The web site logo

Login My Account
 
Search result 
Keywords - dyslipoproteinemia
May 8, 2011  1 comments 
I just got an e-mail form a patient who was actually Lipidaholics case #211 (archived at www.lipidcenter.com). It is so nice to get this type of communication from a patient which shows how aggressive care and partnering with a patient can pay off. When he first became involved with me through a mutual friend I was pretty blunt calling him morbidly obese - but it affected him in a right way. I rarely do it with patients not directly under my care but I counseled him from afar. In reality it was not my skills with lipid drugs that helped him but his realization that lifestyle was the way to go. I have full permission to share his name and e-mail to me with my colleagues in the lipid world.  He might be a man to ivite to a future NLA meeting. Even better, because of my assistance he made a nice donation to the NLA Foundation.
Tom: As you rightfully ask us beneficiaries of your communications , it was my pleasure to contribute $ 100 to the foundation  Just before going back to France for the summer tomorrow, I just wanted to give you an update on my case # 211 At that time I was 330 lbs and you rightfully so referred to "morbid obesity" , metabolic syndrome , insulin resistance ....... those for sure got my attention !
I am happy to let you know I am now at 250 lbs on my way to 220 target by year end ,most importantly not through a temporary one time diet, but rather a lifestyle change , going from.... " a bear preparing for the winter ...but never hibernating " to take control of my metabolism , with
1.) controlled and dramatically reduced carbohydrates intake .
2.) frequency of healthy* small meals /snacks, rarely exceeding 4-5 hrs without feeding, attempting to eat what I burn in a day with the appropriate balance of Carbo / protein /fat for healthy muscle tone . (* building on mediteranean diet )
3.) overall reduced food quantities, yet never discontinued my wine societies social activities with great meals and great wines in moderation.
4.) lot of exercise having resumed biking in 2009 after 25 years interruption and since October 28th 2010 going to serious biking with a carbon fiber speed bike .......2338 miles ....average speed of 17.3 mph
......on my 60th birthday February 24th I did bike 100 miles , a symbolic 160 km in just a little over 6 hrs (pictures included )
5.) Medications: on metformin 2 x 500 since April 2009.......reduced Crestor from 40 to 20, 10 and since 4/26th 5 mgr ! , reduced Zetia from 10 to 5 mgr ,Altace 5mgr, Aspirin, Levothyroxin 50 , discontinued Toprol 50 after an episode of very low resting HR in march (43) and near perfect blood pressure of 117/70 after 35 miles biking full speed by 85*F . (In 2008 I tried Niacin , but had to discontinue due to severe hotflush /dizziness after 2 months while traveling to India - jet leg ? )
6) continued supplements from Omega 3, OQ10enzymes ,to multivitamins , D3, B complex, Mg/K for cramps moderation , Glucosamine/Chondroitine for joints health.
The way I feel and medical results speak by themselves ( e.g.small LDL-P from 1247 to 442!....HDL-C exceeding LDL-C , TG at 34, HA1c 5.8% ) Take a look at the enclosed table summarizing the data for the last 6 years ........almost all green, except that at 250 lbs I got to keep loosing more weight and belt size (adipokines control !)......biking in hilly areas should help further !
My doctors, Cardiologist, Internist and Endocrinologist are all delighted and are encouraging me to continue this regiment including training for and realizing my plan to bike this coming September from Malmedy, Belgium (Battle of the Bulge area) where I grew up to my current vacation home in Provence, a 900 miles trip over 2 weeks going through the Alpes (if you are interested /curious.
Needless to say I have myself gained a totally different prospective on life as our common friend Dr X who I met in March in Naples would certainly confirm.
I want to thank you for having been part of this transformation through the publishing of case #211 and your highly didactic monthly case studies, looking forward to continue to learn more overtime
Feel free to use the enclosed medical data for further research/studies/publishing, case update ?, and let me know if I can be of further help .
Jean M. Heuschen

Author Information

Posts: 0
Comments: 0
Keywords
11 ldl-p (11)
6 women (6)
4 hdl (4)
4 diabetes (4)
3 niacin (3)
3 hdls (3)
3 hdl-p (3)
3 acids (3)
3 apob (3)
2 size (2)
2 fatty (2)
2 lp(a) (2)
2 guidelines (2)
2 testing (2)
2 insulin (2)
2 resistance (2)
2 lp(a)-c (2)