THE WELCH COMPANY
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S U M M A R Y


DIARY: November 24, 2015 01:57 PM Tuesday; Rod Welch

VA Doctor Lygia Stewart letter submits research on Atorvastatin side effects.

1...Summary/Objective


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CONTACTS 

SUBJECTS
CoQ10 Recover Statins Side Effects Muscle Myopathy Energy Boost Rese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
1503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1503 -    ..
1504 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
1505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150501 - Follow up ref SDS 13 0000. ref SDS 12 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150509 -  ..
1506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1508 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150901 - Received another lettr from Doctor Stewart saying...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150903 -    1.  Subject:  RE: [EXTERNAL] CCTA Calcium Score and Labs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150904 -        Date:  2015-11-24 09:45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150908 -         ..
150909 -    2.  The other issue that you may find useful is that all statins decrease                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150910 -        Co-enzyme Q10 (this enzyme makes it so your body can turn food into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150911 -        energy).    Supplementing with CoQ10 or Ubiquinol can reverse this and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150912 -        restore your ability to exercise.  This supplement is not on the VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150913 -        formulary - but is available in many drug stores.   The best ones are                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150914 -        the Ubiquinol formulations in oil (better absorption).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150916 -  ..
150917 - This letter follows up on initial recommendation to consider CoQ10,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150918 - reported during meeting with Doctor Stewart on 150526 1300.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150919 - ref SDS 3 8M58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150921 -             ..
150922 -            [On 151203 0953 brief meeting with Doctor Stewart - thanked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150923 -            her for articles she sent on 151124, presenting side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150924 -            effects taking Atorvastatin 10 mg lowers CoQ10 required to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150925 -            metabolize food into energy, ref SDS 14 4X5I; further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150926 -            advised that careful review of articles submitted on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150927 -            151119, provide important guidance on CCTA protocols,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150928 -            ref SDS 12 0R5J, for collaborating with Radiology to clarify                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150929 -            vague findings reported for CCTA test on 151019.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150930 -            ref SDS 7 JW8O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150932 -             ..
150933 -            [On 140101 0600 at 151213 begin takng CoQ10 in Ubiquinol to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150934 -            replace CoQ10 depleted by taking Atorvastatin. ref SDS 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150935 -            MU6G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150937 -             ..
150938 -            [On 140101 0600 on 151222 time 11 miles 172 minutes best                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150939 -            since July; may indicate cumulative negative effects taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150940 -            statin medications the past 5 years, and consequent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150941 -            benefits of increased energy starting to take Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150942 -            CoQ10 on 151213. ref SDS 1 H26H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150944 -             ..
150945 -            [On 140101 0600 on 160104 time 11 miles 168 minutes, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150946 -            time under 170 minutes since August - seems like a miracle,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150947 -            ref SDS 2 GF4O; on 140119 11 miles 163 minutes. ref SDS 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150948 -            Y26I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150950 -  ..
150951 - The doctor responds to the letter submitted on 151120 2312.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150952 - ref SDS 13 4X5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150954 -  ..
150955 - Wikipedia research says in part...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150957 -        Statins can reduce serum levels of CoQ10 by up to 40%.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150959 -              https://en.wikipedia.org/wiki/Coenzyme_Q10#Inhibition_by_statins_and_beta_blockers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150962 -  ..
150963 - Letter from Doctor Stewart continues...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150965 -    3.  In addition, there is another drug class that lowers cholesterol but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150966 -        does not decrease CoQ10 - this is Fenofibrate.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150968 -            [On 151203 0953 Doctor Stewart reminded to research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150969 -            Fenofibrate; assured this will be done for review with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150970 -            Doctor Simpson in Cardiology considering alternatives to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150971 -            Atorvastatin 10 mg, which is causing severe side effects.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150972 -            ref SDS 15 MY9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150974 -         ..
150975 -    4.  I have attached several articles documenting these findings that you can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150976 -        share with your primary MD.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150978 -         ..
150979 -    5.  Lygia Stewart, MD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150980 -        Chief General Surgery, SF VAMC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150981 -        Professor of Clinical Surgery, UCSF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150982 -        Chair VA NSO General Surgery Advisory Board                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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