Re: Stellar Lipid Results -- and a Question

It seems to me I heard somewhere that Pramesh Rutaji wrote in article
<ftcgjb02nca@xxxxxxxxxxxxxxxxx>:

Don Kirkman wrote:
It seems to me I heard somewhere that Pramesh Rutaji wrote in article
<ft8d8s017oq@xxxxxxxxxxxxxxxxx>:

Therapeutic doseages of niacin start at 1500 mg/day according to a
publication on Niacin in my cardiologist's office.

I guess my first, excellent, cardiologist didn't know that. He started me at
1000mg/day, and one of his successors lowered it to 500mg when my blood work
stabilized.

Taking 500 mg/day of Niacin didn't solve my small particle problem as
measured with a vap test. Neither did any increments until I got to at
least 2500 mg/day. Initially my cardiologist refused to even order the
VAP test so I ordered it myself and then got another cardiologist who
had a clue what a VAP test and small particle LDL was.

One think I like about niacin is that I can but the product over the
counter and not pay the 10-50 times drug mark ups, I can order my own
blood work and track my own results. I can do what's best for me and
place my cardiologist in the position of having to make his case that I
should change what I'm doing; He has to treat me individually instead of
as another patient statistic.

Your response has nothing to do with my rebuttal of your statement that
"[t"]herapeutic doseages of niacin start at 1500 mg/day."

Your total cholesterol is too low at this point.

Are you medically qualified to make such a definite statement about a patient
you know only from some numbers?

Statistically speaking, when people are divided into 4 quartiles based
on total cholesterol, those in the lowest quartile die at greater than
twice the rate as those in the highest quartile using the end point
all-cause-mortality. One may look at cardiovascular events if they
exclude heart failure and find benefits to lowering cholesterol, but
death rates from other causes increased. Science in health has most
often been about "statistical" models. I have never been to a doctor
that just treated me; doctors have an "assembly line" mentality and
their patents get the down side of that mentality. If you have
cholesterol that happens to be above the drug influenced limits, you
will be prescribed medication with no regard to it's ultimate effect on
you personally. If A then B;if not B;then C;etc.

Your essay on statistical analysis has nothing to with your claim that zob's
cholesterol is too low (statistics can't say anything very meaningful about one
individual case) nor about your medical qualifications to diagnose an unseen
individual.
.

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