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Saw a cardiologist to make sense of my lipids

MarkusLA said:
How does that work? Is it binding up fat so it is excreted instead of absorbed or?
Click to expand...

I dunno man, it just reminds of "Tang", orange flavored astronaut drink from my childhood :)

www.health.harvard.edu

Psyllium fiber: Regularity and healthier lipid levels? - Harvard Health

Psyllium husk helps lower LDL cholesterol levels as well as two other lipid markers for cardiovascular disease. It’s thought to work by absorbing bile acids and cholesterol, which are then elimin...
www.health.harvard.edu www.health.harvard.edu


Also, I find the idea some farmer in Turkey has to toil over an entire acre of flowers, carefully harvest, dry, and process the plant, just to make enough psyllium husk for one container of Metamucil so I can eat a little more cheese and have a "premium poop experience" appealing.
 
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Avies48 said:
ill give it a drink and see where it stands! Thanks!
Click to expand...

It's not cheap, there are alternative brands, but if you can handle the cost, Metamucil is far better than the others. It's smooth and dissolves easily. Don't use the capsule or other forms.

I put the powder on the bottom of a glass, then fill with COLD water, and very quickly mix then drink. DO NOT let it sit. It gels up quickly, and not pleasant to drink that way. When drunk quickly, it's just a reasonably tasty "orangey kids drink".

It'll take your GI system a few day to completely get used to it, but as any regular user of Metamucil will tell you, from that moment forward, your crap will be technically perfect. If your trip to the toilet were an olympic event, it'd be judged all 10s.
 
1000007178.webp
I had to post my lipids... from 09/26/2024... maintenace calorie diet. You can also see last year's #'s result as well... was cutting hard 100% clean.
These past 12 months, I've been eating majority clean, but more unhealthy meals, about 2 or 3 per week. Big impact, but still not bad. I just started cutting again, so it's back to 100% clean. I'll have to post my #'s when all this was above 200 etc.

I text my doctor about the IQ labs and a Calcium Score, he said he would need to refer me to a cardiologist or I'd have to pay labs OOP.
 
MarkusLA said:
I read about psyllium sometimes containing lead. There may be a brand that does not. Always tradeoffs..

Psyllium Fiber Supplements Review & Top Pick - ConsumerLab.com
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So I went down that rabbit hole, and for me, it's just not a credible concern.

A number of redditors decided to have their lead levels checked before and after 6 months of daily use and came back at zero. Other who's been using psyllium fiber products for a decade plus, zero lead. I haven't seen a single medical authority withdraw their support of its use; or even caution about lead content, despite the relatively high profile that single article got.

To me, it appears to be a non issue.

There are some rather obscure risks it's worth familiarizing oneself with:


www.mountsinai.org

Psyllium Information | Mount Sinai - New York

Learn about Psyllium or find a doctor at Mount Sinai Health System.
www.mountsinai.org
 
Ghoul said:
It's not cheap, there are alternative brands, but if you can handle the cost, Metamucil is far better than the others. It's smooth and dissolves easily. Don't use the capsule or other forms.

I put the powder on the bottom of a glass, then fill with COLD water, and very quickly mix then drink. DO NOT let it sit. It gels up quickly, and not pleasant to drink that way. When drunk quickly, it's just a reasonably tasty "orangey kids drink".

It'll take your GI system a few day to completely get used to it, but as any regular user of Metamucil will tell you, from that moment forward, your crap will be technically perfect. If your trip to the toilet were an olympic event, it'd be judged all 10s.
Click to expand...
Ive been mixing it with my protein shakes and also have fiberlyze which is pretty good too… yeah left a few shakes in the fridge over night it was like i was in ghostbusters and slimer hit my cup pretty grody haha
 
Avies48 said:
Ive been mixing it with my protein shakes and also have fiberlyze which is pretty good too… yeah left a few shakes in the fridge over night it was like i was in ghostbusters and slimer hit my cup pretty grody haha
Click to expand...
Yeah, it has to be consumed immediately. I've drank Jellomucil several times. lol.

By the way, COSTCO has their (identical) version of Metamucil low sugar that I buy, its half the price.
 
I use the Frontier organic psyllium husk off of Amazon. It's husk and not powder, meaning that it congeals a little less quickly and tastes... okay.

I've made some tasty muffins with psyllium husk, but I can't find the recipe anywhere.
 
Ghoul said:
This is actually a decent explanation of the mechanism:
Click to expand...

The fact that it says, "trap cholesterol" is kind of annoying. It traps bile acids. I find it annoying because so many are confused about the distinction between dietary cholesterol and serum cholesterol. Hint: there's very little relationship.

bigMoJo said:
I text my doctor about the IQ labs and a Calcium Score, he said he would need to refer me to a cardiologist or I'd have to pay labs OOP.
Click to expand...

This is bullshit. A CT-CAC is a matter of a couple hundred bucks and as we known, ApoB and Lp(a) testing is tens of dollars.
 
egruberman said:
This is bullshit. A CT-CAC is a matter of a couple hundred bucks and as we known, ApoB and Lp(a) testing is tens of dollars.
Click to expand...
Agreed.
I'm going to see how long it takes to make an appt with the cardiologist... I don't mind visiting a doctor and seeing what they're about (meaning if they are full of sh**).
You're Right, Again...
If it's going to take too long, I'm just going to pay. I found quite a few radiology offices... lowest prices: $205 near me, $140 with one hour drive.
 
Repatha finally approved by insurance $0 copay 1 month supply!! Yay… hopefully it works well and i dont get a lot of sides from it!! Push health for the win along with my insurance of course

20 years of ldl at 177, total chol at 250, apob @ 140 currently
 
Avies48 said:
Yep… a 1.5 in one artery the rest were at 0… i think i posted the results here but dont recall,


Circumflex artery
1.5
Click to expand...

Oh, yeah, I recall that now. Single digit scores are often in the margin of error. I would expect something higher with 20 years of exposure to elevated LDL. In that sense it's a good thing.

You're probably fine, but if you wanted to get a sense of whether there was soft plaque, you could get a CT-Angiogram.
 
egruberman said:
Missed this question:

I’m on all the things: rosuvastatin 10mg daily, nexlizet, which is a combo of ezetimibe and bempedoic acid as well as bi-weekly Repatha injections.

Currently, it at least before I started blasting, my LDL was 17mg/dL and my ApoB was 32mg/dL
Click to expand...
I'm still waiting on my labs to come back during my blast but I've seen some of your comments and wanted to try rosuvastatin first and it appears I can't handle it. For a test run I took a mere 2.5mg before bed last night and this morning I feel light tremors through my arms(similar to clen) and occasional tingling in my hands. No way I could live with this daily. Do you know if it goes away over a few days or is this basically already telling me rosuvastatin is not gonna work for me? I also have ezetimibe and bempedoic acid so I can trial that next to see how I do
 
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