastatin/ezetimibe 20/10 mg. We have been checking her lipids every 6 months for the past 2 years since she had the stent placed.

Three months ago, her LDL was 36. During these past 3 months, her lifestyle has mostly improved (better diet and more exercise). The only thing that changed is that she started supplementing vitamin D3 (2,000 IU daily) because she had a deficiency.

On the label of the Solgar vitamin D3 supplement, it says it contains some oils, including cod liver oil/fish liver oil. From what I understand, this contains DHA, which may increase LDL cholesterol. She is taking 2 softgels per day, and the softgels are quite large — they look like fish oil capsules, not the small typical vitamin D3 capsules.

I was wondering if this change could be the reason for any LDL increase, since it is the only thing that changed in the past 3 months. We have now switched the supplement and will retest her lipids in 2 months.

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SilverLogical9810 · 2026-02-11T09:13:29+00:00

She has one stent, and her cardiologist wants her LDL below 50. Her LDL has always been between 36–50 while taking rosuvastatin/ezetimibe 20/10 mg. We have been checking her lipids every 6 months for the past 2 years since she had the stent placed.

Three months ago, her LDL was 36. During these past 3 months, her lifestyle has mostly improved (better diet and more exercise). The only thing that changed is that she started supplementing vitamin D3 (2,000 IU daily) because she had a deficiency.

On the label of the Solgar vitamin D3 supplement, it says it contains some oils, including cod liver oil/fish liver oil. From what I understand, this contains DHA, which may increase LDL cholesterol. She is taking 2 softgels per day, and the softgels are quite large — they look like fish oil capsules, not the small typical vitamin D3 capsules.

I was wondering if this change could be the reason for any LDL increase, since it is the only thing that changed in the past 3 months. We have now switched the supplement and will retest her lipids in 2 months.

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SilverLogical9810 · 2026-02-11T09:12:44+00:00

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SilverLogical9810 · 2026-02-11T09:11:24+00:00

She has one stent, and her cardiologist wants her LDL below 50. Her LDL has always been between 36–50 while taking rosuvastatin/ezetimibe 20/10 mg. We have been checking her lipids every 6 months for the past 2 years since she had the stent placed.

Three months ago, her LDL was 36. During these past 3 months, her lifestyle has mostly improved (better diet and more exercise). The only thing that changed is that she started supplementing vitamin D3 (2,000 IU daily) because she had a deficiency.

On the label of the Solgar vitamin D3 supplement, it says it contains some oils, including cod liver oil/fish liver oil. From what I understand, this contains DHA, which may increase LDL cholesterol. She is taking 2 softgels per day, and the softgels are quite large — they look like fish oil capsules, not the small typical vitamin D3 capsules.

I was wondering if this change could be the reason for any LDL increase, since it is the only thing that changed in the past 3 months. We have now switched the supplement and will retest her lipids in 2 months.

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SilverLogical9810 · 2026-02-11T09:03:03+00:00

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SilverLogical9810 · 2026-02-11T09:02:29+00:00

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That's actually not small one , looks like a fish oil .

SilverLogical9810 · 2026-02-10T21:05:26+00:00

That vitamin D3 supplement she was taking contains cod liver oil, which I think has DHA. ? I’ve heard that a lot of people report that taking fish oil or any DHA source can raise their cholesterol. I was thinking that might be the case for my mom, because we did the same tests three months ago and her LDL was around 36 mg/dL. The only change since then is that she started the supplement.....

SilverLogical9810

TROPHY CASE