My midlife health assessment

This brings back memories of James Corea PHD and of radio fame (WWDB talk station)

I saw him for a knee injury in the early 80s and went to his GNC events. Was a regular on his radio show call in like many..
He like me tried to beat heredity but succumbed to it... A legend in the NE....

Best of luck... congratulations as well.
 
PWMDMD said:
The day before my 48th birthday in October, I will be the age my father was when he passed away from a combination of a really terrible lifestyle, cancer, and uncontrolled hypertension. My sister was 44 when she died of a heart attack secondary to extreme morbid obesity.

At my heaviest in 2018, I was 6'5" and 365lbs. I was hypertensive, I had dislipidemia, insulin resistance, every thing you'd expect. In September of 2018, I had the gastric sleeve procedure and within 6 months I lost 100lbs and my labs all normalized. Over the next 5 years, I exercised regularly, changed my diet, but still gained back about 30lbs. In 2023, I started on a GLP-1 and lost the 30 lbs I had gained and I have maintained that weight for 3 years now.

I'm a gymbro now. I life heavy and I'm pretty jacked for a 47 year old dentist. I make sure to get my cardio in. My diet is still on point. I just finished doing a midlife health assessment with a CAC and some labs.

Meds are tirzepatide, levothyroxine, and testosterone.

Currently:
6'5"
265lbs
BP 123/72
Pulse 67

Can bench press 6 plates for reps pretty easily and routinely climb 100 flights of stairs for my cardio.

Here are my labs associated with cardiovascular health.
View attachment 345834

View attachment 345832

View attachment 345833

HbA1C = 4.7

LFTs are normal


I just had a colonoscopy with no findings and my Cologuard came back negative. No aches or pains and I feel really good.

I want to get my D3 up...but overall, I'm pretty pleased.


View attachment 345831
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Wow. Thanks for sharing. My father passed away at 40 of a massive heart attack. Long story short, when i was approaching 40 i was getting chest pains, down my arm ,etc .. bad. Overweight, all kinds of problems. Then i foun 90,000 heat unit cayenne pepper and now have the arteries of a 20 year old cause i use it consistently. Stuff is amazing. But even bigger, i incorporated a raw juicing lifestyle wich literally changed my life. Lost 115 lbs, but that was just a byproduct. Got my life, my health., my focus back and 20 years later hasnt changed (though juicing has gotten way more expensive). Key is consistency. This is an extremely condensed story, theres a lot more too it but wanted to share it with you and say keep up the good work.
 
Show Off! 😂

JK - Good on you! I'm on that journey as well, being a little shorter than you (6'2"), a little fatter (290), and a little older (50). I've toyed with the idea of the GLP-1 (my wife has lost a lot of weight on Wegovy), but dislike the fact that its a forever drug. Questions for you - is there any concern with having both the gastric sleave and using a GLP-1? Did you go on TRT prior to the weight loss? Do you still need it? That's another drug I'm unsure of jumping down the rabbit hole.
 
crashz said:
Show Off! 😂

JK - Good on you! I'm on that journey as well, being a little shorter than you (6'2"), a little fatter (290), and a little older (50). I've toyed with the idea of the GLP-1 (my wife has lost a lot of weight on Wegovy), but dislike the fact that its a forever drug. Questions for you - is there any concern with having both the gastric sleave and using a GLP-1? Did you go on TRT prior to the weight loss? Do you still need it? That's another drug I'm unsure of jumping down the rabbit hole.
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TRT was started at age 35 with a total testosterone of 110 ng/dL. Did the full workup to determine if I was primary or secondary, and I was primary. I saw a lot of improvements starting TRT but it had no effect on my weight. I actually continued to gain weight. I do have to watch my hematocrit as it creeps up, but I do a double red-cell donation every 4-5 months which lowers my hematocrit about 5 points.

No issues with gastric sleeve and a GLP-1. Almost all people have some relapse post-bariatric surgery and the data looks like GLP-1s do an excellent job of preventing weight regain after surgery. I'm currently at the lowest I got down to post-surgery and pre-GLP-1.

As for it being for life. So is my TRT and my levothyroxine, so no big deal. I do pay out of pocket for the GLP-1 and so I do hope the price comes down soon. I have no issue continuing it indefinitely.

The more that's published on GLPs, the more benefits it seems to give beyond just weight loss including reductions in all cause mortality, dementia, heart disease, liver disease, cancer, etc.
 
PWMDMD said:
Currently:
6'5"
265lbs
BP 123/72
Pulse 67

Can bench press 6 plates for reps pretty easily and routinely climb 100 flights of stairs for my cardio.
Click to expand...

6'5", 265 and 6 plates is wild! I want to see you in a miata :D
 
Bojo said:
90,000 heat unit cayenne pepper and now have the arteries of a 20 year old cause i use it consistently. Stuff is amazing. But even bigger, i incorporated a raw juicing lifestyle wich literally changed my life.
Click to expand...
Can you elaborate on the cayenne pepper usage? Do you eat one each day or add it to your juicing? Which veggies are you juicing?
 
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