Proactive medicine for health

[Shittersfull]

What rx medications can be taken proactively for your health and wellbeing? In USA you have to be an advocate of your own health. Rx meds are advertized to patients, so they ask there dr. for perscriptions. I am starting to compile a short list for myself and figured other might be interest in my list and adding to it. Oviously this stuff should be prescribed by a Dr. And has potential serious side effect. But I know many people who get them via other channels

1. Tadalifil, Ed medication that is well known to have cardiovascular improvements. Reduction in heartattach risk, stroke, dementia, etc.

2. Metformin, diabetes medicine that can be used to help PREVENT diabetes.

3. Modafinil, cognitive effect, improved memory, reduced appetite.

So, what is on your list, why, and does it work for you.

 

[Skidude]

Shittersfull said:


What rx medications can be taken proactively for your health and wellbeing? In USA you have to be an advocate of your own health. Rx meds are advertized to patients, so they ask there dr. for perscriptions. I am starting to compile a short list for myself and figured other might be interest in my list and adding to it. Oviously this stuff should be prescribed by a Dr. And has potential serious side effect. But I know many people who get them via other channels

1. Tadalifil, Ed medication that is well known to have cardiovascular improvements. Reduction in heartattach risk, stroke, dementia, etc.

2. Metformin, diabetes medicine that can be used to help PREVENT diabetes.

3. Modafinil, cognitive effect, improved memory, reduced appetite.

So, what is on your list, why, and does it work for you.

Click to expand...

A few years back I had kidney cancer and it was removed, in the process they found multiple issues that were questionable and I had to spend a few months of testing to rule out cancer in other areas of my body.

I was prescribed alprazolam, but as it is short term use only my Dr did not refill but substituted trazadone to help me with my stress/sleep issues.

Trazadone

Trazodone is an antidepressant frequently prescribed off-label for insomnia at low doses (25 mg to 100 mg) taken about 30 minutes before bed. While some patients use it on an as-needed basis, medical consensus and guidelines often debate its routine or long-term use for sleep, meaning usage patterns should always be confirmed with your prescribing doctor. [1, 2, 3, 4]

How Trazodone Works for Sleep

• • Low-dose sedation: Doses of 25–100 mg block specific serotonin, histamine, and adrenergic receptors to promote sleepiness. [1]
  • As-needed use: Users on Mayo Clinic Connect agree that it can be taken on an as-needed basis because it does not require a constant buildup of blood levels like it does for depression. [1]
  • Not FDA-approved for insomnia: The American Academy of Sleep Medicine generally does not recommend it as a primary treatment for chronic insomnia due to limited long-term safety data and potential side effects

 

[BBA1969]

I just learned about the benefits of Tadalafil for your cardiovascular system so I'm taking 5mg every other day.

I don't know about my heart and arteries but it's definitely an upgrade down under, and I don't mean Australia.

My spouse is not exactly over the moon. The second there's any skin showing, I'm out there waving the flag like I'm leading a parade, and what back in the day we'd have called a quick fix is now a full-blown maintenance project.

Modafinil is also on the project list.

 

[petitions]

Shittersfull said:


What rx medications can be taken proactively for your health and wellbeing? In USA you have to be an advocate of your own health. Rx meds are advertized to patients, so they ask there dr. for perscriptions. I am starting to compile a short list for myself and figured other might be interest in my list and adding to it. Oviously this stuff should be prescribed by a Dr. And has potential serious side effect. But I know many people who get them via other channels

1. Tadalifil, Ed medication that is well known to have cardiovascular improvements. Reduction in heartattach risk, stroke, dementia, etc.

2. Metformin, diabetes medicine that can be used to help PREVENT diabetes.

3. Modafinil, cognitive effect, improved memory, reduced appetite.

So, what is on your list, why, and does it work for you.

Click to expand...

I like 1 and 3. Not sure about metformin if you're lean since your insulin sensitivity will be good. GLP-1 drugs are probably the best choice if you're not a healthy weight.

Also, hydrochlorothiazide is great for lowering blood pressure and reducing fluid retention. You'll want to make sure you don't lose too many electrolytes though. You'll also appear more lean. Of course speak to your doctor before taking any medication like this.

 

[5byfive]

Studies are really showing the benifit to LDLcholesterol below 55 so I think Few people are there even with a good diet, so Ezetimibe makes a lot of sense.

If your BP is at all elevated, I would suggest something like Telmisartin. Check it twice a day and get a baseline. I was only doing it in the morning and when I went to do a good baseline with AM and PM readings, it was higher than I thought. I have come around to the thinking that even levels that are a little high can have a cumulative impact over time

And, of course, number one is Tirzepatide. It does so many positive things independent of weightloss, inflammation, cartilage, neuro protection, insulation sensitivity, the list goes on.

