My LDL has been relatively high for years creeping from 130-160 over the past 10 years. My natural HDL is 70-80 and when on TRT it's in the 50-60 level. My LDL basically stays flat on TRT or not. My triglycerides are always always always super low at 50 level. My ApoB recently came back at 119 which is high. I had a Lip(a) test done once and it was quite low at 8 which means I don't have this bad genetic marker.
Every year my PCP was never worried. Said I'm totally fine. This was literally happening for a decade. Then I did a consult with a bodybuilding doctor and he freaked the F out at my ApoB number and basically said I need to assume a diet of near zero saturated fat and get this number down ASAP.
This spooked me so I went to the cardiologist and told her my concerns. She dismissed the "bodybuilding doc" and said my numbers aren't really in the range to be treated but she ordered a calcium score and it would be zero she was certain. Well it came back near 200 and she started me on 10mg of Lipitor and said my LDL needs to be under 100 with this CAC risk.
I abused anabolics for 3 years about 15 years ago (best guess probably averaged 500mg weekly total androgen load for 3 years straight) then went on HRT 5 years ago. I also smoked half a pack a day for 7 years (she said that was basically nothing and wasn't a big contribution).
I'm just wondering if this sounds like any of you here bc I don't know how to continue other than listening to her. She said TRT most likely isn't contributing to my ASCVD based on the most current research but I can help but think running my free T at 30-35 for 5 years is somehow helping.
One forum guy say you'd be nuts to take statins, another guy says you would be nuts not to. I literally don't know what to believe but I'm considering just going back to low T as my best guess is my AAS use 15 years ago is the main cause (I could be wrong sure but that's what my heart of hearts tells me).
I've been fit my whole life. I resistance train 4+ days per week with multiple bouts of cardio for 25+ years straight. I do drink daily 3-4 drinks per day as measured (I can't find any real evidence that alcohol consumption causes ASCVD outside of one study done 20+ years ago.)
Just curious if any of you have a similar story. I just keep thinking I did all of this damage 15 years ago and it isn't progressing and I shouldn't start treating it but maybe I'm wrong.
Every year my PCP was never worried. Said I'm totally fine. This was literally happening for a decade. Then I did a consult with a bodybuilding doctor and he freaked the F out at my ApoB number and basically said I need to assume a diet of near zero saturated fat and get this number down ASAP.
This spooked me so I went to the cardiologist and told her my concerns. She dismissed the "bodybuilding doc" and said my numbers aren't really in the range to be treated but she ordered a calcium score and it would be zero she was certain. Well it came back near 200 and she started me on 10mg of Lipitor and said my LDL needs to be under 100 with this CAC risk.
I abused anabolics for 3 years about 15 years ago (best guess probably averaged 500mg weekly total androgen load for 3 years straight) then went on HRT 5 years ago. I also smoked half a pack a day for 7 years (she said that was basically nothing and wasn't a big contribution).
I'm just wondering if this sounds like any of you here bc I don't know how to continue other than listening to her. She said TRT most likely isn't contributing to my ASCVD based on the most current research but I can help but think running my free T at 30-35 for 5 years is somehow helping.
One forum guy say you'd be nuts to take statins, another guy says you would be nuts not to. I literally don't know what to believe but I'm considering just going back to low T as my best guess is my AAS use 15 years ago is the main cause (I could be wrong sure but that's what my heart of hearts tells me).
I've been fit my whole life. I resistance train 4+ days per week with multiple bouts of cardio for 25+ years straight. I do drink daily 3-4 drinks per day as measured (I can't find any real evidence that alcohol consumption causes ASCVD outside of one study done 20+ years ago.)
Just curious if any of you have a similar story. I just keep thinking I did all of this damage 15 years ago and it isn't progressing and I shouldn't start treating it but maybe I'm wrong.
