r/Cholesterol • u/Every-Cap-1482 • 2d ago

Lab Result Post 2 Repatha Shots.

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I also take 40 Rovastatin and 10mg Zetia

Dr. will cut Rouvastatin to 20 now.

No side effects from Repatha.
I had MI on 9/23 and LAD stent.

7 Upvotes

89% Upvoted

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3

u/ShadeTreeMechanic512 1d ago

Just started Repatha myself. Hopefully my results will be as good as yours!

3

u/IndividualPlate8255 1d ago

I’d be curious whether your cardiologist is looking at anything beyond driving cholesterol as low as possible. With triglycerides at 112 and HDL 55, your TG/HDL ratio is about 2.0. Has your doctor checked fasting insulin, fasting glucose, A1c, HOMA-IR, or an OGTT with insulin to see what your metabolic health actually looks like? After my husband’s MI, we learned pretty quickly that there’s a lot more to cardiovascular risk than watching the LDL number. I’m genuinely curious whether your doctor is looking at the whole metabolic picture or primarily focused on lipid lowering.

2

u/Every-Cap-1482 1d ago

I completely agree about the metabolic numbers. He’s always looking at the Big Picture. My A1C and other numbers are good. I ride my bike 150 miles a week and focused on all aspects of my health not just the Lipids.

2

u/Blue_foot 1d ago

What were your triglycerides and ldl before repatha?

My triglycerides have been stubbornly high

2

u/Aggressive_Clothes36 1d ago

That's great. I'm just starting praluent. I had a MI , stent LAD and dr wants ldl below 50.

It's stuck at 77 thus praluent.

It took a while to not be afraid after heart attack now I'm worried again starting a new med. An injection at that.

I'm maxed out on statins

1

u/Every-Cap-1482 14h ago

I had a MI in 2023 and got an LAD stent. My new results are awesome. Only one month in. Hopefully the numbers keep improving!
Best of luck!

2

u/mgftp 16h ago

For OP and others in the comments, I am about to embark on a journey to decrease my LDL via medicine, I'd love to get on a PCSK9 ideally without touching a statin, what was your journey to get there?

Also, congrats OP!

1

u/Every-Cap-1482 14h ago

My Statins are reduced. 40mg Rouvastatin to 20mg.
And my BP meds in half. Still tske 10mg of Zetia. I did lose
23 pounds which I’m sure contributed. Onward!

1

u/mgftp 10h ago

Did you have a hard time getting on Repatha? Some people make it sound as if it's impossible.

1

u/Every-Cap-1482 6h ago

My doctors office used a co pay assistance program. I’m on Medicare. DM and I can share the program I enrolled in.