Best wishes for a speedy recovery to Dr Crisler

The CAC score is a stronger predictor than all of the traditional factors combined as detailed in the following studies:

1. Associations between C-reactive protein, coronary artery calcium, and cardiovascular events; implication for the JUPITER population from MESA, a population-based cohort study.

Michael J Blaha, Matthew J Budoff, Andrew P DeFilippis, Ron Blankstein, Juan J Rivera, Arthur Agatston, Daniel H O'Leary, Joao Lima, Roger S Blumenthal, Khurram Nasir
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)60784-8/fulltext
 
Heart disease is about 60 percent genetics and 40 % life style.

Ways to prevent it while on TRT (these are basic preventative measures):

- Keep your LDL and HDL in good ranges.

- Do not allow your hematocrit to go above 53

- Take a baby aspirin (81 mg) once per day.

- Do cardiovascular exercise 30 min per day at least 4 days per week.

- Take Coenzyme Q-10 at least 200 mg/day

- Keep your blood pressure under 135/85

- Keep your CRP in normal levels

- Get an EKG every year (men over 40).

- Do not smoke

- Calculate your risk factor: http://cvdrisk.nhlbi.nih.gov/

- Learn how to breathe while stressed out. http://www.anxietycoach.com/breathingexercise.html

More information:

Does Testosterone Increase the Chance for a Heart Attack?
 
Glad you're doing well Dr. Cristler. So was this a lone plaque?

Good thing the angiogram showed the other arteries are clear.

Defy and others do offer advance lipid panel(VAP) testing that could help identify risks. Elevated LPa. Also there is cardiac risk factor gene testing that can be done. If your heart scan is greater then zero you might want to consider a statin, and other heart healthy diet. Other inflammation labs. A carotid CIMT is an easy way to see if you have plaque.
 
Dr. Crisler - If you don't mind me asking, were you donating blood every couple of months or so and were you tracking your blood viscosity?

-S-
 

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TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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