Insulin resistance

2026-07-03 16:44:13
29M, 98kg, 178cm (BMI 31). Fasting labs 22/06/2026. Need cardiologist opinion. History: Hypertension (on Cilnidipine), chronic urticaria (on Cetirizine), Finasteride for hair loss. Scalp folliculitis active during blood draw. No diabetes. Lipids: TC 187, LDL 129, HDL 39 (low), TG 91, Non-HDL 148 (high), ApoB 97, Lp(a) <7 (normal) Cardiac risk: hsCRP 3.22 (folliculitis active), Homocysteine 25.7 (high) Insulin: FBS 93, HbA1c 5.7, Fasting Insulin 54 (ref 2.6-24.9), HOMA-IR 6.4 (ref 0.7-2.0) Other: ALT 64, GGT 98 (possible fatty liver), Vit D 16 (deficient). Kidney, thyroid normal. On methylated B-complex for homocysteine. Questions: With HTN + insulin resistance + ApoB 97 + LDL 129 at 29, start statin/ezetimibe now or lifestyle first? Is Cilnidipine alone adequate for my profile? Need echo/calcium score at my age? Started my weight loss journey. Am i right candidate for glp1?
19 Views
Can start statin Get echo done..no need of calcium score Cilnidipine is ok for ur age No glp1as of now. Weight reduction will solve almost all issues for u .

Answered2026-07-05 07:46:33

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