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Coronary Artery Calcium Score Test Results | Calcium Score Test 

Simple Hormones
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I've been encouraged to take a closer look at my heart risk. I posted a video about reducing my ApoB by 34% without drugs. As a follow up, I got a coronary artery calcium scan done. This video explains my results and, more importantly, some strategies I'm incorporating to reduce my heart risk.
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29 авг 2024

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Комментарии : 69   
@cookingwithcuyandotherfuns6238
@cookingwithcuyandotherfuns6238 2 месяца назад
CAC's do NOT tell the entire story. The plaque shown is on the OUTSIDE of the arteries in a CAC test.....not necessarily what's on the inside diameters where the blood flows. My score was a whopping 2000 yet my heart cath showed that I only have 20-30% narrowing in certain places. No stents or other action was needed. (65 years old) A heart cath is the only way you really know what's going on with your heart arteries, period. By the way, my cholesterol numbers have been completely normal forever.
@AZSilverbug
@AZSilverbug 23 дня назад
Wow, interesting! Did you have a LP-PLA2 test done? Apo-B?
@kathystclair9485
@kathystclair9485 6 месяцев назад
I am a 67 yr old female. Starting at 50 with yearly required physicals, my LDL has always had a tendency to be on the high end no matter how I ate. My triglycerides and HDL have always been good. At 55 my doctor tried to talk me into going on a statin and I refused. He at least offered me the option of getting the CAC scoring done. Turned out to be 0 calcificationat 55 years of age. At 60 , 0 score also. Then at 65 I was hoping for 0 again, but it was still on the low range of 2.4. It stated that the calcified plaque however, was in the left decending artery. I was " okay" with that low number until you said that was the widow maker 😢. I intermit fast and eat low carb for the past 4 years. I'm not carnivore, maybe more keto. I will have another done at 70. If there has not been a change I still will not go on a statin. If you have the time maybe you can respond and let me know what you think. Thanks for this video!
@GiGi-fd6om
@GiGi-fd6om 6 месяцев назад
Are you on HRT? If not, it estradiol will have protective benefits to your heart, bones and brain.
@kathystclair9485
@kathystclair9485 6 месяцев назад
@@GiGi-fd6om yes, I am on the estradiol patches. Have been for 9 years. Best thing I ever did after menopause. Thank you.
@kathystclair9485
@kathystclair9485 6 месяцев назад
Steve, I left you a comment above this one. I have an afterthought also, my husband is 67 also and he has always had perfect cholesterol numbers. He is extremely active. I am wondering can you have a perfect cholesterol number for years and still have calcification of the arteries? He's never had the test done. Thanks. BTW, is there a genetic component. He does not eat as healthy as I do and I'm the one who has higher LDL.
@crh251
@crh251 6 месяцев назад
@@kathystclair9485, I’m thinking if your triglycerides are low and your HDL is high, you’re doing pretty well. Dr. Robert Lustig, the sugar doctor, has an excellent video on RU-vid explaining cholesterol levels.
@DanButterfield8
@DanButterfield8 4 месяца назад
CAC is a marker that may or may not be an indication of future heart problems. Your score is still quite low. I wouldn’t worry about it if you’re metabolically healthy and getting regular exercise
@bobmason1499
@bobmason1499 4 дня назад
Thanks for sharing great information on the CT scan !!!
@SimpleHormones
@SimpleHormones День назад
@bobmason1499 You're welcome. Happy to share my experience. As I say in the video - a CAC isn't the whole picture but it is a helpful, relatively inexpensive, and painless way to learn more about your heart risk.
@leonardleonardlove20
@leonardleonardlove20 8 дней назад
No matter how much I exercised or ate healthy including low carbs I was getting 2-3 blockages every 2-3 yrs and I am now at 12 stents,But 6 yrs ago I started taking 8000 fus on empty stomach twice a day and 200 mcg of MK7-K2 twice a day with 5000 IU D3 with food and have not had a blockage in 6 yrs and feel great at 61 yrs old.
