Statins for Gray Beards

Search
Go

Discussion Topic

Return to Forum List
This thread has been locked
Messages 1 - 123 of total 123 in this topic
johnr9q

Sport climber
Sacramento, Ca
Topic Author's Original Post - Apr 12, 2016 - 08:49pm PT
One of the possible side effects of Statins is muscle weakness. I take statins and also work hard to be able to climb hard. Is it possible that, because of my statin use, it is more of an uphill battle to gain/maintain strength/endurance? Has anyone had experiences with muscle weakness while on Statins?
survival

Big Wall climber
Terrapin Station
Apr 12, 2016 - 08:57pm PT
I don't know. I just live and climb.
Lorenzo

Trad climber
Portland Oregon
Apr 12, 2016 - 09:02pm PT
Yes.

stop taking them and see how you feel.

( talk to your doctor about alternatives and pay attention to what you eat with them)

Did you start taking them in 2013?
http://articles.mercola.com/sites/articles/archive/2015/08/26/statin-flawed-studies.aspx
zBrown

Ice climber
Apr 12, 2016 - 09:12pm PT
From what I've read, statins are good


For those selling them
Reilly

Mountain climber
The Other Monrovia- CA
Apr 12, 2016 - 09:31pm PT
Statins can have quite a number of undesirable side effects.
Do your homework and decide if yours is worth it especially if a lifestyle
change could achieve the same goals.
healyje

Trad climber
Portland, Oregon
Apr 13, 2016 - 02:56am PT
http://articles.mercola.com/...

A lot of stuff from mercola should be taken with a grain of salt...
slabbo

Trad climber
colo south
Apr 13, 2016 - 07:23am PT
DO NOT just stop taking them..lot's of drugs have immediate problems when you stop completely. Talk to your Doc about a tapering off or lesser dose.

Do you have symptoms or feel it's just uphill battle ?
JerryA

Mountain climber
Sacramento,CA
Apr 13, 2016 - 07:31am PT
I always thought that stop at the Oakdale donut shop on the way to Yosemite was going to get you !
Gnome Ofthe Diabase

climber
Out Of Bed
Apr 13, 2016 - 07:37am PT
ah . . . .

Er what were we talking about? oh yeah high cholesterol , the current cure, Statins may feature some blood/brain interaction that no one tells
or talks about because ya' can't remember when the clock is ticking


I take the largest rx mg that they prescribe gnome h/d/l -L/dL solid

Mine is a heredity issue on both sides.
Ido not eat any dairy, the hard cheese neither.
No Ice Cream.


Im not so disciplined about sugar, ^& carbohydrates.

The hardest was a weekly beer or wine or 4 a week. that and rice and pasta,
j
I now try to eat a lot of salad. I call it Goat food. then I add Vinaigrettes with different flavors; hot sauce , or wasabi, some times a green basil sauce from a jar concentrate.


yikes you guys are scaring me . . ho wait . . I knew that . . .

do any of you suffer from debilitating cramping of major muscles?. Legs, upon stretching , the deltoid thing, oh man that efin' hurts. . . .

anyone know what I'm talking' about?
johnr9q

Sport climber
Sacramento, Ca
Topic Author's Reply - Apr 13, 2016 - 08:19am PT
I'll address some of your questions/concerns:
1. I have researched statins and think the benefits outweigh the negative side effects.
2. If I have side effects, they are subtle and I am not aware of them.
3. I will stop taking statins and see if I have any improvement in strength.
4. Jerry: I quit stopping at the donut shop when we quit climbing together
5. I don't take statins due to any physical symptoms. I started because of a family history of heart problems and I had slightly elevated cholesterol levels.
6. I already do all the things that should encourage low cholesterol (exercise, diet etc)
7. Jebus: Age is irrelevant regarding having a desire to improve and perform at one's best. I may be unusual, but at 71, I still have the same goals and desires as I did in my twenties. More importantly, I add actions to those goals and desires and do the things to achieve those goals and desires.
8. Mynameismud: Changing your lifestyle and diet worked for you but it doesn't work for all people. Some, like myself, are genetically predisposed to have higher cholesterol and no matter what we do, diet and lifestyle wise, it will not affect that. Believe me, I follow everything in Barry Sears "Zone Diet" book and Follow Dr Dean Ornish's advice but no change in Cholesterol.
9. Jebus: You say "some added factors that come with your vintage" That is true but those added factors are mostly out of my control ie, the aging process and we all experience that after age 30. What I am talking about is very simple: If I quit statins, will I be stronger. This is something I can control. If statins have been proven to cause muscle weakness, then maybe everyone on statins will experience some degree of muscle weakness? If I am 5% weaker while on statins, that wouldn't be good for my climbing. Maybe statins are affecting my ability to get stronger?
mynameismud

climber
backseat
Apr 13, 2016 - 08:23am PT
If you really want to lower your cholesterol it requires a lifestyle change. Cut back or eliminate all animal products. No sweets, no deep fried foods, etc. It will drop and very quickly. Once under control slowly introduce bad stuff. You can manage it with drugs or diet, the choice is yours. Yes, I have high cholesterol but I got it under 200 by changing my diet ( was not easy for me ).
slabbo

Trad climber
colo south
Apr 13, 2016 - 08:30am PT
Diet and lifestyle can change cholesteral levels..sometimes a bit,,sometimes a lot..nothing is 100%

if your taking for heart primarily (I am)..maybe a smaller dose is OK..I went from 40mg daily to 20mg 4x a week Cardio seems OK with this and the leg issues are pretty much gone.
Gunkie

Trad climber
Valles Marineris
Apr 13, 2016 - 08:35am PT
If you really want to lower your cholesterol it requires a lifestyle change. Cut back or eliminate all animal products. No sweets, no deep fried foods, etc. It will drop and very quickly.


No, not necessarily. Genetics have a lot to do with cholesterol levels as it is in my case.


I take 40mg of Simvastatin (generic Zocor) everyday. Aside from a second head beginning to grow, I have no side effects as far as I can tell. And my total cholesterol is hovering around 200 and has been that way for 25 years since I began taking statins. I was around 340 before the introduction of statins. Statins are a miracle drug for me. YMMV
Reilly

Mountain climber
The Other Monrovia- CA
Apr 13, 2016 - 08:42am PT
A number of cardiovascular drugs have been studied in an effort to evaluate the possible benefits with not only vascular diseases, but also Alzheimer’s disease. Statin drugs, which act to reduce blood lipids/cholesterol have been shown to reduce the risk of coronary artery disease and stroke. Combination therapies—statins, antihypertensives, and antiplatelet agents—have also shown benefits in treating vascular diseases. But, the data regarding statins and and the risk of Alzheimer’s disease is mixed. The risk of vascular dementia can be reduced (by decrease in strokes or TIAs), but the effect of statins on cognitive decline is not clear. Some people have reported worsening confusion and cognitive problems while taking statins, which resolved when the statin drug was eliminated. More research is needed in this area also.

http://www.alz.org/indiana/in_my_community_64741.asp
johnr9q

Sport climber
Sacramento, Ca
Topic Author's Reply - Apr 13, 2016 - 09:06am PT
Mynameismud: Read item 8 in my list
johnr9q

Sport climber
Sacramento, Ca
Topic Author's Reply - Apr 13, 2016 - 09:28am PT
Jebus: Read item 9 in my list for a response to your comments
johnr9q

Sport climber
Sacramento, Ca
Topic Author's Reply - Apr 13, 2016 - 09:30am PT
Locker: You said "I had issues with the original dosage I was put on and it required a couple of adjustments before I felt OK enough to accept taking them..." Please tell us what the "issues" were and what you mean by "I felt OK"
rmuir

Social climber
From the Time Before the Rocks Cooled.
Apr 13, 2016 - 09:49am PT
My doctor was concerned about my high cholesterol levels. She really wanted to see me start a statin, since I am well beyond the age of consent. Her position was that this is was just a part of aging.

I tried for several months going on a reduced fats diet, cutting out red meats, lots of salads, etc., and my lipid panels were still way too high and have remained unchanged for over a year.

After two months of a 20 mg daily dose, my panel results (returned just yesterday) had dropped from 245 to 156, and I've felt no discernable side-effects even though I'm cycling pretty darned hard.

I'm OK with this…
Texplorer

Trad climber
Sacramento
Apr 13, 2016 - 10:29am PT
A couple of things to consider with statins. While know that they lower cholesterol and we know that they have positive effects on your risk of having a cardiovascular event we don't actually know if it is the cholesterol lowering that is actually causing the benefit. There is wide speculation in the medical community that the anti-inflammatory effects of statins may be what gives them their health benefits and it may not even be totally related to the cholesterol lowering. New guidelines for use are moving this way.

The most common side effect is muscle aches. There are now several studies that indicate that low Vit D levels can be related to these muscle aches with statins. So if you are having any kind of muscle problems while on a statin you might have your Vit D level checked and corrected before giving up on statins.

Statins are some of the most widely prescribed meds now in the US and are actually pretty safe and definitely lower risk in most people.

Fun fact: Lipitor® (now available as generic atorvastatin) is the most lucrative drug in history.
healyje

Trad climber
Portland, Oregon
Apr 13, 2016 - 10:49am PT
Karsten, hope all is well down that way and thanks for the vitamin D tip! Trying to get mine level back up as well and have been contemplating the whole statins thing, but they make me a bit nervous.

rmuir, which one are you on?
rmuir

Social climber
From the Time Before the Rocks Cooled.
Apr 13, 2016 - 12:07pm PT
Atorvastatin, said to be the most effective bang for the low dose. And this was borne out in my preliminary research…

I still have my gray beard, however.
G_Gnome

Trad climber
Cali
Apr 13, 2016 - 12:18pm PT
I tried all kinds of statins and they all made me feel like crap. Instead I take fish oil daily (actually a combination of flax, borage and fish) and my cholesterol has come down 100 points. If you haven't tried taking fish oil daily for a couple months first you really should before committing to statins.
Bill

climber
Chalfant Valley
Apr 13, 2016 - 12:35pm PT
My doctor wanted to put me on statins. I eliminated all animal products, sugar, and refined carbohydrates from my diet, focusing instead on vegetables, fruit, beans, whole grains, and nuts, supplementing with B12. In 4 weeks my total cholesterol dropped 36 points, and my HDL/LDL ratio, which was already very good, improved further. I have added some wild salmon or sardines a couple of times a week. I will test again in six months and reevaluate at that point. I don't find the change to be a hardship, and I don't miss meat or dairy at all. That's a lie; I miss cheese. YMMV.
rbord

Boulder climber
atlanta
Apr 13, 2016 - 01:00pm PT
It's a cost/benefit risk/reward game where the end game is always yer gunna die. Assign values to the costs and benefits in a way that pleases you. For some of us that means fatally plunging headfirst into the side of a mountain in the prime of our lives. For others, not so much. But you're the only one who can tell for you. Good luck!
healyje

Trad climber
Portland, Oregon
Apr 13, 2016 - 01:03pm PT
Would love to do the veggie alternative to statins, but I have kidney stones and that severely limits my options in that respect.
Studly

Trad climber
WA
Apr 13, 2016 - 03:02pm PT
Outside the US in most countries, statins are considered a marketing/ financial scam and to be not only ineffective but dangerous.
slabbo

Trad climber
colo south
Apr 13, 2016 - 03:33pm PT
Which countries ?
zBrown

Ice climber
Apr 13, 2016 - 04:50pm PT
The case for an interaction between cholesterol and heart disease is an evolving one.

