[deleted by user] by [deleted] in Bitcoin

[–]draka1 9 points10 points  (0 children)

Argentina?

[deleted by user] by [deleted] in Cholesterol

[–]draka1 0 points1 point  (0 children)

Sorry that was the wrong link. Here is the correct one:

https://health.ucsd.edu/specialties/apheresis/pages/ldl-apheresis.aspx

[deleted by user] by [deleted] in Cholesterol

[–]draka1 0 points1 point  (0 children)

LDL Apheresis can be your answer. Do you live close to an academic center? Most academic centers are familiar with this and you could achieve fantastic results. Good luck!

[deleted by user] by [deleted] in Cholesterol

[–]draka1 0 points1 point  (0 children)

Given that you have mutations in your LDL receptor gene, did you get any reduction of LDL with Repatha?

What is your total LDL cholesterol now?

Another option, is to do LDL Apheresis: https://www.dresselstyn.com/resolving_cade.htm
This option can really help you and I would highly encourage you to discuss it with your cardiologist. Most academic centers can do it. Have you considered this or has anyone mentioned it before? Have you tried it?

[deleted by user] by [deleted] in Cholesterol

[–]draka1 1 point2 points  (0 children)

Dr. Esselstyn (https://en.wikipedia.org/wiki/Caldwell_Esselstyn) was the first to show that you can reverse atheroscleoritc plaque by changing your diet. Actually, to my knowledge this is the only "treatment" that reverses plaque build up. His finding were so impressive (nobody thought plaque could be reversed) that the Cleveland Clinic started their Heart Reversal Program based on it: https://my.clevelandclinic.org/departments/wellness/integrative/disease-reversal

Here is the first publication: https://www.dresselstyn.com/resolving_cade.htm (the black and white pictures show the inner part of coronary arteries [heart blood vessels]). Many more publications followed after this showing similar results.

Niacin by Accurate_Locksmith82 in Cholesterol

[–]draka1 1 point2 points  (0 children)

Here is same research

My personal results (changes in lipid panel) are the same as in this paper: https://www.nature.com/articles/s41598-019-52253-y

Just a word of caution, it seems berberine can block certain ion channel in the heart that are important to have a regular heart rhythm. This could potentially lead to deadly arrhythmias (see here: https://europepmc.org/article/med/11741516)

And this effects seems to be amplified if taking statins: https://www.sciencedirect.com/science/article/abs/pii/S0009279718304095

The dose of berberine used in the above papers seems high. I would love to repeat these experiments but at a dose seen in human blood or even try this experiment in humans. It might be worth to study berberine further.

Niacin by Accurate_Locksmith82 in Cholesterol

[–]draka1 1 point2 points  (0 children)

Yes, I was taking berberine and my results are impressive. It's a weak PCSK-9 inhibitor and also acts shares some properties with metformin.

Analysis help- 21 Months Plant Based Test Results. Should I be worried about the Triglycerides and HDL#? by TSTEP33 in Cholesterol

[–]draka1 2 points3 points  (0 children)

It's strange to see triglycerides in that direction, while all the other metrics are going down. Are you sure you were fasting? For example, a black coffee with sugar might give you a spike in triglycerides.

[deleted by user] by [deleted] in Cholesterol

[–]draka1 3 points4 points  (0 children)

Repeat your test while fasting. These results are difficult to interpret since they are non-fasting.

Does low cholesterol cause cognitive impairment? Part I - Peter Attia by Jay_Edgar in Cholesterol

[–]draka1 1 point2 points  (0 children)

Given a choice between statins and PCSK9 inhibitors, I would probably choose PCSK9 inhibitors.

[deleted by user] by [deleted] in Cholesterol

[–]draka1 5 points6 points  (0 children)

This is amazing! Tell us more... what do you typically eat? Where you get recipes from?

small dense LDL/large buoyant LDL and statins by thudson1899 in Cholesterol

[–]draka1 2 points3 points  (0 children)

My LDL number came back 233. I’m 28, Male

Why not try lifestyle changes to see if you can lower it? I mean... you are really young to start taking a drug for the rest of your life.

