Atorvastatin 2: Who Should Take It and Why
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- Опубліковано 28 вер 2024
- This video explains how doctors are supposed to choose which people should get atorvastatin. It goes through the doctors' thought process about the numbers behind the decisions. See my other video Atorvastatin 1: General Information and Side Effects
• Atorvastatin (Lipitor)...
if you would like a description of the medication.
Hi Doc.. I Came Upon Your Channel a few months ago and subscribed please do some more videos and could you please discuss the coronary calcium scoring and give me your opinion of it please? My standard lipid panel has been perfect all my life and I have a slight family history of heart disease I'm very fit and healthy but I had a 490 coronary calcium score a couple years ago. Have been on 20mg of atorvastatin but really not getting any follow-up kind of feel left in the dark any comments much appreciated thank you sir! It's also my understanding that much smaller doses of rosuvastatin are far better for inflammation which I feel is the key driver heart disease not cholesterol
Hi Bart, thanks for Subscribing. I really do need to do some more videos. I use calcium scoring in people who have a family history of coronary artery disease and have a normal lipid panel. I also use it in people who are worried about having heart and blood vessel disease and want to know as much as possible about their risk before considering medication.
The average age of a person with a calcium score of 490 is about 80 years old. The average age of a person with a calcium score of 30 is 60 years old. Because I do not know your age, I do not know what to say about your calcium score of 490.
This is a calculator where you can plug in your age, gender, and race, and see what the average calcium score would be for someone in your shoes.
www.mesa-nhlbi.org/Calcium/input.aspx
I have patients who are in their 60s, with normal cholesterol levels, but family history of coronary artery disease. I check their calcium score, and if it is elevated, I recommend statin medication. I have a couple of patients and your shoes, with calcium scores around 500. I gave them atorvastatin.
Rosuvastatin is not proven to be better than atorvastatin. I do not know which one is better. They both appear to be good medications. They are both generic. It seems like people have less muscle aches with rosuvastatin, as compared to atorvastatin. But as far as rosuvastatin actually being better than atorvastatin, I would not consider that a factual true statement.
In terms of which is worse, LDL cholesterol, or inflammation, nobody knows the answer. They both appear to be a problem, in general. We are getting to understand inflammation more, and there is ongoing study of anti-inflammation medication for preventing heart disease.
clinicaltrials.gov/ct2/show/NCT01594333
If I had a patient who wanted to switch from atorvastatin 20 mg per day to rosuvastatin 10 or 20 mg per day, I would switch them without thinking about it. I consider both medications good for patients with elevated calcium score.
I also usually give my patients with elevated calcium score aspirin 81 mg per day. This can prevent a sudden blood clot in a coronary blood vessel (heart attack).
Best Wishes!
CardioGauge .. thank you so much for your response sir. Yes I forgot to say that I am 58 years old so obviously my score isn't good at my age as I said I'm very active and in great shape but that always doesn't do the trick. Going to try to convince my doctor to do some more advanced blood work like I initially had three years ago such as NMR profile and inflammation panel possibly? All they want to do is standard blood work and put me on a treadmill once a year for a stress test which of course I passed with flying colors. Thanks again for taking the time to respond I look forward to see more from you on your Channel! And oh yes I also take 81 mg aspirin
The NMR panel mostly would serve curiosity rather than affecting your treatment. The high calcium score indicates the presence of atherosclerosis. While it is true that the test could show a high risk profile that was not picked up with the standard lipids test, you already know you are in a higher risk category because of the calcium score.
If you have biological children, you could look at your NMR profile (it would have to be off atorvastatin), and compare with their NMR profile, to get a better idea of their risk situation.
However, for my patient like you, I don't pursue the NMR profile as a rule, because I already know what I need to tell the patient: take atorvastatin or rosuvastatin, take aspirin, exercise routinely, eat a healthy diet that works for him or her, ie Vegan Diet, or Mediterranean Diet for those who can't go Vegan.
Thanks for your questions and comments!
CardioGauge .. thank you again for your prompt response much appreciated! And hope to see some new videos when you have the time
Bart Robinson x
No!
I suffered too much from the side effects! Kidneys and liver damage!
I stopped taking and now recovering and no more aches and pains!
Rubbish, statin is so dangerous!
Thank you for comment. It is important for people to know that Statins can be bad for some people. But they can be life saving for others! If a person has a heart attack or stroke, the medicine can decrease chance of having another one by 1/2! I don't want to discount your comment, Statins are poison for you, but that does not mean they are bad for everyone. Best wishes...
@@CardioGauge Thankfully i am refusing statins. There are much better ways of dealing with this.
@@CardioGauge I have had heart surgery, but I think that I developed my problem by taking steroids.I no longer take steroids and have stopped taking statins as of three days ago as I have become very scared of taking them, after seeing lots of videos saying how bad they are. Yours is the only one saying that they are useful. Please help.
Truth sayer hi I just saw your comment now. If you had Coronary Artery Bypass surgery then atorvastatin would be a very standard medication for you. It decreases chance of new blockage. While anabolic steroids can make a person more likely to get blocked up, it is rarely the only factor. The main problem with atorvastatin is muscle aches, if this occurs, you could be tried on rosuvastatin. The best treatments for heart disease: exercise daily doing something you enjoy, eating a healthy diet with lots of fruits and vegetable and minimal meat (fish probably better than other meats), take atorvastatin and aspirin. Best book about diet and heart health “prevent and reverse heart disease” by Caldwell esselstyn. Best wishes
I take 40 mg ,, I've had sents , 71 yrs old ,, why would my doctor prescribe 40 mg ?
When I read the side effects of taking this group of drugs, I’ve come to the conclusion that it depends on what diseases you think you can withstand to try and survive! The side effects are almost scarier than the original reason for taking them! There has to be a better answer!
I had a heart attack in March of 2018. Three days after I turned 40. I had one stent put in. It was a mild attack, though nothing mild about how it felt at the time. The doctor who did my procedure said all my other arteries were clean and that one artery branch on the LAD was 100% blocked.
He told me he removed as much plaque during the angio as he could before stenting it. My widow maker artery according to him he said was bigger than normal and that's what helped save me. I was put on 80mg of astrovastatin. Bad reaction in the first week. Doc put me on 40mg. Later that year I was bumped down to 20mg. Bad aches, joint and muscle issues along with foggy memory. Got bumped down to 10mg 6 months ago. I had bad tendonitis in my knees, ankle, and arm, muscle soreness and weakness. Stopped for 5 days in November, my doctor told me to try that. By day 3 felt much better. Day 5 felt back to normal. He switched me to simvastatin 10mg beginning of this month. Was on it 3 weeks and had bad reaction to that. I've been off the simvastatin for 6 days now and feel better.
