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63 Male - htn, wegners, obese, OSA

regimen

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#31 message

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Posted 09 November 2014 - 04:31 AM

I wrote that if THAT PERSON DESCRIBED WAS ME and my own health situation I would opt do just that. But that's just me!

I don't take metformine as my A1c is great as approved just two days ago and I took simvastatin before without problems, now controlling my cholesterol with niacin and diet. 

 

Even if your father and his gp decided to put him on said drugs for obvios reasons I couldn't comment much on the doses suggested, although generally speaking both seem to be not completely unreasonable.

 

thanks for the input.  i will reach out to the gp and see what he thinks.



#32 message

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Posted 09 November 2014 - 04:33 AM

 

Never smoked.

 

BP is excellent with the atacand 32 mg.

 

The testosterone level is a bit low - thoughts on supplementing test?

 

A1c borderline....

 

 

Most doctors would consider an A1c of 5.2 to be fine.   Anti-aging enthusiasts would like to see it in the 4's, but I haven't managed to pull off that trick just yet...   I don't think I'd mess with T if he's not having problems.  With his lipid numbers, I'd skip the statins.  If you want to get a better picture of what's going on lipid-wise, you could get a VAP analysis from Atherotech, or a similar one from Berkeley.  I think everyone should do that, at least once.  They aren't particularly expensive.    It would be good to know his ApoE genotype.  The cheapest way to get that is through a 23andMe genome scan.   That gets you a lot of other data at the same time.  I like to know ApoE because it's actionable-- your genotype tells you which diet and medication strategies will help or harm you.

 

 

 

niner thanks for your reply.  are you implying that you have not been able to achieve your level to 4 as of yet?  Do you recommend metformin as well as Dolph suggests?

 

I will look into the other tests and perhaps have both my parents undergo them as suggested.

 

What benefit does finding the ApoE really provide?  Just curious. 



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#33 message

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Posted 09 November 2014 - 06:33 AM

Would your father be willing to go the vegetarian or pescararian route for a bit? Combine that with regular walking, maybe some light yoga, and try a meditation practice? Learning how to breathe more deeply and consciously really isn't as woo as many think. Proper breathing -- even using a device like the Resperate -- has some outside the box medical use. My dad is about the same age as yours, and thinks the Resperate (expensive but worth it) has really helped him maintain a closer awareness of his overall health, fwiw.

 

He tries to eat as much fish and veg as possible.  It would be hard to turn him into a full fledged fish or veg guy.

 

I will look into resperate and see if he is interested in using it. 


 

Never smoked.

 

BP is excellent with the atacand 32 mg.

 

The testosterone level is a bit low - thoughts on supplementing test?

 

A1c borderline....

 

You could try tribulus. 1 g/day increases my testosterone 160 points from 400 to 560.
 

 

 

Good idea.  I will get order that for him along with the ALCAR.



#34 Dolph

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Posted 09 November 2014 - 08:52 AM

 

 

Never smoked.

 

BP is excellent with the atacand 32 mg.

 

The testosterone level is a bit low - thoughts on supplementing test?

 

A1c borderline....

 

 

Most doctors would consider an A1c of 5.2 to be fine.   Anti-aging enthusiasts would like to see it in the 4's, but I haven't managed to pull off that trick just yet...   I don't think I'd mess with T if he's not having problems.  With his lipid numbers, I'd skip the statins.  If you want to get a better picture of what's going on lipid-wise, you could get a VAP analysis from Atherotech, or a similar one from Berkeley.  I think everyone should do that, at least once.  They aren't particularly expensive.    It would be good to know his ApoE genotype.  The cheapest way to get that is through a 23andMe genome scan.   That gets you a lot of other data at the same time.  I like to know ApoE because it's actionable-- your genotype tells you which diet and medication strategies will help or harm you.

 

 

 

niner thanks for your reply.  are you implying that you have not been able to achieve your level to 4 as of yet?  Do you recommend metformin as well as Dolph suggests?

 

 

 

I "suggested" metformin under the impressione that A1c was borderline as you had claimed. As it is clearly NOT borderline at 5.2 I wouldn't recommend it. This thread gets somewhat "funny" with time... 

