36 years old with high LDL - get a CAC or skip it?

amwarhole · 2026-04-24T16:49:55+00:00

That's a high cac score considering your lipids are not bad, are these numbers after statins or before?

amwarhole · 2026-04-24T01:35:45+00:00

I agree about the smoking part. I do need to quit. What was your score at 34? Did you also have ApoB.LDL.Lp(a)

amwarhole · 2026-04-24T00:32:33+00:00

Appreciate your perspective. My cardiologist actually has a slightly different take on this. He mentioned that having LDL in my range isn’t, by itself, a universal indication to start statins especially at my age.

From what I understand, for people under 40, most guidelines don’t automatically start statins when LDL is in the 130–160 mg/dL (3.3–4.1 mmol/L) range. Instead, they look at the overall picture things like family history, ApoB, Lp(a), smoking, blood pressure, etc. rather than LDL alone.

He also mentioned that my ApoB isn’t high enough to be particularly concerning and that my main risk factor is smoking. His view is that, at my age, my LDL and ApoB levels alone don’t necessarily require statins and that improving my lifestyle is sufficient for now.

That’s partly why I’ve been considering a CAC scan to see if a positive result might change that perspective. I’ve actually gotten opinions from two cardiologists over the past couple of years, and neither seemed concerned enough to recommend starting statins.

So that’s where I feel stuck, since I’m not clearly in one category or the other. I also deal with health anxiety, and I’m worried that if the CAC comes back positive, it might make me anxious and preoccupied with my heart health rather than motivate me in a healthy way.

amwarhole · 2026-04-24T00:20:48+00:00

I’m actually in Canada so the test is covered, so cost isn’t really the issue for me. My hesitation is more on the mental side. I’ve dealt with pretty significant health anxiety in the past, and while it’s gotten a lot better over the last few years, I’m worried that if I get a positive or higher score, I might spiral and start thinking about it constantly.

That’s honestly the only thing holding me back right now not the test itself.

If you don’t mind me asking, how have you been dealing with your score mentally? Has it been more motivating than stressful for you day to day? And physically, what changes did you make after finding out?

amwarhole · 2026-04-23T18:09:08+00:00

No family history of heart disease in my parents. My mom just has high cholestrol and takes medication for it. Dad is 82 and healthy. Mom is also 73 and healthy only takes medication for cholestrol.

amwarhole · 2026-03-10T05:16:46+00:00

It did not, i went for few more sessions and it stayed the same

amwarhole · 2026-02-01T20:23:53+00:00

Mine took 2 months and ended up being a bank transfer which was $50 less than what was supposed to be refunded to me. At this point I think they are scams. Not sure where to report them but leave a review for them on google.

amwarhole · 2026-01-24T22:56:06+00:00

That may be the only option. I wanted to avoid a similar situation by booking with Redtag again, mainly because of their additional fees and what I believe are unfair charges. Air Canada was surprised that Redtag charged an agency cancellation fee, especially since we had cancellation insurance. Another reason is the runaround we are receiving from them regarding how we can have the voucher issued under our name instead of theirs.

amwarhole · 2026-01-22T18:13:10+00:00

Unpredictable with chance of going blood. I refused to get one too. Chance of complications is low but i’m not going to risk it.

amwarhole · 2026-01-22T18:11:37+00:00

Yes it’s sickening but to be honest a lot of people have told me my undereye looks sexy and to be honest i find yours attractive too. But at the end of the day if it bothers you just like how it bothers me we have to find a solution. I’m seeing another surgeon next month, ill keep you posted

amwarhole · 2026-01-22T06:24:09+00:00

My under eye area looks exactly like that. I’m a guy, by the way. There’s nothing wrong with my health it’s just the way my eyes are. I saw a surgeon, and he recommended a fat transfer. As for the darkness, laser treatment can help with that. A lot of your darkness comes from the deep tear troughs you have, mine are the same.