I'm on plavix with low dose aspirin. I can tolerate that although I don't want to be on plavix my whole life. March of 2021 will be 3 years since I had the stent put in. I eat much healthier, walk alot and do cardio. I don't want a second heart attack obviously, but the statins were ripping my body apart. I felt horrible physically and my moods and memory changed alot on the astrovastatin and felt worse in another way on simvastatin. There are natural ways to reduce imflamation and lower LDLs. I was on the statins for 33 months post heart attack. I can't live like that with tendonitis, muscle aches and cramps, foggy headed. That's a crappy quality of life. I dunno what else to do other than take my blood thinners and eat better and stay active.
I really appreciated this video. I was just prescribed this medication. A 20 milligram dose today. Your video was easy to understand and informative. Thank you. Your stick people scare me more than the medication :)
Thanks for the positive comment, I appreciate it!! I should get my kids to do the drawings, they have a lot more skillz than me...
Why don’t you recommend K2 (m7) ????
Thank you for a balanced and very informative video !
Going by this video, everyone on this planet has to take a Atorvastatin and if possible give it the aliens on other planets as well.
I don’t understand your humor.
I have leaking heart valves. I've had two strokes. I'm 65. I take atorvastantin. I take meds everyday. My legs and elbows hands knees feet ache hurt everyday. I wonder if there is another medication i can suggest to my nurse practitioner. My cholesterol is good. But the side affects are painful. Thank you
I was taking 80mg of Astorvastin for about 3 years with no problems,last week the doctor changed the prescription to 40 mg plus, 5mg of korandil. i will be 79 in september except for slight chest pain when walking uphill i feel great.
Doc, thanks for the concise information...what should also be noted irrespective of the numbers is the stabilizing and possible regression of plaques already present. I've resisted my PCP's recommendation to a low-dose statin for years based on my cholesterol numbers but he keeps pointing out that they " ...keep the arteries clean.." but now I will get a calcium score test.
Doctor thank you for the information. My question is something that didn't seem to be covered in your video. I understand the muscle pains that people get can be solved by typically stopping the Statin and the pain is reversed.
However on all the other side effects you talk about that are clearly very serious can those be prevented by taking blood work every month for example and watch to see and stop the Statin before the damage happens? Or does the patient all of a sudden one day have kidney failure for example and the other problems they won't go away ever even if you stop the Statin.
Thank you
Hi FollowTheLaw. The blood test (in USA, the standard is to do once a year) can help prevent the occurrence of liver damage, because the medicine can be stopped when there is an abnormality seen, before major damage has occurred. Kidney failure happens when there is severe muscle damage, so statins don't specifically mess up the kidneys. So testing kidney function on the blood test doesn't help with avoiding major ill effects. Muscle damage can happen without warning, and would not necessarily be prevented by blood testing. The patient knows muscle damage is happening if they have severe soreness and muscle weakness and brown urine. In my experience, the people who have had severe muscle damage (two patients total in my 15 year career in cardiology) were having a lot of muscle aching first, but their doctors ignored the patients' symptoms and told them to keep taking their medication (UGH!). The "diabetes" side effect is really a misnomer. Statins increase the blood sugar on average. This is a more accurate description of this side effect. Blood tests can show the average blood sugar increasing, and the patient and doctor can decide together whether or not to continue the medication. Checking average blood sugar (a test called the Hemoglobin A1c) is not routinely done in patients on statins because the change in sugar level is actually small, and not felt to be significantly bad enough to warrant changes in statin therapy. However, it is totally reasonable to check blood sugar annually for patients on statin to measure how much it is going up.
Bottom line is checking the blood test routinely doesn't make the test a lot safer. In fact, there are plenty of doctors out there who don't believe in checking blood work annually for statin-treated patients. In spite of this, statins are in general safe medications and dangerous side effects are rare. For my patients who need a statin (people with prior heart attack or stroke), and are very worried about side effects, I will use an intermediate dose of atorvastatin, typically 20 mg per day, as this is much less likely to give side effects, and still quite helpful in reducing events.
Hope this helps and thanks for your excellent question.
@@CardioGauge Please don't believe the doctor. If you are taking drugs that can do serious organ damage. YOU NEED TO MONITOR THIS ON YOUR OWN. Find a place where you can have the blood work done without a prescription. Test as often as you deem appropriate. My mother died because they scheduled her cancer test to far apart. By the time they discovered the cancer it was too late. She died within 30 days. Doctors are out to make moneY, PERIOD!
@@CardioGauge Please don't believe the doctor. If you are taking drugs that can do serious organ damage. YOU NEED TO MONITOR THIS ON YOUR OWN. Find a place where you can have the blood work done without a prescription. Test as often as you deem appropriate. My mother died because they scheduled her cancer test to far apart. By the time they discovered the cancer it was too late. She died within 30 days. Doctors are out to make moneY, PERIOD!
I have chronic migraines, which have gotten a lot worse since I've been on Atorvastatin.
U ARE DELETING COMMENTS THAT CRITICIZE U. LOVELY
my husband has nueropathy so bad he cant feel the bottom of his feet
neuropathy usually not caused by statin, i believe it happens in less than 1%. But there are definitely reports of it happening. If there is no other apparent cause of neuropathy, I stop the statin. I have only done that a couple times in my career.
This is possibly caused by diabetes..!!
I'm on 100mg metoprolol twice a day. Amlodipine 5mg per day. 25mg hydrochlorothiazide. And 10 mg atorvastatin daily. Age 43 male. Was 180/120 relaxed and 250-300/128 in the gym doing mild exercise. Now I'm 127/70-80 relaxed 3 months later.
I have read an article in JAMA that does not agree with you. They say no help comes from Statins.
I'm not seeing any current videos on your Channel --- is your Channel still active ?
Trying to fix life style and SAD with a medication is difficult. You can only improve situation, but not fix.
Hey doc tell Bart Robinson about how Vitamin K2 can remove calcium from arteries over a few months ( proven with before/after scans) and that the recommended dose to do so is 300 micro grams per day. There are many YT vids on this. Statins won't remove calcium but they will eventually destroy muscle tissue and probably, if you take them long enough, give you dementia. Not medical advice, just my opinion.
Hi again Tall Inthesaddle. Thanks for your comment. All the studies I have looked at indicate that the K2 decreases the rate of calcification, but does not reverse it. If you know of specific scientific studies that demonstrate reversal, please post, because I want to read them!
