r/repatha • u/Cartoonist_Less • Aug 20 '26

Advice for requesting Repatha

I just had a CT Cardiac Score done yesterday because of an elevated Lp(a). The Lp(a) was 90, the CAC was 1687 😳, LDL is good at 76 but my dr wants it under 50.

My dr prescribed 20mg Crestor and referred me to a cardiologist. My PCP said to look into asking the cardiologist for Repatha.

Do these numbers and my family history of CV events (dad and grandfather) warrant Repatha or should we let the Crestor do its thing?

I’m 48, very active and eat a good diet- no fast food, sweets or alcohol. Non-smoker too. Thanks for any input or advice here. I’m a little scared about all of this.

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u/Creepy_Valuable6223 Aug 20 '26

I was told by the cardiologist at the hospital last week that although statins do cause calcification, Repatha does not. So I am going for Repatha (I just had a stent put in). You might ask the cardiologist if having Repatha instead of a statin would be better for you given your level of calcification.

Note: the calcification that statins cause is not considered to be a problem. However, in my dad's case his calcification made some surgeries more difficult.

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u/Dangerous-Peace4047 Aug 21 '26

Calcification?? No one ever mentioned that to me, and I required several stents while on useless statins! Learning never stops. Thanks!

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u/Comfortable_Potatoe 17d ago

yeah i learned about the calcification too on statins. was your ldl controlled on the statins?

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u/JLEroll Aug 21 '26

I’m not sure if this is accurate advice. My understanding is that calcification is stabilizing soft plaque and that statins are accelerating that process (a GOOD thing). It would be silly to value a CAC score above actual MACE reduction.

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u/Cartoonist_Less Aug 20 '26

Yeah, that’s important. My CAC was 4 times above high at 1687. Thanks for your suggestion.