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High Cholesterol Message Board


High Cholesterol Board Index


Re: Lab results
Feb 18, 2008
You can take Niaspan with a statin, although I think I read it can increase the chances of side effects, or maybe raise liver enzymes... or something like that.

The question I have is: why are you even taking a statin? And why Vytorin, especially? Are you aware of the recent Vytorin/Zetia studies?

Your LDL isn't especially elevated. Unless you have lots of risk factors, or maybe a super high c-reactive protein, why did he prescribe it?

If you haven't gotten a lipoprotein test, you should ask for a VAP test, so you can see your LDL particle sizes. Based on your low triglyceride level, you probably have big LDL particles anyway. And an LDL of 130, primarily large particles, most likely doesn't represent much of a risk factor. And there is no way to know what your actual real LDL number is, or particles sizes are, without lipoprotein testing.

If you can take Niaspan without too many side effects, you might want to ask your doc about raising its dosage, and dropping Vytorin, along with a VAP, C-reactive protein and homocysteine test.
Re: Lab results
Feb 18, 2008
[QUOTE=namelessme;3446986]You can take Niaspan with a statin, although I think I read it can increase the chances of side effects, or maybe raise liver enzymes... or something like that.

The question I have is: why are you even taking a statin? And why Vytorin, especially? Are you aware of the recent Vytorin/Zetia studies?

Your LDL isn't especially elevated. Unless you have lots of risk factors, or maybe a super high c-reactive protein, why did he prescribe it?

If you haven't gotten a lipoprotein test, you should ask for a VAP test, so you can see your LDL particle sizes. Based on your low triglyceride level, you probably have big LDL particles anyway. And an LDL of 130, primarily large particles, most likely doesn't represent much of a risk factor. And there is no way to know what your actual real LDL number is, or particles sizes are, without lipoprotein testing.

If you can take Niaspan without too many side effects, you might want to ask your doc about raising its dosage, and dropping Vytorin, along with a VAP, C-reactive protein and homocysteine test.[/QUOTE]

HE PUT ME ON VYTORIN BECAUSE AT FIRST HE HAD ME ON NIASPAN THAT WORKED FOR MY HDL IT WENT UP TO 39 FROM 25 BUT MY LDL ONLY CAME TO 105 AND HE WANTED TO BE UNDER 100 PREFERED 50-80 RANGE HE SAID FOR MY AGE OF 27 AT THE TIME BUT SO HE SWITCHED ME BECAUSE WANTED LDL TO GO DOWN SO IT DID GO DOWN BUT MY HDL WENT DOWN ALSO AS YOU SEE THE NUMBERS I ALSO GOT DIAGNOSE WITH HIGH BLOOD PRESSURE SO TAKING COZZARR BUT I LOST WEIGHT SO THATS UNDER CONTROL BUT MY CHOLESTEROL STILL IS UP AND DOWN SO HE PUT ME NIASPAN AGAING WITH MY VYTORIN TOSEE IF THE HDL WILL GO UP SINCE MY LDL IS ALREADY DOWN TO BELOW NORMAL RANGE I DID ON FRIDAY ASK FOR VITIMAN D TEST TO SEE IF SOMETHING WAS WRONG THERE BECAUSE THAT CAN BE ASSOCIATED WITH LOW HDL LEVELS NO I HAVENT GOT A VAP TEST! BUT WILL ASK FOR ONE NEXT DOC APPT. BUT SINCE THEY TESTED ME FOR VITAMIN D TEST WILL SEE WHAT GOES ON FROM THERE

I DID WANNA KNOW MORE ABOUT THE VAP TEST ? ALSO WANTED TO KNOW THE DIFFERENCE OF BIG PARTICLES AND LITTLE PARTICLE WHICH ONE IS GOOD AND WHICH ONE IS BAD ?

ALSO WANTED TO TELL YOU THAT TRIG NUMBERS ALWAYS STAY BETWEEN 60-90 RANGE AND SUGARS 70-TO 100

THANKS FOR YOUR INFO ALSO THANKS FOR LISTEN

GOD BLESS YOU MIKET78
Re: Lab results
Feb 18, 2008
[QUOTE=miket78;3447777]HE PUT ME ON VYTORIN BECAUSE AT FIRST HE HAD ME ON NIASPAN THAT WORKED FOR MY HDL IT WENT UP TO 39 FROM 25 BUT MY LDL ONLY CAME TO 105 AND HE WANTED TO BE UNDER 100 PREFERED 50-80 RANGE

I DID WANNA KNOW MORE ABOUT THE VAP TEST ? ALSO WANTED TO KNOW THE DIFFERENCE OF BIG PARTICLES AND LITTLE PARTICLE WHICH ONE IS GOOD AND WHICH ONE IS BAD ?
[/QUOTE]

Do you have a family history of heart disease (at a young age)? Heavy smoker, overweight, other risk factors besides high blood pressure? I'm not sure why he'd want your LDL down to 50-80, unless you had a ton of risk factors. LDL under 100 is considered normal. Actually, for most people, LDL under 130 is considered normal.