I've been researching this and other medical issues for 15 years due to medical issues that affect me. There are too many YT vids to list, simply query "Does K2 reverse arterial calcification?" Dr. Ivor Cummins has one, Dr. Ford Brewer has one, Dr. Kate Rheaume-Bleue has given a seminar on calcium/K2 and written a book about it. K2 works, calcium scan prove it.
I call bush-t on Atorvaston I had 2 strokes, carotid artery surgery, and then was put on the Staton and it almost killed me.
I'm sorry sir I did see you discuss the coronary calcium score in this video it's been awhile since I watched your videos again and I'd forgotten. I appreciate how you explain things very clearly and easy to understand
I took it for six months. I had an issue with heartburn. I have stopped taking it and feel fine now.
Hi doc,
Had aoerta dissection 2018, AFib, hi cholesterol. I stopped my all prescriptions but not atorvastatin 40mg. My BP is always high and heart rate is always crazy jogging and out breath. Replaced it with Vit12, D3, CoQ10, probiotic 10 billion, multivitamin, once a week collagen, once a week Vit C powder 1000mg. My BP is now low sometimes it is low once time only 86/62/56--dizzy, lightheaded I took a pinch of salt. Question- what will happen if too low BP? Will I call 911?
What will happen to my hear? Thanks doc.
Thank you doctor for your informative video. My question has to do with diabetic patients. I read that this medication causes insulin resistance and elevated fasting glucose levels. I’m diabetic, have had two strokes ten years apart and had a stent put in this past October. My doctor changed me from Simvastatin to Atorvastatin. I am trying so hard to get my glucose levels down, how much of an increased risk is this medication to me. Both my Cardiologist and Neurologist think this last stroke was caused by the diabetes. Please advise.
70 years old never had heart attack, have had valve replace, aorta at 4.1, had two arteries 50% blocked ( loved steak ) all my numbers: cholesterol. 29.0 , norm 50-200, hdl 29.0 norm. 29.0-71.0 , ldl 96 norm 100, triglycerides 137 -norm50- 200 , cornonary risk 5.2. , walk 3 miles everyother day , and do some incline climbing, quit smoking when 33yr old and stopped drinking at same time, eat veggies mostly potatoes and oatmeal , fish, peanuts, lots of veggies and vitamins, doc keeps pushing statins and have tried crestor, astrostatin, exezembe, and have had bad muscle cramps and bad joint pain so stopped and he still insists and i still refuse because they promote diabetes and it runs in family and that it self creates more heart problems.that i don't need ! father died heart attack 53 yrs old he smoked 3 pack day no filter since 16 yr old, liked to drink,to much, brother younger 63 yr old , had four heart attacks at age 51, always drink six pack a day , smokes 3 pack a day, is on crestor, had four stents, still needs one more but doesn't bother, still eats steaks pizza, porkchops, a case of beer a week, is now diabetic, doesn't take all his meds, says he feels better without, now legs painfull walking few steps, doesn't excercise.. SUPERMAN ? MY CONDITION i feel don't need statins all my issues with heart are stable and been like that for three years because of diet vitamins, excercise and taking blood pressure meds. Everybody different nothing is guaranteed, so ill keep doing what I've been.
My 85-yo mom takes this and she’s never had a cardio issue. But recently I hear fat soluble statins can cause dementia, and she’s been more confused and forgetful lately. I myself (58-yo) take a water soluble Pravastatin. Should my mom switch to that?
This video only repeats guidelines with claims about risks, without addressing the detailed information given by many convincing biochemical focused videos against the present push to prescribe statins; therefore, it is unpersuasive on advisability of statin dependency despite the title. Recommend viewing videos that develop the reasons against statins, e.g. see Stephanie Seneff as one fully impartial researcher. This video does touch on one clear motivating factor in that a doctor who does not prescribe statins might be sued if there is a subsequent cardiovascular event, but only would risk their patients health by prescribing statins.
Hi Chris thanks for your comment. Yes the video is meant to explain the guidelines the medical establishment has put out. While I agree there is some scary biochemical information about statins, ie CoQ10 depletion and potential effects, the clinical benefit with decreasing repeat stroke and heart attack is pretty convincingly demonstrated. For me the big problem with statins is unknown long term effect on health. They just haven’t been well studied in randomized fashion. The medical establishment assumes there are no major harms. Further, worry about cognitive function is a legitimate concern. And it is certain that eating a Whole Food Plant Based diet would be leaps and bounds better at preventing heart disease than the statins.
In patients with known disease, who do not make healthy lifestyle a top priority, statins are best option for increasing their lifespan and avoiding further blood vessel related events.
I will check out Stephanie Seneff’s research! Best eishes
Atorvastatin OR a similar medication...what is the similar med that is as effective? I have aches and pains that are nearly debilitating. If it is the atorvastatin causing the pains, what can I use to replace that med?
I’m 60...physically fit,about 30 pounds overweight..Went in for physical and chol was 241,BP great..Put me on this drug but I also changed my diet drastically and lost 23 pounds..Recheck and I dropped chol to 137..Doc says I need to keep taking this drug....How about I recheck in 2 months with my new diet and weight loss? Doc says NO...keep taking meds...I dont get it...Thinking about stopping taking these and new blood test in 2 months on my own..No family history of heart problems...
Hi Iwazza, docs are taught to prescribe meds. You don’t know how much of the drop in the cholesterol is due to your diet and how Much was due to the pill. I understand why you would want to see what you were getting with the diet alone. Eating healthy and exercising routinely beat statins for decreasing risk. But you have to be consistent and committed to healthy lifestyle for years to reap the long term benefits.
Doc is concerned about your risk if you go off statin, however, in numerical terms that risk is quite small. If your calculated risk (using your age, cholesterol, blood pressure, etc) is 10% for 10 years, then with the medication your risk might be approximately 5% over 10 years. So that would be 0.5% per year, or 0.04 percent per month. So your risk for stopping the med a couple of months would be an extra 0.04% chance of stroke or heart attack each month you were off the med. that is a tiny amount of risk.
Anyway, because this is UA-cam, I can’t tell you what to do with your meds. But I will say, if one of my patients was in your shoes, I would say go ahead and see what you get off the statin for a couple months. Run the risk calculation with the new numbers and see if it’s worth it to take med. another alternative is to get calcium score, if zero or close to it, statin significantly less likely to be helpful. I did a video on calcium score if you are interested.
Bottom line is eating healthy decreases risk a lot: avoiding sugars, avoiding processed carbs, avoiding high glycemic index foods, eating more fruits, veggies, berries, Nuts, greens, beans, varied whole grains. I am a fan of Whole Food Plant Based diet, it likely lowers risk the most of any diet, however, it certainly doesn’t work for everyone and keto has benefitted a lot of people.
