When it comes to starting a statin, it’s not all in the numbers

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When it comes to starting a statin, it’s not all in the numbers
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There isn’t a single LDL number that makes a statin necessary. But very high LDL...

FILE - This Nov. 15, 2005 file photo shows 40 milligram tablets of Lipitor, one kind of statin used for lowering blood cholesterol, in Glen Rock, N.J. A study led by a Boston researcher and presented Monday, Nov. 14, 2011 finds that offering people free medicines after a heart attack can help cut the chances they will suffer another one. It also saves them about $500 for health care over the next year without raising costs for insurers.

Diabetes has been shown to develop more quickly in a person taking a statin drug if they are predisposed to getting diabetes. However, there is no clear association between Parkinson’s disease and statin use — in fact, some studies have shown a decreased risk of developing Parkinson’s disease among statin users.

Most importantly of all, nearly everyone can lower their risk of getting heart disease by improving their lifestyle. Having a healthy body weight and avoiding dietary trans-saturated fat is a good start, but there are many dietary habits that reduce heart disease risk . Regular exercise is as important as a healthy diet.

The DASH diet — which is high in fruits, vegetables, legumes and nuts, moderate in low-fat dairy products, and low in animal proteins, refined grains and sweets — has been shown to reduce blood pressure. This is not a low oxalate diet but was compared against a low oxalate diet in people with a history of kidney stones.

Most often, in people with a modest elevation in creatinine, nothing needs to be done beyond making sure you aren’t hurting your kidneys. Anti-inflammatories like ibuprofen and naproxen are much more dangerous to your kidneys than Tylenol, which is safe if taken occasionally. However, even Tylenol taken at high doses over many years can itself cause kidney damage. A kidney specialist is the expert who should be consulted if your creatinine keeps going up.

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