Pitavastatin+Bempedoic acid+Ezetimbe really works well.

[Badsanta]

Guess when I started taking atorvastatin and ezetimibe?

I'm considering switching to pitavastatin. We'll see if my PCP is on board... Sounds like pita isn't very commonly prescribed comparatively.

I was taking atorvastatin and I told my doc it made my joints ache. He just wrote the Rx with out me even coming in. I also gave him all kinds of info to chew on.

 

[RockyP]

It is the most aggressive lipid therapy, however, my history of exposure to androgens has been much more aggressive, and I am only starting lipid therapy now. In other words, what is a score of 110 LDL now, has probably been a handful or more times that in the past at peak. I kept telling myself about all the “scary dangers” of low cholesterol but after reading enough literature on how plaque regression might be possible if you get LDL low enough, for long enough, I figured it’s been enough unnecessary risk.

Even finding out how many are only placed on lifetime lipid therapy only AFTER suffering from a heart attack or a stroke. Scary stuff considering the fact that those are people with natural / genetic / baseline exposure to androgens, imagine synthetic? I’ve always suspected the primary reason for prevention not being as prioritized as much as it should be was simply resource management, but others have said the same.

It’s a little redundant. The pita and Zetia will drop your LDL a good 60+ percent. The bemp acid may not move the needle much. And Repatha can be used instead of all the others.

 

[frofrank]

First of all I'd like to thank all you smart fellas in here for being such a great resource on these topics and saving health for all of us.

Question for how you guys use these meds, I'm newish to PEDs and have been told to be reactive in alot of ways when it comes to ancillaries, more so in the AI realm I guess as far as "hop on the cycle, let the aas saturate in body then go based on bloodwork 4-6 weeks in THEN you can see what you need to add in and adjust" same thing obviously with telmisartan, don't throw it in unless your BP rises. However with these it would make more sense to just proactively throw these in when on blast/using orals? Since weve gone over crushing LDL isnt going to be negative anyways? Or do you guys wait until bloodwork shows you need it to throw it in maybe just being cost effective.

 

[BendigoShafter]

First of all I'd like to thank all you smart fellas in here for being such a great resource on these topics and saving health for all of us.

Question for how you guys use these meds, I'm newish to PEDs and have been told to be reactive in alot of ways when it comes to ancillaries, more so in the AI realm I guess as far as "hop on the cycle, let the aas saturate in body then go based on bloodwork 4-6 weeks in THEN you can see what you need to add in and adjust" same thing obviously with telmisartan, don't throw it in unless your BP rises. However with these it would make more sense to just proactively throw these in when on blast/using orals? Since weve gone over crushing LDL isnt going to be negative anyways? Or do you guys wait until bloodwork shows you need it to throw it in maybe just being cost effective.

Are your blood pressure and lipids perfect now? That's what you should be looking at initially. Then see how they change as you take gear.