Thanks for your comment and best wishes!
Thanks
Longer u take meds , its always hard 2 readjust what yr body was use 2 4 awile ...
I think the side effects with 80mg Atorvastatin are greatly underestimated. Over ten years, my guestimate is that 100% will feel most of these side effects. I felt them after one week. No way no how it'll only be 1 in 5. Why don't they study lower doses at least? Not a peep about 20 or 40 mg, they only compared 80 mg to 10 mg to find 25% superiority.
I agree that 80 should be studied against 40 but I don’t think that will ever happen. There is no definite proof that 80 is better overall for patients as compared to 40. I like the 40 mg dose for many patients, but if someone has a lot of blockage, I try to use 80.
Most of these patients tolerate 80 without symptoms over the long term
Thanks for your comment
My LDL cholesterol is 180. Age : 30
How much Atorvastatin should i take daily?.
Pls reply.I am really worried.
Hi Dr, is it ok to take vitamin k2 with atorvastatin. Should be together or separated?
I just had a stent placed in my RCA and now they are giving me 40mg of Atorvastatin not 80 mg,,,?? Also a friend of mine had a stent placed in him 20 years ago and he still is only on 40 mg of Atorvastatin .. So why ?? Thanks...Dan
Hi Dan, the guideline that came out in 2014 told docs they could use 40 or 80 mg of atorvastatin, either dose was acceptable. The newer guidelines favor the highest dose of atorvastatin, because the research suggests it reduces risk more than the 40 mg dose. The thing is, these two doses have never been tested against each other, believe it or not.
20 mg of atorvastatin gives you 2/3 of the effect of 80 mg of atorvastatin. 40 mg gives you about 3/4 the risk reduction of the 80 mg dose. This is a theoretical comparison, because again, these doses were never tested against each other.
For patients in their 70s or older, or patients who weigh less than 140 pounds, I tend to start with the atorvastatin 40 mg dose because I don’t want to overdo it and give somebody intolerable side effects right out of the gate.
The 40 mg dose is reasonable, Effective, and less apt to give side effects than the 80 mg dose.
For my patients in 40s and 50s who weigh more than say 140 lb, I usually choose the 80 mg dose.
Some of it depends on the LDL cholesterol level too. If it is less than 40 mg/dL with 80 mg dose, some docs will back off to the 40 mg dose (although there is no proof that this strategy is actually beneficial to patient).
There are a lot of unknowns with the medication. But atorvastatin 40 mg per day and 80 mg per day are both good options for someone who has required a stent.
Best Wishes!
Thanks Doc. Ok I will take the 80 mg pill forever or until doctor says stop since I got stented a few days ago. Off subject comment, I sure do appreciate our canadian medical system right now. Heart attack 1 day, third day shipped off by ambulance to a larger major city hospital, stinted that same day and shipped back to smaller hospital on same day and released at night. The cost of all this medical service was zero dollars and zero cents. Medicine we pay for though.
gmail account .....
You need to update yourself
Did me more harm than good. Believe me. Weak muscles, poor balance, tingling feet. never had them before taking the drug you mention.
Unfortunately many people have side effects. I hope your symptoms went away when you stopped it. Thank you for comment.
What if you're taking less than 80mg?
Thankyou very useful talking about Astrovastin 20 mg 1 a day me family and boarder line
Can it's be used for stroke patients
Despite having decent cholesterol levels I went on low dose atorvastatin because my brother had a cardiac issue. After two years I decided to go off it. I heard that it is not a good idea to go off once you've been on. Is that the case? I had a calcium score of 91
Hello again, Corkfish1! Stopping atorvastatin is not in acutely dangerous issue for someone who has been taking it for primary prevention. It will not suddenly cause a heart attack to occur. The bigger question for you is what is your risk for having a cardiovascular event, and should you take atorvastatin to decrease that. Your age is an important factor here. If, for example, you are In the age range of 40 to 60, a calcium score of 91 is pretty high, and implies that you could have the same genetics as your brother, which caused him to have the heart Attack. The absolute cholesterol level unfortunately is not in accurate predictor of risk. The calcium score is more accurate. For people in your shoes, I will often use the calcium score to direct whether or not I recommend a statin. Therefore, the fact that you had decent cholesterol levels before going on atorvastatin is not necessarily reassuring. For most of my patients in your shoes, I recommend healthy diet, such as whole food plant-based diet, or Mediterranean diet, routine exercise, and atorvastatin 20 to 40 mg per day. You can put your cholesterol numbers, age, blood pressure, and calcium score in the following calculator to get a numerical assessment of your risk. You could estimate that with atorvastatin 20 mg per day, your risk would decrease by about one third. For example, if the calculator gave you a risk over 10 years of 12% for stroke heart attack or stent, with atorvastatin 20 mg per day, the risk would be about 8%. Of course what you eat and how Active you are can make a big difference, Probably a bigger difference than taking the medication. But doing everything together is probably the best approach for most people!
Oops, I forgot to include the link to the Calculator: here it is
www.mesa-nhlbi.org/MESACHDRisk/MesaRiskScore/RiskScore.aspx
@@CardioGauge thanks so much for your input! Your analysis seems to be spot on. I'm 60 and in excellent health as far as I know. The calcium score and my brother's experience is why my physician put me on statins. I run a couple of miles every day and lift weights 5 days a week so I look and feel great. Still, I think I will ask my doctor about going back on the statins for the reasons you cite. Again, thanks very much, I appreciate it.
What makes the muscles ache please?
Xin loi em khong hieu tieng anh da lam that vong anh ruoi
FORD BREWER RECOMMENDS ROSUVASTATIN 7.5 MG/WEEK. HOW DOES ROSUVASTATIN WORK WITH ATORVASTATIN?? THANKS
Hi OG, rosuvastatin 7.5 mg per week is equivalent to taking about 2 mg of atorvastatin per day. I dont have any patients who take both rosuvastatin and atorvastatin because they are similar medications. A person can take one or the other, but not both. Rosuvastatin is an excellent medication, well proven to decrease chance of heart attack and stroke. 7.5 mg per week is a very low dose, a better proven dose for reducing cardiovascular events (stroke and heart attack) is 10 mg per day. You can look up the data in HOPE-3 Trial if interested. Hope this helps.