And by the way, no, tribulus doesn't raise testosterone.


Edited by Dolph, 09 November 2014 - 08:53 AM.

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#35 message

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Posted 09 November 2014 - 02:56 PM

Dolph I thought 5.2 was borderline!!!

Just googled and it shows 6.5 as the cutoff by the ADA. For some reason I thought it was 5.5.


Any supplement besides test to raise test dolph?

He also supplants with calcium tablets daily because in the past his t score has indicated osteopenia. Is calcium administration okay or can it lead to adverse effects such as kidney stones, etc? He has used Jarrow Bone Up supplement tablets in the past, but he now just takes some other calcium only.

#36 message

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Posted 24 November 2014 - 12:14 AM

I looked at the ApoE genotype and it shows this on the 23 and me webpage: https://www.23andme.com/health/

 

Does this mean they don't do the test anymore?

 

I also looked at Atherotech, but am not sure how to go about getting the VAP test done....

 

 

BTW, I got him on ALCAR from Doctor's Best - he takes 500mg 2tabs QD.

 

I also have him exercising a bit more on the weekend.

 

Any other supplements that are recommended for someone his age?  Just looking for stuff for overall health benefit. 


Edited by message, 24 November 2014 - 12:16 AM.


#37 niner

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Posted 25 November 2014 - 01:44 AM

 

Most doctors would consider an A1c of 5.2 to be fine.   Anti-aging enthusiasts would like to see it in the 4's, but I haven't managed to pull off that trick just yet...   I don't think I'd mess with T if he's not having problems.  With his lipid numbers, I'd skip the statins.  If you want to get a better picture of what's going on lipid-wise, you could get a VAP analysis from Atherotech, or a similar one from Berkeley.  I think everyone should do that, at least once.  They aren't particularly expensive.    It would be good to know his ApoE genotype.  The cheapest way to get that is through a 23andMe genome scan.   That gets you a lot of other data at the same time.  I like to know ApoE because it's actionable-- your genotype tells you which diet and medication strategies will help or harm you.

 

 

niner thanks for your reply.  are you implying that you have not been able to achieve your level to 4 as of yet?  Do you recommend metformin as well as Dolph suggests?

 

I will look into the other tests and perhaps have both my parents undergo them as suggested.

 

What benefit does finding the ApoE really provide?  Just curious. 

 

Yeah, I wish I could get it into the 4's... I wouldn't give him metformin, unless he's into it for the life extension angle, but I wouldn't push it on him.  I don't use it, although it's crossed my mind.  I like knowing about ApoE genotype because it tells you what diet, supplements, and drugs will work for you, and it lets you know how much effort you should put into cardiovascular health.  If you are ApoE 4, you should know it so you can steer yourself away from the Alzheimer's or CVD that you'll probably get if you ignore it. 

 

I looked at the ApoE genotype and it shows this on the 23 and me webpage: https://www.23andme.com/health/

 

Does this mean they don't do the test anymore?

 

I also looked at Atherotech, but am not sure how to go about getting the VAP test done....

 

 

BTW, I got him on ALCAR from Doctor's Best - he takes 500mg 2tabs QD.

 

I also have him exercising a bit more on the weekend.

 

Any other supplements that are recommended for someone his age?  Just looking for stuff for overall health benefit. 

 

 

23andMe still does the same SNP scan that they always have, but now they don't tell you what it means.  Instead you have to download your data and upload it into Promethease, which is on a different site.  You can also just tell Promethease to go get the data from 23andMe, if you don't mind letting them know your account info (identity).  You can also look up the values of individual SNPs using 23andMe's tools.  The way I get my VAP tests is just ask my doctor.  My health system has a labwork form with all the typical stuff on it, and some blank spaces for more unusual tests.  VAP is sufficiently unusual that he has to write it in, but then I just go get a blood draw at the usual place.

 

Alcar and exercise are great.  You mentioned that he's osteopenic, though.  Calcium probably won't hurt, but I would get him on Actonel, which is a prescription drug.  I've used it myself; it's very well tolerated and has a significant life-extending effect beyond what you get from not getting a fracture or bone break.    A vertebral fracture or broken hip would really mess up his life, possibly even end it.   There is some ignorant chatter on the Internet that makes it sound scary; it's not.   Instead of calcium or BoneUp, you could look at Swanson's Boneology.  It's a pretty good value and is better than just calcium.  I used to use BoneUp, but dropped it because I don't want to take supplemental copper.