Has anyone looked for a current review.

I recall that at one time, the appropriate ratio of HDL to LDL was thought to be nearly an inoculation against heart disease. Some have argued that triglycerides are a much better predictor.

The "flavors" of cholesterol continue to multiply.

VLDL, chylomicron, LDL particle size, LDL particle concentration, triglyceride/HDL cholesterol ratio ...

One example:

Fasting Triglycerides, High-Density Lipoprotein, and Risk of Myocardial Infarction

http://circ.ahajournals.org/content/96/8/2520.full


johnr9q

Sport climber
Sacramento, Ca
Topic Author's Reply - Apr 13, 2016 - 05:09pm PT
I don't think anyone has addressed my original question regarding their experiences with statins and muscle weakness.
rmuir

Social climber
From the Time Before the Rocks Cooled.
Apr 13, 2016 - 05:11pm PT
I've felt no discernable side-effects even though I'm cycling pretty darned hard.

No muscle soreness here. None. (And I was waiting for it…)
kunlun_shan

Mountain climber
SF, CA
Apr 13, 2016 - 05:21pm PT
Which countries ?

See this story about statin use: http://www.telegraph.co.uk/news/health/news/10537507/Britain-becomes-statins-capital-of-Europe-according-to-study.html

that refers to this study, which examined 23 industrialised nations:
http://www.keepeek.com/Digital-Asset-Management/oecd/social-issues-migration-health/health-at-a-glance-2013_health_glance-2013-en#page1

beaner

Social climber
Maine
Apr 13, 2016 - 07:09pm PT
I have heterozygous familial hypercholesterolemia, (heterozygous means only one copy of the chromosome has the defect, not both -- I inherited it from a me parent).

My grandfather died from a heart attack in his early 40s and several of this brothers also had heart disease. My mother died in her early 60s (didn't help that the ER screwed up and took hours to diagnose that she was having a heart attack).

Without any drugs, my cholesterol would be over 300 and would be impossible to control with just diet. I started taking various statins in my teens, and then in college ratcheted up treatment until it was in normal range. First a combo of a statin plus another drug called zetia. Eventually I dropped the zetia and went to the maximum Lipitor does and had cholesterol around 175. Once Lipitor went generic and I stopped taking name brand my cholesterol went up and has been averaging 210-220. That could have been a coincidence-- It probably didn't help that I wasn't as active either. Since I'm considered high risk due to family history, I wanted to be aggressive so my doctor agreed to try another new drug called Praluent that is an injection taken every two weeks (to be combined with a daily statin) -- it's $700-800 per injection so is usually only prescribed to people with known heart disease or people with genetic causes that can't control it with statins only. Thank the Flying Spaghetti Monster for health insurance. My cholesterol is now 127. Statins work by lowering cholesterol production in your liver. Praluent blocks production of a regulatory protein, this protein down regulates the removal of LDL cholesterol from the blood, so by blocking it you cause more LDL to be removed from the blood. My LDL is now in the 60s.

Anyway I haven't really noticed any muscle cramps or weakness. I did have trouble with fatigue about 20 miles into a one-day 30 mile hike. I think part of it was poor nutrition during the hike though, but after that I did some research and added CoQ-10 supplements, which is supposed to counteract some of the side effects of statins but this hasn't been proven. It shouldn't hurt to take CoQ-10 supplements, and it may help with muscle weakness.

Good luck.
zBrown

Ice climber
Apr 13, 2016 - 07:13pm PT
I don't think anyone has addressed my original question regarding their experiences with statins and muscle weakness.

I didn't see where you asked it, but I have no experience with statins.

I am in complete control lipoprotein-wise with diet and exercise, with one provision. When I becamse hypothyroid my cholesterol went thru the roof, my energy went thru the floor, my hair started falling out and I got horrible cramps.

All came back into line wth levothyroxine after about 2-3 months..

Had your TSH tested lately? It could easily be causing your symptoms.



jogill

climber
Colorado
Apr 13, 2016 - 08:52pm PT
Those of you who have significantly lowered LDL levels through diet and exercise are fortunate. I began taking 20mg/day of Lovastatin about 18 years ago and have never had any muscle weakness of the sort described. LDL went down and no side effects, plus 4$/month.


I also take Co-Q10.
johnr9q

Sport climber
Sacramento, Ca
Topic Author's Reply - Apr 14, 2016 - 08:02am PT
I didn't see where you asked it, but I have no experience with statins.


Had your TSH tested lately? It could easily be causing your symptoms.
Z Brown: Did you reread the first post in this thread? Also, I never said I had any symptoms.
zBrown

Ice climber
Apr 14, 2016 - 08:40am PT
Yeah I read it. Here it is again.

You did not ask a question about anyone's experiences. You asked a different question about possibilities.

You don't have any symptoms, but just came here looking for answers to theoretical questions.

I got it now.



One of the possible side effects of Statins is muscle weakness. I take statins and also work hard to be able to climb hard. Is it possible that, because of my statin use, it is more of an uphill battle to gain/maintain strength/endurance?


Why ask here when there are tons of webpages by researchers and doctors that address theory.

http://www.mayoclinic.org/statin-side-effects/art-20046013
madbolter1

Big Wall climber
Denver, CO
Apr 14, 2016 - 11:09am PT
Why do you want to take drugs to lower "slightly" elevated levels, when many decades of studies reveal that there is no demonstrated link between cholesterol levels and heart disease or morbidity?

Over time it's become clear that the old studies "establishing" such links were flawed, and the best studies we have (such as the Framingham study) find no demonstrable correlation between dietary fat (of any type) and cholesterol levels, nor between cholesterol levels and heart disease or morbidity.

There is a stronger linkage between gum disease and heart disease than between cholesterol levels and heart disease.

Furthermore, a study of Japanese Americans (http://www.ncbi.nlm.nih.gov/pubmed/13679953) found that heart disease and morbidity does not correlate with cholesterol levels.

I would seriously question your doctor about the "need" (or even advisability) of taking statins! The premises upon which the drug companies started rolling them out (and making billions on them) have been shown deeply flawed at this point. More and more doctors are changing their perspective to keep up with the most current understanding of actual heart disease risks.
Studly

Trad climber
WA
Apr 14, 2016 - 11:38am PT

I think anyone considering or currently taking statins should watch this video.

http://www.functionalmedicineuniversity.com/public/894.cfm
monolith

climber
state of being
Apr 14, 2016 - 12:23pm PT
Statins do cause muscle damage.

http://nutritionfacts.org/video/statin-muscle-toxicity/
healyje

Trad climber
Portland, Oregon
Apr 14, 2016 - 12:29pm PT
Functional medicine is not medicine, it's pseudo-scientific quackery fronting supplements businesses.
johnr9q

Sport climber
Sacramento, Ca
Topic Author's Reply - Apr 14, 2016 - 02:47pm PT
Yeah I read it. Here it is again.

You did not ask a question about anyone's experiences. You asked a different question about possibilities.

You don't have any symptoms, but just came here looking for answers to theoretical questions.

I got it now.

ZBrown: You are correct on your first point and I edited my initial post. As to your second point, I don't see how you see this as a theoretical question. If statins are reducing my level of performance I want to know, that is why I said I am getting off of statins (temporarily) to see if there is a difference. I was hoping others may have experiences on this issue
zBrown

Ice climber
Apr 14, 2016 - 03:37pm PT
^Well I view the term theoretical differently from you.

Theories are things that explain a set of facts and/or observations, e.g. theory of relativity. They either do or do not explain the facts well.

A theory of statins would include explanation of how they lower cholesterol, how the might cause side effects such as muscles weakness etc.

So it starts with observations that folks who take statins oftentimes experience symptoms such as :

Muscle pain and damage
The most common statin side effect is muscle pain. You may feel this pain as a soreness, tiredness or weakness in your muscles. The pain can be a mild discomfort, or it can be severe enough to make your daily activities difficult. For example, you might find climbing stairs or walking to be uncomfortable or tiring.

Very rarely, statins can cause life-threatening muscle damage called rhabdomyolysis (rab-doe-mi-OL-ih-sis). Rhabdomyolysis can cause severe muscle pain, liver damage, kidney failure and death. Rhabdomyolysis can occur when you take statins in combination with certain drugs or if you take a high dose of statins.

The theory then explains why and how this happens.

As I said previously, I have no direct experience with statins, just what I've read.

My point is that there are a lot more places to look than ST and you would find more and better information there.

Good luck.




johnr9q

Sport climber
Sacramento, Ca
Topic Author's Reply - Apr 16, 2016 - 08:09am PT
Can someone help me with the following Article? When I read the actual article it says that there are 24 patients examined, 14 of them on statins and 10 not on statins. Of the 14 on statins, 10 had muscle damage. Of the 10 not on statins, only one had muscle damage. It seems to me that if you have a 71% chance of having muscle damage if you are on statins, very few people would be on statins? What am I missing?

J Pathol. 2006 Sep;210(1):94-102.
Statin therapy induces ultrastructural damage in skeletal muscle in patients without myalgia.
Draeger A1, Monastyrskaya K, Mohaupt M, Hoppeler H, Savolainen H, Allemann C, Babiychuk EB.
Author information
Abstract
Muscle pain and weakness are frequent complaints in patients receiving 3-hydroxymethylglutaryl coenzymeA (HMG CoA) reductase inhibitors (statins). Many patients with myalgia have creatine kinase levels that are either normal or only marginally elevated, and no obvious structural defects have been reported in patients with myalgia only. To investigate further the mechanism that mediates statin-induced skeletal muscle damage, skeletal muscle biopsies from statin-treated and non-statin-treated patients were examined using both electron microscopy and biochemical approaches. The present paper reports clear evidence of skeletal muscle damage in statin-treated patients, despite their being asymptomatic. Though the degree of overall damage is slight, it has a characteristic pattern that includes breakdown of the T-tubular system and subsarcolemmal rupture. These characteristic structural abnormalities observed in the statin-treated patients were reproduced by extraction of cholesterol from skeletal muscle fibres in vitro. These findings support the hypothesis that statin-induced cholesterol lowering per se contributes to myocyte damage and suggest further that it is the specific lipid/protein organization of the skeletal muscle cell itself that renders it particularly vulnerable.

slabbo

Trad climber
colo south
Apr 22, 2016 - 12:30pm PT
interesting,,,but a 10 year old study of statins may be very much different now. Also 24 people is a really small study group.