how much are the drug companies paying you? What happened to 'do no harm'
Hi T Shea, 15 million people in US have coronary Artery Disease, statins at maximum dose decrease chance of heart attack by half for these people. For my patients and relatives with coronary artery disease, I recommend them strongly, along with healthy eating and routine exercise. 20 years ago, doctors were wined and dined to use and promote statins, but that is not the case at all any more. There is no wining and dining for atorvastatin now, because the medication is generic. Doctors are indeed openly bribed for using many medications, but for heart medications, it is Praluent, Repatha, Entresto, Eliquis, Xarleto mostly. If you wonder if a specific doctor is taking payments for using a medication, you can look it up on this website:
openpaymentsdata.cms.gov/
The feds now track these payments, and it is a crime for the company to not report it. I don't take any payments from drug companies, you can confirm that here: openpaymentsdata.cms.gov/physician/1001589/summary
As far as "First do no harm" goes, for a patient with coronary artery disease (for example previous heart attack), the statin decreases chance of subsequent heart attack by 50% in relative terms, and 25% in absolute terms. So the person has 1 in 4 chance of preventing a heart attack with the statin. As far as risks go, there is a 1 in 5 chance of getting muscle aches, which go away when you stop it, a 1 in 100 chance of getting liver inflammation that goes away when you stop it, a 1 in 25,000 chance of getting muscle damage. As far as dementia and memory loss go, these are unproven to occur with statins: www.ncbi.nlm.nih.gov/pubmed/24095248
I don't force feed the pills to my patients, I recommend them based on the above. For patients who don't want the medications, I work with them to decrease their risk in other ways. Thanks for your comment.
i was put on these 6 months ago got to a stage where i could hardly walk pain was getting unbearable so i come off them my own choice within three weeks i was realy getting back to my old self pain free so sorry peopleno more of this shit for me
Statins are bad esp gor yout liver kidneys and othr internals. It also make you weak floating and non receptive don't take them better exercise and avoid oils and fats on your diet if not good luck
My parent was noticeably ditsy from early 40s and it grew steadily worse into dementia by time she was in her 60s. People behavior towards me seems to indicate I am ditsy although with effort I can remain organized and I have developed a system which seems to revitalize my memory. It is simply to try remember the names of famous actors mainly from the 80s and 90s. I will step through the alphabet and if needed more than 2 or 3 letters combinations until I recall the name. As I do this I think of more faces to remember and keep them in mind for later. Eventually I’ll get the name, although it has occasionally taken up to a few days on and off. Somehow this seems to rewrite pathways and I feel more confident and remember other unrelated things too. It improve recollection generally. While the statin would not cause dementia I’d just add it would definitely not help the situation for someone already suffering from memory difficulties. I’d not divorce the two entirely.
I just started taking a statin so I really appreciate this information. What I don't understand is why risk calculators don't take into account bad family history that is complicated by bad lifestyle (especially smoking). My father died from an MI at 42 but had several serious lifestyle issues - smoker, sedentary, poor diet. As a member of the group 2 category, I still don't know if I should take a statin. Prescribing seems to be almost knee jerk in some cases.
Hi xyloeye, that is a super-legit question. Are you at high risk, yes or no? While it is somewhat reassuring that your father had poor lifestyle issues that you presumably do not, you and your doctor do not know how much genetics played into the cause of his heart attack. No calculator will answer that question. I have patients in your shoes. When I encounter this situation, I usually do a coronary calcium score (you can see my video about this topic here ua-cam.com/video/2IXZBSKYVSw/v-deo.html). For people over 40 yrs old or so, the scan can help quantify risk more accurately than the calculators. For people in their 20s and 30s, the test is less useful.
Many doctors don't bother with the calcium score, because they see the medicine as so benign, it is not worth it to try to better define risk. Like you said, the medicine is a knee jerk response. In addition, an average person in USA has a lifetime risk of major stroke, heart attack or stent of somewhere around 50%. So just living in USA we are all at high risk. So why not just give the medication to everybody?
I disagree with this approach because it is naive to think that a pill that does one thing (lower LDL cholesterol) could possibly have anything close to the health benefits of eating healthy, exercising routinely, getting enough sleep, and managing stress.
Bottom line for you though is to better define your risk. If you are young (
when should i take Atorvastatin morning or night ??
You can take whenever convenient for you. A small study showed it doesn’t make a difference when you take atorvastatin. The statins that should be taken at night are simvastatin, lovastatin, and fluvastatin.
How much money does the pharmaceutical industry pay you ?
I'm taking 20 mg. I have a family history of heart attacks and have bad cholesterol. Do you think I should have it increased?
I’m a middle aged man. I eat well and exercise.I was taking this drug for 10 years, went from 40mg to 10mg. I have not taken since October 2017. I have no immediate family history of heart attacks or strokes under 60, but my father had different cardiovascular issues. I read “blood sugar 101” by Jenny Ruhl and it says an A1c test is a good predictor of hearth disease. Anyway, I’ve lowered my A1c to 5.6 and currently have a total cholesterol of 217, an LDL 146, HDL 61 and triglycerides 49. However, I will request an advanced lipid panel test to check Apo B, SdLDL, and check for inflammation on my next doctors visit (sometimes patients need to become mini doctors to help themselves). Do you think I should continue on Lipitor regardless if I have pattern B LDL?
Hi thanks for your question. Sorry I can't give you direct advice, because I'm not your doctor. Everything that follows is health education, not medical advice... Because you don't have a diagnosis of cardiovascular disease, and you don't have a family history of vascular disease, I consider the Lipitor "optional" for you. I occasionally have a patient who is interested in going beyond the usual risk predictors to decide if Lipitor makes sense. The main tools I use to decide if someone is at higher risk than they appear with basic risk measurement are 1) Coronary Calcium Score, and 2) hs-CRP testing (high sensitivity C reactive protein). For me, the coronary calcium score is the most useful, because a score of zero is very reassuring while a high score like 300 or more indicates a 6 fold increase in risk compared to somebody with a score of zero. When my patients have a score of zero, I generally do not treat with lipitor, whereas if they have a score of 100 or more, I will recommend treatment. With regard to hs-CRP, which I believe is the test for inflammation you will be getting, a high hs-CRP indicates an approximately 2 fold higher risk than someone with a normal hs-CRP. So the Calcium score is a more powerful predictor of risk than hs-CRP. Having pattern B approximately doubles the risk as compared to not having pattern B, so it has similar predictive power to hs-CRP. If my patient was in your shoes and had pattern B, I would recommend the Lipitor and healthy lifestyle. But if the person did not have pattern B, I would probably recommend just pursuing a healthy lifestyle.
Bottom line is, I prefer people to really focus on diet and exercise instead of medication if they are at low to intermediate risk. For many people at high risk (more than 20% risk over 10 years), I am a believer in using the medication in addition to diet and exercise.
