High cholesterol

[16/8IF]

The lipids specialist in public hospital and the heart specialist in pte practice both cited 'highly hereditary' for his case (and didnt order any additional gene test).

*I 'dont trust' the lipids specialist 100% and so got him out for second opinion in pte practice coz to start statin is a major decision for such a young person (who is 'seemingly' healthy').

Indeed, If I can I don't really want to use our public hospital services, but sometimes certain lab works are not available elsewhere.

The doctor in attendance don't even want to give his name, this is the standard we have become.
If can afford definitely go pte practice is the best.

The lipids specialist & cardiologist is only looking at their specialty while we have to consider the overall health and where the biggest risk factor is , for example, Diabetes has among the highest HR compared to say LDL.

 

[Mecisteus]

I will get him to do a carotid scan and if there are signs of clot, then will start the statin. Otherwise, will continue to hold out for a few years more (to trade him running probable risk of diabetes at an earlier age).

The heart specialist agreed with the 'plan' (he only did a detailed heart scan for him that shows 'powerful' heart beats with no clot). Nephew also passed threadmill with flying colours.

*his triglycerides and HDL need to keep at good levels too (currently at about 50 and 70 respectively). If any of these two also fail, then may have to start statin sooner than planned.

Plagues are formed though multi years of exposure. May not see choked so fast.

High LDL means higher risks of atherosclerosis.

And carotid is just part of the arteries in the body.

You go to cholesterol forum in Reddit, you see people with familial hypercholesterolemia taking statins at young age.

But if you like to wait for arteries to choke, it's up to you.

 

[mummynew]

Indeed, If I can I don't really want to use our public hospital services, but sometimes certain lab works are not available elsewhere.

The doctor in attendance don't even want to give his name, this is the standard we have become.
If can afford definitely go pte practice is the best.

The lipids specialist & cardiologist is only looking at their specialty while we have to consider the overall health and where the biggest risk factor is , for example, Diabetes has among the highest HR compared to say LDL.

Not related to cholesterol.

My nephew 's has some ligament torn issue (think is ligament or maybe something else. Basically, he suffering ankle pain and frequently spraining his ankle. His ankle was never the same after the big fall.). Under public hospital care + physio + therapy for about 1+ year.

Recently then the doc finally said 'cannot heal. must surgery'.

I looked at his admission form. There was a surgeon name on it.

Googled the doc and found the doc is about mid 30s.

I have 'no confidence' in this young doc and so again, took him out to book a pte ortho for the surgery (he has insurance cover but now has to copay vs if he does it in public hospital will be free coz under NS).

 

[mummynew]

Plagues are formed though multi years of exposure. May not see choked so fast.

High LDL means higher risks of atherosclerosis.

And carotid is just part of the arteries in the body.

You go to cholesterol forum in Reddit, you see people with familial hypercholesterolemia taking statins at young age.

But if you like to wait for arteries to choke, it's up to you.

Choking comes with stages - 5%, 10%, 15% etc.

If his scan is seeing no choke, and so can afford to wait a while.

I made the decision under the care of a heart specialist and it's not a 'anyhow' decision coz I know the dire consequences.

He has to be under regular checks for any clots to catch the 'statin' moment.

 

[16/8IF]

Not related to cholesterol.

My nephew 's has some ligament torn issue (think is ligament or maybe something else. Basically, he suffering ankle pain and frequently spraining his ankle. His ankle was never the same after the big fall.). Under public hospital care + physio + therapy for about 1+ year.

Recently then the doc finally said 'cannot heal. must surgery'.

I looked at his admission form. There was a surgeon name on it.

Googled the doc and found the doc is about mid 30s.

I have 'no confidence' in this young doc and so again, took him out to book a pte ortho for the surgery (he has insurance cover but now has to copay vs if he does it in public hospital will be free coz under NS).

Best is to bring him him for second opinion, indeed 30 years a bit young for me too.

I did had a very good experience in the past, many years ago with a Singaporean Indian Orthopedic Surgeon at SGH; gave me an indefinitely excuse MC from IPPT which according to regulation was not allow (think longest is 1 year).
He even anticipated I would have problem with the Medical Board Panel, and gave me his direct telephone number in case I met with problem, and ask those who had problem to call him.( he joke that they are most likely his students).
Long story short I got my downgrade and those on the panel dare not called him and indeed they were his students.

Missed these kind of doctor... those were the good old days. (I only saw him twice).

ps I see that you really follow your nephew's health closely, and if you like to have a broader understanding on Lipids and metabolism from the medical professionals you can surf twitter. You will find that even they have disagreement among them on this topic. Used to have more MPs on the platform "engaging and debating" where one can try to understand to increase ones knowledge but less these days since Elon took over.

 

[Mecisteus]

Choking comes with stages - 5%, 10%, 15% etc.

Correct. But the progression is faster if LDL are at abnormal levels.

If his scan is seeing no choke, and so can afford to wait a while.

You need a regular CTA to catch the progression accurately then.