Statins may or may not help cholestreral levels,,they DO help with some heart issues, and in smaller doses.

before anything, i would ask the Doc about a lower dose. i am on a much smaller dose now and no calf muscle issues at all.
zBrown

Ice climber
May 1, 2016 - 08:28pm PT
[Click to View YouTube Video]
Mark Force

Trad climber
Ashland, Oregon
May 2, 2016 - 09:40am PT
Statins inhibit liver HMG-CoA reductase and are classified as a group HMG-CoA reductase inhibitors. This enzyme converts carbohydrates to cholesterol. Somewhere around 80% of circulating cholesterol is manufactured from this pathway. This pathway is also the source of CoQ10 and steroid hormones.

From the Lipitor monograph - "Statins interfere with cholesterol synthesis and theoretically may blunt adrenal and/or gonadal steroid production." Keep in mind all statins are HMG-CoA reductase inhibitors.

That's not theoretical - I have seen that particular effect clinically.

As a dramatic example I had a long -time patient bring her dad in as a new patient who had been recently wheelchair bound due to excruciating hip pain. Exams didn't reveal any reason for the hip pain, but revisiting the history did indicate a possible connection between a statin prescription 6 weeks prior and the hip pain. I suggested a two week trial without the statin and 1200mg of CoQ10 a day (CoQ10 is very safe even in very high doses). He walked for his follow up appointment three days later with only residual hip pain.

A common problem with statin prescribing is a belief held by many docs that the lower the cholesterol the better. Yet, cholesterol is the building block for hormones, immune functions, cell membranes, and the myelin sheath of nerves. We need an optimal level for optimal health. Testing healthy populations indicates the sweet spot is somewhere around 160-200.

A few years back I saw a man in his early 30s who was having neurologcal problems that I thought at first, based on the initial history, might be MS or pernicious anemia. He was taking a statin. Exams were negative for the MS or B12 deficiency, but his cholesterol was 110. When I asked him about when his primary doc had last run blood work, he said that's what his doc had found on his last blood work and said that was great! Turns out the extremely low cholesterol from the statins was causing the neurological problems along with a bunch of other problems including depression and very low testosterone.

Lipid-lowering drugs and mitochondrial function: effects of HMG-CoA reductase inhibitors on serum ubiquinone and blood lactate/pyruvate ratio.
http://www.ncbi.nlm.nih.gov/pubmed/8877024

Evidence of plasma CoQ10-lowering effect by HMG-CoA reductase inhibitors: a double-blind, placebo-controlled study.
http://www.ncbi.nlm.nih.gov/pubmed/?term=Evidence+of+plasma+CoQ10-lowering+effect+by+HMG-CoA+reductase+inhibitors%3A+a+double-blind%2C+placebo-controlled+study.

Anyone taking a statin should take CoQ10 concurrently. CoQ10 is an essential nutrient for mitochondrial function (Electron Transport System) and energy production (ATP).

Here is the list of potential side efects for Lipitor from the monograph for physicians -

Warnings/Precautions
Fetal/Neonatal Morbidity and Mortality
Suppression of cholesterol biosynthesis by atorvastatin could cause fetal harm.1 Congenital anomalies following intrauterine exposure to statins reported rarely.1

Administer to women of childbearing age only when they are highly unlikely to conceive and have been informed of the potential hazards.1 (See Advice to Patients.) If the patient becomes pregnant while taking the drug, immediately discontinue therapy and apprise patient of the potential fetal hazard and the lack of known clinical benefit with continued use during pregnancy.1

Musculoskeletal Effects
Myopathy (defined as muscle pain or weakness in conjunction with CK [CPK] concentration increases >10 times the ULN) reported occasionally.1

Rhabdomyolysis with acute renal failure secondary to myoglobinuria reported rarely.1

Immune-mediated necrotizing myopathy (IMNM), an autoimmune myopathy, reported rarely in patients receiving statins.355 Characterized by proximal muscle weakness and elevated CK concentrations that persist despite discontinuance of statin therapy, necrotizing myopathy without substantial inflammation, and improvement following therapy with immunosuppressive agents.355

Risk of myopathy or rhabdomyolysis increased in geriatric patients (≥65 years of age) and in patients with uncontrolled hypothyroidism or renal impairment.1

Certain drug or food interactions also may increase risk of myopathy and/or rhabdomyolysis.1 (See Interactions.)

May consider periodic monitoring of CK concentrations; however, there is no assurance that such monitoring will prevent severe myopathy.1

ACC/AHA cholesterol management guideline does not recommend routine monitoring of CK concentrations in adults; however, may obtain CK concentrations before initiating therapy in adults at increased risk of developing adverse musculoskeletal effects (e.g., patients with personal or family history of statin intolerance or muscle disease, patients receiving concomitant therapy with myotoxic drugs).350 During statin therapy, may measure CK concentrations in adults with muscle symptoms (e.g., pain, tenderness, stiffness, cramping, weakness, generalized fatigue).350

National Heart, Lung, and Blood Institute (NHLBI) expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents recommends obtaining CK concentrations in pediatric patients before initiating statin therapy and routinely monitoring for muscle toxicity during therapy.357

Consider myopathy in any patient with diffuse myalgias, muscle tenderness or weakness, and/or marked increases in CK concentrations.1

Discontinue therapy if serum CK concentrations become markedly elevated or if myopathy is diagnosed or suspected.1

Temporarily withhold or discontinue therapy in any patient experiencing an acute, serious condition suggestive of myopathy or predisposing to the development of renal failure secondary to rhabdomyolysis (e.g., severe acute infection; hypotension; major surgery; trauma; severe metabolic, endocrine, or electrolyte disorders; uncontrolled seizures).1

Hepatic Effects
Increases in serum aminotransferase (AST, ALT) concentrations reported.1 Concentrations returned to or near pretreatment levels following dosage reduction or therapy interruption or discontinuance.1 Not associated with jaundice or other clinical manifestations.1

Fatal and nonfatal hepatic failure reported rarely.1

Perform liver function tests before initiation of therapy and as clinically indicated (e.g., presence of manifestations suggestive of liver damage201 ).1 Although manufacturer previously recommended more frequent monitoring,76 FDA concluded that serious statin-related liver injury is rare and unpredictable, and that routine periodic monitoring of liver enzymes does not appear to be effective in detecting or preventing serious liver injury.200 ACC/AHA cholesterol management guideline recommends obtaining liver function tests in adults with symptoms of hepatotoxicity (e.g., unusual fatigue or weakness, loss of appetite, abdominal pain, dark colored urine, yellowing of skin or sclera).350 However, NHLBI expert panel on cardiovascular health and risk reduction in children and adolescents strongly recommends routine monitoring of hepatic function in children and adolescents receiving statins.357

If serious liver injury with clinical manifestations and/or hyperbilirubinemia or jaundice occurs, promptly interrupt atorvastatin therapy.1 If an alternate etiology is not found, do not restart atorvastatin.1

Also see Hepatic Impairment under Cautions.

Hyperglycemic Effects
Increases in HbA1c and fasting serum glucose concentrations reported.1 200 Possible increased risk of developing diabetes.200 May need to monitor glucose concentrations following initiation of statin therapy.201

FDA states that cardiovascular benefits of statins outweigh these small increased risks.200

ACC/AHA cholesterol management guideline recommends evaluating patients for new-onset diabetes mellitus according to current diabetes screening guidelines.350

If diabetes mellitus develops during statin therapy, encourage patients to adhere to a heart-healthy diet, engage in physical activity, achieve and maintain a healthy body weight, cease tobacco use, and continue statin therapy to reduce the risk of ASCVD.350

Endogenous Steroid Production
Statins interfere with cholesterol synthesis and theoretically may blunt adrenal and/or gonadal steroid production.1

No effects on basal plasma cortisol concentration or adrenal reserve observed with atorvastatin.1 Effects on male fertility or on pituitary-gonadal axis in premenopausal women not fully established.1

Caution advised if a statin or another antilipemic agent is used concomitantly with drugs that may decrease concentrations or activity of endogenous steroid hormones (e.g. ketoconazole, spironolactone, cimetidine).1

Cognitive Impairment
Cognitive impairment (e.g., memory loss, forgetfulness, amnesia, memory impairment, confusion) reported rarely.1

Generally nonserious and reversible, with variable times to symptom onset (1 day to years) and resolution (median of 3 weeks following discontinuance of therapy).1 200 Not associated with fixed or progressive dementia (e.g., Alzheimer’s disease) or clinically important cognitive decline.200 Not associated with any specific statin, patient's age, statin dosage, or concomitant drug therapy.200

FDA states that cardiovascular benefits of statins outweigh the small increased risk of cognitive impairment.200

If manifestations consistent with cognitive impairment occur, National Lipid Association (NLA) statin safety assessment task force recommends evaluating and managing patients appropriately.202

If patient presents with confusion or memory impairment, ACC/AHA cholesterol management guideline recommends evaluating patient for statin as well as nonstatin causes (e.g., other drugs, systemic or neuropsychiatric causes).350

Yes, checking and normalizing vitamin D is a good thing for a bunch of reasons. One of the reasons for vitamin D deficiency being so common is low fat diets (vitamin D is a fat-soluble nutrient).

G_Gnome, yes, omega3 fatty acids consistently lower total cholesterol and raise HDL. They also lower inflammatory markers (C-reactive proteins). Recent research indicates that the clotting promoting effect of systemic inflammation is a higher risk factor for heart attack and stroke than total cholesterol.

zBrown, high fasting triglycerides are, in most cases, solid evidence of someone who eats to much simple carbs and especially sugar. It's also a tag for non-disclosing alcoholics. Low thyroid is an extremely common cause of high cholesterol. TSH is a good marker for the problem if it is primary hypothyroidism. Good for you getting that taken care of!

johnr9q, that statins cause muscle weakness is well known in the medical community. It has to - CoQ10 is essential for muscle energy production.

beaner, some people actually do need statins as part of their health care strategy. You are a good example.

I also take Co-Q10.
jogill, I always knew you're a really smart guy! More proof!

madbolter, your mention of the mounting evidence questioning the link between high cholesterol (high LDL/low HDL) alone is solid. The link between gum disease as a cause of systemic inflammation and the inflammation uprergulating blood clotting is sound. Good job on the PubMed link.