My website has the basic risk calculator on it, you may have already done all that on a different site. If not, please check it out, cardiogauge.com, and click health summary
CardioGauge good info. Thanks doc.
Yeah.....who pay you. Not Big Pharm I belive......?
I have abnormal cholesterol and I was prescribed 20mg atorvastatin
I've been on 40 mg for almost a yr now.Im in group 2
Please comment on the appropriate dosage for Atorvastatin. You mention 80mg in this video. My Doctor has me on 20mg. Is there a linear relation? Is 80 mg 4 times more effective in reducing risk than 20 mg?
The cholesterol guidelines (written by expert physicians in various specialties) tell docs to give people age less than 75 yrs old who have had a cardiovascular event (stroke, heart attack, or stent, or blockage in other artery) atorvastatin 40 mg or 80 mg per day. This is considered high dose atorvastatin. For people who have had an event who are older than 75, the guidelines recommend at least atorvastatin 20 mg per day.
For people who have never had a cardiovascular event, guidelines recommend doses from 20 up to 80 mg per day, depending on the calculated risk. The doctor uses the "Pooled Risk Calculator" to come up with a given person's risk percentage. However, overall, the atorvastatin 80 mg and 40 mg doses are emphasized for people less than 75. For people 75 and older, the guidelines state it's optional to treat with atorvastatin
The guidelines state that atorvastatin 20 mg per day decreases chance of stroke, heart attack, stent by about 30%, whereas 40 - 80 mg dose decreases the chance by 45% ( I round it in the video to 50% to simplify calculations).
So that is all according to the text book.
But no one has ever tested 80 mg of atorvastatin vs 20 mg of atorvastatin, so the 80 mg dose is not absolutely proven to be better than 20 mg dose. Based on the studies, I agree with the estimate that a 20 mg dose, on average, gives a person about 2/3 the benefit that the 80 mg dose would give. I am quite sure that it is not a linear relationship between dose and reduction in risk, both based on experience and the trials of the medication.
Other factors: some people tolerate 20 mg no problem, but are intolerant of 80 mg. For them, 20 mg dose is better. Some people will have LDL less than 40 (very low LDL) on 80 mg dose, so the dose is reduced to allow the LDL to be more than 40.
Overall, I consider 20 mg to be a good solid dose of the medicine, and that it gives a good reduction in risk, compared to the high dose. So, for example, for someone with a calculated risk of 20% over 10 years, if he/she took atorva 20 mg for the 10 years, risk would go down to about 14% for the 10 years. Eating right and exercising routinely would bring it down further.
Apologies for the long winded answer, I hope that it addresses your question adequately.
Thank you!
sounds like an add for the drug company.
But if someone has a cholesterol of 200 (total) but a zero calcium scan....?.... then those percentages must be quite a bit lower
Mike Sloan hi Mike. Yes absolutely the percentages are all very different for people with a calcium score of zero. Zero calcium puts people in low risk category, somewhere around 1-5% over 10 years, and these people would not be expected to benefit much from atorvastatin or similar medicine. I generally do not give statin to people with calcium score of zero.
Calcium score is very useful test for anyone 45 and over (more or less) who wants to understand his or her risk for having coronary artery disease. It’s not useful in young people because arteries could have disease but no calcium.
Thank you
No one should take
FAKE!,
Out of interest, who paid for your research and how much do you earn from the Drug Co's?
Was on it 3 months back in 2017. It destroyed my leg muscles. It took 6 months to get somewhat back to normal.
I am 63, active and in good health. I've been taking Lipitor for over 20 years. Sorry but I don't believe the conspiracy theories about this drug. I've never had any side effects and the drug cost is negligible. I don't see any reason not to take this drug and I expect to live well into my 90s, maybe beyond.
www.pharmashrub.com/product-page/atorvastatin-20-mg-lipitor
not conspiracies, sir! Broken hip, put on atorva, then two more statins. All caused horrid muscle aches,zero sleep,violent expulsion of ALL food. 182 to 160 lbs. in 6 weeks. Poisons for some people...
Statins are poison
Can you say conspiracy theory?
@Semper Fi Sure can
Respect to you Doc but I don't believe in those drugs...I think you are trying to push it here...as expected...your job though...my mom never got better with meds by incompetent or careless doctors...
Bibi Shakira Jameel thanks for your comment. I believe statins help some people, but unfortunately they do not help most people. Statins are not “The Answer” they are made out to be. So many cases where people were not helped like your mom. I find atorvastatin to be a useful but frankly mediocre medication in the fight against heart disease. Best wishes...
Bibi .who got rich from drug company kickbacks..800 times 100 $ a month...
CardioGauge “
just like everything else everybody IS different ! because something doesn't work for you don't mean it don't work. everybody has to make choices in life and live or die with those choices. Everything got price good or bad! ☺
All you need is B3 vitamin(niacin)and cut your sugar intake to around 30 grams!
Thanks for your comment Donnie. While Niacin decreases LDL cholesterol and raises the HDL cholesterol, it doesn't do a great job of preventing heart attacks and strokes. This is a link to a study of that subject.
www.ncbi.nlm.nih.gov/pubmed/28616955
So niacin as a supplement makes numbers better, but probably does not make health better. Statins, especially atorvastatin, are proven to decrease chance of heart attack and stroke, most importantly in people who have already had a stroke or heart attack: www.ncbi.nlm.nih.gov/pubmed/14692706
Thanks for putting in a plug for low sugar diet, if everybody did that we would be a lot healthier country and spend way less of health care!! However, a low sugar diet is probably not enough to maximally decrease risk in people who have already had a heart attack or stroke, so for those people I usually recommend low sugar diet and a statin.
Best wishes...
I have a friend that had to have a bypass(I know he has to stay on medication)But I was talking about healthy people just staying healthy,also walk a mile per day!
Donnie Shepperson I’m with you on that!
The problem with side effects of drugs many doctors don't listen to you if you have a problem and patients suffer too long. Doctors a notorious at saying lets watch it then forgetting about it. It seem watching it starts every time you come to see them. Let's not forget doctors assuming your complaints are all in your heard.
When comparing a group of people taking statins vs. a control group taking a placebo, the numbers presented show a 25% vs 50% risk of hearth atack/stroke/stent. Now, what about other parameters, like dietary habits, obesity, etc? I assume that most of the data comes from the US, where dietary habits are poor, and obesity and metabolic syndrome are very common. How would the numbers look like if all people involved were eating a healthy diet and/or not obese and/or free from metabolic syndrome? The presentation claims that lifestyle changes (diet, exercise) are beneficial, but there are a bonus that do not replace the need for the drug. Is that so? What if the comparative advantages of the drug become marginal once the lifestyle has been adjusted? Are there any numbers regarding this?
