To: rich evans who wrote (990 ) 8/24/2008 3:08:12 PM From: LindyBill Read Replies (1) | Respond to of 39298 Rich, I have read a good bit of evidence that Zocor [Simvastatin] with at least 1000mg of niacin a day will work better than increasing the hell out of the statin. [I take 20mg of Zocor with 1000mg of niacin] I would add niacin and get your fish oil up to 3000mg of Omega 3's a day. Mine are low at 360 per capsule, and I need 8 per day. Some brands are at 600 and you can get by with five capsules. It takes at least 4000IU of Vitamin D a day for most people to get their blood level up to 50, but this varies a lot depending on age and weight. That calcium score increase of under 3% a year is very low for your BG and dosages. Have you got your BMI below 25? [into the "healthy" range?] The most important thing we can do, and as you can read here, what I am working on. Here is a calculator: nhlbisupport.com That article you posted is five years old and outdated now. I am familiar with the "Glagov effect." The view I read is that it's the Cath Labs that get fooled by it, not the Heart scans. From a post of a recent article here by Dr Davis, with link: ..........Another reason both stress tests and catheterization can yield misleading information is because of the "GLAGOV phenomenon": as plaque grows within an artery, the total diameter of the artery enlarges with it. This means that any test that relies on measuring the internal diameter of the artery, like stress tests and catheterization, can be fooled. Plaque can grow yet not reveal itself by reducing the diameter of the path for blood flow. The GLAGOV Phenomenon There are tests that fit our criteria of safety and accuracy, but don't reflect coronary plaque very well. Ultrasound of the carotid arteries, and ultrasound and ankle-brachial index (blood pressure measurement) in the legs, i.e., tests of arteries outside the heart, do indeed identify risk for heart attack, but are poor measures of actual coronary plaque—they're simply too indirect. One level of plaque in a leg artery, for instance, does not necessarily correlate well with plaque in the coronaries. There's only one way to accurately and safely measure coronary plaque that meets all our requirements: CT heart scans for coronary calcium scoring. Year to year, they accurately reflect plaque growth or reversal, don't rely on artery diameter measures and are not fooled by the GLAGOV phenomenon. CT heart scans are also performed with only modest radiation exposure, meet our criterion for safety, and are available at a cost within reach for most people..................Message 24813138