How to Manage Lp(a) Part 2 - Niacin, PCSK9 Inhibitors, Lifestyle
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ABOUT THIS VIDEO: As a continuation of Chuck's story, Chuck listed how he is managing his high Lp(a) level with PCSK9 inhibitors, omega 3 fish oil supplement, and controlling other classic heart disease risk factors. We also covered statins, niacin, and the effect of lifestyle changes in managing Lp(a) risk.
Chapters:
0:00 PSCK9 inhibitors help when statins can't.
2:32 Controlling classic CV risk factors vs. Lp(a) risk
6:28 Effect of lifestyle changes on lipoprotein(a)
11:15 Does niacin work?
12:14 Check out PrevMed's webinar programs (care.prevmedhe....
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Dr. Brewer started as an Emergency Doctor. After seeing too many preventable heart attacks, he went to Johns Hopkins to learn Preventive Medicine. While there, he went on the run the post-graduate training program (residency) in Preventive Medicine. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has close to 1,000 primary care/prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, and stroke prevention clinic.
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Пікірлер: 54
This is such an important topic. I have had lipid tests for years that never tested for this until I went to a new functional doctor who did. Mine is pretty high even though I am ideal weight and not diabetic. I am 61 years old and many of my friends are around the same age and their doctors never test for LP(a). Most of them trust their doctors so much that they won't listen to me urging them to get it tested. I take niacin mostly for this very reason but have not been tested again since taking niacin.
@PrevMedHealth
6 ай бұрын
Yep. That happens all the time.
Thank you very much for the helpful information
dr speak about the magnesium exactly what happens make in the body good or bad please.Thankfully. thanks for your time and sharing information about it. thanks again I need you answer me
Frightening, but very informative thank you.
Would supplementing with Alpha Lipoic Acid help in lowering LPa? It’s suppose to help in controlling blood sugar & lower blood pressure.
My Lp(a) is extremely high (380 nmol) - scary, I wish it went down
@plants_and_wellness1574
Жыл бұрын
My Lp(a) is 380 nmol/L also. I had a NT Pro BnP test done and it came back at 185, normal is under 125. I’m going to get a CT angiogram done to look at my heart and see what is going on.
@sheddkkhan6758
3 ай бұрын
@@plants_and_wellness1574what is yout result
Not always 😢. My blood pressure is 115/70, my triglycerides are 69, I’m a group fitness instructor and my LPa is 193😳. I’m a functional medicine trained nutritionalist. A1c is 4.9 and 5.0🤷🏻♀️. I feel statins have raised my LPa. I’ve had 3 MIs, no damage it my heart. Trophins rise and fall within 18 hours. 7 blockages in my heart 😢….suggestions??
Before we so all that ,how about a CAC calcium score
What about Niacin dosing?! 500mg -2g per day seems to lower Lp a too, correct?
This is something I've wondered for a long time: when you inherit LP(a) from a parent, does that make you more likely to develop their specific LP(a) - related condition? For example, I inherited high Lp(a) from my mother. Here value is over 300. She's in her late 70's & she has a calcium score of 2. However, she does have moderate calcific aortic valve stenosis. I wonder if I am more likely to develop this as well as apposed to a heart attack or stroke. Any thoughts?
@PrevMedHealth
3 жыл бұрын
It’s a great question. I don’t think there is a lot of evidence on that. But I suspect it is true.
@terry01923
Жыл бұрын
Yr hi
@terry01923
Жыл бұрын
7.6
I have really high Lp(a), 380 nmol/L, but my a1C is 5.0 and my fasting glucose is 70 and my blood pressure is 102/68. I don’t smoke and rarely drink. Should I worry?
@obtuseangler768
Жыл бұрын
Get an ApoB test if possible...ApoB -100. LDL's and lp(a) alone don't mean that you're in horrible shape, it's particle numbers that will wreck you, your liver has a finite clearance rate. Get your ApoB #'s down and the lp(a) won't matter nearly so much...make sure you have enough serum Vit D levels and take K2 to help get any calcium into your bones and keep it out of your arteries...and we are talking K2 mk7 form here. Mk4 has a half life of 4 hrs, mk7 is 3.5 days.
