Statins

[esorekim05]

They haven’t updated lipid guidelines since the publication of PREVENT. So, most recent guidelines still use pooled cohort ascvd calculator.

And where did I say a CAC of 0 can’t allow safe depreciation of statins in patients hoping to avoid (although the logic of this isn’t great in younger patients seeking long term prevention)?


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[wapitibob]

You, of all people, should know better than to recommend statins based on a 1990s calculator that was developed before CAC imaging even existed without first checking CAC. It absolutely negates your stated indication for a simple ASCVD score of >7.5%. Even at 10%, the recemmendstion from the 2018 ACC/AHA Cholesterol Guideline (Section 7.4.2.1) specifically says:

“If the CAC score is zero, it is reasonable to withhold or delay statin therapy, except in cigarette smokers, those with diabetes mellitus, or those with a strong family history of premature ASCVD.”

He's a DR, who are you?

 

[Mike Islander]

He's a DR, who are you?

I'm an educated consumer. And I'm sure he can speak for himself.

 

[whaack]

Wondering who on here takes a statin? And how it affects you? 10yrs ago my dad got on a statin. He was 53yrs old, 5'9" and 170lbs. He was at 260 on his cholesterol.

I went and got my bloodwork done for the first time in 8yrs. Last time mine was 185. This time it was 210. Dr. told me that its time I get on some cholesterol medication. She prescribed me advorstatin. Last night I got to looking it up on the internet. Some things really stood out to me on the side affects list. Memory loss and and type 2 diabetes. My dad isn't a sugar eater and never has been. 3yrs ago he started to not be able to see very good. Went to the eye Dr. and got told that he needed to go to his regular Dr. instead. So he did and has diabetes. So they put him on a medication for that. And me and my brother have noticed for the past 1yr-1.5yr that his memory is getting BAD. Bad enough that we are/were thinking maybe something more than just being a little forgetful.



Maybe they aren't related at all. But I am going to call in tomorrow and tell the Dr. my concerns and get her opinion before I start taking them. I know that I probably need to do something to get my cholesterol down. But making me a diabetic and not remembering much isn't very appealing either.

If your Dr recommends a statin with zero discussion of diet changes snd exercise then run as fast as you can.

The side affects of statins are well known despite what your Dr might tell you. I have 3 MDs and one DO in my immediate family, all of them say statins are wildly over prescribed.

 

[whaack]

I would listen to your doctor and not the people here.

Lots more people die from cardiovascular disease than they do a statin.

1000% disagree. OP - Educate yourself and make your own informed decision. This used to be how humans worked. If Covid taught you nothing about how wrong the medical community can be then I suppose proceed with whatever your drug dealer, I mean Dr, is telling you.

 

[cnelk]

1000% disagree. OP - Educate yourself and make your own informed decision. This used to be how humans worked. If Covid taught you nothing about how wrong the medical community can be then I suppose proceed with whatever your drug dealer, I mean Dr, is telling you.

Bingo

CDC stops recommending COVID-19 shots for all, leaves decision to patients

The Centers for Disease Control and Prevention has adopted recommendations by a new group of vaccine advisers, and has stopped recommending COVID-19 shots for anyone.

apnews.com

 

[omicron1792]

If your Dr recommends a statin with zero discussion of diet changes snd exercise then run as fast as you can.

The side affects of statins are well known despite what your Dr might tell you. I have 3 MDs and one DO in my immediate family, all of them say statins are wildly over prescribed.

Show all those MDs your posts and see what they say.

Having doctors in your family makes you more dangerous because you still know nothing about medicine but think you do.

Imagine if you were flying on an airplane and the person flying the plane said “I’m not really a pilot but my aunt is one so enjoy your flight.”

 

[atmat]

Bingo

“But Kennedy, who has questioned the safety of COVID-19 vaccines, abruptly announced in May that COVID-19 vaccines were no longer recommended for healthy children and pregnant women. He also dismissed the CDC’s Advisory Committee on Immunization Practices and replaced them with a handpicked group. The new group voted last month to say all Americans should make their own decisions.”

That a crazy person’s handpicked group says what he wants them to say should he have no surprise.

Regardless, this has nothing to do with the OP’s question about statins, which are some of the most studied class of drugs we have.

 

[whaack]

Show all those MDs your posts and see what they say.

Having doctors in your family makes you more dangerous because you still know nothing about medicine but think you do.

Imagine if you were flying on an airplane and the person flying the plane said “I’m not really a pilot but my aunt is one so enjoy your flight.”

You don’t know me man. When I say I have drs in my family it means my own father is a MD/DO & Naturepath. I worked in his office for 15 years and sat around the dinner table for decades talking about the current state of medicine.

His direct guidance to his patients is that statins are wildly over prescribed and often unnecessary.

Medicine isn’t some “black art” topic that can’t be understood by the masses. Give me a break. Can you read? Then you can understand medicine. How do you think drs got to be drs? Divine appointment???

 

[atmat]

it means my own father is a MD/DO & Naturepath.

MD, DO, and ND are all three different degrees, the latter of which is quackery.

Your father has all three degrees?

 

[omicron1792]

You don’t know me man. When I say I have drs in my family it means my own father is a MD/DO & Naturepath. I worked in his office for 15 years and sat around the dinner table for decades talking about the current state of medicine.

His direct guidance to his patients is that statins are wildly over prescribed and often unnecessary.

Medicine isn’t some “black art” topic that can’t be understood by the masses. Give me a break. Can you read? Then you can understand medicine. How do you think drs got to be drs? Divine appointment???

“I’m not actually a pilot, but my father is and I spent a lot of time with him. Enjoy your flight.”

I’m just kidding my man. Don’t take it personally. I do think every patient has the right to make choices for their own bodies and health. I just often think those are made without good insight into all the facts. Doctors don’t make a penny from prescribing a statin. They do it because the best data at this moment tells them too. Thats all you can go on. It will change over time and hindsight is 20/20. But for now most docs do the very best they can for each patient based on the available data.

It would be like paying to go to a shoot to hunt course, then constantly telling the instructors they are wrong and not following their advice. Are they perfect, no! But they have experience you and I don’t and we pay to go get their expertise.

 

[mcfd45]

I would do everything in my power to stay off statins.
They are way overprescribed. They come with side effects that are not insignificant.
The docs love them, because they are a drug you get in and typically never get off. So that’s office visits that are locked in.
They are questionable if they work or not. Some say that you get 3 extra days if you take them.

I trust medicine less and less every day. And I work in medicine.


You can not trust docs. Most of them just follow the protocols set up by the various entities that they deal with. Insurance. Whatever board they are certified by. The state licensing agency.
These all have been captured by big pharma and big AG.
Few docs actually know what they do, besides follow the care plans set up by those entities.
None of them got any real nutritional education.


Before you get on statins, I’d try to change diet and lifestyle. And def get a calcium scan.

 

[atmat]

They are questionable if they work or not. Some say that you get 3 extra days if you take them.

This is egregiously false. They are one of the most studied class of drugs we have.

 

[atmat]

I would encourage anyone thinking about statins to provide ChatGPT the following prompt: “Please provide any high-quality published literature on the effectiveness or ineffectiveness of statins on cardiac events and mortality.” Then read through the actual publications yourself. You will become more educated on a widely-studied topic and can speak to your physician from a better vantage point.

 

[whaack]

MD, DO, and ND are all three different degrees, the latter of which is quackery.

Your father has all three degrees?

He does.