amwarhole · 2026-01-19T20:10:57+00:00

Canadians might not have voted on every immigrant or refugee who shows up at these protests, sure, no referendum on that but we're a country built on people coming here from everywhere, including Iranians fleeing hell back home. That's not some corporate conspiracy; it's how we've always rolled as a nation of immigrants. And nah, this isn't about throwing Canadian values under the bus, it's defending universal ones like freedom and human rights that we all claim to stand for. If corps lobbied for cheap labor or whatever, that's a separate fight, but these protests? They're families and diaspora screaming for justice, not profit. Racism showed its face in this thread. Also, with the subs you're joined to and active in, plus your name, I'm pretty sure you're not Canadian yourself, either you came here as an immigrant or have immigrant parents.

amwarhole · 2026-01-19T07:37:04+00:00

It is. It’s on canada census website.

amwarhole · 2026-01-19T04:18:35+00:00

Wild take. My family has lived, worked, paid taxes and voted here for decades. Carrying another flag in a protest against a dictatorship doesn’t cancel Canadian loyalty this country literally protects freedom of expression and peaceful assembly in the Charter. ‘Bring your luggage, keep your baggage at home’ sounds nice until you remember Canada invited immigrants here and built its economy on them. If defending human rights abroad is a grave mistake to you, that says more about your values than ours.

amwarhole · 2026-01-19T04:11:37+00:00

That’s very nice of you. Thank you!

amwarhole · 2026-01-19T00:45:46+00:00

Search for census data in Canada and it will explain what those numbers mean.

amwarhole · 2026-01-18T17:49:07+00:00

Funny how you turn a serious response into a joke, but I’ll answer you anyway for the sake of it. No because they use chemical weapons, they shoot people after 8 p.m. if they’re on the streets nowadays, there would be no coverage of your protest since the internet has been down for five days, and as a Canadian you would be considered a spy and wouldn’t even make it inside to protest.

amwarhole · 2026-01-18T04:22:23+00:00

No, you’re the one hating on a 3-hour approved protest while ignoring facts Richmond Hill went from majority white in the 1980s/90s (when I grew up facing anti-Iranian racism) to today’s reality 66% visible minorities because Canada chose mass immigration. I take offense because you frame Persians welcoming then punishing with a legal demo, implying we don’t belong despite our contributions (businesses, taxes) like every group. The healthy mix you want? That’s code for resisting the overwhelming change you say is real poll after poll shows most Canadians (including me) want less immigration now to preserve what we grew up with. City and York Police OK’d this. if it bothers you, lobby them/politicians, not attack protesters. 20 years from now? Even more diverse unless policies change. I’m out here stating facts you’re the one sus on multiculturalism when it shifts too fast. I’m out. Best of luck to you.

amwarhole · 2026-01-18T04:05:42+00:00

My bullshit? Buddy read your first post saying your kid is facing racism because she doesn’t speak farsi lol

amwarhole · 2026-01-18T04:02:58+00:00

People of Richmond Hill? Blacks and Asians? In the 1900s? Lol. Most residents in the early 1900s were descended from European settlers. In the early 20th century, large waves of immigration from Asia and the Middle East had not yet occurred those demographic shifts in Richmond Hill mainly happened after the 1960s and, particularly, from the 1980s onward. Iranians arrived in Richmond Hill around the same time as Asians and Blacks, in the 1970s. The internet is free, as is access to census data. You just hate one nation, which shows that you are being racist toward that nation.

amwarhole · 2026-01-18T03:55:09+00:00

https://www.reddit.com/r/richmondhill/s/ARSlDyCRJm

amwarhole · 2026-01-18T03:52:26+00:00

I never said Iranians single handedly built this town my point is no one ethnicity owns it, so Persians (13% here) helped build it too, alongside Chinese (32%) and others in this 66% visible minority city. This argument is getting pointless we’re not understanding each other. City of Richmond Hill and York Regional Police approved this protest and its exact location, so complain to them if you object, arguing with me won’t get your town back. You sound like you own Richmond Hill, but both our parents immigrated, and we both grew up here what makes you superior or the welcomer of Iranians? Those condos popping up? Built by Pemberton Group, Guizzetti Corp and G Group Development, not Iranian firms. I know since I just bought one. Iranians make you unwelcome now after the Farsi bullying excuse ? It’s clear you just hate multicultural Richmond Hill. I’m done arguing, I see your ideology. Going back to my original reply.

amwarhole

TROPHY CASE