Anyone get a high CAC score and go for significant lifestyle changes

Ditch the diet soda immediately. Ditch all sodas. If you can't live without them - try a week or two on Seltzer. I realized the the actual addictive part of all sodas to me was the carbonized tingling part. If you need it sweet and have an Ikea in your neck of the woods - get syrup concentrate and mix it. Like this one:

View attachment 310448

It comes in other flavors too.
This thing is concentrate. You need less than 1oz at the bottom of a glass, pour cold seltzer on top. It's still sugar, still not good for you, but skips on many of the really nasty things you get in usual sodas.

If you have a trader Joe's get through one bottle of this, monthly:

View attachment 310449

That one is not for kids. No sugar whatsoever. Crazy sour.

And, force yourself to go through this book. Probably the best laid out work on the difference between calories and nutrients, the effects of different vegetable vs animal fods.

Eat to live, by Joel Fuhrman:

View attachment 310450

There are several editions, and frankly you can go with any of them. They are available on Ebay used for five bucks.
The cover is all about fancy-shmantzy weight loss and whatnot, but I suspect that it was chosen to attract attention, because if it was named "How to learn to reconcilliate your body with fruits and vegetables" it wouldn't sell at all.

It is not about making anyone a vegetarian, it is not against meat, it simply explains - quite well - how our taste buds are constantly conditioned by the processed foods we are exposed to, what it does to our bodies, and how to get through it. It's an amazing book.
This is from a cynic who scoffs at anything that says "natural" and could live off Doritos for months.
Not enough Rolaids in stock - will take time 👀
 
Got a blood test coming up Thursday.

I have some debate with my MD

I think we can agree, genetics rides very high in the overall scheme of longevity, but laying about eating crap foods, smoking, will start chopping long life into that hugely.

As far as controllable things:

EXERCISE

AND

DIET


If you are not doing these things, kiss your ass goodbye.
Cardio for heart and brain health.

Weight lifting so you can wipe after 80

Diet is just caloric restriction.

Many people think you have to exercise to lose weight, that is just a small byproduct unless you exercise like mad.

For instance, a 5 minute romp in bed with the lady burns 7 calories. That’s like 1 French fry.🍟
 
Cardio for heart and brain health.

Weight lifting so you can wipe after 80

Diet is just caloric restriction.

Many people think you have to exercise to lose weight, that is just a small byproduct unless you exercise like mad.

For instance, a 5 minute romp in bed with the lady burns 7 calories. That’s like 1 French fry.🍟
By diet I mean not eating junk

Diet is more than calories diet is what you eat and it does matter

Not really calorie restriction
 
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Cardio for heart and brain health.

Weight lifting so you can wipe after 80

Diet is just caloric restriction.

Many people think you have to exercise to lose weight, that is just a small byproduct unless you exercise like mad.

For instance, a 5 minute romp in bed with the lady burns 7 calories. That’s like 1 French fry.🍟
I'll never think of a Happy Meal the same way again
 
Cardio for heart and brain health.

Weight lifting so you can wipe after 80

Diet is just caloric restriction.

Many people think you have to exercise to lose weight, that is just a small byproduct unless you exercise like mad.

For instance, a 5 minute romp in bed with the lady burns 7 calories. That’s like 1 French fry.🍟
While you need to exercise if you don't cut back on food intake you will never loose weight.
 
According to the December issue of the Cleveland Clinic's December 2025 Heart Advisor issue.
A high CAC (Coronary CT Calcium Scoring) means you have "Atherosclerosis" Plaque and that takes "a long time to calcify", it grows slowly, "so their presence suggests an individual has had CAD for a long time."

Anyway it is a very interesting article Im always interested in learning about this stuff because this is a part of me too. AS I have CAD.
According to what I am reading, it is this old hard calcified plaque that is the danger. The test does not pick up the soft plaque still forming.

It suggests anyone diagnosed with CAD should already be on a statin and the test is pointless in that case.
Of course talk with your doctor. There is a whole paragraph on who should skip the test. Those already on a statin, those experiencing symptoms of CAD or heart attack, those who already have been diagnosed, and those taking a high intensity statin.

Pretty much the test is valuable for healthy people who have never been diagnosed with CAD and have no symptoms. Because if they find calcified deposits they will most likely start statin therapy.

This is all on Page 3 of the Dec 2025 Heart Advisor issue from the Cleveland clinic. Which also suggests to talk to your physician about this subject. What I posted is my interpretation of what I am reading.
 
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Statins often increase CAC progression (by densifying plaques, making them more calcified but less rupture-prone). Despite claims, multiple RCTs and meta-analyses confirm no reversal—CAC typically rises more on statins.

There is a line of reasoning among youtube doctors that K2 and Aspirin along with nitric oxide producing products can slow progression or even reduce.

Data point of one: I had a CAC of 0 a few years back, despite my severe health issues. Cardiologist was ultra surprised as he kept telling me I was going to have a heart attack. But nuclear stress tests showed no perfusion issues, and when I'm able, spirited bicycle rides are still possible. I can't take statins due to muscle issues. I've been using Amino Energy to combat extreme fatigue (dilates blood vessels too) and nightly aspirin. Who knows if that has helped my heart?
 