@dig1272
@dig1272 3 месяца назад
I called my MD who called in a referral to Rolling Oaks Radiology near me! I think i am lucky my MD is somewhat, or maybe very, open-minded. 😊 My gyno gives me estradiol patch and progesterone pill. I am so fortunate!! I will know my Apob# soon. Now to really focus on consistent exercise with Hiit. I love Leslie Sansone's Miracle Miles workout dvd's with the substantial band with hoops in it for less or more resistance. The workouts have warm up/cool down, lots of muscle work, running here and there (HIIT) and it is a blast! We do kickbacks, sidesteps, knee lifts, kicks, all kinds of moves and never ever boring AND you get 5 dvd's: 1, 2, 3, 4 & 5 mile choices.
@DanButterfield8
@DanButterfield8 5 месяцев назад
Excellent videos Steve. I also saw your ApoB vid. I am relatively new to hormone/nutrition study, but doing my best to catch up. Lots to digest. I have high LDL but I’m a former and still wanna-be athlete, otherwise metabolically healthy and hence ignored my ex MDs advice to go on a statin. I have a Triglycerides/HDL ratio around 1 which I’ve been told is excellent. From what I’ve learned, that T/HDL ratio is a key ‘heart health’ metric. Key things to check when getting bloodwork (may have your MD to have it included): 1) Fasting insulin levels 2) Triglycerides to HDL ratio. 1.5 is good above 2 is cause for concern. The lower number the better. In other words - you want low triglycerides and high HDL. 3) Percentage of small dense LDL (sdLDL) in your total LDL. Like ApoB, you have to ask your MD to get this specific breakdown when doing bloodwork. The sdLDL is cause for concern as it can cause plaque build up. The sdLDL is apparently a sub-set of ApoB. As I understand it, typically the majority of your LDL is large buoyant and totally benign. Think beachball vs golf ball. It’s the ‘small dense’ (sdLDL) golf balls you want to avoid. 4) Some MDs think ApoB is key to causing atherosclerosis and should be scrutinized. As you noted in your video, there’s a raging debate among MDs as to whether that’s an important factor as high ApoB is often present w those who have blocked arteries. But the MDs I respect say that direct ‘causality’ is not proven. Sort of like saying ApoB is always at the scene of a fire 🔥 but you don’t know if it was the arsonist or firefighter. I have not done a CAC test yet, but that will be on my ‘must do’ list during my next MD visit. Thanks again for your videos
@EEEBA1
@EEEBA1 4 месяца назад
Do I divide Triglycerides with HDL to get my ratio or the other way around? Thank you.
@DanButterfield8
@DanButterfield8 4 месяца назад
@@EEEBA1 T/HDL is the way to do it. Triglycerides divided by HDL
@EEEBA1
@EEEBA1 4 месяца назад
@@DanButterfield8 In that case I'm at 1.9. Thank you.
