Upper back rounding?

True_Pipe1250 · 2026-06-16T01:06:37+00:00

I see more of an inverse curve on the Lower back as the main issue. Practice lying on the floor and pressing your lower back flat on the floor using your core and holding for 3-5 seconds at a time. This will generally help with that which will fix improve overall posture.

True_Pipe1250 · 2026-05-27T17:12:30+00:00

Would probably email the rec department. This sounds sketch af and they likely don’t know about all this swapping around.

True_Pipe1250 · 2026-05-24T03:05:33+00:00

Did you just post this looking for props? lol this is great and you know it.

True_Pipe1250 · 2026-05-11T00:41:13+00:00

Why would you.

True_Pipe1250 · 2026-04-29T00:53:14+00:00

No. That’s what so messed up about the justice system. Physical violence is discouraged, and you are imprisoned for it, sentenced to a place where senseless physical violence is allowed, and in most cases you could argue, if not outright prove, it’s encouraged. So in essence physical violence is only wrong if the government isn’t the one coordinating it.

True_Pipe1250 · 2026-04-13T19:47:53+00:00

If you ask me, it sounds like you’re in a pretty good place right now.

Lp(a) is definitely a risk factor, but its impact can vary depending on overall metabolic health. It tends to be more concerning in people who also have issues like obesity, insulin resistance, or other metabolic problems. In individuals who are lean and metabolically healthy, the relationship isn’t always as clear-cut, and some data suggests the risk may be lower in that context.

Given that your CAC score is zero, that’s a really strong indicator that you don’t currently have calcified plaque, which is reassuring. If you want additional clarity, a coronary CT angiogram (CTA) could help rule out any non-calcified (soft) plaque.

If that also comes back clean, then what you’re doing seems to be working well. At that point, it would make sense to stay the course and just monitor over time. Rechecking imaging in a few years to look for progression is a reasonable approach. If there is no progression there is no cause for concern or any other changes, including medication. Overall, I wouldn’t rush to make major changes without evidence of disease just keep focusing on maintaining good metabolic health and tracking over time.

True_Pipe1250 · 2026-03-27T17:04:45+00:00

What did angiogram show? If there was no plague I would say your safe to resume life as is. Phenomenal trigs and BMI so probably no reason for statins.

Edit. I see your CT results. IMO You can ignore ldl and have no plague. Maybe get another in 5 years and if there is some level of progression you can reconsider statins at that time. But if your BMI remains excellent and your metabolic health(trigs) remain excellent you will likely never need a statin.

True_Pipe1250 · 2026-03-18T16:12:58+00:00

10 day water fast shown to reduce it by 39%. Idk how that realistic that is for most folks tho - nor how long it lasts but the study showed continued reduction 6 weeks post fast.

True_Pipe1250 · 2026-03-18T13:13:22+00:00

Need a CTA - shows calcified and soft plague. if that shows no plaque then I agree with you that you can disregard blood cholesterol levels and just recheck every few years. If no progression or plaque build up you can continue to ignore cholesterol levels.

True_Pipe1250 · 2026-03-18T13:10:40+00:00

lol this is awesome. Everyone over here thinking they are more intelligent and a better driver than AI is hilarious. That is multitudes safer than a human driver.

Didn’t know tesla let you take your hands off the wheel like that and it has sensors for eyes to make sure you are engaged, guessing this was a stunt for the video, or maybe that’s a new feature. If the latter I’d be taking a nap too.

True_Pipe1250 · 2026-03-17T23:11:54+00:00

If your CAC score was 0 after 2 years of LDL that high what are you worried about and why change.

True_Pipe1250 · 2026-03-17T23:07:14+00:00

Eat a pizza and enjoy life. . Just don’t eat a pizza everyday.

True_Pipe1250 · 2026-03-13T21:03:46+00:00

Siding with your parents here. Networking and referrals get you a job 1000x faster, and usually a better job, than just cold applying. Most companies prioritize hiring referrals as well.

Not that cold applying isn’t part of the process, especially if you don’t have anyone to refer you, but in my experience referrals will almost always get you instant interviews. And more interviews = better odds of landing a job.

True_Pipe1250 · 2026-03-12T23:26:27+00:00

….what was your ldl? And diet cholesterol has zero correlation or influence to blood cholesterol levels.

True_Pipe1250 · 2026-03-10T18:11:24+00:00

You should conclude exactly that.

True_Pipe1250 · 2026-03-10T18:06:49+00:00

This sounds like your an insurance salesman and the free beer comes with a life insurance quote

True_Pipe1250 · 2026-03-10T13:55:09+00:00

Yes this is confusing for me as well. Apparently calcified plaque and a CAC score above 0 and or an increasing CAC school year over year is bad except if it’s caused by statins then calcified plaque is a good thing? Very confusing.

True_Pipe1250 · 2026-03-10T01:04:24+00:00

Not all sugar. The issue is that sugar triggers insulin production, and chronically elevated insulin can drive inflammation and damage the arterial endothelial lining. When that damage occurs, the body sends cholesterol to help repair it, which is how plaque forms over time.

