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Insulin resistance
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?
Answers (1)
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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 .
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.