Any Prohibitions for HRT with Coronary Artery Disease?

[jwtex]

HRT and coronary artery disease

Are there any prohibitions to being on HRT with CAD? I am one of those unlucky bros who has no Life style risk for CAD but just had an angioplasty and a drug-eluting stent procedure for a 95% blocked artery. I have always worked out, never smoked a cigarette in my life, maintain proper weight, done cardio, have eaten a clean diet since the early eighties, (I m from the South so my diet until my early 30s had a lot of fried food and fats) have never done AAS and maintained great HDL/LDL ratios with niacin. My HDLs have always been in the high 70 low 80,s. My total cholesterol was in the 200-215 range with LDL less than 120 most of the time. . I had one reading of Total 255, HDL 77 and LDL 152 which was in 1999 but generally in the range above. I started receiving BP medicine in 1999 for slightly elevated BP and maintained BP at 118/70 with Zestril 2.5mg. I went to Cooper Clinic in January of 2000 for my annual physical and I had a Electron Beam Tomography Body Scan and it found I had calcified atherosclerotic plaque in the coronary arteries. I had a calcium score of 1,019 which put me in the 95% range for coronary artery disease.. Cooper then preformed a Thallium Study stress test which showed no blockage or exercise angina. Cooper put me on Lipitor 10mg to lower my LDL below 100.

I started HRT in December of 2000 with an local anti aging doctor and have never felt better in my life. We are using SWALE's HCG protocol with cc 200 Depo Test. I started to notice some shortness of breath during cardio about a year ago. My BP started to elevate during the year and my family doctor gave me a stress test which I passed so we increased my BP meds to 20mg. My shortness of breath continued and my family doctor sent me to a cardiologist. I had a Thallium Stress Test which I flunked. They then preformed a Cardiac catheterization which showed the 95% blockage and they did the angioplasty and a drug-eluting stent procedure. My question is can I continue my HRT and if so, do I need to do anything different, or take any special precautions or measures.

 

[SWALE]

The studies which demonstrate the benefits of TRT with respect to CAD are too numeorus to list here. Specificaly, they cause greater perfusion of the cardiac muscle, dilate the coronary arteries, increase cardiac output without further straining the heart, increase REVERSE CHOL transport, and decrease subjective symptomology of pain.

In cases of heart failure, you must be careful to monitor water table (edema).

I would simply advise you to monitor estrogen properly.

I would also add you need to take LOTS of a good fish oil product. If you are going to use a statin drug, add in CoQ10 as well.

 

[jwtex]

Thanks for the info Swale. You have as usual given us HRT guys the info we needed. We are all thankful that you have made your knowledge and expertise available to us. I am glad you decided to specialize in HRT as so few Doctors understand what optimal hormone levels can do for our health and mental well being. I feel better already knowing I should continue HRT.

My Cardiologist started me on the Q-10 and I was already taking the fish oil. I now take 150mg of Q10 and about 3 grams of fish oil; (1800 mg Omega 3, 1200mg EPA, and 600mg DHA) is that enough? He told me to take the fish oil three times a day but I started taking it all in the morning as the fish oil gave me terrible indigestion when it took it at night.

Again, thanks for your valuable time and great input. God Bless and have a great new year

 

[Albert]

Here's a little bit more about CoQ10

Here's a little bit more about CoQ10.

Here's a link to a site in Melbourne Australia where this research was conducted.

Looks like good information.

Later,
Albert.

 

[SWALE]

I am delighted your Cardiologist is recommending CoQ10. That important bioactive substance increases the mitochondria's (energy factories within the cells) ability to produce energy. We can indeed look at heart failure as an energy deficiency of the cells of the cardiac muscle.

Fish oil has a half-life of two days. Therefore you only need to take it once per day.

Three grams per day of long chain omega-3's is a great dose. I have patients, including those with diabetes, who take 7 grams per day. As long as it is a good brand, assayed for toxins, the more the better!