@DanButterfield8
@DanButterfield8 4 месяца назад
As a follow up… I very recently did a CAC (coronary artery calcium) score test. That’s basically an MRI of your heart to detect calcium deposits that have accumulated over many years. CAC is reputed to be a good risk marker for future cardiac events (heart attack or stroke) due to blockages. But a CAC can only detect hard (calcified) plaque and completely misses the potentially more dangerous and unstable soft plaque. But it’s nonetheless good to get a base line CAC, and at age 67 with very high LDL, I thought it would be a good test to get. The shocker for me was getting a 354 score! That’s considered “high risk” and on some scales “severe risk.” The cardiologist was concerned and scheduled me for an immediate (next day) cardio echo-gram and stress test. I was confident I would do well on the stress test as I can still run stairs and do HIIT cardio workouts with relative ease. I ran 800 meters as a 40+ masters athlete and still like to do regular runs albeit nothing close to the intensity level I did as a young man. Long story short. I did well as I expected on the stress test and once they maxed me out on on the treadmill (speed and elevation increasing until you reach the target rate rate or blood pressure reading) they immediately pushed me onto a bed where they ultrasounded my fast pumping heart to determine blood flow efficiency and recovery rate. Cardiologist said everything looked very good on both the echo-cardio-gram and stress test. He backed away from his initial recommendation that I go on a statin. The more I learn about CAC score, the less informing I think it is. Why? Because soft plaque is apparently more dangerous, and it is NOT captured at all on a CAC. Moreover, calcium deposits, while reflecting some “healed” (calcified) damage to artery walls, are stabilized. It is really inflammation and “unstable” soft plaque build up + diet and over all metabolic health, that are keys to heart health. And as previously noted, Triglycerides to HDL ratio is something to pay attention to. Target of 1.5 of lower is best and below 1 is excellent.
@SimpleHormones
@SimpleHormones 4 месяца назад
Bad news about your high CAC. Better about the deeper dive tests. I agree that CAC definitely has limitations, which I mentioned in the video. It is one test that’s simple, inexpensive, easy (unlike a stress test), and readily accessible for most people.
@reginamay2767
@reginamay2767 4 месяца назад
your test was 10 mins here in oklahoma they do this test takes 30 mins and the cost is 99.00
@elisabethcrisci7121
@elisabethcrisci7121 6 месяцев назад
Hi Steve, fantastic video. I’ve just started ordering CAC score in my patients, I think it can be a powerful motivator to work towards bringing down CAD risk factors
@alpenglow1235
@alpenglow1235 6 месяцев назад
You should not order this test for clients who are professional aviators. See my post in the comments.
@Kimmer
@Kimmer 3 дня назад
Aren't statins known for helping to stabilize plaques and reduce risks of calcium breakoffs? Also, how do you find a doctor that will check apo b and do more comprehensive testing to examine inflammation markers?
@SimpleHormones
@SimpleHormones День назад
@Kimmer Statins are known to stabilize plaques and possibly reduce the chance of a clot forming. One way to find a doctor who understands ApoB and hormone optimization is here . . . simplehormones.com/referral
@mikeb2611
@mikeb2611 3 месяца назад
my calcium score was 2 last month..had a positive stress test the month before...Now I have to have a heart cath angiogram....the calcium scans are very misleading because it makes you think you are good to go if you have a low score and the doctors dont tell you that may not be the case
@SpiritQD
@SpiritQD 5 месяцев назад
I thought that a CAC score as a [reliable] indicator for heart disease was disproven.
@SimpleHormones
@SimpleHormones 5 месяцев назад
CAC is a tool that’s used to paint a picture of heart risk. As I explain in the video, it’s definitely not the final word but it is a very useful, inexpensive, and non-invasive way to see what’s happening in the heart.
@marwaelsayed9451
@marwaelsayed9451 6 месяцев назад
How can I make appointment with you for some recommendations? Please
@georgeyoung5720
@georgeyoung5720 8 дней назад
Eating a low carbohydrate diet is not good if you mean eating fewer COMPLEX carbohydrates. Eliminate, to the extent possible, all SIMPLE carbohydrates. Consume COMPLEX carbohydrates (these usually contain a lot of fiber).
@irock4u222
@irock4u222 11 дней назад
my cac was 95 all in the widow maker 2 yrs ago
@SimpleHormones
@SimpleHormones День назад
@irock4u222 Definitely good to know so you can take action.
@heartofthesouth1
@heartofthesouth1 2 месяца назад
Can you touch on the benefit of Pantethine? I'm on my third month of taking 900mg a day divided into two doses. LDL went frrom 186 to 137. Had my first APOb test: 107. Not on statins, trying to eat healthy; minimal carbs and no fried foods.