I agree with your questions.These are also MY questions I am only eating about 20 carbs a day and eating a cryogenic diet since I was diagnosed diabetic in June of last year.My a1c went from 11.7 down to 6.2.I've lost 15.5 lbs.I feel my health is getting better every day since I've stopped consuming carbs.Since I've been doing so well I feel that a statin might have very limited benefit for someone in my shoes and also could do more harm than good.There are no stats for me to look at since there would have to be a large group of people tested who are eating keto, losing weight and being way more active.I truly don't know what to do.
i dont know why so many people are calling this guy a drug pusher, very unbiased and objective info. great doctor.
www.pharmashrub.com/product-page/atorvastatin-20-mg-lipitor
Here's a fact that statins only increase life by by an average of 4 days in person who never had a heart attack . Those who had a heart attack have an increase in life 3.5 days.
Here's another fun fact , only 1 in 600,000 benefit from a statin but everyone will have negative effects.
I don't know why people call Al Capone a criminal . He was just an unbiased entrepreneur. Come on give me a break Suad Kacar .
Here's another fun fact for the Doc. Statins will double your risk is dementia.
This clip is quite a long time, I'm not sure doc you still watch. I have a question that I heard that Statin would block production of CoQ10 which is benefit to body. Is it true? Regarding this, I take 40 mg Atorvastatin prescribed by doctor and for myself I take 200 mg CoQ10 a day to supplement. Is it Ok?
You're doing the right thing by taking Co Q 10. It's absolutely safe
A calcium score is not a fancy test, it's a 5 minute test that actually sees the disease, no guessing using lipids
A calcium score costs 100 - 700 dollars depending where you get it done, and you can get a year’s worth of radiation in 5 seconds. The machine that does the test costs a million dollars. Insurance generally does not cover the test you have to pay out of pocket.
@@CardioGauge you have to get with the times
you better do lots of your owns research,, many new studies so different and when you see number look harder because some times they use number that are a percent of a percent EXAMPLE,, lets say the number is 2 but with statins it is 3, that is 33 percent longer , when it is really only 1 percent , So do hard research ,
You must be getting paid big bucks , I hope people do their own research and hopefully do not listen to you.
I took lipetor and I suffered from pain so bad I tried to commit suicide 3 times. I'll let you take that pill every day. Our bodies make cholesterol because we need it to live.
Thanks for your comment Diane. It is so important for people to know that statins can cause pain, because if you don't know you just suffer like you unfortunately did. Also, the doctors have to listen to people and make adjustments when things are going wrong. I'm sorry you suffered so badly.
i have a question. can the right amount of water intake help in lowering bad cholesterol? along with taking statins
Water does not significantly change cholesterol levels
Hello Dr., thank you for this/these two presentations and your frankness. I have been taking statins for over 10 years, and am not in either of your two groups. The long-continuing pain and weakness in my thighs and hips and ankles give me reason to step away from atorvastatin, 40mg for the next month preceding my next annual doctor visit, with hope for beneficial outcomes. Thank you.
You’re welcome, Linda!
Has the patient changed eating habits? Have these patients started D3 K2 to get calcium in bones, not floating around vessels? Hope your patients on CoQ 10, cause stations wipe out CoQ 10 which is heart protective....
Speaking positively about statins is sad to hear with what we know. Research shows the benefits are minimal to the average person and the push is mostly for money. Focusing on the harm statins won't do - not cool . You lost me bro.
Me also, statins are terrible. My pharmacist advised me, if I must use statins, ensure that I take CoQ10 as statins wipe it out from the body and it's important for muscles etc. and the heart is a muscle. I eventually threw the statins away as they were painful in all areas of the body.
Hey doc, what about the hot & cold shivers and sweats? i feel like i've taken a huge dose of caffeine although i never take any caffeinated products
I haven’t seen that but if you feel that only after you take the medication, it’s definitely possible
Atorvastatin gave me muscle weakness. I was hospitalized for 4 month, couldn’t walk and now getting therapy for my condition and still having therapy at home.
@libtards suck Hope you feel better, these drugs are deadly
Very informative video !
Thanks for the video. I like that you focus on the statistics of the outcomes. But are the statistics relevant for me? I just went down to 40mg after nearly a year at 80mg after my MI and stent. My ldl was low enough for my doctor to lower the dose. Luckily I only suffer mild muscular discomfort. What worries me, even at the lower dose, is the insulin resistance. I refused the diabetes treatments offered to me after the MI and focused on my lifestyle & diet. That has been very effective for me and my blood sugars are now under control and stable. It was only recently that I became aware the statin could be working against me in that battle. Having cut out the causes of the diabetes, which I'm sure was the primary cause of the MI, do the statistics change for me? That is, does the balance of risk of the statin relative to the benefit change given other methods of controlling cholesterol?
Great question. The short answer is yes. Because you had MI, regardless of whether you cure your diabetes with diet and exercise changes, I would still recommend a statin for you, if you were my patient. Diabetes is one of many many factors that cause blockage to happen. Resolving that one factor does not protect you from all the others. Examples of other factors include “sticky” LDL due to genetics, the geometry of your blood vessels, blood pressure, inflammation, and the absolute cholesterol level, and other factors we don’t understand. The atorvastatin decreases risk in patients with and without diabetes, by about 40% at a dose of 40 mg.
You have helped yourself a lot by controlling sugar, the atorvastatin provides you with further risk reduction. See “prevent and reverse heart disease” by Caldwell esselstyn, it’s a great book on diet for people who have had heart attack / stent.
Atorvastatin does increase blood sugar some, maybe 10 points on average. But even though it does this it decreases risk of stroke and heart attack.
Hope that helps
Doc should have focused on lifestyle before stint. But you, like most of us wouldn't have listened.
In sum: Everybody. Take a statin. No exceptions. be AFRAID
What's the main difference between atorvastatin, simvastatin, pravastatin, fluvastatin, rusovastatin and lovastatin?
Great question Roberto.
Atorvastatin: High potency for decreasing LDL cholesterol, very well tested. Beat Pravastatin in a head to head trial called PROVE IT. The preferred Statin by Cardiology Organizations. Inexpensive.
Simvastatin: Medium Potency, not as strong as atorvastatin or rosuvastatin at decreasing cholesterol. maximum recommended dose 40 mg. It used to be 80 mg, but a lot of people had trouble with muscle aches and rhabdomyolysis, and simvastatin has more medication interactions than the other statins. I rarely use simvatatin. I basically only use it in people who have done well with it for many years and I don't want to switch them off it.