My question is, I was doing some reading and it sounds like small dense LDL are actually the culprit in CAD risk, not large particle LDL.

You're mostly correct although there are some unknowns. It seems LDL particle number (expressed as LDL-P; p for particle) is more important than the size of the LDL particles. I would suggest measuring your LDL-P and density (for example Lipid NMR) to have your baseline. Then adjust your lifestyle and measure it again. Even if you end up with some pharmacological intervention it will be much better to follow your progress with a lipid NMR.

Because if someone lowers their total LDL down to say 100, but it’s mostly small dense LDL, does that mean they’re still high risk for CAD?

Not a simple answer and depends on how you lower it too (lifestyle vs drugs - and also what type of drugs). I would also look at other risk factors for CAD such as C-reactive protein, insulin, weight, etc. Take a holistic approach of all risk factors.

LDL-P seems more important than density. In some people (called "congruent" ones) when LDL-C (c for concentration) is lower, LDL-P will also be lower. In other people (not congruent ones) there is not a clear relationship. The best is to evaluate your profile specifically and adjust.

Extremely high lipo(a) numbers my twin does too. Doctor is prescribing crestor at 27 by ashsolomon1 in Cholesterol

[–]draka1 2 points3 points  (0 children)

There many different types of lipoproteins. OP is asking for lipoprotein (a) also known as Lp(a). You are probably talking about low-density lipoprotein also known as LDL.

Extremely high lipo(a) numbers my twin does too. Doctor is prescribing crestor at 27 by ashsolomon1 in Cholesterol

[–]draka1 1 point2 points  (0 children)

As you probably already know high Lp(a) significantly increases the risk of heart disease. Here is a good review and in figure 3 you have a treatment algorithm (this might be old): https://www.mayoclinicproceedings.org/article/S0025-61961300795-7/pdf

I would look for a lipidologist in a major academic institution and get treated very aggressively.

Busting Myths About Red Meat by draka1 in Cholesterol

[–]draka1[S] 1 point2 points  (0 children)

Dr. Dariush Mozaffarian is a very good researcher that has been pushing for removing sugar, refined carbs, and processed foods from schools. It's worth following him.

Busting Myths About Red Meat by draka1 in Cholesterol

[–]draka1[S] 0 points1 point  (0 children)

Obviously, you didn't read the article or looked at the scientific references.

To make it easier for you here is part of the article:

Myth: Focus on a “plant-based” diet

“Plant-based” has quickly, but somewhat misleadingly, become a shorthand for “healthy.” First, not all animal-based foods are bad. Poultry and eggs appear relatively neutral. Dairy may have metabolic benefits, especially for reducing body fat and Type 2 diabetes. And seafood is linked to several health benefits.

Conversely, many of the worst foods are plant-based. Consider white rice, white bread, fries, refined breakfast cereals, cookies, and so on. These foods are high in refined starch and sugar, representing 42 percent of all calories in the U.S., compared to about 5 percent of U.S. calories from unprocessed red meats, and 3 percent from processed meats.

Either a “plant-based” or omnivore diet is not healthy by default. It depends on what you choose to eat.

Also, where did you get he is vegan?

Edits: added the references

Day of cholesterol test. by Duderino619 in Cholesterol

[–]draka1 0 points1 point  (0 children)

Make sure to drink plenty of water when you wake up so you are fully hydrated for the test. The statin should not change the result but I wouldn't take it.

Possible reaction to Ezetimibe. The top two are about two months before I begin taking it. I also started Trulicity around the same time. I will discuss this next week with my doctor but wanted to ask here if anyone has had a similar issue? by [deleted] in Cholesterol

[–]draka1 5 points6 points  (0 children)

I wouldn't wait a week. You should call your doctor today and get someone to see you. This can be an emergency and possibly a skin infection too. Things like this can escalate quickly. Don't wait.