Functional medicine is not medicine, it's pseudo-scientific quackery fronting supplements businesses.

healyje, I like you, but that statement is total horseshit! There are crap physicians that practice conventional medicine and there are crap physicians that practice functional medicine. That doesn't make either practice bad. I've practiced functional medicine for 30 years and the outcomes are measured against gold standard metrics from conventional medicine.

johnr9q, about the study you posted above - you didn't miss anything.
Gnome Ofthe Diabase

climber
Out Of Bed
May 2, 2016 - 09:46am PT
quiet !

I'm reading Important stuff Here. . .

'Mark'
Thnx for posting that,
Quite a lot to Moil through,
As one who has dual genetic links having both mother's father, and father
Being sufferers of arterial Sclerosis, high cholesterol. . .

I have followed a near vegetarian diet no cheese , red meat, dairy butter.
No salt almost no processed food, for twenty years, with out worrying to much.
I always had high #s (300+)
then in my 50s I as told it could add ten years of quality life, save for any negatives,
I should expect any Dr to recommend a statin Lipitor. . .
?. . .um. . . . for . . . . ? the rest of my life. . .
skcreidc

Social climber
SD, CA
May 2, 2016 - 11:06am PT
Would love to do the veggie alternative to statins, but I have kidney stones and that severely limits my options in that respect.

So Healyje, have you ever seen this?

[Click to View YouTube Video]

or maybe this?

[Click to View YouTube Video]

Just for FYI, have no idea what's up with your body...

slabbo

Trad climber
colo south
May 2, 2016 - 02:58pm PT
1200mg Q-10 ? Wow that seems like a ton ???

I'm doing 20mg of a statin and 200 of Q-10 seems like a good balance ..at least in my case
Mark Force

Trad climber
Ashland, Oregon
May 2, 2016 - 03:10pm PT
For a long term approach 100-200mg of CoQ10 is a good call - effective, safe, and not expensive.

The high dose therapy is what's called a loading dose for a faster therapeutic effect - not for long term.
healyje

Trad climber
Portland, Oregon
May 2, 2016 - 05:09pm PT
healyje, I like you, but that statement is total horseshit! There are crap physicians that practice conventional medicine and there are crap physicians that practice functional medicine.

Well, I like you too, but it's not a matter of good or crap physicians, it's a matter of 'functional medicine' not being medicine.
Mark Force

Trad climber
Ashland, Oregon
May 2, 2016 - 05:18pm PT
Like I said before I'm calling bullshit on your proclamation. I have been practicing functional medicine for 30 years consistently normalizing body functions based on gold standard physical, orthopedic, and neurological exams and laboratory findings. There is nothing random or made up about it.

A core problem with many standard diagnoses is that they don't necessarily include the causation or the process of illness. Irritable Bowel Syndrome for instance - there is a conventional standard of care. But, that standard leads to management and not resolution. Digging deeper with patient histories, daily logs of diet and environment, more specific and targeted exams and labs will lead to the various more specific and functional diagnoses - insufficient parasympathetic tone, histamine intolerance due to diamine oxidase deficiency, biliary insufficiency based on a low biliary ejection fraction, etc. Treating these very targeting dysfunctions toward normal/optimal function with confirmation by follow up exams and patient improvement is functional medicine.

Randomly applied therapies, conventional or not, that are not based on known physiology, neurology, chemistry, etc., are not determined by a specific diagnosis based upon histories, exams, and lab findings, and are not re-examined or retested to confirm response, or not, from care are NOT functional medicine. Docs that are not meeting these standards are NOT practicing functional medicine.

I can tell you some stories about both conventional docs and docs claiming to do functional medicine that would make you shake your head that a doc could be so dumb. Stupid comes in all colors.
overwatch

climber
Arizona
May 2, 2016 - 05:31pm PT
The AMA is 'iffy' as well
Mark Force

Trad climber
Ashland, Oregon
May 2, 2016 - 05:59pm PT
That's the acupuncture point! Didn't know you were an acupuncturist, Locker!
Ricky D

Trad climber
Sierra Westside
May 2, 2016 - 06:10pm PT
Interesting Topic since I have been on Statins for over 10 years. Initially, my reading was 330 which freaked the Doctor who immediately put me on 10mgs since upped to 20s. I now test between 120 and 140 biannually.

I have tested clear on Liver markers twice a year since then but for some reason have recently (last 2-3 years plus) have been vexed by 24-hour-per-day muscle and fascia pain in my hips, pelvic girdle and middle back.

Nothing screaming - more like the kind of grinding dull roar one could expect after spending a weekend hand-digging a garden. Add chronic fatigue to the mix - I can still muscle through but feel like I am moving through molasses every single day irrespective of physical output.

Mark Force mentions effects on T-levels - mine have crashed through the floor in the past 2-3 years to the point where I'm thinking of trying out for the Vienna Boys Choir.

Never has my Doc talked to me about the CoQ-10 relationship and sad to say this is the first I have heard of this need to supplement to the degree you mention. Looking at the ones I self-administer - I need to double dosage to at least 200mgs.

I am curious about one thing - when I first tested at the 300+ level they had me interview with a Cardiac Nutritionist. Poor thing was so flummoxed when she found I had not eaten red meats since 1987, had very limited dairy intake - mainly hard cheeses, processed foods were only about 10 percent of my annual diet, had not cooked with anything other than olive oils for 20 plus years - she did finally feel vindicated when I admitted to eating about 1/2 pound of shrimp per month.

Diet aside, the reality was my body naturally produced cholesterol at the "high" level diet be damned. I did ask Doc - "how do we know I am not supposed to have this level?" He freaked and said no person should ever read that high - hence the daily Vitorin regimen.


zBrown

Ice climber
May 2, 2016 - 06:14pm PT
On the Stones front, if I avoid getting dehydrated I don't get 'em.

Weirdest thing is that on my third go 'round when I was told I had a big one (from ultrasound) I tried the "that can't work" lemon juice regimen and the stone disappeared.

Incorrect reading of the first ultrasound? You got me.

Mark Force

Trad climber
Ashland, Oregon
May 2, 2016 - 06:55pm PT
zBrown, you're right on about the hydration. There is definitely a genetic predisposition to most people that get kidney stones, but habits matter. Not drinking enough water and drinking too much of other things sets you up. At some level hydration is really easy - if your piss doesn't look like you just poured a cup of water into the toilet bowl a few times a day, you're dehydrated.

Most stones are calcium oxalate - watching the oxalate rich foods helps. The other part of the equation is a serum calcim/phosphorus ratio that is greater than 2.4-2.5. Supplementing calcium can be a problem. Not having enough organic phosphorus is another. Some people don't have enough cuz they eat too much refined food and some people need more just cuz that's how they're put together genetically. Supplementing phosphorus (lecithin and/or nutritional yeast are good ways to do this; meat and poultry, fish, dairy, eggs, nuts and seeds, and beans are naturally high in phosphorus). Another cause of low phosphorus and a bunch other problems is low stomach hydrochloride acid. It's surprisingly common - it has a bunch of causes and is too complicated to cover right here right now.

I have a patient drive the calcium/phosphorus ratio to 2.4 with diet and usually a little lecithin and/or nutritional yeast in their diet, as well. This really changes the frequency of kidney stones dramatically.

This Ca/P ratio is even a factor in arteriosclerosis and you can lower the heart calcium score in a patient who is really serious about doing the protocol after a year or two.

Ricky D, You'll be amazed how much better you feel after a week or two of CoQ10.

PS Good luck on that new therapy, Locker!
healyje

Trad climber
Portland, Oregon
May 3, 2016 - 03:07am PT
Mark, I did see those videos and the whole stones thing is a drag down to the fact oxalate numbers in food are all over the board or bad or out-of-date depending on the resource you're looking at. Balancing oxalate load in conjunction with other issues is also a pain - overall I manage fine and actually have dealing with the stones down reasonably well given I've had a few 'under my belt' at this point and they are now infrequent.

Sorry to clash over the functional medicine deal - my primary is an MD / acupuncturist / Chinese & sports medicine person and ultra-marathoner. And I go to a (Palmer) chiro for manipulations sometimes and appreciate what he does, but he makes no extraordinary claims for any of it (and I similarly lived with two DOs for several years and have a pretty good feel for the history of therapeutic manipulations). In general I appreciate what many forms of 'non-traditional' medicine and perspectives bring to the table - so long as they are backed by solid research or thousands of years of vetting.

But I also have a micro / genetics background and have a reasonable feel for science and medicine. I feel the [non-commercial] intent of FM is not an unreasonable perspective on addressing health more holistically. But as typically practiced it's a grab bag on of far too much supplements and testing commerce, outlandish claims for 'therapies' without valid, peer-reviewed research backing them and more than a bit of anti-science, anti-medicine pandering relative to specific disease conditions. For example:

* Applied Kinesiology (and Neuroemotional Technique)
* Craniosacral Therapy (in terms of claims of any diagnostic value of any kind)
* Clinical Nutrition (supplements)
* Methylation Therapy (epigenetic therapy)

None of these pencil in as therapies which can back any of their claims - particularly when it comes to specific disease conditions and none more egregious than the notion we know enough about epigenetics to in anyway influence those expression pathways in specific ways or for specific outcomes via nutrition or supplementation.
slabbo

Trad climber
colo south
May 3, 2016 - 07:04am PT
locker-- do you "share" your self accupuncture ?
Mark Force

Trad climber
Ashland, Oregon
May 3, 2016 - 07:27am PT
I understand the issues you have with practitioners making unsubstantiated claims. It lacks integrity.

I have conveyed very specific information above based upon sound physiology, biochemistry, and clinical nutrition and have shared the measurable results based on standard laboratory findings - laboratory findings that are standard to conventional medicine.

Chiropractic care has neurological outcomes beyond the more apparent biomechanical ones. How do I know this from pre and post neurological exams - standard medical neurological exams.

Osteopathic craniosacral therapies have neurological outcomes also with many of them being mediated by the autonomic nervous system. How do I know this? From pre and post neurological exams, blood pressures, pulse rate, pulse rest interval variability, postural blood pressure dynamics, etc. I don't see these results with the Upledger style of craniosacral therapy that you are probably familiar with and Ahave referred to. I do see it with Cottam/Sutherlnd style craniosacral therapy.

The acupuncture system can be measured with an ohmmeter and each meridian measured and the meridians graphed and charted relative to one another. This can guide treatment and the response to care can be determined on the next visit by follow up ohmmeter graphing.

Clinical nutrition has very specific clinical applications and measurable outcomes. Sometimes exotic labs are needed for diagnosis as in conventional care, but usually more standard labs can be used to determine variations in optimal ranges of various systems. The high or high normal liver enzyme GGT that is found clinically with biliary stasis and is correlated with irritable bowel syndrome (the relationship between low intestinal bile and IBS can be found in PubMed) that can be straightened out with specific dietary changes.

