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DrRussMD
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 63850
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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Why do I have that which I have actively tried to avoid! 67yr

Resolved Question:

Why do I have that which I have actively tried to avoid!

67yr old male, non-smoker, non-drinker, not obese, healthy diet, active exercise (hillwalker &, in younger days, other sport) yet three years ago needed triple heart bypass and diagnosed with diabetes - no family history of any of these. Now, at recent diabetic clinic, told cholesterol on way up again and need medication for diabetes, despite no change in diet or lifestyle and taking statins, etc.

Despite asking direct questions over time, never received satisfactory answer. Leaves me somewhat cynical about health experts' advice.
Submitted: 2 years ago.
Category: Medical
Expert:  DrRussMD replied 2 years ago.
Hello
You still have not stated a question.
What is your exact question about this situation?
Customer: replied 2 years ago.

Question is contained in opening sentence, ie why? May be many things I could have, but diabetes or CABG should have been avoided.

Expert:  DrRussMD replied 2 years ago.
The answer is that disease causality is multi-factorial
Are you familiar with this term?
Customer: replied 2 years ago.

Accept that there are a number of factors involved but by eliminating or reducing prime ones, should drastically curtail risk and current regime should prevent it deteriorating again.

Expert:  DrRussMD replied 2 years ago.
That is true.
Risk factors are
Diet
Physical activity or not
Genetics [regardless of family history].
Stress levels.
Specific individual SNPS or single nucleotide polymorphisms, which are genetic mutations that happen to people.

So all of those factors are involved.
And more that we do not understand.

What is your question at this point.
Customer: replied 2 years ago.

So, in the end, there's no right answer other than - stuff happens. Well, suppose medicine is an art as much as a science.

Expert:  DrRussMD replied 2 years ago.
I can give you an answer, and that is not what I said.
But you have only asked, why do you have this.
You have not asked any follow up questions....it seems there is another question here?
Customer: replied 2 years ago.

No, there's no other question, never has been - except, maybe, why didn't I eat more cream cakes, but, then, rock climbing's more fun.


Thanks anyway, ciao.

Expert:  DrRussMD replied 2 years ago.
So maybe I am misunderstanding here
I thought you wanted to know why
But also how to reduce future risk?
Find me any time for further questions like that.

Use reply to let me know if you have further questions [click reply to expert].
Please do not forget a positive rating [hopefully you will click an excellent; or come back to ask me more as needed].
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 63850
Experience: Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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