Has anyone dealt with coronary artery calcium score changes on glp-1?

KarenAZ_mom said:

Dizziness and cardiovascular risk: I was lightheaded for the first 2 weeks.

Cardiac biomarkers and cardiovascular risk: my cardiologist ordered advanced cardiac labs given my family history. Results were encouraging:

• NT-proBNP: 64 pg/mL (normal, cardiac function preserved)
• Lp(a): 34 nmol/L (genetic, unchanged — expected)
• ApoB: dropped from 159 to 89 mg/dL (excellent response)
• Coronary calcium score: 0 (unchanged from baseline — reassuring)

The ApoB reduction is particularly meaningful — it's considered the best single predictor of cardiovascular risk. GLP-1 therapy seems to improve this consistently.

KarenAZ_mom said:

Dizziness and cardiovascular risk: I was lightheaded for the first 2 weeks.

Agreed, and one caution: a single measurement is not a measurement. Anything that moves day to day needs a trend before it means anything at all.

Ask again with the specifics and you will get a better answer than this one.

KarenAZ_mom said:

Dizziness and cardiovascular risk: I was lightheaded for the first 2 weeks.

Saving this. It is the first explanation that did not require me to already understand it. Taking it to my next appointment.

From the other side of the consultation, briefly. Order of operations matters more than any single choice here: establish a baseline, change one thing, wait long enough for it to express itself, then measure again under the same conditions.

If somebody has the primary source to hand I would rather cite it than paraphrase it.

claudia_zurich said:

Order of operations matters more than any single choice here: establish a baseline, change one thing, wait long enough for it to express itself, then…

Mine went the same way, slower.