Check PubMed out for the links between high CRP, systemic inflammation and a wide range of diseases. Some very basic shifts in diet predictably lowers CRP.

Most people can fix their type II diabetes if they are willing to do the work and be disciplined. Simple and standard blood tests (hemoglobin A1C and fructosamine) will confirm the results. Though a little supplementation may be needed in the short run, specific exercis patterning and diet will do the trick in the long run.

When I was 15 I had ulcerative colitis. After going through a few docs I ended up in front of a gastroenterologist who told me I'd be taking prednisone and if that didn't work he would take out my colon! I had my mom drop me off at the library. I was lucky enough to find two books that changed the course of my life - The Stress of Life by Hans Selye, MD and Mental and Elemental Nutrients by Carl Pfeiffer, MD, Ph.D. (biochemistry). I discovered I had a genetically determined issue that alters zinc and B6 metabolism and started supplementing those in addition to dietary and lifestyle changes.

I am now 59. When I get lax about taking a little extra B6 and zinc the gut problems return (one of the key indicator of the zinc deficiency is white spots on my nails that clear up when I take enough zinc). I gave the same pattern (pyrroluria) to 2 of my kids - oh well, I gave them some good genes, too.

Hashimoto's disease, the autoimmune disease of the thyroid, is monitored with the blood test thyroid peroxidase and clinical nutrition alone will bring a high TPO to normal around 80-90% of the time. Sometimes prescription Thyroid medication is needed, also. Rarely does prescription medication alone do the job. Here conventional and functional medicine are being used concurrently and are complementary, an approach used extensively in my practice.

ESR, INR, and fibrinogen are standard measures in conventional medicine for the predisposition to forming blood clots. They can be normalized readily with dietary changes and sometimes with the addition of inexpensive supplementation. The risk for a blood clot is decreased with clinical nutrition and the proof is the normalization of blood clotting based on conventional medicines standards.

I could go on.....

I heard your point about unprincipled and undisciplined practitioners who claim to practice functional medicine doing things that are questionable and that they can't back up. That is a sound claim because that kind of thing is out there. You have overextrapolated your observations about some who claim to do the thing with the thing itself.

I have over thirty years of observation of functional medicine making measurable and predictable improvements in patients - and my own - health based on conventional medicine exams and labs. So, if functional medicine doesn't work then conventional medicine is using metrics that aren't valid.

PS I didn't post the videos.
monolith

climber
state of being
May 3, 2016 - 07:37am PT
It's curious that most people consider olive oil to be healthy. People want their oils and easily succumb to the olive oil is healthy' myth.

Same curious beliefs about red meat vs other meats. Most health conscious people believe red meat is bad(and they are right) and since they must have meat, assume non-red meat is healthy.
fear

Ice climber
hartford, ct
May 3, 2016 - 08:02am PT
Funny thing is that whatever we eat... it eventually kills us.

Unless you've got some family history of major heart disease and early deaths from such disease I wouldn't be chasing numbers from a lab and gobbling down Big-Pharma's expensive tic-tacs.

We die when we'll die based largely on genetics (barring an unfastened harness or errant propane truck)

My family discovered some decades ago that some us inherited a genetic disorder called Hemochromatosis. It can cause elevated levels of iron in the blood along with a host of other problems. And thus began a decade of frenzied tests, changes to diets, and regular frequent blood-letting for those so "afflicted". Generations of women in my family have all lived healthy into their upper 90's and men well into their 70's prior to this sudden silent enemy being discovered on the mystical lab reports

Those who chose to be treated to get these elevated iron levels way down ended up far more screwed up and died sooner than those who did nothing.

I betcha sometimes high-cholesterol is just fine just like high levels of iron might be fine.

Moderation in all things, stay active, stay connected to people, stay away from ice climbing.
monolith

climber
state of being
May 3, 2016 - 09:14am PT
Here's a guy that was highly fit, then needed a triple bypass. He got put on statins and other drugs, experienced similar problems described in this thread, then dumped all the drugs and reversed his condition by changing his diet. And not to some 'moderation' diet.

http://www.youtube.com/watch?v=hhEMtW2tYuc
skcreidc

Social climber
SD, CA
May 3, 2016 - 09:23am PT
Monolith and I are definitely on the same page with this topic. McDougall, Greger, and Esselstyn are all medical doctors first, but then through observation and the scientific processes have arrived at a different outlook than what is currently accepted.

Mark, I did see those videos

Actually Healyje, my name is not Mark ;) it's Chris.
Mark Force

Trad climber
Ashland, Oregon
May 3, 2016 - 10:51am PT
Yes, we eventually die regardless of what we eat...

Yep. I like you, Locker, you're always keepin' it real.
monolith

climber
state of being
May 3, 2016 - 04:54pm PT
Speaking of kidney stones, here is Greger's review of the nutrition science literature regarding treatment.

http://nutritionfacts.org/video/how-to-treat-kidney-stones-with-diet/
Mark Force

Trad climber
Ashland, Oregon
May 5, 2016 - 08:01am PT
Here is a consideration for management -

Effects of a nutraceutical combination containing berberine (BRB), policosanol, and red yeast rice (RYR), on lipid profile in hypercholesterolemic patients: A meta-analysis of randomised controlled trials.
http://www.ncbi.nlm.nih.gov/pubmed/27131395

Note: Red yeast rice inhibits liver HMG-CoA reductase as do prescription statins. My clinical experience is that it is typically gentler and doesn't produce fatigue or myalgia as frequently nor does it make as much change on LDL levels as prescription statins. It may be an option for those who don't have to make a dramatic change in their lipid profile, is non-prescription and may be a cheaper. Never assume it would will - the effectiveness would have to be confirmed by lipid panel.

Relationship between insulin resistance and abnormal lipid profile in obese adolescents
http://www.ncbi.nlm.nih.gov/pubmed/7751990

This is an example of a body of studies that indicate an insulin resistance underlies abnormal lipid profile. Improving insulin sensitivity through diet and exercise alone consistently improves lipid profiles. There is certainly a subset High Total Cholesterol and high LDL demographic that is so strongly predisposed genetically to abnormal cholesterol profile that a prescription statin is indicated - it is small relative to the overall demographic. Taking statins does not improve insulin resistance and associated complications.

Doing the work to change to insulin sensitivity has the benefit of usually making a statin uneccessary and makes your body more sensitive to the anabolic effects of insulin - it has more overall effect on your anabolic balance than testosterone!
Bad Climber

Trad climber
The Lawless Border Regions
May 5, 2016 - 10:14am PT
Interesting thread. For sure some folks have genetic issues that make statins a life saver. Statins are also prescribed like candy for lots of folks who would be way better off without them. Each case must be carefully evaluated individually. However, I would never take only one doc's opinion on this. Too many docs are overworked and simply want to write the script, get yer cash, and move on to the next ATM.

Here's a great book worth the read:

http://www.amazon.com/Cholesterol-Recipes-Preventing-Reversing-Disease-/dp/1592337120/ref=sr_1_1?ie=UTF8&qid=1462468228&sr=8-1&keywords=the+great+cholestrol+myth

Carry on, grey beards. I'd join you if I could grow one.

BAd
Mark Force

Trad climber
Ashland, Oregon
May 5, 2016 - 10:29am PT
Insulin resistance is the overlooked elephant in the room in people who have abnormal lipid profile.

Here are the standards of diagnosis for insulin resistance from MedScape -

http://emedicine.medscape.com/article/122501-workup#c7

Routine laboratory measurements in the evaluation of patients with insulin resistance syndrome include the following:

Plasma glucose level (fasting, random, and oral glucose tolerance test) - Diagnosis and monitoring of glucose intolerance (diabetes mellitus, impaired glucose tolerance [IGT], impaired fasting glucose [IFG])

Insulin resistance - May also be associated with hypoglycemia (autoimmune conditions)

Glycohemoglobin level – Used to assess chronic hyperglycemia

Fasting insulin level - A measure of the degree of insulin resistance in many patients with insulin resistance syndrome

Lipid profile (fasting total cholesterol, low-density lipoprotein [LDL], high-density lipoprotein [HDL], cholesterol, triglyceride) - Insulin resistance syndrome characterized by elevated LDL-B levels (small, dense, pattern B), high triglyceride levels, and reduced HDL-C levels

Combined use of insulin and lipid markers in atherosclerosis - Fasting insulin, apolipoprotein B, and small LDL levels are more biologically significant than are standard lipid tests. Elevations in the 3 markers increase the risk of coronary artery disease by nearly 20-fold.

Electrolyte levels (BUN [ blood urea nitrogen], creatinine, and uric acid levels) - Hyperuricemia is common and is often considered a component of the metabolic syndrome.

Urinalysis - Microalbuminuria is a marker of endothelial dysfunction.

Homocysteine (H[e]) - An elevated level is a risk factor for atherosclerosis, which predicts macrovascular disease. levels are regulated by insulin.

Plasminogen activator inhibitor (PAI)-1 - An elevated level is associated with insulin resistance syndrome and is correlated with obesity, waist-to-hip ratio, hypertension, fasting and postprandial insulin levels, proinsulin levels, fasting glucose levels, and elevated triglyceride and LDL levels. [45] An increased PAI-1 level signifies impaired fibrinolysis, thus indicating increased risk of atherosclerosis.
Other laboratory studies include measurement of fibrinogen levels and testing of endothelial function.

An increased fibrinogen level is a feature of insulin resistance syndrome. Endothelium plays an important role in insulin action, including in the regulation of tissue blood flow and in insulin delivery to interstitium. Endothelial dysfunction is an important component of insulin resistance syndrome and includes reduced capillary formation, reduced surface area, and abnormal reactivity of endothelium.[46]

Biochemical changes associated with endothelial dysfunction include (1) reduced nitric oxide and prostacyclin levels, (2) increased endothelin and angiotensin activity, and (3) increased local and systemic inflammation (increased C-reactive protein [CRP] levels).[11] Blood testing for CRP measurement is widely available. Smoking and abnormal lipids are major contributors to endothelial dysfunction.
Whoever wrote this did a great job. It certainly meets functional medicine standards for diagnosis!* Not included was fructosamine which can be used for shorter time frame metrics for response to diet and exercise.

