4 doctors weighed in:

How often should I be visiting my doctor for a rare disease known as: Homozygous FH Treatment: Taking multiple heart meds & PCSK9 inhibitor.

4 doctors weighed in
Dr. Milton Alvis, jr
Preventive Medicine

In brief: Monthly until LDL-P

NMR measured LDL-P particle concentrations are low, e.
g. 400 nmol/L and Large-HDL-P particle concentrations >9 ?mol/L. This assay is available for copay of about $15 & is the correct issue. Do Not be fooled by LDL-C values; never measured from your blood plasma, routinely highly misleading (though long promoted by NIH.gov). Study: http://goo.gl/zwrkCs, http://goo.gl/NmdIfm & http://goo.gl/r0Dslr

In brief: Monthly until LDL-P

NMR measured LDL-P particle concentrations are low, e.
g. 400 nmol/L and Large-HDL-P particle concentrations >9 ?mol/L. This assay is available for copay of about $15 & is the correct issue. Do Not be fooled by LDL-C values; never measured from your blood plasma, routinely highly misleading (though long promoted by NIH.gov). Study: http://goo.gl/zwrkCs, http://goo.gl/NmdIfm & http://goo.gl/r0Dslr
Thank
1 comment
Dr. Milton Alvis, jr
Be aware that meds are not to only effective treatment strategy. LCHF foods (not visa-versa: http://goo.gl/xWUg3r, http://goo.gl/oMgBct http://goo.gl/cypKOp) are also a crucially effective strategy to lower triglycerides, LDL-P & improve Large HDL-P (along with niacin at ~2K mg/day, spread out over day). Additionally, optimal Hb!c <5.0%, SBP <120 mmHg & building muscle mass are routinely helpful.
Dr. Alan Heldman
Internal Medicine - Cardiology

In brief: Hypercholesterolemia

Homozygous Familial Hypercholesterolemia is a genetic condition where both copies of a gene involved in cholesterol handling are mutated.
As a result affected patients have very high cholesterol & may develop coronary artery disease & other atherosclerotic conditions even in childhood. These boxes are too little to review treatment. Consider a consult here on HealthTap.

In brief: Hypercholesterolemia

Homozygous Familial Hypercholesterolemia is a genetic condition where both copies of a gene involved in cholesterol handling are mutated.
As a result affected patients have very high cholesterol & may develop coronary artery disease & other atherosclerotic conditions even in childhood. These boxes are too little to review treatment. Consider a consult here on HealthTap.
Thank
Dr. Steven Back
Internal Medicine
1 doctor agrees

In brief: Speak with your doc

Hi J.C. You should see your cardiologist and determine how frequently you should follow up with him or her. They will know you the best as well as how you are doing on your medicines.
They can also help adjust your medicines or recommend more advanced treatment if needed. I hope that helps!

In brief: Speak with your doc

Hi J.C. You should see your cardiologist and determine how frequently you should follow up with him or her. They will know you the best as well as how you are doing on your medicines.
They can also help adjust your medicines or recommend more advanced treatment if needed. I hope that helps!
Thank
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