Recently Answered Questions
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I would like to get a proper diagnosis regarding my high hs-CRP.
Query: Hi doctor,I am suffering from iron depletion. My iron is low, but ferritin and hemoglobin are normal. My folic acid was 4 about a year ago. I took Folic acid tablets for two months and it is normal now. My vitamin D has improved after taking tablets. My vitamin B12 is also on the lower side. I am ma... Read Full »
Answer: Hi,Welcome to icliniq.com.Based on your query and after going through your reports (attachments removed to protect patient identity), my opinion is as follows:C-reactive protein (CRP) levels are a bit high indicating mild inflammation. This value is suggestive of high cardiac risk.Your cholesterol, ... Read Full »
I was prescribed statin when I crossed 60 years. Why?
Query: Hello doctor,I am a working woman with an active lifestyle. I was prescribed statin when I crossed 60, but I wanted to get a second opinion before starting any new medication. What are your thoughts on using statins? Are there alternative treatments we should explore or any potential side effects I ... Read Full »
Answer: Hello, Welcome to icliniq.com. Statins are the recommended medicines for lowering cholesterol levels. However, their use depends on multiple factors like underlying other medical conditions like diabetes, heart, nerve, and blood channel-related issues. It is dose and duration depends on the level of... Read Full »
Should I take medicines for high cholesterol?
Query: Hi doctor, I do not have any health issues. But, my cholesterol level is high at 220. Do I need to take any medicine? Please let me know. I have attached my laboratory reports for your reference. Read Full »
Answer: Hi, Welcome to icliniq.com. Yes, you should be started on statins, preferably Atorvastatin 10 mg at bedtime. Additionally, adopting a low-fat diet and engaging in regular exercise for 30 minutes daily is recommended. Do you have any other medical conditions aside from high cholesterol? Are you hype... Read Full »
My heart rate is 38 bpm after taking Pravastatin for high cholesterol. Should I be concerned?
Query: Hello doctor, I got blood work to figure out as I was hearing loud belly noises. My heart rate was normal and the doctor asked me to return to blood work in two days. After two days my blood work and my heart rate were normal. On the third visit, the heart rate was normal. The doctor said my choles... Read Full »
Answer: Hello, Welcome to icliniq.com. Pravastatin is a statin group of medicine that is usually given to correct the elevated cholesterol levels in your body. The most common side effect is myalgia (muscle fatigue), but in no way it can cause extreme bradycardia (heart rate 38 bpm). You should consult a ... Read Full »
Is it good to take pomegranate juice while taking Rosuvastatin?
Query: Hi doctor, I was reading on the internet that one should not take pomegranate juice while on Rosuvastatin. It damages the kidney and muscle loss will occur. Please advice. Read Full »
Answer: Hello, Welcome to icliniq.com. After reviewing all the provided information, there appears to be no direct contraindication between pomegranate juice and statin medication; therefore, it's not absolutely prohibited. However, it's worth noting that consuming pomegranate juice while taking statins co... Read Full »
My LDL cholesterol is high. What do I do about this?
Query: Hello doctor, My LDL cholesterol is high. My primary doctor said I had a slight leak in one of my heart valves, but I did not consult any doctors. I am wondering if I should do something about it? Would you please give me your advice on this? Regards. Read Full »
Answer: Hello, Welcome to icliniq.com. Thanks for writing in, and I understand your concern. Firstly I need to have a look at your echocardiogram report. So I guess, most probably, this is an insignificant abnormality on echocardiogram and may not require any assessment or treatment. However, trivial leak... Read Full »
Kindly suggest a treatment plan based on my MRI.
Query: Hi doctor, This is in regard to my mother. She is 51 years old. Her weight is 112 kg. She has severe pain in the lumbar spine till her bottom and not the legs. She had done an MRI of her spine earlier and got detected with slipped discs. Recently, she did another MRI of her brain and whole screening... Read Full »
Answer: Hello, Welcome to icliniq.com. Based on the information reviewed (attachment removed to protect patient identity), the MRI brain was likely performed based on clinical suspicion. The MRI revealed bilateral oval hyperintensities without diffusion restriction, indicating old (chronic) infarcts common... Read Full »
Is Statin necessary for high cholesterol?
Query: Hello doctor, Recently prescribed by ARNP low dose of statin, but prefer trying diet limited to 200 mg cholesterol with average daily of 100 mg plus E-revise 5 days a week to lower with supplements instead. I am a 64 year old female. Do not smoke. Do not drink. Trying to lose 20 lbs. I have a total... Read Full »
Answer: Hello, Welcome to icliniq.com. When patients present to me in the hospital with a similar presentation considering your age, family history, I commence them on Statins initially. You should use Statins for at least a month or two before trying out the option of diet or other natural methods. At y... Read Full »
By looking at my HDL level, what will you suggest? Diet or exercise.
Query: Hello doctor, My father is 77 years old. Just had quad bypass surgery. Too clogged for a stent. Not overweight (ever). Smoked 2 or 3 cheap cigars a day for 15 to 20 years. No regular exercise, but stayed busy in the yard, walked the dogs, etc. Generally ate what he wanted, including both a lot of go... Read Full »
Answer: Hi, Welcome to icliniq.com. There are three things you are asking, statin, diet, exercise, right? Statin: Scientific evidence shows elevated lipid especially LDL is a major risk factor for coronary artery disease, peripheral vascular disease, and stroke. And guidelines tell us that everyone aged 4... Read Full »
Do I need to change the dose of statins?
Query: Hi doctor,Three years ago, I had a stent in my LAD, which had been 96% occluded. At that time, my cardiologist put me on Plavix for a year and ongoing 81 mg Aspirin therapy. I am also taking 50 mg Atenolol. It was 25 mg until this month and was increased due to palpitations probably stress related. ... Read Full »
Answer: Hi, Welcome to icliniq.com. Good to know that you are in good control of your lipids. First of all, statins must be used when one has had any heart attack or stroke. The dose of statin is set by the level of LDL (low-density lipoprotein). LDL must be lowered to one half. In your case, Crestor (Ros... Read Full »