*Note: Meeting a functional medicine standard requires to first determine the primary/conventional diagnosis and then determine the secondary functional diagnosis that includes the vector of causation for the primary diagnosis. Often the primary diagnosis is inclusive of the functional diagnosis (i.e. bacterial pneumonia), but this is not always the case (i.e. irritable bowel syndrome, migraine headache). Irritable Bowel Syndrome - the primary diagnosis - may be found to be seconday to insufficient small intestine bile as determined from exams and labs - the functional diagnosis. The secondary functional diagnosis is often the key to effective care that leads to objective changes on follow up exams and labs and resolution.
Mark Force

Trad climber
Ashland, Oregon
May 6, 2016 - 03:14pm PT
Statin Adverse Effects: A Review of the Literature and Evidence for a Mitochondrial Mechanism
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2849981/

Coenzyme Q10 and Statin-Induced Mitochondrial Dysfunction
An elderly population of athletes receiving HMA Co-A reductase inhibitors would appear to be ideally suited to experiencing the greatest benefit from coenzyme Q10 supplementation, given the high risk of mitochondrial dysfunction from coenzyme Q10 deficiencies in this group.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3096178/

Association of mitochondrial dysfunction and fatigue: A review of the literature
Low levels of Coenzyme Q10 were consistently associated with fatigue.
http://www.sciencedirect.com/science/article/pii/S221464741400004X

Effect of coenzyme Q10 supplementation on mitochondrial function after myocardial ischemia reperfusion.
http://www.ncbi.nlm.nih.gov/pubmed/11796022

Coenzyme Q10 supplementation improves metabolic parameters, liver function and mitochondrial respiration in rats with high doses of atorvastatin and a cholesterol-rich diet.
http://www.ncbi.nlm.nih.gov/pubmed/24460631

Coenzyme Q10 improves endothelial dysfunction in statin-treated type 2 diabetic patients.
http://www.ncbi.nlm.nih.gov/pubmed/19228872

But, then, what do I know...I'm just a dumbass chiropractor that does that functional medicine made up on the fly new age voodoo chicken bone shakin' BS that can't show any proof!*








*Well, except for the follow up exams and labs and stuff.
slabbo

Trad climber
colo south
May 6, 2016 - 03:39pm PT
Diabetes--- the terror

How many people aren't even diagnosed ?? 20%??? 40%???
Mark Force

Trad climber
Ashland, Oregon
May 6, 2016 - 03:44pm PT
A lot.

Of the 29.1 million (or 9.3% of the American population with diabetes in 2012), 21.0 million were diagnosed, and 8.1 million were undiagnosed.

In 2012, 86 million Americans age 20 and older had prediabetes (insulin resistance); this is up from 79 million in 2010.
http://www.diabetes.org/diabetes-basics/statistics/
Squesk

Gym climber
Perth, Western Australia
May 8, 2016 - 08:15pm PT
Didnt read most of the replies.
I take 40mg per day, one thing that was not told to me by my doc was that effects the CoQ enzyme. so taking CoQ is recommended.
zBrown

Ice climber
May 8, 2016 - 09:12pm PT
This is a very complex subject.

One and two dimensional approaches seem extremely limiting. That being said, if you throw in a few "other things being equal" or controlled for and/or randomized perhaps some true and verifiable relationships be established.

So what can be said of the combination of n-acetyl cysteine and alpha lipoic acid in the battle against thryoid disease and cataracts (and others)?
Mark Force

Trad climber
Ashland, Oregon
May 9, 2016 - 09:46am PT
zB,
Now you're getting into some complex biochemistry that makes the statin-CoQ10 issue pale by comparison. The discussion probably isn't suited to this forum, especially with your question being so open-ended.
emilines

Trad climber
Mountain View, CA
May 9, 2016 - 01:45pm PT
I'm a physician and this is something that many folks ask about. There is a potential adverse of effect of statins called "statin myopathy" which is characterized as muscle weakness and soreness, typically occurring within weeks to months of initiation of the drug as a result of muscle cell inflammation or breakdown. On the most severe end of the spectrum, patients can have rhabdomyolysis, but this is particularly rare (90% of patients, the myopathy resolves in 2 months with discontinuation of the drug.

In other words, I see this as more of an acute event and less of something that would affect you in the way you've described - decreasing exercise tolerance or impairing muscle growth but without the occurrence of a discrete statin myopathy. I was only able to find one peer reviewed article on this (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4450764/); which showed in a RCT that there was no decrease in exercise tolerance.

On the other hand, statins (and their effect in long term cardiovascular and neurovascular health) are super well studied and there's a great body of evidence to say that these things reduce the risk of heart attacks and stroke. It's true that you should modify your diet and exercise, but truthfully those only have on the order of a 10% effect on lowering LDL, whereas statins have an effect on the order of 30-60% (depending on dose and drug).
skcreidc

Social climber
SD, CA
May 9, 2016 - 03:29pm PT
It's true that you should modify your diet and exercise, but truthfully those only have on the order of a 10% effect on lowering LDL

This is a very interesting discussion, but I have to comment on this one part. With all due respect to all your years of training and your skill as a physician emilines, this is the same nonsense my personal physician told me. And frankly, it's just wrong for many people (I'm not saying for everyone). Diet is another option. My brother in law, a recently retired physician who lives near your neck of the woods, told me this past Christmas that he saw amazing improvement in his patients in his last year of practice. The patients who took to the dietary path vs perscriptions saw much improvement in cardiovascular health over patients on perscriptions alone. This is including large improvements in the LDL after years of being on statins. He told me he wished he'd figured this out years earlier.

In my case, I had total cholesterol of 232 (I don't remember the LDL, but my doc said it was bad) and was told to get on Lipitor asap (I also had mild hypertension). I took the diet and exercise path and got total cholesterol down to 180 with a great ratio (according to my doc). My physician then proceeded to give me props on my genes, and I had to remind him of the "only 10% effect" of diet and exercise he told me about and what I did. "Most people could not do what you did", was his reply. So basically I was not given the option, as it was written off for me. This was almost 10 years ago and my blood chemistry is holding up well, according to my personal physician. One thing I do have going for me is support. My wife is eating the same (whole foods plant based) and her total dropped from 190 to 137 with great LDL numbers. Oh, and my hypertension? Gone.

I'm going to turn 60 this year, and I'm still holding off the pills. I figure at a minimum, it at least gives me more options later. But it still kind of pisses me off I had to figure this out on my own; that my own physician could not give me the all the options. Basically I like him as a doctor too. Frankly, I think it has more to do with what physicians are taught and the system they are "brought up" in. But I am guessing on that point.
slabbo

Trad climber
colo south
May 9, 2016 - 04:32pm PT
Interesting indeed,,my Ch was around 145,,yet heart failure and a few MI's (4) made a statin a choice for these issues. Q-10, magnesium and other meds have stabilisec things pretty well.

other than a long addiction to IBU,,,what caused this ?

Went climbing yesterday and didn't die..I guess experience helps

I saved the easy climbs for now
Mark Force

Trad climber
Ashland, Oregon
May 9, 2016 - 04:58pm PT
...other than a long addiction to IBU..

International Beer Units?

Ibuprofen and other NSAID anti-inflammatory drugs trigger the leukotriene cascade as a side effect that ultimately has the nasty outcome of degrading collagen - connective tissue, ligaments, tendons, cartilage - when used chronically (consistently over long periods of time). "Vitamin I" is OK as short-term management of pain, but is a bad idea as a regular thing for chronic pain that is best handled differently.
zBrown

Ice climber
May 9, 2016 - 05:01pm PT
Righto Mark Force.

I'm doing the reading myself, but I'm taking the NAC - alpha lipoic acid combo and will monitor the few variables I can get access to regarding myself.

I introduce it as a public service since there are some strong claims for the benefits.

I find it interesting that there is some indication that it is possible to "dissolve" catatacts, though the only claim about the combo is that it may delay or retard their development.

I was diagnosed as hypothyroid in 2000 and have gone through a progression of hypo, subclinical hyper, hypo, outright hyper and am now back in the hypo group trying to get my labs back in range.


I'm told I have an "unusual" pattern.




Eye Drops Could Clear Up Cataracts Using Newly Identified Chemical


Here's a "dissolve" link for anyone who is interested.


http://www.ucsf.edu/news/2015/11/176886/eye-drops-could-clear-cataracts-using-newly-identified-chemical
skcreidc

Social climber
SD, CA
May 9, 2016 - 05:04pm PT
IBU's- International Bitterness Units. I have that same addiction ;)
Mark Force

Trad climber
Ashland, Oregon
May 9, 2016 - 05:16pm PT
Me, too.

zB, I'm not questioning you on the NAC and ALA. Just that it's some thread drift that is complex and probably better suited in a discussion elsewhere.

Don't know exactly what the thyroid issue is - another very complex subject - but it is worth looking into the relative deficiency that is common in our society. Note that Iodine is a halogen as is fluorine, bromine, and chlorine.

The RDA for iodine is 150 micrograms and the average daily intake in Japan is 12.5 mg mostly due to their seaweed intake.
Ricky D

Trad climber
Sierra Westside
May 9, 2016 - 05:21pm PT
WTF - now you are telling me my 6 Advil-a-Day diet is dissolving my joints?

Should I just say screw it and start smoking cigars. eating bacon and drinking Jim Beam like my Grandfather did? He seemed happy as hell. Sure, he dropped dead at the dinner table from a massive heart attack at age 78 but he at least finished the steak first.
zBrown

Ice climber
May 9, 2016 - 07:18pm PT
Thanks Mark. I'll check into that.

The doctors I've seen just want to manage by the numbers and when it doesn't work they literally throw their hands up. I had one endocrinologist actually say "it beats the sheeit out of me" when I asked him what he thought was going on.

slabbo

Trad climber
colo south
May 11, 2016 - 07:25am PT
Both forms of IBU were used, it worked for arthritis and turns out not so good for the heart,

NO , long term Ibuprofen is not good for you
zBrown

Ice climber
May 20, 2016 - 01:50pm PT
Well all this stuff is "statin" to pique my interest.

The standard testing upon which the prescribing of statins is based is now referred to as the stone age of lipoproteins and coronary risk research, but a lipid panel (I just had one done) is still the same [old] one which measures TOTAL, LDL, HDL, Triglycerides. They don't even calculate and report ratios (e.g. Triglycerides/HDL) that they could.

Ratios

One study found that a TG/HDL-C ratio above 4 was the most powerful independent predictor of developing coronary artery disease

http://www.ncbi.nlm.nih.gov/pubmed/16360350

Particle Size

High numbers of small, dense LDL particles are associated with increased risk for coronary heart disease in prospective epidemiologic studies. Subjects with small, dense particles (phenotype B) are at higher risk than those with larger, more buoyant LDL particles (phenotype A).

Interestingly, it has been found that the TG/HDL-C ratio can predict particle size. One study found that 79% of individuals with a ratio above 3.8 had a preponderance of small dense LDL particles, whereas 81% of those with a ratio below 3.8 had a preponderance of large buoyant particles


Start by googling LDL-P vs LDL-C. HDL-P vs HDL-C.