@mjrep7562
@mjrep7562 Месяц назад
Ldl is not bad. That was just another lie by the medical/pharma systems. There is actually a negative relationship between ldl and mortality.
@lawrencewong5924
@lawrencewong5924 5 месяцев назад
Great video. I have been wanting to do this test. Do you need a doctor referral to get the test? And is that $89 with or without insurance? Thanks.
@SimpleHormones
@SimpleHormones 4 месяца назад
I just made an appointment at the radiology department of my local hospital. Insurance won’t cover CAC in most cases. I did not need a doctor’s referral.
@mjrep7562
@mjrep7562 Месяц назад
​@@SimpleHormonesmedicare covers it.
@Rose-hw3dm
@Rose-hw3dm 6 месяцев назад
What is the root cause of calcium calcification Steve? Imbalance of Magnesium to Calcium in the blood? Morley Robbins from the Root Cause Protocol would be able to comment
@836dmar
@836dmar 3 месяца назад
The root cause is damage that is already done. No simple answers - No magic “Dr Pinkus” supplements. CAC is not a “monitoring” biometric you can manipulate like overall cholesterol, HDL, LDL, etc. Hopefully it is used it to inspire you to change lifestyle. Unfortunately, it is often fuel for the ordering of statins which might change your lipid profile but will not reduce your CAC score and, according to many long term studies, statistically, might not reduce all cause mortality.
@cookingwithcuyandotherfuns6238
@cookingwithcuyandotherfuns6238 2 месяца назад
Believe it or not it's excessive glucose in your body.
@836dmar
@836dmar 2 месяца назад
@@cookingwithcuyandotherfuns6238 try to find anything without sugar added any more. It’s out of control! Yet my MD doesn’t seem to care about anything but my LDLs
@JJ-yh9kf
@JJ-yh9kf 2 месяца назад
What about getting a CT angiogram,after getting a high CT calcium scan?
@cookingwithcuyandotherfuns6238
@cookingwithcuyandotherfuns6238 2 месяца назад
See my comment---exactly what happened to me.
@raoulberret3024
@raoulberret3024 6 месяцев назад
$89 for an MRI scan? Thank you for the information…
@kathystclair9485
@kathystclair9485 6 месяцев назад
The last time I had done was in a facility in Columbus ,OH. The cost was only 100. Well worth it to have Pease of mind!
@raoulberret3024
@raoulberret3024 6 месяцев назад
@@kathystclair9485 One can safely assume that most of the cost of the procedure was covered by your Insurance… I was wondering how costly would it be for those not insured.
@cocoavideos
@cocoavideos 5 месяцев назад
It is a CT scan and yes the cash price is typically around $100. Most insurances do not cover it but some do (mine did).
@lynniebabes5697
@lynniebabes5697 11 дней назад
I paid $69. That includes the interpretation/score. Insurance BCBS/Anthem didn't cover it. I live in N.IN
@Staygoldponyboy44
@Staygoldponyboy44 27 дней назад
Thank you for your videos! Would I just call my local radiology department and ask for a CAC test? Will I need a doc order? Also, does a CIMT test show the same. Thank you! 🙏🏼
@Spurgeon687
@Spurgeon687 2 месяца назад
That’s a CT machine that shoots radiation into your body. Not something you want to do regulary.
@cookingwithcuyandotherfuns6238
@cookingwithcuyandotherfuns6238 2 месяца назад
It's less radiation than you get from the sun in any given year.
@Spurgeon687
@Spurgeon687 2 месяца назад
@@cookingwithcuyandotherfuns6238 A CIMT Ultrasound is zero radiation and measures current soft plaque. The CAC just shows Calcium that accumulated and is hardened from the past could be 20 years old. What advantage do you think the CAC over the CIMT Ultrasound
@reginamay2767
@reginamay2767 Месяц назад
I just had a Heart test for calcium my score is 22.
