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Should This 65 Y.O. Stop Crestor After LDL Levels Became Optimal?

Dr Chandrakant

Dr Chandrakant Lahariya  |169 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 22, 2024

Dr Chandrakant Lahariya is a diabetologist, an infectious diseases and public health specialist and a vaccine expert.
The Delhi-based senior physician also has over 20 years of experience in hypertension, thyroid disorders and respiratory illnesses.
An expert on common health issues and the preventive aspects of medicine, he has co-authored the book, Till We Win: India's Fight Against The Covid-19 Pandemic.
Dr Chandrakant completed his MBBS from the Maulana Azad Medical College, New Delhi, and his MD from the Lady Hardinge Medical College, New Delhi.
He has a DNB (National Board of Examination, 2009) certification and a diploma in vaccinology from Institut Pasteur, Paris.... more
ALOKEMOY Question by ALOKEMOY on Oct 22, 2024Hindi
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I have been taking crestor 5mg since 2019. Doctor prescribed for crestor as that time my Triglyceride, LDL etc were on higher side. At present my parameters are normal and in fact parameters are maintaining normal since quite a long time after consuming crestor since 2019. Parameters on 15.09.24 were normal with Total cholesterol: 144 mg/dL, Trigleceride: 56 mg/dL, HDL: 56 mg/dL, LDL: 77 mg/dL My question is whether I shall continue with crestor or might continue with crestor with alternate days? I have a small polyp in gallbladder and had stomach cramp one year back and now ok. Also advice whether continuation of statin may increase the risk of diabetes. Presently my HbA1c is 5.3% I am 65 yrs of age and Male.

Ans: Yes.
You can stop Crestor (Rosuvastatin) and focus upon healthy eating and active lifestyle.

Get a lipid profile done after six months and then it can be decided whether you need to restart or not.

Dr Chandrakant Lahariya
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Hello Doctor, I am 44. I prefer healthy life and all nice in terms of health, except that I was suffering from gastric issues, IBS and related issues. I had covid also in April 2021 and somewhere in Oct 2021, i started feeling anxious and all negative thoughts. In about Aug 2021, i noticed that my heartbeats is high than normal, which initially i tried to control with routine meditation. But somehow, was not feeling that well from within and mind was like getting anxious, as if , something is happening which i could not understand, what. I visited to MD - Medicine, in Oct 2021. As a process, the vitals were taken and BP reading was taken which was 145/90. The concern MD, which after going through the reading, did not tagged me as BP patient and advised me to have changes in lifestyle with yoga, walking, meditation and dietary changes. I throughly followed the advised and started feeling better from Jan 2022 onwards and it was all nice. Again from Sep 2022 onwards, i started feeling the same issues. And i visited the MD in Oct 2022. From Nov 2022, he put me on 25mg dose of beta-blocker , daily in the morning after breakfast. While, i was on beta-blocker, i was still not feeling that nice from within and i unilaterly took the decision to go for complete blood tests in Nov 2022 end. The results were, - Lipid profile - was disturbed. - Sugar : I was in pre-diabetic range. - Uric Acid : I was on borderline high. I visited the MD with the report and he add another dose of 10 mg of Statins from Dec 2022 onwards. I followed the medication along with dietary changes, yoga & meditation routine and took the tests in Jan 2023, which shows the results as under, - Lipid : Normal - Sugar: I was back to Non-Diabtic range from pre-diabetic. - uric acid - normal. And all other parameters improved too like Hemoglobin - 15 and all other paramters of cbc was normal, thyroid - normal , Liver function - normal - when certain times SGPT was bit on higher sides, but normal in this report. With this report the MD stopped the statin drug from Feb 2022 onwards and advised me to continue with beta-blocker of 12.50 mg instead of 25 mg. I followed the same routine for full Feb 2022 and again took the test in March 2023, and results were as under, - Sugar : non-diabetic - all other paramters - normal - Lipid - Not normal. So again from March 2023, the MD started with the same statin dose of 10 mg and beta- blocker of 25 mg. I took the test in April 2023 and again the reports were normal, so now, again he reduce the statin dose to half ie 5 mg and continued with the same dose of beta-blocker 25mg. My questions: 1. AT present, i follow proper diet schedule as prescribed by dietcian , have been doing meditation and yoga on regular basis. 2. Stress level is minimum. 3. I am feeling overall better. 4. BP levels are always normal 5. Gastric issues, IBS seems to have gone. 6. Sleep patern is improved. My question: a. I feel, in the next visit the MD may stop the statin. Can the lipid profile remain in normal range , when i am follwing all diet patterms , with yoga and exercise. Why the lipid profile became abnormal, previously even when i was following all routine very property ? b. Is it okay to consume beta - blocker 25mg regularly, even after doctor told me to stop statin or may stop my statin in next visit? c. Is there any way to know, to find, if i am feeling better normally or due to medicine? as i am feeling normal and unable to check, what after i stopped beta-blocker? Any other care which i should take and lead a healthy life.
Ans: Hello. These are good questions and a lot of people go through the same stages. Cholesterol levels are generally genetically determined and don't change much from dietary or lifestyle changes. It can be reduced by medications. However if it is the only risk factor for heart disease/stroke, then it need not be corrected unless it is very high, LDL> 160. On the other hand the B blocker, if it was taken only for BP, may be stopped if BP comes down and remains normal. A closer monitoring may be required for that. If BP stays normal or low on taking the medicine, reduce the medicine and recheck, if it still stays low or normal, stop and see. Take it slow.