This appears to be from about June, 2012


Summary
1.HDL-C and HDL-P are not measuring the same thing, just as LDL-C and LDL-P are not.
2.Secondary to the total HDL-P, all things equal it seems smaller HDL particles are more protective than large ones.
3.As HDL-C levels rise, most often it is driven by a disproportionate rise in HDL size, not HDL-P.
4.In the trials which were designed to prove that a drug that raised HDL-C would provide a reduction in cardiovascular events, no benefit occurred: estrogen studies (HERS, WHI), fibrate studies (FIELD, ACCORD), niacin studies, and CETP inhibition studies (dalcetrapib and torcetrapib). But, this says nothing of what happens when you raise HDL-P.
5.Don’t believe the hype: HDL is important, and more HDL particles are better than few. But, raising HDL-C with a drug isn’t going to fix the problem. Making this even more complex is that HDL functionality is likely as important, or even more important, than HDL-P, but no such tests exist to “measure” this.

jgill

Boulder climber
The high prairie of southern Colorado
May 20, 2016 - 03:57pm PT
. . . but is a bad idea [ibu] as a regular thing for chronic pain that is best handled differently


And that would be how? Please, no tumeric, etc.

zBrown

Ice climber
May 20, 2016 - 05:23pm PT
I've seen some pretty ugly results due to over utilization, but what about good old aspirin?



Tramadol (brand name: Ultram) is an opioid analgesic (painkiller). It is prescribed to treat moderate to moderately severe pain and is considered a safer alternative to other narcotic analgesics like hydrocodone (Vicodin, Lortab) and methadone.

Additional medications containing tramadol include Ultram ER, an extended release formulation for round-the-clock pain relief, and Ultracet, a combination of tramadol and acetaminophen (Tylenol).

Tramadol was originally considered to have a much better safety profile than other opioid analgesics like morphine or hydrocodone. The US Food and Drug Administration (FDA) originally approved tramadol for use in 1995, and recommended it not be classified as a controlled substance. However, due to mounting evidence of abuse among the general public, as well as evidence of withdrawal symptoms upon cessation, the Drug Enforcement Administration (DEA) published revised rules in 2014 making tramadol a federally controlled drug (Schedule IV).

I had some left over from my mom's pillbox. Took it a few times when my torn cartilege knee was acting up.

I did not become addicted. I think I have one left.

Mark Force

Trad climber
Ashland, Oregon
May 21, 2016 - 07:22am PT
The effects of NSAID on the matrix of human articular cartilages.
http://www.ncbi.nlm.nih.gov/pubmed/10441838

The action of 13 NSAIDs was compared in terms of their effect on cartilage GAG synthesis. 3 of these NSAIDs were also studied in terms of their effect on cartilage collagen synthesis. Consideration of the results in this study and from published material, led to the suggestion that NSAIDs may be divided into 3 categories in respect of their in vitro action on the extracellular matrix of human arthritic cartilages: 1. Those such as Aceclofenac, Tenidap and Tolmetin which can stimulate matrix synthesis 2. Those such as Piroxicam, Tiaprofenic Acid and Aspirin which appear to be without significant effect on matrix synthesis and, 3. Those like Naproxen, Ibuprofen, Indomethacin, Nimezulide which significantly inhibit matrix synthesis.

zBrown

Ice climber
May 21, 2016 - 08:34am PT
So much for the aspirin hypothesis. I still take a small one every day.

These experiments led to the suggestion that NSAIDs such as Aceclofenac would be appropriate for long-term treatment of arthritic conditions provided that one is prepared to extrapolate between in vitro experiments on human cartilage and what may be happening in vivo.


✪ ✪ ✪

I know this was not being shopped for, but I'll put this in the cart regarding turmeric/curcumin.

The product has very low bioavailability. A good, cheap potentiator is piperine (from black pepper).


Curcumin combined with piperine introduced in the humans, resulted in 2000% increased bio-availability.

I'm taking 1/2 tsp each of turmeric and ginger along with 1/4 tsp of pepper.

I'll let you know when I find some researched numbers on "proper" dosages and the study which served for the source quoted.

I did not become addicted in this case either and I drink it mixed into low sodium V8 (not the car kind) juice (not the Simpson kind).


✪ ✪ ✪

Warning: graphic material incoming.

http://www.lifescoreprogram.com/wp-content/uploads/2013/01/HDL-particle.jpg








Bad Climber

Trad climber
The Lawless Border Regions
May 21, 2016 - 09:53am PT
Right on, skcreidc, that's what I'm talking about! I've heard similar stories from other people. Experiment, read, get different opinions. The worst thing one can do in regards to serious health questions is take the opinion of any single person as gospel, especially when it comes to physicians and diet issues. Most of them get virtually no training at all in this area.

BAd
slabbo

Trad climber
colo south
May 22, 2016 - 08:25am PT
IMO Tramadol is virtually useless for any kind of mod-severe arthritic pain,,of course stronger stuff isn't really to good for you.


perhaps the Colorado state plant will be the way to go.
Mark Force

Trad climber
Ashland, Oregon
May 22, 2016 - 09:47am PT
The most reliable way to lower C Reactive Protein, a marker for systemic inflammation, is a whole food diet with lots of veggies. Adding fresh veggie juicing speeds up the shift. So does lowering simple carbs - sugar is your biggest enemy when it comes to promoting nflammation. As the CRP goes down, the overall pain goes down.

Research has shown a solid correlation between fibromyalgia and low CoQ10. It is common for people with generalized aches and pains to have a low aerobic base. Exercising aerobically (180 - age per Maffetone) for half an hour three times a week minimum will typically increase the aerobic base and decrease aches and pains. As your aerobic base improves you will be able to do more work at the same heart rate. This is the same kind of training that Steve House promotes.

For the joint cartilage part getting more sulfur in the diet helps. Also, getting more trace minerals - especially manganese and boron - helps. A lot of people are deficient in critical trace minerals due to eating too much refined foods. Bone stocks for soups and stews are a great way to get the dietary sulfur and trace minerals and most people will see a nice improvement in their joints overall. A good reference book for this is Nourishing Traditions by Sally Fallon.

Certainly joints can just get ground down through repeated stress and trauma beyond your body being able to repair itself, but if you haven't crossed that threshold those things above can be helpful.

The issue of joint pain and degeneration is a complex multi-causal issue and way beyond the reach of a singular treatment or prescription.

The suggestions above should be helpful, though.

PS zBrown, nice post.
pitonpat

Mountain climber
SE Pennsylvania
May 23, 2016 - 05:33pm PT
I've been on atorvastatin for 3 years since having heart attacks. I'm 63, fit, very active and got the first attack on my road bike- i ride several thousand miles a year. I'm a building contractor, hands-on working every day. Lead 5.10, ice climb...the picture of fitness. 150 lbs., lean and had no idea my arteries were clogging with cholesterol until the sh#t hit the fan.

About 2 years in, my cardiologist decided to put me on Crestor (rosuvastatin). It was awful, I immediately had muscle pain that lasted for two weeks AFTER I quit taking it! Back on atorvastatin...one month ago Dr. decides to double my dose to 80 mg. I'm still doing fine with it.

Bottom line...I guess it matters more WHICH statin you're on.
slabbo

Trad climber
colo south
May 24, 2016 - 07:11am PT
You got that right pat, my cardio said he would only use atorvastatin after heart failure.
Arteries weren't to blocked, but things eventually added up to failure.
healyje

Trad climber
Portland, Oregon
Dec 15, 2016 - 07:23pm PT
. . . but is a bad idea [ibu] as a regular thing for chronic pain that is best handled differently

jgill: And that would be how? Please, no tumeric, etc.

The 'turmeric' is the money, but you have to do the 60-90 loading for it to really kick in and be effective. Went from 8-12 advil a day for serious joint pain to nothing at all after the loading period cut over. Been that way for eight years now (now 64).
jgill

Boulder climber
The high prairie of southern Colorado
Dec 15, 2016 - 07:44pm PT
^^^ At your age I wasn't taking anything. Now, because of arthritis, I'm happy Vitamin I is non-prescription (it used to be by Rx only).
zBrown

Ice climber
Apr 26, 2019 - 06:25pm PT
satan for Gray Beards bump


I stand corrected

The question was indeed asked after an edit.


Has anyone had experiences with muscle weakness while on Statins?

I have none

But this is indeed a good thread to read through



healyje

Trad climber
Portland, Oregon
Apr 27, 2019 - 04:55am PT
Exactly what statins are you people taking?
ManMountain

Mountain climber
San Diego
Apr 27, 2019 - 12:06pm PT
Lipitor, after a decade+ of Mevacor stopped working. Was at the 220 cholesterol level before I started taking statins, now I'm at 110. Age 67, no muscle pain beyond the usual agony after 20+ mile day hikes, 2,500'+ climbs above 10,000', epics, etc. They check for Rhabdomyolysis annually. Don't exercise except by doing outdoor activities. Eat what I want, when I want, except two years ago I'd ballooned to 215#s, so I cut out the Pop-Tarts, doughnuts & breakfast bars; now I'm a svelte 175#s, near high school weight. I only eat 5-10 ounces of meat/week as a treat, chicken/fish mostly, pasta/rice/veggies/dairy is the norm. Don't know why; I just don't lust after meat anymore.

Sorry, I feel healthy although I've definitely declined in strength/endurance compared to my high school days. The Doc says take statins, I accept his expertise and do so along with everything else he tells me to do, except cut back on the booze and quit smoking. Ya' gotta have something to throw off the stagecoach when the highwaymen are after you.

I observe folks who are endlessly fretting that they're not in ultramarathon shape and pursue oddball therapies for medically unexplained syndromes, most of which include as a possible diagnosis is that the symptoms most likely arise from psychological causes. The point is your life attitude might be making you sick. The other odd thing about the "I'm miserable and the Docs can't help me" crowd is they're also rabid screamers on both ends of the spectrum concerning politics, religion, the environment etc., and are in a heightened state of paranoia, fear of the future, hermits, destitute due to bad life choices, etc., 24/7. I'd suggest they calm down; the world will continue to rotate, get outdoors and away from your computer as much as possible with lots of friends, and enjoy your four score and seven years on our orb. Also, have a health plan after you're 35 or so that includes annual physical exams by a primary care provider to catch the obvious bad stuff that can kill you quickly or slowly. Money well spent.

That is all.
zBrown

Ice climber
Apr 27, 2019 - 12:15pm PT
Exactly what statins are you people taking?

I was recommended ATORVASTATIN by my doctor based on the "calculator".

My total cholesterol is 206, slightly out of range.

However, if you plug into the calculator, I receive a recommndation for statin.

The calculator is totally skewed for age. Plug in the numbers and age 62, no recommendation. Plug in same numbers and age 72, "get yourself a statin old boy".

There are benefits other than cholestoral lowering from statins. The so-called pleiotropic effects.