According to the December issue of the Cleveland Clinic's December 2025 Heart Advisor issue.
A high CAC (Coronary CT Calcium Scoring) means you have "Atherosclerosis" Plaque and that takes "a long time to calcify", it grows slowly, "so their presence suggests an individual has had CAD for a long time."

Anyway it is a very interesting article Im always interested in learning about this stuff because this is a part of me too. AS I have CAD.
According to what I am reading, it is this old hard calcified plaque that is the danger. The test does not pick up the soft plaque still forming.

It suggests anyone diagnosed with CAD should already be on a statin and the test is pointless in that case.
Of course talk with your doctor. There is a whole paragraph on who should skip the test. Those already on a statin, those experiencing symptoms of CAD or heart attack, those who already have been diagnosed, and those taking a high intensity statin.

Pretty much the test is valuable for healthy people who have never been diagnosed with CAD and have no symptoms. Because if they find calcified deposits they will most likely start statin therapy.

This is all on Page 3 of the Dec 2025 Heart Advisor issue from the Cleveland clinic. Which also suggests to talk to your physician about this subject. What I posted is my interpretation of what I am reading.
Statins do calcify soft plaques. This is purported to be one of their benefits as soft plaque is considered unstable. It’s debatable whether or not the use of statins eliminates the need for a CAC. Having a baseline can be good information. Tracking the degree of calcification over time can valuable as well, even with results potentially being skewed by statins. Those who significantly lower their markers in an aggressive manner may be able to debulk soft plaques before more significant calcification. The latter is very controversial, but there’s evidence for it.
Statins often increase CAC progression (by densifying plaques, making them more calcified but less rupture-prone). Despite claims, multiple RCTs and meta-analyses confirm no reversal—CAC typically rises more on statins.

There is a line of reasoning among youtube doctors that K2 and Aspirin along with nitric oxide producing products can slow progression or even reduce.

Data point of one: I had a CAC of 0 a few years back, despite my severe health issues. Cardiologist was ultra surprised as he kept telling me I was going to have a heart attack. But nuclear stress tests showed no perfusion issues, and when I'm able, spirited bicycle rides are still possible. I can't take statins due to muscle issues. I've been using Amino Energy to combat extreme fatigue (dilates blood vessels too) and nightly aspirin. Who knows if that has helped my heart?
Repatha (evolocumab) is pretty amazing if you’re intolerant to statins. I had myalgia as well when they first started me on atrovastatin. I am still able to tolerate rosuvastatin every fifth night. Less-than-daily use of just 5mg of rosuvastatin can have a dramatic effect on ApoB. I combine both of these with 5mg of ezetimibe daily.
 
Statins do calcify soft plaques. This is purported to be one of their benefits as soft plaque is considered unstable. It’s debatable whether or not the use of statins eliminates the need for a CAC. Having a baseline can be good information. Tracking the degree of calcification over time can valuable as well, even with results potentially being skewed by statins. Those who significantly lower their markers in an aggressive manner may be able to debulk soft plaques before more significant calcification. The latter is very controversial, but there’s evidence for it.
From what I read in the source I provided by the Cleveland Heart Clinic. First to be clear we are on the same page. CAC does not show soft plaque.
So it should be automatic that if calcium shows up in a CAC you already have soft plaque and a statin is needed.

The extent of blockages is not going to show up on a CAC, either stress test, some kind of symptoms or angiogram can. I can understand how you think CAC can be helpful I am just repeating what I am reading from Cleveland. But debatable is a proper word I think.

I never had a CAC scan but I was one of the fortunate ones who got a stress test and Angiogram.
I also get to see the calcium on pet scans for other reasons and CT lung scans for other reasons. (they always throw in the comment. Light to moderate calcification which I recently found out on a PSMA Pet Scan I have it pretty much in other places too. Family history sucks. Hi- Lipo A in a person with very LOW blood LDL and all the others and a proper ratio of HDL

I would think if the CAC scan was any more important than that, insurance would be forced to pay for them. Yet they pay for the much greater cost of the above. BY the way, I am not disagreeing with you. That having a baseline would be neat. I love all kinds of instrumentation to show me what is going on. Heck I can even tell you the CO2 level at the desk I am typing on is 801. :)
 
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Yes started low dose Rosuvostatin (sp?). Was a bit high before, but not off the scale. Wow, it does work.


The usual and only thing out of whack is my A1C.
Very cool. My wife is on Rosuvastatin (Crestor) because I was taking it. She mentioned to the Dr that I had an issue with Atorvastatin (Lipitor) and was on Rosuvastatin. Interestingly my wife is Asian.

It might be interesting to know (Crestor) Rosuvastatin was developed in Japan with a focus on the Asian population found to be more effective in lowering Cholesterol. Where the Lipitor wasnt in that population. After that a European company licensed the rights to market it. AstraZeneca.

I havent studied the subject but my understanding on my limited reading.
 
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