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Miramar Beach, FL
A 65-year-old male asked:

65 yr old active male. no diabetes strong family history cad. total chol 203 trigl 70 hdl 67 ldl 122. bp 125-135/80 6'0 165 lbs.take 500mg niacin 2/day what is my target ldl? replace niacin w/statins?

3 doctor answers3 doctors weighed in
Dr. Gurmukh Singh
Pathology 49 years experience
Exercise and MD: You should consult your doctor for the advisablity of going on a statin, as you will need to be monitored. Also seek your doctor's clearance for engaging in increasingly vigorous exercise for at least 30 minutes a day.
Dr. Rick Koch
Cardiology 22 years experience
Depends on if: Your have CAD & how much which can be determined on a coronary calcium screening ct.
Dr. Marvin Den
Internal Medicine 45 years experience
Depends: Niacin is not first line and recently has received "thumbs down" in reports. If your doctor feels that he should be on something a statin is the way to go. You might consider a coronary calcium cat scan, if you can afford it if your insurance will not cover it.

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Last updated Jun 30, 2014

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