@SimpleHormones
@SimpleHormones Месяц назад
@reginamay2767 That's good news. Zero would be better but 22 is still relatively low. All of us will, eventually, develop calcified plaque in our heart. The key is to keep that process as slow as possible. As I mention in the video CAC is just one way to evaluate heart risk and it's clearly not foolproof. But a good piece of information nonetheless. Thanks for watching! Here's another video that explains the Danish Study - 40% reduction in heart risk with HRT. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-GqGbWyNZU58.html
@Walter37165
@Walter37165 Месяц назад
All my arteries were zero but the "widow maker" one. 26.
@Utbmingo2018
@Utbmingo2018 5 месяцев назад
Is it the ego or personal experience that makes a person disparage pharmaceuticals out-of-hand? Something worth meditating on..If one is okay with the latest lab test biomarkers, why isn't it okay to trust the science when it comes to the diverse range of statin medications, not as the answer, but part of the toolkit needed for optimal CVD risk lowering?
@SimpleHormones
@SimpleHormones 5 месяцев назад
@Utbmingo2018 That’s an interesting perspective. I’ll try not to take personal offense. I prefer to think my personal experience informs my reactions to pharmaceuticals, rather than my ego. I’ve been a licensed, practicing pharmacist for over 3 decades. I worked for Big Pharma as an intern before my last year of pharmacy school. I recognize that statins have their place in reducing CVD risk. But they also have documented risks for increasing insulin resistance and type 2 diabetes. Trusting science is fine. But there can be a very blurred line between trusting science and blindly believing there’s a magic pill for every ill. In my 30+ years as a pharmacist, I’ve become much less enamored with the science promoted by Big Pharma. In today’s age of readily available information, we all have the opportunity to do our own research and reach our own conclusions. I’m encouraging patients to take charge of their healthcare in cooperation with a trusted healthcare practitioner.
@MaryBethMcCoy
@MaryBethMcCoy 3 месяца назад
@@SimpleHormones I am in complete agreement with you! As for statins, the risks far outweigh the benefits in most cases, and, the absolute risk reduction that they actually provide is insignificant. Why take them when you can accomplish better results without the horrible side effects, by simply modifying your diet?
@howardstewart2549
@howardstewart2549 24 дня назад
The cholesterol theory of causing heart disease or stroke is a fraud. This has been known since at least the early 1990s, by the public, when published info by a Dr. Curt Donsbach, exposed how the Framingham studies & other studies were corrupted to hide results that showed saturated fat & both dietary cholesterol & serum cholesterol are not the cause of arterial plaque, but only damaged or anaerobic LDL cholesterol, when coming into contact with calcium in the artery(cholesterol is the last substance to form plaque in the artery when it adheres to calcium & mixes with the other fatty pus-like substances that incudes enzymes & hormones)
@howardstewart2549
@howardstewart2549 24 дня назад
This is a continuation: The damaged cholesterol that is deposited to aid in forming soft plaque, is really the result of inflammation, which is a chronic immune response. Inflammation can result from a number of causes, but genetic predisposition by itself is rarely a cause. Insulin resistance due to poor lifestyle habits, mainly a regular SAD, consisting of processed foods & too much carbs. Hyperglycemia is really metabolic syndrome(leaky gut) that causes damage to beta cells in the pancreas, that is responsible for dysfunctional insulin production & insulin-resistant receptor cells, that cause high blood sugar( hyperglycemia & fatty liver can result over time. This is a vicious cycle of inflammation that leads to any number of serious chronic conditions, & even sudden death from heart attack or stroke, if the poor habit(s) are not discontinued. Eventually, tissue & organ & blood vessel damage becomes irreversible, if there is no intervention.:
@user-dq3eb4yp9s
@user-dq3eb4yp9s Месяц назад
BS
@SimpleHormones
@SimpleHormones Месяц назад
@user-dq3eb4yp9s Thanks for your valuable, thoughtful, and generous input. Have a wonderful day!
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