@plants_and_wellness1574
Жыл бұрын
@@obtuseangler768 my ApoB as of April was 94 and my particle number was 1259, down from over 1800 😬. LDL small is 173, so still a little high. I’ve been plantbased for a year now, but I do eat fish twice weekly. Before I still ate mostly organic plant foods but I had raw milk daily and grass fed beef almost daily. What one would consider a healthy diet, but it apparently wasn’t for me. My numbers have dramatically reduced but they are still high.
I still don't get the hazards ratio. Some have high LPa and no risk. Why?
@akilahfaiz6468
3 жыл бұрын
People who have high lpa can have no risk? I don’t understand either
@MrAndy9188
2 жыл бұрын
Hi Robin. I have high LPa at 220nmol/L or 92 mg/dl and have been really diving deep into this subject. The reason I have found for the people who have high LPa and reduced risk is due to having no other metabolic issues. For example high blood pressure, high HbA1c. High CRP, high fasting insulin levels. It’s also good to get a apoA and apoB test done. Hope this helps.
Good vid, but the noise rattling in the background is annoying and a nuisance.
does anyone in this country do lipid apheresis?
Trials have been startd in INDIA , is it advisable of wait for a cpl of yrs 2 get the answers
@PrevMedHealth
3 жыл бұрын
Thanks
@TheGuitaristization
3 жыл бұрын
Hi, where did it started i’m from and i want to be the part of that trial
Been doing low carb for 3 years but still have severe insulin resistance
@robrae14
3 жыл бұрын
Take metformin.
@kidpoker007
3 жыл бұрын
@@robrae14 metformin helps insulin resistance
@robrae14
3 жыл бұрын
@@kidpoker007 helped mine yes
@christianallen6202
3 жыл бұрын
Fast... begin with 20/4 progress to 24hrs then to 36 then to 48 -- do it 2 to 3x a month
@TheShumoby
3 жыл бұрын
@@kidpoker007 how many carbs do you eat daily?
Do keto diet,the easiest way to get rid of risk factors
@PrevMedHealth
2 жыл бұрын
Thanks. It's a major tool. minimizing body fat is key.
They say lpa is genetic but my mother & father have no heart conditions. No one in my family either except for my great grandmother on my fathers side but she’s in her 90’s. So I’m not understanding why mines is high. I’m 25 and just found out mine is 154 so I’ve been put on baby aspirin for 3 months to see if it goes down.
@zacharymakovich3212
2 жыл бұрын
Mind sharing if baby aspirin did anything?
@ldx1793
8 ай бұрын
sounds like if you follow your parents' and grandmother's lifestyle you will have a long life. i ran a first test and run 239 LPa -my family on my fathers side is loaded with issues . Curious to see if you get tested again how the baby aspirin works for you.
@Zhdhcjen
8 ай бұрын
Same for me. Yet, I am 17 and have an Lp(a) of 285
@sheddkkhan6758
3 ай бұрын
@@Zhdhcjenhello
My LPa in 2016 and was 59 ive had 2 stents and unfortunately need a 3rd
@kkrajaakundalia5063
3 жыл бұрын
Wat bout LDL , 59 is not dat much , i have 170 😁
@kidpoker007
3 жыл бұрын
@@kkrajaakundalia5063 ldl was 140 I think last time because I follow low carb but my particle amount was in normal range when they do the NMR test
@kkrajaakundalia5063
3 жыл бұрын
K , age , sugar , bp????
@kidpoker007
3 жыл бұрын
@@kkrajaakundalia5063 I’m 61, lean have muscles, abs my A1C 6 months ago 5.8 but had it as low 5.4 couple years ago bp is normal but I do take 1 metoprolol cut in half . Half morning and evening
@kkrajaakundalia5063
3 жыл бұрын
@@kidpoker007 waah LP (a) trials r goin on , hav been askd 2 enroll but may be wait a cpl of yrs 2 prove its benefit .....