 

[lanzhu60]

for cholestrol, should look at total cho or bad or good cho ?

 

[bakuten]

for cholestrol, should look at total cho or bad or good cho ?

Cholesterol lvls by itself is a very unreliable indicator of CAD.

There are recent studies into this new finding called "lean mass hyper responders". Aka fit muscular and healthy ppl who have very high cholesterol levels. This phenomenon is dubbed the "lipid energy model"


Combination of high Cholesterol + bad HBA1C + bad fasting blood glucose + bad hip to waist ratio is a far better indicator of presence of CAD.

 

[antonpoh]

Here's the side effects of Cholesterol lowering medication.

https://www.facebook.com/reel/350608737959358

 

[mp4005 help]

Here's the side effects of Cholesterol lowering medication.
html u
https://www.facebook.com/reel/350608737959358

please cite medical articles and not these people. she preaches alot. some are BS.

yes there are side effects. but even paracetamol also have side effects.

every single vaccine and medication have side effects. some are deadly.

anyways doctors will tell you , medical articles , also will have those which support and don't support everything.




Read HWZ Forum Rules!

 

[antonpoh]

please cite medical articles and not these people. she preaches alot. some are BS.

yes there are side effects. but even paracetamol also have side effects.

every single vaccine and medication have side effects. some are deadly.

anyways doctors will tell you , medical articles , also will have those which support and don't support everything.




Read HWZ Forum Rules!

I know some of what she preaches are BS.

I share that because my dad (80yo) had dementia after 2-3 yrs of cholesterol lowering medication.

Now he is better after I stop it.

 

[ytp2000]

TS, please go to polyclinic n get a referral letter to one of the government hospital.

The hospital will perform a more detail test to check for blood vessel blockage.
If your condition is still not so bad, the doctor will prescribe you with the necessarymedicines.

 

[Mecisteus]

I know some of what she preaches are BS.

I share that because my dad (80yo) had dementia after 2-3 yrs of cholesterol lowering medication.

Now he is better after I stop it.

Sounds BS.

You can't reverse dementia. You can only slow it down.

I think you may be getting the cause and effect wrong.

The dementia is most likely caused by the bad diet and lifestyle. May not be due to the cholesterol meds.

 

[mummynew]

please cite medical articles and not these people. she preaches alot. some are BS.

The woman in the video:



Source:
https://en.wikipedia.org/wiki/Barbara_O'Neill

 

[mummynew]

Best is to bring him him for second opinion, indeed 30 years a bit young for me too.

I did had a very good experience in the past, many years ago with a Singaporean Indian Orthopedic Surgeon at SGH; gave me an indefinitely excuse MC from IPPT which according to regulation was not allow (think longest is 1 year).
He even anticipated I would have problem with the Medical Board Panel, and gave me his direct telephone number in case I met with problem, and ask those who had problem to call him.( he joke that they are most likely his students).
Long story short I got my downgrade and those on the panel dare not called him and indeed they were his students.

Missed these kind of doctor... those were the good old days. (I only saw him twice).

ps I see that you really follow your nephew's health closely, and if you like to have a broader understanding on Lipids and metabolism from the medical professionals you can surf twitter. You will find that even they have disagreement among them on this topic. Used to have more MPs on the platform "engaging and debating" where one can try to understand to increase ones knowledge but less these days since Elon took over.

I am ALWAYS skeptical about doctors/specialists. If a long term med or any surgery is required, I will always seek a second or even third opinion before making a decision. It's hard some time coz of many self research and reading need to be done and critical thinking / cross checking be applied with all the info that can be gathered (stimes I do feel tired / confused).

Cholesterol and statin use has been a highly debatable topic. If doctors are debating among themselves, and it will be even a more difficult decision to make as a layman individual from the 'risks vs benefits' point (esp if one has no other underlying conditions other than a high LDL).

*The recent research on Lean Mass Hyper Responders pique my interest.

**My direct/indirect experiences with most if not all GPs = once they see LDL high = statin. They don't really look at a patient's overall health picture = I don't trust GPs' when it comes to statin prescriptions.

 

[qhong61]

I know some of what she preaches are BS.

I share that because my dad (80yo) had dementia after 2-3 yrs of cholesterol lowering medication.

Now he is better after I stop it.

So no medication his chlolesterol how?

 

[antonpoh]

So no medication his chlolesterol how?

Will use the same method I use to reduce my cholesterol level few year ago.

English breakfast tea, with or without sugar plus a slice of lemon. Drink this hot lemon tea 2-3 times a week for aro 2-3 months.

My weight use to be aro 72kg. After drinking that for aro 2 months plus my weight drop to 62kg. Of course during those 2-3 months I also avoid eating certain foods like roast duck, chicken, salmon and processed food.

 

[coolhead]

Train your body to be metabolic flexible, thru 80/20 exercise regime.

@16/8IF you are so hardcore until username checks out.

 

[perfectlight]

walk more. and look at life style.

 

[Spike]

I also got high cholesterol.. but it's true that I don't eat much veggies.