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dr roth ⓀⒸ Profile picture
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9 Feb, 6 tweets, 2 min read
Looking forward to f/u carotid doppler at the cardio this morning. New doc mentioned a bruit, but not that most of them are "innocent" in non-symptomatic folks. It's like they see my LDL-C and start trashing the place looking for pathology, tossing chairs and tipping tables.
We'll check your CAC, ZERO, damn

HOMA-IR low, damn

LP-IR score great, dammit

hs-CRP low, damn

Fasting insulin low, dammit

HbA1c, low, damn

Weight down 9 lbs
Well, CAC doesn't show soft plaque!

Well there are other inflammation markers besides CRP!

You should do the "Mediterranean" diet (whatever that is) b/c you eat too much SAT FAT (Come on with the study Dave!).

I need the BP down, so I can get off the meds and away from this!
No blockages in the main carotids, but there is a 20% in one ECA (external carotid artery) which supplies blood to the face and neck. Zero stroke risk. But I should petition insurance company for prior auth for Repatha b/c TC is so high, and I should take low-dose ASA b/c TC …
is so high, and I have HeFH b/c TC is so high (and my mom's is high and she's turning 95 this spring, and she's family), and I shouldn't eat so much saturated fat b/c TC is so high, and the office doesn't have insulin level in their lab request menu, b/c TC and LDL-C are the …
ONLY things that matter!

I really want to get off the BP meds.

If I could find a cardio who wasn't schooled by bigPharma, I would see them instead.

Is the ECA blockage new or you just didn't see it before? ¯\_(ツ)_/¯

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More from @mrc314

dr roth ⓀⒸ Profile picture
11 Feb
#UnEssentialHypertension

Having been placed on a SECOND blood pressure lowering drug a month ago, and reporting to the cardio some lightheadedness when I get up, and rather than discussing a dose or drug change being told to "stand up more slowly" has me working hard on 1/n
lowering BP and getting completely off the drugs.

First things first, I checked my median BP off drugs at two different weights, and sure enough, the more I weigh, the higher the home BP. At 186lbs, median BP is 144/88, max was 165/98. 2/n
Peaks (especially in the doctors office were labeled hypertensive crisis). At 162lbs, median BP is 124/79, max was 138/86. The question remains how high BP goes in the office (or at Red Cross) when I weigh less. 3/n
Read 9 tweets
dr roth ⓀⒸ Profile picture
8 Feb
You know the #fakefood #fakemeat guy who wants to "put animal farmers out of business?"

Well, I'm with the animal farmers and other sane folks who can't wait for his effort to crash and burn. Bankruptcy would be OK too.

Say NO! to Beyond Impossible FakeFoods!
coveringcompanies.journalism.cuny.edu/2020/11/10/bey…
themeshreport.com/2021/01/beyond…
Read 7 tweets
dr roth ⓀⒸ Profile picture
1 Jan
#LabResults for cardio (a new guy) follow up.

A little disappointed with the results. I have been in active weight loss for ~20 weeks, but I ate normally (LCHF) three days prior to the blood draw. Fasted 12 hours, just black coffee (which hasn't been an issue prior). 1/6
TRIG: 76
HDL: 52
TRIG:HDL 1.46

That is the lowest HDL for the last four years, and this is as I've religiously walked natural surface trails every morning and started weight training just over a month ago. I expected higher HDL at the least. 2/6
#LabResults

CRP 1.8, also the highest in 7 years, since pre-LCHF diet. I did NOT weight train the day before the blood draw, so it had been about 44 hours.

Better news, HbA1c 5.2 (lower than last time, tied for all time lowest). Insulin: 5.0 (tied for lowest ever). 3/6
Read 6 tweets
dr roth ⓀⒸ Profile picture
28 Dec 20
"VIN" = Vehicle Identification Number

"VIN Number" = Vehicle Identification Number Number 🤢

#NailsOnAChalkboard
"ER" = Emergency Room (AKA ED, AKA A&E)

"ER Room" = Emergency Room Room 🤢

#NailsOnAChalkboard
"Water Heater" = Device to raise the temperature of water

"Hot Water Heater" = Device to raise the temperature of already hot water? 🤢

#NailsOnAChalkboard
Read 4 tweets
dr roth ⓀⒸ Profile picture
18 Sep 20
A pinned tweet to collect the best of my TL, such as it is.

Hope this helps.
Read 32 tweets
dr roth ⓀⒸ Profile picture
13 Sep 20
I want to lose that final 25 pounds because 1) I want to look better and eliminate a MetS factor (waistline), and 2) HBP.

Maybe if I share publicly, I'll be less likely to bail out and fail to reach my target weight. First some background, then the plan.

A THREAD
Well, I'm quite fat-adapted now which is a big advantage compared to every other time I calorie-restricted using a low fat diet (which started in junior high!) to lose weight.

After 6 years of LC/ZC I have found I can't eat until I'm full, no matter what fat:protein ratio I
use, or in what order I eat the fat and protein. I don't "count calories," but I do have to portion control or I'll eat too much. I'll always want to eat more. I think I'm still hung over from years of being so hungry while dieting on low-fat (and even when I'm not)
Read 17 tweets

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