Agetron
#325
Hey Chuck,
My diet is very heavy protein meat (carnivore natural saturated fats) - bacon & eggs every morning coffee with creatine and taurine
Every other day - which is after my gym workout 1.5 hours muscle resistance - pound of steak - loaded baked potato (butter, sour cream, cheese) two glasses of whole milk. My dinner routine for at least past 8 years - probably longer. I like red meat. Off workout days I have chicken typically and pasta.
Now I understand that my diet would probably be untenable for many. But, this is my family norm.
Will be doing an updated blood panel in November and will have latest LDL-C and ApoB. Will share here. Likely do an inflammation (glycan test) and epigentic methylation test too. Get my biological age. Which tends to be 15 years younger on DNA and 25 years youger in glycans/inflammation.
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I’m more conservative than you are Agetron, and take a long term view on this. You seem to be doing really well right now - but I think you want to live, in a healthy state, to when you are over 100.
Given that perspective, I would try to work to make sure that my APOB is low, whatever the CAC score.
You may be completely fine, and I hope you are - but I’d take precautions anyway because you’re trying to stay healthy until you’re 100+, and don’t want to die suddenly from heart attack when you’re 80 or 85. The downside to having a low APOB seems pretty minimal from my research.
Sort of like this conversation for 50 year olds with a CAC of zero… Remember, a CAC of zero definitely doesn’t mean a risk of zero, as this comment to the video below shows:
I’m with Attia on this aspect of CAC, you may be low risk, but given you’re betting with your life, why risk it? Peter mentions (in the last video below) that CAC scores of zero miss about 15% of plaque buildups… (identified via a finding using CTA).
See this section of the video below where he talks about “false negatives”:
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@Agetron We really enjoy you being around, and we want you to break 150 yo. My concern is that scans aren’t always accurate. My mom had a clear scan (albeit from a less reliable source) within 9 months of her heart attack and stroke.
CVD is the number 1 global killer so we all take it quite seriously. As a friend, you may want to tweak your diet a little to be more heart friendly.
We truly wish you all the best! 
(I also need to do the same!)
Agetron
#328
I do appreciate the sincere concern. Peter shares his (early lesion at 35 years) and has horrible family heart attack history at 40 - I might be a bit freakier too. As they state, people can have FH (like me) and not go on to have Atherosclerotic cardiovascular disease, otherwise known as ASCVD - we might have other genetic protectors. A zero CAC being older 70 does mean more than at age 50. I am about 3 years away from 70… and almost 17 years past 50. Hahaha.
I think family history is huge in life span. My family history of no heart attacks or cancers (even my father who was an air force pilot and chain smoker to age 45 years - one day just stopped smoking lol) passed at 86 years just stopped… had breakfast - went to watch tv and found him gone 10 minutes later… no warning - just sitting in his chair. Even at that only 21 percent males live to 85 and he was in good health. Size-wise he was a bigger, solid man not fat - former college football player. His father - aunts and uncles all more tall and thin (7 in all were in their 90’s last time I saw them - no rapamycin) They had driven to a family reunion (Scottish) living on their own.
I view it like a big dog verses a little dog - life expectancy favors the smaller - less solid. My brother who is bulit like those 90 + year old uncles, .a chain smoker 54 years so far - has smoked since he was 18 and now 72 years. Unbelievable he has no visible health issues. I don’t expect him to live to 90… but really who knows. Longevity is strange sometimes.
Will see what the tests I take show - my next round is in November. If I see changes I certainly will re-evaluate. if not… well… lol
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RPS
#329
I suppose the question you need to consider is can it be possible to have a blocked artery without any signs of calcification? If no, you are probably fine to carry on as you are.
Unfortunately, I think the answer is yes (experts here please correct me if I’m wrong) so please reconsider your stance on this.
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I also had a CAC score of zero at age 65, after a lifetime of quite high lipids (minus last 5 years of atorvastatin… which has been failing recently). But that’s a quick and dirty test. For more granularity you really want a CT angiogram, and a CIMT can be somewhat informative too.
Always remember, atherosclerosis and vascular diseases are what kills or disables the vast majorty of us. It is worth addressing. Personally I’m taking no chances, and going on pita, and will add BA if needed. You might get lucky - and it is always better to be lucky than good - and live well with FHC, because there definitely are such cases, but you have to consider the odds. Personally I have considered the odds and ran screaming to statins. YMMV.
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sudiki
#331
I freeze my excess in 10oz amounts.
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