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Asked by Anonymous - Dec 16, 2024Hindi
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We had been Dating since our College days & had a Love Marriage almost 2 Decades ago. My Wife had always been the Dominant one in the Relationship, while I had always been Soft-spoken. She is also much more Capable than me, in terms of Academic as well as Professional Competence, and also very Ambitious. These are some of the Qualities which I always admired in her. Over the years of our Marriage, I had to Compromise on my own Professional Growth, in order to support her Professional Growth. She has a Transferable Job, so I have taken up a Work-from-Home Job which pays much lesser, but allows more flexibility in timings, just to support her Professional Growth, I had given up much better opportunities. I have been literally living like a Stay-at-Home Husband, doing almost all the Household chores & also taking care of both our Children. I have no complaints about any of this, I am doing all this, just because I Love my Wife. My Wife too Loves me a lot, but doesn't seem to Respect me. She feels ashamed to introduce me to her Colleagues in her Office Parties. She often puts me down, in the presence of her Friends & Relatives. She asks others (her Friends, Colleagues & Relatives) for advice, even in matters relating to our Personal Life & gives more importance to their Opinions, compared to mine & has taken several big Decisions, without my Consent/Agreement. She doesn't bother telling me anything about her whereabouts & her Finances. While at Home, she Orders me around like a Boss & talks to me in a Condescending manner. Seeing her attitude, even our Servant Maid, Driver, Watchman & our Teenaged Children also don't treat me with due Respect. Our Neighbours, laugh at me behind my back. I have been Tolerating all this since many Years only because I Love my Wife so much. Many times, I tried to convey my concerns to her but she used to invalidate my feelings, labelling them as my 'Insecurity' or 'Male Ego' even though I never had either of those. She seems to have more time for her Partying with her Colleagues & Friends, rather than having a Productive Discussion with me about my Feelings. Now I am feeling Saturated. I need to do something to Earn Respect from my Wife, Children & the Society as I have realised that my Wife is not up for anything like Couples Counseling & I wouldn't be able to discuss my Feelings with anyone else (almost everyone I know, Respects her more than me). Please give me some Suggestions as to what can I do to become more Respectable in the Eyes of my Wife, Children & our Social Circle?
Ans: Dear Anonymous,
It's heart warming to know that you eased into a role that usually can be not a very 'manly' thing to do. But I guess somewhere your wife has begun to enjoy her dominant status; let me tell you...that part is not easy on a man...
You just adapted to it and slowly, it has begun to erode your self-esteem...
Assume the role that will bring back your self-worth; this will mean actually a career, bringing money home, taking care of your responsibilities as a husband and father. This will also mean a step back from what you are doing at home now...
Your wife may not want the extra chores that you had to drop off and there's bound to be some skirmishes; but better to take all this head on rather than skirt around the issue.
Slowly and steadily inch towards a space where the two of you are equal partners without anyone dominating the other.