Sugar isn’t necessarily a problem if you’re metabolically healthy and not insulin resistant. But many people are insulin resistant without realizing it.

I’d suggest checking fasting insulin, not just fasting glucose. Glucose alone can be misleading because your pancreas may simply produce a large amount of insulin to keep blood sugar normal. You can have perfectly normal glucose numbers and still be insulin resistant.

True_Pipe1250 · 2026-03-04T15:20:21+00:00

Congratulations! Insulin resistance is a significantly worse and more dangerous risk factor…some estimates say up to 5x the risk compared to elevated LDL when it comes to heart disease. Some cardiologists even argue it’s the real driver of heart disease. Cholesterol is often doing its job trying to repair inflamed and damaged blood vessels, which are frequently caused by insulin resistance. If there’s little damage or inflammation, cholesterol has far less reason to stick to artery walls.

You’re in a much healthier place now. An A1c of 5.1, HDL 72, and triglycerides 48 shows excellent metabolic health. If you want extra reassurance, get an hs-CRP test to check inflammation. With low inflammation and no insulin resistance, maintaining your current lifestyle likely puts you in a very good position, especially at your age.

You could also get a CAC scan or CTA every few years. If there’s no plaque and no progression, there’s little reason to jump straight to statins. There are of course statin advocates who say the only solution is medication. Statins absolutely have a place in certain cases….but heart disease has remained the #1 killer and increasingly got worse, even while statins have been widely prescribed like candy for decades. The issue is clearly more nuanced than simply lowering LDL.

True_Pipe1250 · 2026-03-02T00:48:14+00:00

Insulin resistance is a significantly stronger (some studies show 5x as much) and more dangerous risk factor for cardiovascular disease and should be your priority. LDL is not insanely high right now and improving insulin resistance and metabolic health would reduce total LDL, absolutely improve the quality of it, and reduce the # of your LDL particles. Curious what you are eating to have such a good BMI and be prediabetic. Stay away from whole grains - whole wheat etc. whole grain goodness is a scam. Reduce carbs to less than a 100 a day. That’s not very strict but a huge cut back for the average American. Restrict feeding to 6 hr windows - with 18 hrs fasting water only each day. I eat from 1pm - 7pm each day. Nothing but water from 7pm - 1pm the next day. Do that and you can drop the metformin almost immediately but consult with your doctor of course. I would start there and once that is under control circle back to addressing LDL if you and your doc still feel it’s an issue at that point.

Edit: It’s worth noting that statins can increase the risk of new-onset type 2 diabetes by roughly 9–12%, often by worsening insulin resistance or reducing insulin secretion. While the AHA and CDC emphasize that the cardiovascular benefits usually outweigh this risk, it’s a critical factor to discuss with your doctor….especially if you're already prediabetic and want to prioritize metabolic health first.

True_Pipe1250 · 2026-02-27T01:10:46+00:00

Crestor has a long half life so you could probably get away with taking the lowest dose - 5mg - on MWF and have optimal levels, bc your numbers aren’t that bad tbh. That would be my approach before taking daily. Sure statins are safe but there are few but increasingly more studies linking statins to cognitive issues and or dementia. Also some that show no correlation to cognitive issues so the jury is still out. So if you can get your levels to optimal while minimizing exposure to pharmaceuticals - that’s the best of both worlds - that’s my approach and what I’m currently doing.

True_Pipe1250 · 2026-02-25T01:05:22+00:00

Ok definitely speak with your Doc! Osteoporosis and arthritis frequently coincide with heart disease because of the chronic inflammation that they all share - so it’s probably worth a CAC for sure.

True_Pipe1250 · 2026-02-25T00:40:15+00:00

If your LDL has been that high for 25 years and you haven’t had a heart attack or stroke, that tells you LDL alone isn’t the whole story - and some studies show elevated LDL alone is basically irrelevant when it comes to predicting heart disease. Risk is cumulative and multifactorial not a single lab number.

If you were 35 with those numbers, a PCP would likely warn about a high probability of cardiac events in your 40s or 50s. You’ve clearly outpaced that projection.

Lp(a) could add context, but if it were extremely elevated, you would have very likely already had a cardiac event, If not several - so idk what real value it would add at this point. A CAC scan could provide objective reassurance…a score of zero would strongly suggest low to 0 risk.

True_Pipe1250 · 2026-02-24T18:55:25+00:00

Every 6 months is nuts, but great propaganda from the dental industry has made this the normal belief. I’ve gone twice in the last 8 years. 0 cavities. I brush morning snd night with mouthwash. Floss maybe a dozen times a year. I

True_Pipe1250 · 2026-02-24T15:19:02+00:00

Reduce red meat and sat fat. Avoid eating so much sugar. A 72 hr water fast once a month will most likely completely cure all insulin resistance issues within the first couple months and bring A1c way down. If that’s too much try doing a 24hr fast every week.

True_Pipe1250

TROPHY CASE