I am considering using the drug.


rmuir

Social climber
From the Time Before the Rocks Cooled.
Apr 27, 2019 - 06:10pm PT
I'm taking statins, and my beard is still grey.
Reilly

Mountain climber
The Other Monrovia- CA
Apr 27, 2019 - 06:33pm PT
Does it help with The Wyde?
Lorenzo

Trad climber
Portland Oregon
Apr 27, 2019 - 06:50pm PT
mynameismud

climber
backseat

Apr 13, 2016 - 08:23am PT
If you really want to lower your cholesterol it requires a lifestyle change.

Ok, what if you are trying to RAISE your colesterol?

My ldl is about the middle of the range. My HDL is too low. ( it has been since I was 20)

The solution? They tell me it’s statins




I’m suspicious.
zBrown

Ice climber
Apr 27, 2019 - 09:12pm PT
Running will raise HDL in many people

Turmeric will too

But everybody is unique

healyje

Trad climber
Portland, Oregon
Apr 27, 2019 - 11:21pm PT
rmuir - what statin are you taking?
tradmanclimbs

Ice climber
Pomfert VT
Apr 28, 2019 - 06:15am PT
turmeric and Cumin work better than statins according to the doctor who did several presentations on colesterol at Isa's farm. very low rate of heart disease in India because they eat so much cumin and turmeric. the supplements come with the cumin and turmeric in the same pill.
phylp

Trad climber
Upland, CA
Apr 28, 2019 - 10:16am PT
Great thread with interesting discussions.
Thanks everybody for your contributions!
Gimp

Trad climber
Missoula, MT & "Pourland", OR
Apr 28, 2019 - 11:47am PT
https://www.health.harvard.edu/blog/long-term-statin-use-protects-against-prostate-cancer-death-2019010715760

Link is another consideration. My read is less than 5% risk of myopathy.
ron gomez

Trad climber
Apr 28, 2019 - 11:52am PT
Statins...yeah I guess weakness. I had a hell of a time getting the right one. Had issues with joint pain and tendonosis issues. Therefore hard to workout, hence weaknesses. Yeah the hair is grey and getting greyer and in areas I rather not mention!
Peace
Lorenzo

Trad climber
Portland Oregon
Apr 28, 2019 - 02:21pm PT
very low rate of heart disease in India because they eat so much cumin and turmeric.

Or because they eat little or no red meat, and if they do, it’s not marbled with fat.they don’t corn feed.

And even the per capita consumption of chicken is under 2.2 kg PER YEAR.

Some Americans eat that in one sitting.
rmuir

Social climber
From the Time Before the Rocks Cooled.
Apr 28, 2019 - 08:54pm PT
what statin are you taking?

Atorvastatin, at the lowest possible dosage. 20mg, I believe.

My beard is STILL grey. 😉
healyje

Trad climber
Portland, Oregon
Apr 28, 2019 - 11:56pm PT
Thanks, appreciate it...
Lorenzo

Trad climber
Portland Oregon
Apr 29, 2019 - 11:34am PT
very low rate of heart disease in India because they eat so much cumin and turmeric.

Before everybody chucks their Statins in the bin and goes on a curry diet, it turns out that heart disease is the number one killer and stoke is number 3 in India, and the rate has risen by 34% in 26 years in India.

The rate is about 25% higher in India than it is here.


https://timesofindia.indiatimes.com/india/heart-disease-deaths-rise-in-india-by-34-in-15-years/articleshow/64924601.cms

In the same span of time the USA’s rate has declined by 41%. When did statins start being prescribed in volume?

The rate due to heart disease in India is 207/100k and in the USA it is 165/100k
Indian doctors cite the difficulty of providing statins in regions with low access to Heath care.

https://www.cdc.gov/nchs/pressroom/sosmap/heart_disease_mortality/heart_disease.htm
https://www.cdc.gov/nchs/pressroom/sosmap/heart_disease_mortality/heart_disease.htm

One thing that is evident in both countries is that the rates are markedly different parts of the country. The worst areas in the USA are centered in the south in a belt from the appalachians fromu West Virginia to Oklahoma, with outliers Nevada and Michigan.

Washington, Oregon, Minnesota, Colorado, Arizona, Alaska, and Hawaii are among the best states in this regard. Massachusetts and Connecticut are the best in the East.

In India, the region chart may reflect access to heath care, with Kashmir and the southern tip faring the worst.

The main difference I see in the two countries is that the number 2 killer in India is diarrhea, and here it is cancer.

Maybe cumin and turmeric are to blame both places
Reilly

Mountain climber
The Other Monrovia- CA
Apr 29, 2019 - 12:50pm PT
I’m suspicious

I hope you’re predominantly suspicious of what you read here! YMMV
zBrown

Ice climber
Apr 29, 2019 - 02:40pm PT
Curcumin has been shown in studies to both increase HDL and to have pleiotropic effects.

So what are these p-efffecs which both statins and curcumin have?

In general:

recent studies indicate that some of the cholesterol-independent or “pleiotropic” effects of statins involve improving endothelial function, enhancing the stability of atherosclerotic plaques, decreasing oxidative stress and inflammation, and inhibiting the thrombogenic response. Furthermore, statins have beneficial extrahepatic effects on the immune system, CNS, and bone. Many of these pleiotropic effects are mediated by inhibition of isoprenoids, which serve as lipid attachments for intracellular signaling molecules. In particular, inhibition of small GTP-binding proteins, Rho, Ras, and Rac, whose proper membrane localization and function are dependent on isoprenylation, may play an important role in mediating the pleiotropic effects of statins.

Curcumin specific:

Protective properties of curcumin may influence HDL functionality; therefore, we reviewed the literature to determine whether curcumin can augment HDL function. In this review, we concluded that curcumin may modulate markers of HDL function, such as apo-AI, CETP, LCAT, PON1, MPO activities and levels. Curcumin may subsequently improve conditions in which HDL is dysfunctional and may have potential as a therapeutic drug in future. Further clinical trials with bioavailability-improved formulations of curcumin are warranted to examine its effects on lipid metabolism and HDL function.
Lorenzo

Trad climber
Portland Oregon
Apr 29, 2019 - 04:38pm PT
A
I hope you’re predominantly suspicious of what you read here! YMMV

I’m usually suspicious Navigating the “information” on the web. I tend towards actual medical sites, but even those are a bit suspect.

Take the colesterol calculators online. My HDL is a very low 24. My LDL is 119, which is considered in the acceptable range for a 71 y.o.

My blood pressure is usually around 125/55. It’s always worse when I’m at the dentist.

Years ago, that was considered great, now my systolic is too high. I once went into an ER with an injury and they thought my diastolic meant I was in shock until I told them that was normal for me. It took me a couple of minutes to realize they were whispering about getting out the crash cart. It was kind of funny.

Diet, weight, and body fat play no role in the calculators.

Anyhow, my Kaiser doctor of 25 years put me on statins. ( atorvastin 40mg - after shots with 2 other statins I had side effects with) Before he put me on them 5 years ago my HDL was 35 and my ldl was 130. The calculator tells me I’m worse off now.

It says I have a 25% chance of dying of heart disease in the next 10 years. Panic time.

So I played with the calculator. I put perfect numbers in everywhere but age. The result? A 3% drop in mortality.

Then I took my real numbers and the mortality went down 12% when I said my age was 50.
And by putting in the perfect numbers for a fifty y.o. The number went down another 3%

The main variable in the calculator is age, something none of us can do much about. The other variables only improve your prospect a handful of percent.


There are magical compounds on the web. Citrus complex, turmeric, etc. But none have studies that support them on any actual doctor or government sites. The best I find is this:
https://www.ncbi.nlm.nih.gov/pubmed/11063434
Lowers ldl and total colesterol and raises HDL——perfect.

So it looks like 5-10 servings of orange juice a day is it.



I think I’m gonna puke. I know my stomach will rebel.


What I really have to accept is that a 71 y.o. White male non smoker has a reasonable chance of dying in the next 10 years no matter what. And the maths say I have about a 1.5% chance of living another 30 years.
zBrown

Ice climber
Apr 29, 2019 - 05:43pm PT
Curcumin quotes above are from NCBI

And Lorenzo had the same experience with calculator as I did.

Totally skewed for age.

Lorenzo

Trad climber
Portland Oregon
Apr 29, 2019 - 06:49pm PT
I didn’t think of putting in sex, both because it’s also not controllable but also because I accept that men and women are different. Also, there aren’t as many studies on women. They don’t head the committees.

But I don’t doubt there is a difference in the calculator.

Lorenzo

Trad climber
Portland Oregon
Apr 29, 2019 - 07:22pm PT
Curcumin quotes above are from NCBI

And Lorenzo had the same experience with calculator as I did.

Totally skewed for age.

Ok, but those are some of the suspect studies I’m talking about. What information can a layman glean from them?

First off they are filled with gibberish to bamboozle even a review committee ( quick, without looking it up, what is endothelial, pliotropic, why would I want to inhibit isoprenoids, and what the hell is the relationship of GTP binding proteins and isoprenylation?

Is there any conclusion other than

may play an important role in mediating the pleiotropic effects of statins.

Or it may not, they don’t actually know.

It’s just a leadin to another study grant. No actual data that it works. Will it extend my life in a way I would want?

The second quote’s conclusion is

Further clinical trials with bioavailability-improved formulations of curcumin are warranted to examine its effects on lipid metabolism and HDL function.

Let me know what the double blind clinical trials say.

Will I grow breasts? ( might be cool to try)
zBrown

Ice climber
Apr 29, 2019 - 08:09pm PT
^

Well you can look them up and read them as well as I can

The whole heart disease cholesterol story is replete with reversals in thinking.

We are left with deciding whether to take statins or not!

The calculator says to.

So far I have said no.


This is not research, it is a review by a practioner, but worthy of being read.

It is a little dated, but then isn't all history.

https://www.docsopinion.com/2013/12/15/10-pitfalls-of-using-ldl-cholesterol-to-assess-risk/
jogill

climber
Colorado
Apr 29, 2019 - 09:32pm PT
20 mg Lovastatin/day for twenty years. And yes, I am weaker now.

Oh wait . . . I went from age 62 to 82. I am not as strong as I was at 62.

Must be the statin.


;>(


Darn
zBrown

Ice climber
Apr 29, 2019 - 09:42pm PT
^

And I thought it was
What doesn't kill ya
Makes you stronger

But jeez
Looking at what you used to do
Maybe better that you did not get stronger :)



Edit


Total messages posted: 2,251,693
10:12PM 4/29

11:00 AM 4/30 2,251,783
Messages 1 - 123 of total 123 in this topic
Return to Forum List
 
Our Guidebooks
spacerCheck 'em out!
SuperTopo Guidebooks

guidebook icon
Try a free sample topo!

 
SuperTopo on the Web

Recent Route Beta