Pravastatin: Low Potency, not as strong as simvastatin or atorvastatin or rosuvastatin. It's main selling point is the fact that people seem to tolerate it better than the other statins. Less muscle aches. It is more hydrophilic than atorva, simva and lovastatin, which some people think might be better for avoiding mental side effects, however, in my experience that doesn't play out at all. Pravastatin is my last ditch statin when people have failed atorvastatin, rosuvastatin.
Fluvastatin: low potency. I have hardly any patients on it. If people fail atorva, rosuva, and prava, they almost always fail the rest of the statins, so I generally don't bother with fluvastatin.
Rosuvastatin: high potency. Well tested and proven. It is the second most used statin nowadays. 40 mg of rosuvastatin = 80 mg of atorvastatin. If person fails atorva, i give them rosuvastatin. If they have trouble with rosuvastatin, I drop the dose of rosuvastatin down to as low as 2.5 mg twice a week. Rosuvastatin is hydrophilic. I think people are less likely to have muscle aches with rosuva compared to atorvastatin. Rosuvastatin became gerenic a few years ago and as a result, use is increasing.
Lovastatin: low potency. This is what is in Red Yeast Rice, naturally occurring. I have Hardly any patients on it. No reason to use this when we can use low dose rosuvastatin instead.
These are all Generic. Only the fluvastatin is expensive. The rest are reasonable. Simva and Lovastatin are the cheapest.
Hope this helps, if any other questions / concerns, please let me know!
@@CardioGauge ,, ONLY a good doctor would have spent the time to explain. Thanks much from Jamaica
Hello Dr. I have a question: I had a bypass 12 years ago due to Angina. Have been taking 20 mg Atorstatin ever since along with 40mg Aspirin. Now I am experiencing muscle pain in my right elbow joint. Had an x-ray so I know its not broken. I recently had a blood test which came out at 5.6 in the Cholesterol range. Thing is I only take Lipitor 4 nights every week as I work nights the other 4 so only taking 4 statins every 8 days for about 2 years now. I am 59. I also suffer from indigestion and flatulence and EDF. Should I stop taking these statins?
Drug Pusher!
how long does it take for side effects to go? i only took for a month but felt very strange .Been off them for two weeks now
I tried your cardiogauge calculator on your web page. After entering all of my information the final button did not give me a result, just this page isn't working. Is this a temporary problem? Thanks, enjoy your web site and youtube channel. My blood pressure in left arm is 149/95 pulse 72, in my right arm it is 133/85. Is it safe for me to take lisinopril/hydrchlorothiazide? My doctor wants me to take Lipitor but I am hesitant, no history of heart disease and my lab tests are in high range but normal.
Thank you Doctor, I had two stents put in four years ago. I have been on Atorvastatin and plan on for the rest of my life.
Paco Peso please please do some more research and try to find out who funds the studies for these drugs. Generally the studies are funded by the drug manufacturers. Please research how food destroys your body especially carbs and sugar. There are far more doctors on UA-cam stating eliminating a poor diet will eliminate your risk for diseases. Check out Dr. Ford Brewer , Dr. Sanjay Gupta.. Family history only means everyone ate the same. I know far too many people suffering from severe cognitive issues from atorvastatin. Please check out Dr. Sam Robbins and Dr. Maryanne Demasi’s “statin wars video . Sorry for the long reply. I am passionate about people not being believing that pills heal, diet heals first and foremost. Be safe ! I wish you nothing but good health!
Excelent!! Go and take it until you get diabetes, dimentia, heart disease, athritis and other tons of health problems. LOL.
ceti syg I have managed my diabetes for over 23 years with medication and diet. All checks by my doctors show that I am in excellent health
Yes. I had 5 stents fitted 2.5 years ago, have been on Atorvastatin and other meds ever since. No side effects. A lot of changes in lifestyle too.
No smoking, a lot less alcohol, more exercise, better diet. Early 60's male.
Will be taking the drug for life and hope to live to a ripe old age..
@@colinl9018 In November I had angioplasty done and the doctor said my arteries were clear and did not need anymore stents. He said stay on the Atorvastatin and aspirin
If you start by asking this Doctor, Who had fund the researches, then you will not want to ask any more question.
My opinion most drugs will make any organ fail worse , docs push the meds tho , u just gotta look whatcha u eat alot , eat better ....
There are really nasty comments against the doctor who's simply putting up an informative video to educate us.
If you don't take his suggestion,then the best you can do is ignore or downvote the video ,there's no need to be this vicious and insulting.
Ofcourse, he clearly stated there are side effects of the drug, yet, some are simply attacking him for no reason.
My mom did have benefits from Atorvastatin and we stopped it and within a year she passed away with a heart attack , that was the worst thing that we've ever done and I feel sorry for that. That's why don't assume yourselves to a doctor when you're actually not !
You have no guilt in that, you do not know if the medicine would have prevented the heart attack. You were doing the best you could with the situation, and rarely in a situation like that do you know for a fact what the right thing to do is. Thanks for the supportive comment, I appreciate it!
@@CardioGauge Thank you. Actually , I wrongly mentioned it in the video , we didn't actually stop it. We found out mom had hyperthyroidism and that was causing her throbbing in the chest and making her faint. So, when we started with the pills(levothyrox) and the beta blocker (propananlol) we thought it was the reason for everything and she stopped taking her pills for her heart.
She was on risperidone as well which her psychologist didn't inform us about that it would keep her cholesterol and triglycerides elevated no matter what , and since her hyperthyroidism was getting better her lipid levels were elevating (since Hypothyroidism depletes the cholesterol and triglyceride levels naturally).
She passed away and I thought she was having the same hyperthyroidism issues (heartbeat irregularity) of throbbing and it was my lack of knowledge, we couldn't save her.
Where are you getting this info from. You are wrong.
A patient can start to exercise and eat better, no STATIN needed! You are a payed actor,I don’t believe you are a doctor at all!
Does it make sense to take CoQ10 to help with muscle pain when taking Artovastatin?
Trong nguoi em khong co benh gi chi co benh tai miu hong duong ho hap tren va may thang nay ap luc nhieu suy nghi moi khi nghi toi chong my la tim em lai dau nguc trai dau khoang 15 phut em khong nghi toi chong thi tim khong dau moi xuat hien dau nguc trai may thang nay thoi
How much are the pharmaceutical companies paying you to do this promotional bullshit.
I have RLS I am taking 10mg off atorvastatin should I cut the pill in faif