Get a concierge doc and these problems go away.
Costplusdrugs has it for $50/90d.
MESO-Rx
Anabolic Steroids
Chronic low HDL but good LDL (need advice)
- Thread starter Kralteramon
- Start date
RockyP
Member
Was able to get an Rx for Pita 1 mg. Will swap it for Crestor (was 5 mg, recently up to 10 mg) and report back after 1 month. Diet and TRT regimen will remain the same. Have baseline ApoB, ApoA1, etc. to compare with. Only confounder will be an increased dosage of Tirz from 2.5 to 5 mg during the switch. Can then increase to 2 mg and / or add Zetia. Luckily my ApoB was low to begin with but ApoA1 needs a big pick-me-up.
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Photon
Member
I am considering..is there one that will just prescribe me anything i want without consultations or anything. I'd gladly pay $100 a month for that LOL.
BamaCrazy
Banned
I was looking at the Express Scripts formulary and anything newer requires a PA. So for example Pita and Quviviq requires jumping through hoops for me, and Rosuvastatin and Dayvigo does not. A concierge doc will be happy to write scripts but they still have to play games with my insurance company.
RockyP
Member
I believe if you pay out of pocket that becomes irrelevant, and since Pita is generic, it shouldn't be too bad. Paying out of pocket for meds on patent is a no-go for most of us
You'd want pita 4mg to match rosu 10mg.
RockyP
Member
4 mg is the max dose on Pita, is it not? I'd rather start low and only increase if necessary. rosu goes up to 40 mg.
Anything you want is a stretch. They still have a medical license to maintain. Mine is very accommodating though. For example, he prescribes me Vascepa for which I have no real medical need. I called him up and said I wanted to switch my rosuvastatin to pitavastatin and I had a script at the pharmacy an hour later. I pay about $90/month for my doc.I am considering..is there one that will just prescribe me anything i want without consultations or anything. I'd gladly pay $100 a month for that LOL.
BamaCrazy
Banned
Pita is a moderate intensity statin. 4mg is approximately equivalent to rosuvastatin 10mg, which is moderate intensity at that dose. Rosuvastatin at 20-40mg is considered high intensity.
RockyP
Member
Thank you again. Will try 2 mg for a month just to assess tolerability, check bloods, then plan to increase to 4 mg pending results.
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Photon
Member
The 2014 studies looks at the following, all of which i believe improve CEC, with CETP providing the strongest improvements.
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In a different post i believe you ranked Niacin and Fibrates as well, right after Pita, both of which were also evaluated in the 2014 study as not being beneficial.
Edit, found it
Interesting read about CETP. I havnt heard of it before, but it looks like it does boost apoA1, CEC and HDL significantly. 2021 article published by AHA.
RockyP
Member
The plot thickens.
I just spoke with my cardiologist who blessed my desire to start Pita but reiterated basically what this study shows, that yes you can try to raise your HDL but there's no smoking gun (per him) that this impacts morbidity / mortality. I'm still going to try it to see if i can get the same LDL lowering effect that I got from Crestor. The minimal / nill risk of insulin resistance from Pita is also appealing.
Photon
Member
Have you taken a look at direct PCP services?
Seems like an in-between between PCP and concierge doctors.
Mapper — Direct Primary Care Frontier
Find a direct primary care practice near you. The DPC Frontier mapper displays the location of over 1000 DPC practices in the United States. Click on a dot for additional imformation.
mapper.dpcfrontier.com
RockyP
Member
Started my Pita 2 mg today. Will check bloods in 4-6 weeks and maybe go up to 4 mg pending results. If it’s a disaster I’ll hop back on Crestor 10 mg. Even at 5 mg it had my LDL in the mid 60’s.
What is an anabolic steroid clinic?
RockyP
Member
lol - A "wellness" or "rejuvenation" clinic i suppose.
And h/t to pharma for pounding that Crestor into the minds of prescribers. It is true that providers prescribe what they're comfortable with, usually what was around during their training. If you go to an 80-year-old shrink, you'll get valium. Anyone 55 and under, it'll be Xanax or Ativan. My cardiologist is at a top academic center and is well published in his own right. He was aware of Pita, but had "never" prescribed it (until now) mwahaha
Kralteramon
Member
We have special clinic (Android Health Clinic is de enige kliniek gespecialiseerd in geslachtshormonen) in the Netherlands with real doctors providing services like blood work, blood letting, echoes of heart and veins, ecg etc etc. specific for steroid users. They also prescribe (some) ancillaries based on blood work and bp data. It's amazing.
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BamaCrazy
Banned
That does sound amazing.
Kralteramon
Member
Wesley Vissers goes there frequently. And Peter Bond is part of the founders. Some will know him but in NL he's a figure with a lot of cred. I would highly recommend his book to beginners and intermediate users: Order Book on Steroids
Its full of in depth information. Unlike the steroid book from llewelyn.
By the way the clinic also helps people to quit steroids and provides TRT and PCT to people who want to quit indefinitely. They're all about harm reduction.
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