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   Plus, ‘I’m a Gastroenterologist—This Is the Most Overlooked Cause of Digestive Issues’
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                   Hi there!
                   <br style="box-sizing: border-box;"/>
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                   <em style="box-sizing: border-box;">
                    Parade
                   </em>
                   has the day off today (and hopefully you do, too!), but I still wanted to pop in with a note ahead of today’s story links. Heart health often feels like a puzzle we’re constantly trying to piece together: There’s the alphabet soup of blood pressure and cholesterol numbers (one of which is the topic of today’s top story!), and then there are specific scans that can give you a more visual look at your heart health.
                   <br style="box-sizing: border-box;"/>
                   <br style="box-sizing: border-box;"/>
                   At some point, your doctor may prescribe medication to manage a heart condition, like a statin. If you’re hesitant to take it, that makes sense—we hear so much about how heart health can be managed through a healthier lifestyle, and you may be worried about side effects. So, we decided to consult Cleveland Clinic cardiologist
                   <a rel="noopener noreferrer" style="box-sizing: border-box; text-decoration: underline; color: #56a6be;" target="_blank" url="https://providers.clevelandclinic.org/provider/ashish-sarraju/4268466">
                    Dr. Ashish Sarraju, MD,
                   </a>
                   about this very topic. Let’s dive into what he had to say.
                   <br style="box-sizing: border-box;"/>
                   <br style="box-sizing: border-box;"/>
                   Leigh Weingus
                   <br aria-hidden="true" style="box-sizing: border-box;"/>
                   Deputy Health Editor,
                   <em style="box-sizing: border-box;">
                    Parade
                   </em>
                   <br style="box-sizing: border-box;"/>
                   <br style="box-sizing: border-box;"/>
                   <strong style="box-sizing: border-box;">
                    Question: I’ve been prescribed a statin but feel conflicted about taking it. How do I know if it’s truly necessary?
                   </strong>
                   <br style="box-sizing: border-box;"/>
                   <br style="box-sizing: border-box;"/>
                   <strong style="box-sizing: border-box;">
                    Dr. Sarraju:
                   </strong>
                   The most important thing here is to openly communicate your hesitation with your clinician. You shouldn’t feel bad about saying, “I don’t want to take this” or worry about asking questions so you get to the important part, which is openly discussing risks and benefits.
                   <br style="box-sizing: border-box;"/>
                   <br style="box-sizing: border-box;"/>
                   There are certain conditions like diabetes, very high LDL cholesterol or established plaque in the arteries, heart, neck, or legs, where the benefits of statins almost always outweigh the risks or side effects as long as there are no allergies.
                   <br style="box-sizing: border-box;"/>
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                   There are other situations where people are likely to benefit: People with a family history of early heart attacks, for example. People with elevated cholesterol levels despite maximal lifestyle changes, people who have been found to have high coronary artery calcium scan scores, or people with lots of heart disease risk factors.
                   <br style="box-sizing: border-box;"/>
                   <br style="box-sizing: border-box;"/>
                   These are scenarios where statins are more likely to be beneficial than harmful. The important thing to figure out if you’re feeling conflicted is, one, why are you taking it? And two, making sure you’ve discussed the risks and benefits very clearly with your physician. If you don’t understand
                   <em style="box-sizing: border-box;">
                    why
                   </em>
                   you’re taking it or there’s a side effect that’s weighing heavily on your mind, it’s worth a conversation.
                   <br style="box-sizing: border-box;"/>
                   <br style="box-sizing: border-box;"/>
                   What I don’t recommend is hiding not taking it from your clinician. Even small discrepancies between what you’re actually taking and what your care team thinks you’re taking can lead to important misunderstandings and mistakes down the line. So, have an open conversation and know that there are many conditions in which the benefits significantly outweigh the risk.
                   <br style="box-sizing: border-box;"/>
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                   And while we’re at it, what are the side effects, really? The most common side effects people note are muscle discomfort and joint pain. The truth is that in placebo-controlled data, the frequency of these side effects is much lower than we may think looking at observational studies. Very high doses of statin therapies can raise blood sugar levels a bit, and a very small number of people may see changes in their liver enzyme tests when they take a statin. But most of the time those changes are minor and don’t cause harm.
                  </p>
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                  <a rel="noopener" style="box-sizing: border-box; text-decoration: none; color: #000000;" target="_blank">
                   Cardiologists Are Begging People To Stop Ignoring This Important Cholesterol Number
                  </a>
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                    <span style="box-sizing: border-box; word-break: break-word; font-size: 14px;">
                     Plus, how to take meaningful action today to protect your heart.
                    </span>
                   </p>
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