Chronic low HDL but good LDL (need advice)

[Ghoul]

Yeah California

This is the test you want:

https://bostonheartdiagnostics.com/wp-content/uploads/2024/06/LipoMap_Sales_Flyer_2022_09_15.pdf

https://bostonheartdiagnostics.com/wp-content/uploads/2022/08/LipoMap-clinical-flyer_2022_08_26.pdf

It's the most advanced lipid profile test available. It's around $150.

They can help you find a provider in your area who'll take the blood sample, and you'll get a big report on dozens of particle types and their significance.

The can also work with your doctor if you prefer to go that route, and they'll make arrangements with him to take and send in a sample. You have to call them to ask about that.

Either way, you'll know exactly what's going on, and what your real risk factor is with this unusual situation, because it may actually be low risk. And if not, you'll be better positioned to deal with it,

Find a Healthcare Provider – Boston Heart

bostonheartdiagnostics.com

 

[Bassman99]

Not a bad price to end the debate of weather Im dying or not.
Ill get it done in a few months when I can afford as I know PCP not going to consider it.

 

[Photon]

Not a bad price to end the debate of weather Im dying or not.
Ill get it done in a few months when I can afford as I know PCP not going to consider it.

I have bought it.
(1) They ship you a kit.
(2) You make an appointment here to get your labs drawn with the kit. My One Medical Source.
(3) You get the results and you can bring to your cardiologist. Honestly i doubt your PCP will understand most of it.

Insurance will not cover it, your PCP might not even have heard of it before either.

 

[Almoister]

Isnt rosuvastatin as good or almost as good as pitavastatin ? Or am i getting something wrong ?

 

[Almoister]

Regardless on trt dose with cardio pitavastatin 1mg daily got my Idl to around 70 no sides (as far as i know but im also stupid)

 

[RockyP]

Keep BP as low as you can
Keep ApoB as low as you can
Try (not so easy to do) to get HdL / ApoA1 as high as you can
Take a statin, especially when on cycle (for lipid control / anti inflammatory benefits)
GLP-1
Consider adding Zetia

 

[Ghoul]

Isnt rosuvastatin as good or almost as good as pitavastatin ? Or am i getting something wrong ?

Rosu lowers LDL a little more, impairs insulin sensitivity, higher risk of side effects.

Pita raises HDL, improves HDL function, improves insulin sensitivity, lowest risk of side effects of any statin.

 

[BamaCrazy]

Isnt rosuvastatin as good or almost as good as pitavastatin ? Or am i getting something wrong ?

 

[RockyP]

Rosu lowers LDL a little more, impairs insulin sensitivity, higher risk of side effects.

Pita raises HDL, improves HDL function, improves insulin sensitivity, lowest risk of side effects of any statin.

View attachment 339081

View attachment 339084

We are spoiled to have such incredible info posted for free. I can GUARANTEE you that the average cardiologist can’t cite this data. When I asked my cardiologist about Pita he said he had never prescribed it in his career.

 

[Kralteramon]

We are spoiled to have such incredible info posted for free. I can GUARANTEE you that the average cardiologist can’t cite this data. When I asked my cardiologist about Pita he said he had never prescribed it in his career.

It's not even on the list of insurance covered meds here. My anabolic steroid clinic that I go to never even heard of Pita.. They can only give me Rosuva

 

[Ghoul]

We are spoiled to have such incredible info posted for free. I can GUARANTEE you that the average cardiologist can’t cite this data. When I asked my cardiologist about Pita he said he had never prescribed it in his career.

My primary care physical required an arm twisting. I just got it from India pharma in the interim.

The most patient friendly statin, that would allay "statinphobia" and get more people to treat their high cholesterol, is the least prescribed, because if clinician inertia.

It used to cost $500/mo and require difficult preauthorization for coverage, so docs didn't bother, but it's been available as a generic for $40/mo for a year, easy insurance coverage, but very few docs are familiar with it.

With ezetimebe. it's a potent combo and no sides. 65% LDL reduction. There's a single tab with both available in India

 

[Kralteramon]

My primary care physical required an arm twisting. I just got it from India pharma in the interim.

The most patient friendly statin, that would allay "statinphobia" and get more people to treat their high cholesterol, is the least prescribed, because if clinician inertia.

It used to cost $500/mo and require difficult preauthorization for coverage, so docs didn't bother, but it's been available as a generic for $40/mo for a year, easy insurance coverage, but very few docs are familiar with it.

With ezetimebe. it's a potent combo and no sides. 65% LDL reduction. There's a single tab with both available in India

Except they don't ship to EU

 

[Ghoul]

Except they don't ship to EU

It's available in the EU as a generic.

Show them this and ask why you should be exposed to a much higher risk of new onset diabetes (that grows over time) when a safer alternative is available.

 

[Almoister]

Well with rosuvastatin i wouldnt go above the 5mg a day there is almost no reason to from 40-50% reduction to 50-60% on 20mg sounds like pushing side effects on 5mg i have no sides whatsovever but im just 1month on rosuvastatin

 

[Almoister]

Ps pitavastatin in eu is more common generic then rosuvastatin atleast from what i found

 

[RockyP]

It's available in the EU as a generic.

Show them this and ask why you should be exposed a much higher risk of new onset diabetes (that grows over time) when a safer alternative is available.

View attachment 339087

Do you think this risk mitigates with concurrent GLP-1 therapy? I know that’s not the point but just curious if we are stuck with non Pita prescribers

 

[RockyP]

It's not even on the list of insurance covered meds here. My anabolic steroid clinic that I go to never even heard of Pita.. They can only give me Rosuva

I had a friend of mine who is an Md try to call it in for me. Triggered a pre auth request. So I’d have to pay out of pocket which isn’t so bad at current costs.

 

[RockyP]

My primary care physical required an arm twisting. I just got it from India pharma in the interim.

The most patient friendly statin, that would allay "statinphobia" and get more people to treat their high cholesterol, is the least prescribed, because if clinician inertia.

It used to cost $500/mo and require difficult preauthorization for coverage, so docs didn't bother, but it's been available as a generic for $40/mo for a year, easy insurance coverage, but very few docs are familiar with it.

With ezetimebe. it's a potent combo and no sides. 65% LDL reduction. There's a single tab with both available in India

I’m sorry if I missed it in any of your prior posts but can you share the data on Pita showing that it improves HDL? That would be the main selling point for me.

 

[BamaCrazy]

I’m sorry if I missed it in any of your prior posts but can you share the data on Pita showing that it improves HDL? That would be the main selling point for me.

https://www.jacc.org/doi/10.1016/S0735-1097%2813%2962033-1

Conclusion​

Besides decreasing serum LDL–C levels, pitavastatin elevates serum HDL–C levels and modulates the size, composition and levels of HDL–associated enzymes, but as a whole, increases HDL particles with preserved anti–atherosclerotic properties.”

 

[Oldman81]

Can be genetics too