#38 message

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Posted 25 November 2014 - 02:25 PM

niner thank you for that info!!

 

I will go ahead and proceed with the 23andME/Promethease - will get it for both my parents.

 

VAP will be done next time he has bloodwork.

 

Will switch him over from bone up/calcium to that Swanson Boneology you mentioned.

 

 

Regarding osteopenia:

 

Can you comment a bit more on the Actonel?  You had posted that you cycled on/off.  How long is a typical cycle and what doses were you taking? Did you base your cycling on DEXA scans? What are these other effects you mention besides the bone benefit from Actonel? 



#39 message

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Posted 02 January 2015 - 05:51 PM

Is the VAP test same as the  NMR LipoProfile®?

 

Not sure where to get VAP from in the area where we live. 



#40 message

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Posted 12 February 2015 - 04:00 PM

Update - ran a battery pf blood tests.

 

All came back pretty normal except the following:

 

FSH 26  (nl 1.6-8.0)

 

homocysteine 12.3 (nl <11.4)  - his b12 is 700 and folate is >24, which are both normal.

 

vit d - 33 - on the lower end

 

total chol - 204

 

dihydrotest - 9 (nl 16-79)

 

total test 184 (nl 250-1100)

 

coq10 - 1.86 (0.44-1.64)

 

 

Any comments on how to combat the high homocysteine? Or any of these other values? 

 



#41 zen

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Posted 14 February 2015 - 09:20 PM

Dolph I thought 5.2 was borderline!!!

Just googled and it shows 6.5 as the cutoff by the ADA. For some reason I thought it was 5.5.


Any supplement besides test to raise test dolph?

He also supplants with calcium tablets daily because in the past his t score has indicated osteopenia. Is calcium administration okay or can it lead to adverse effects such as kidney stones, etc? He has used Jarrow Bone Up supplement tablets in the past, but he now just takes some other calcium only.

 

Take a look on LEF's Super MiraForte with Standarized Lingans
The other thing I would consider is NanobacTX for about 9 months assuming he can afford it.
Finally, physical activity is a must, he should start slowly and keep increasing his activity until he is no longer overweight.

Just my 2 cents.



#42 message

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Posted 17 February 2015 - 11:01 PM

 

Dolph I thought 5.2 was borderline!!!

Just googled and it shows 6.5 as the cutoff by the ADA. For some reason I thought it was 5.5.


Any supplement besides test to raise test dolph?

He also supplants with calcium tablets daily because in the past his t score has indicated osteopenia. Is calcium administration okay or can it lead to adverse effects such as kidney stones, etc? He has used Jarrow Bone Up supplement tablets in the past, but he now just takes some other calcium only.

 

Take a look on LEF's Super MiraForte with Standarized Lingans
The other thing I would consider is NanobacTX for about 9 months assuming he can afford it.
Finally, physical activity is a must, he should start slowly and keep increasing his activity until he is no longer overweight.

Just my 2 cents.

 

 

 

Have you had any success with the Miraforte for the test?

Nanonbactx is too expensive.

 

Will try to enroll him in PT or swimming classes.

 

Any ideas on how to lower the homocysteine?

 

Also, I noticed his last A1c was 0.2 higher than his previous (5.2 -> 5.4)

 



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#43 message

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Posted 04 January 2016 - 03:11 AM

Wanted to provide an update.

 

I was able to convince Dad to drop some weight with diet and minimal exercise.  He went from 218 to 196lbs and is hanging relatively stable at that.  I have seen his diet change and he is eating less carbs while focusing more on the proteins. 

 

Still awaiting 23andme test.  Supps include a daily MVI, psyllium husk, black seed oil and fish oil.

 

Dad is now looking at things from an extension/preservation angle.  He is open to suggestions in terms of supps.

 

He will be 63 in a few months.

 

I also got him drinking green tea 2-3 cups daily.  Any suggestions on what to start that will have the most bang for the buck in terms of overall health/longevity? 







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