All the best!
Anu Krishna
Mind Coach|NLP Trainer|Author
Drop in: www.unfear.io
Reach me: Facebook: anukrish07/ AND LinkedIn: anukrishna-joyofserving/

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Recently, we had an Arranged Marriage. Before committing for the Marriage, we had a few Months of Courtship Period & got to understand each other well. He seemed to be a very Loving & Caring Person. Once, He asked me whether I was Virgin, I lied saying that I was, because I didn't want to lose such a Wonderful Guy. On our Wedding Night, he got Suspicious as I didn't bleed. Upon further Interrogation, I broke down & confessed the Truth that I had been Sexually Active in my previous Relationships, before getting Married to him. He got Disappointed as he felt Cheated & Betrayed. Since then, he's been sleeping in a seperate Room & not even talking to me properly, there's no Romance between us, at all. He'd also cancelled our Honeymoon Trip to Bali. He comes Home late, often having eaten out, doesn't ask me anything about my Day or even Care about me at all. He's become quite opposite of what he was, during our Courtship Period. Many times, I've tried to break the Ice & build some Chemistry between us, but he told me that he lost all Feelings for me, and he wouldn't even Care if I left him & his House for Good. He was Ready to give me a Divorce, if I wanted to Leave him. But I don't want to throw away this Marriage, I want to try & make it work, but there's no Cooperation at all from his side. He blatantly refused to go for Marriage Counseling with me. In the presence of other Family Members, he tries to act like a normal Husband, just to maintain his image in the Society. But when we both are alone at Home, he acts as if I don't even exist. Now I am getting frustrated, I don't understand what to do? I don't regret all that I did in my Past, I had the Right to Enjoy my Life, when I was Young & Unmarried & I don't owe any Explanation to anyone, about my Past. Now I feel I am being treated too Coldly just for a little White Lie. Did I really do something so Wrong that I don't even deserve to be Loved by the Person, I Married? If it leads to a Divorce, we both have got a lot to lose out on, hence I am trying to avoid the extreme Decision. But I don't have any idea as to how our Marriage can be Repaired & Rejuvenated, when my Husband is not at all interested in the Marriage? Please advise me what to do.
Ans: Dear Anonymous,
If you understand him, your virginity meant a lot to him...that was one of his core beliefs that one preserves their virginity until marriage. Now, he feels cheated as what he believes in has gone against him. It seems very old-fashioned to want the bride to 'bleed' on the first night and conclude that she isn't pure...I get your point, but that are his values...
Can he change and actually look at things differently and save the marriage? YES only if he wants to...he has to commit to it...

For you, the fear of losing him made you hide the fact. Who's right and who isn't? Neither! It's all a matter of the way you look at it; each one will hold their impressions as the truth. So, he's holding onto what he feels is his truth and unwilling to budge and make the marriage work. What can you do? Perhaps apologize for hurting him; he is hurt and angry, isn't it?

It may seem trivial and foolish to you that he gives this so much importance in this day and age. You can't shake people off their beliefs. Anything that you hide eventually comes to bite you; so act wisely...
- talk to him about how you feel about him and the marriage
- tell him what he means to you and why you hid the facts that was most important to him
- lastly apologize to him from your heart

All this may seem 'going over the top' BUT hey, you wish to make the marriage work, right? At times, going that extreme bit can bring back things...So, if there's a 'Feminist' side of you that seems to disagree, keep that at bay for a while and ask: Do I want the marriage?
If YES, then do what it takes...

All the best!
Dear Likitha,
Please download the whatsapp chats and try and get the recording of the phone calls. When your husband denies and says she is just a friend, these things that you collect will be the only proof to actually prove what you are saying. I know this is hard to do but what other way do you have? He does not want to admit what he is doing...

All the best!
Anu Krishna
Mind Coach|NLP Trainer|Author
Drop in: www.unfear.io
Reach me: Facebook: anukrish07/ AND LinkedIn: anukrishna-joyofserving/

...Read more

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