And this is going with the theory that LDL is a major risk factor to begin with. I'd say particle sizes of LDL are much more important than the actual LDL number (unless it was insanely high). Small LDL particles are dangerous, large fat particles are probably not.

The VAP is a lipoprotein test, which shows particles sizes for LDL, Lp(a) levels, and a breakdown of HDL, including HDL-2 and HDL-3. It also shows IDL, VLDL and some other stuff which I can't recall right now. It is also much more accurate than a regular lipid test. Your original 130 reading via a normal lipid test might actually be 100... or 160... or something else. Normal cholesterol tests just use a calculated number for your reading, not a true number.

Since Niaspan worked so well for raising your HDL to begin with, I personally find it bizarre that the doctor would switch you to Vytorin. And saying he wants your LDL under 100, and it reads at 105... there is virtually no difference -- just strange to me.

You should look through this forum regarding Zetia and Vytorin, and the recent studies showing limited or no benefit (or negative results) from including Zetia with a statin. And by taking Vytorin, you are also just adding to the potential for side effects, for seemingly no reason. Niaspan + Zetia + Zocor.... for an LDL of 105 on Niaspan... *wonders*

If you need a statin, ask for just Zocor instead. Zetia has been shown to have no cardioprotective benefits.
Re: Lab results
Feb 18, 2008
[QUOTE=namelessme;3447822]Do you have a family history of heart disease (at a young age)? Heavy smoker, overweight, other risk factors besides high blood pressure? I'm not sure why he'd want your LDL down to 50-80, unless you had a ton of risk factors. LDL under 100 is considered normal. Actually, for most people, LDL under 130 is considered normal.

And this is going with the theory that LDL is a major risk factor to begin with. I'd say particle sizes of LDL are much more important than the actual LDL number (unless it was insanely high). Small LDL particles are dangerous, large fat particles are probably not.

The VAP is a lipoprotein test, which shows particles sizes for LDL, Lp(a) levels, and a breakdown of HDL, including HDL-2 and HDL-3. It also shows IDL, VLDL and some other stuff which I can't recall right now. It is also much more accurate than a regular lipid test. Your original 130 reading via a normal lipid test might actually be 100... or 160... or something else. Normal cholesterol tests just use a calculated number for your reading, not a true number.

Since Niaspan worked so well for raising your HDL to begin with, I personally find it bizarre that the doctor would switch you to Vytorin. And saying he wants your LDL under 100, and it reads at 105... there is virtually no difference -- just strange to me.

You should look through this forum regarding Zetia and Vytorin, and the recent studies showing limited or no benefit (or negative results) from including Zetia with a statin. And by taking Vytorin, you are also just adding to the potential for side effects, for seemingly no reason. Niaspan + Zetia + Zocor.... for an LDL of 105 on Niaspan... *wonders*

If you need a statin, ask for just Zocor instead. Zetia has been shown to have no cardioprotective benefits.[/QUOTE]

I AM 6FOOT 4 265LBS MALE 29 YEARS OF AGE ACTIVE WALK RUN PLAY BALL

THIS DOC IS AND AGGRESIVE TYPE OF DOC AND SAYS THAT NEEDS TO TAKE AGRESSIVE APROACH ON ANY YOUNG PERSON WITHABNORMAL TO HIM NUMBERSWICH HDL IS REALLY LOW AND HE SWEARS BY THE HDL A MAJOR CONTRIBUTOR OF CHD AND BY LDL TO LOWER IT MY LDL HAS GOTTEN AS HIGH AS 169WITH AND HDL OF 35WHICH IT SOUNDS GOOD BUT BUT TO HIM IS A PROBLEM NO FAMILY HISTORY OF HEART DISEASE AND NO FAMILY HISTORY OF LOW HDL OR BLOOD PRESSURE I DONT SMOKE OR DRINK





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