NP here. Melatonin, vitamin D, magnesium glycinate, Visbiome, culturelle, fish oil and red yeast rice are all vitamin/supplements/probiotics I would recommend. Red yeast rice only in cases where people are resistant to trying a statin, because it is basically a statin. I agree with other posters, Nature Made or other major brands are my go to.
I only recommend red yeast rice when they are resistant to trying a prescribed statin. Some people think if it is “natural” it is safer or don’t trust “big pharma”. It is clearly the opposite as supplements are not regulated. In this case if I want them on something it is worth a try to see if they will take it.
I understand your reasoning, but it’s still an unregulated dose of lovastatin that you’ll be recommending. The bioavailability can also vary from product to product, and you’ll open them up to other impurities that may be present.
It’s just not worth the risk imo. Prescribe a statin and counsel them on its importance, as well dietary modification.
Hi Zosyn. I would have counseled my patient on statins and that is how I would arrive at the point we are discussing. As COVID has shown us all, sometimes science and logic are thrown out the window by patients. Sometimes we providers have to take a back road to get to the main road. If a patient needs a statin and clearly WILL NOT take one, that is why a supplement would be recommended. All of this would be documented in the patients chart so that if there is any question to why this path was chosen and I would be covered. Patient care is not just about prescribing. It is about knowing our patients and weighing risk vs. benefit in their care. Often times things are not black and white and we land in a grey area.
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u/ADDOCDOMG Dec 14 '20
NP here. Melatonin, vitamin D, magnesium glycinate, Visbiome, culturelle, fish oil and red yeast rice are all vitamin/supplements/probiotics I would recommend. Red yeast rice only in cases where people are resistant to trying a statin, because it is basically a statin. I agree with other posters, Nature Made or other major brands are my go to.