 

[yeddie]

5byfive said:


Studies are really showing the benifit to LDLcholesterol below 55 so I think Few people are there even with a good diet, so Ezetimibe makes a lot of sense.

If your BP is at all elevated, I would suggest something like Telmisartin. Check it twice a day and get a baseline. I was only doing it in the morning and when I went to do a good baseline with AM and PM readings, it was higher than I thought. I have come around to the thinking that even levels that are a little high can have a cumulative impact over time

And, of course, number one is Tirzepatide. It does so many positive things independent of weightloss, inflammation, cartilage, neuro protection, insulation sensitivity, the list goes on.

Click to expand...

My lipoprotein(a) is high, probably due to genetic factors. I'm on the typical cardio med stack (statin, plavix, etc) which keeps my overall cholesterol levels in check, but LP(a) ia concerning.

David W, the guy who blogs at "The Incretins", posted on Bluesky about a newly approved oral PCSK9i drug Lipfendra (enlicitide) that he's excited about for some of his patients. I should ask my cardiologist about it.

 

[Grogu]

5byfive said:


Studies are really showing the benifit to LDLcholesterol below 55 so I think Few people are there even with a good diet, so Ezetimibe makes a lot of sense.

Click to expand...

I had slightly elevated cholesterol when I started on tirzepatide so my pcp put me on a low dose of lipitor (10mg). As expected, my cholesterol decreased, but it actually became too low. And for guys it turns out that cholesterol is an "ingredient" for testosterone. If your cholesterol gets too low, your hormonal system thinks it's in starvation mode and that there should be no procreation , so my T levels took a terrible dive and I had all the accompanying symptoms of low T. Definitely no procreation happening. Anyhoo, I started splitting the lipitor in half, my cholesterol rebounded, and so did my T levels. Who knew?

But, my new pcp doesn't want me to stop the lipitor because of the health benefits. I thought she was blowing smoke, so I did the research and indeed, there are huge benefits to statins beyond controlling cholesterol levels. I didn't know that either.

So, yes it's good to be on a statin, but just have to be careful that cholesterol doesn't get too low and shut down your T production.

 

[bamagirl26]

I can only speak for Tirz as a great drug to be on at the moment, but I did just get some Fosomax and will talk to my doc about taking that since I had my bone break this year.

 

[Just A Cat]

bamagirl26 said:


I can only speak for Tirz as a great drug to be on at the moment, but I did just get some Fosomax and will talk to my doc about taking that since I had my bone break this year.

Click to expand...

Nutritional: Eat more Dairy Protein with monitored A, D and K vitamin intake. For the Vit K, any supplement with MenaQ7 is my recommendation.

Why MenaQ7 is a Strong Recommendation

• Bone Density: It activates osteocalcin, a protein that binds calcium to the bone matrix, improving overall bone strength.
  
• Cardiovascular Health: It activates Matrix GLA Protein (MGP), which prevents calcium from depositing in the arteries, reducing arterial stiffness.
  
• High Purity: Unlike some generic supplements, MenaQ7 undergoes strict high-performance liquid chromatography (HPLC) testing to ensure it maintains the biologically active "all-trans" form.

 

[Shittersfull]

Grogu said:


I had slightly elevated cholesterol when I started on tirzepatide so my pcp put me on a low dose of lipitor (10mg). As expected, my cholesterol decreased, but it actually became too low. And for guys it turns out that cholesterol is an "ingredient" for testosterone. If your cholesterol gets too low, your hormonal system thinks it's in starvation mode and that there should be no procreation , so my T levels took a terrible dive and I had all the accompanying symptoms of low T. Definitely no procreation happening. Anyhoo, I started splitting the lipitor in half, my cholesterol rebounded, and so did my T levels. Who knew?

But, my new pcp doesn't want me to stop the lipitor because of the health benefits. I thought she was blowing smoke, so I did the research and indeed, there are huge benefits to statins beyond controlling cholesterol levels. I didn't know that either.

So, yes it's good to be on a statin, but just have to be careful that cholesterol doesn't get too low and shut down your T production.

Click to expand...

Interesting about cholesterol and low t. I started trt 6 weeks ago.. maybe I didn't need to? Either way, I'm glad I'm on trt. Now I have another possable indicator of why I had low t.

 

[Grogu]

Shittersfull said:


Interesting about cholesterol and low t. I started trt 6 weeks ago.. maybe I didn't need to? Either way, I'm glad I'm on trt. Now I have another possable indicator of why I had low t.

Click to expand...

I definitely think it was the lipitor. I started tirzepatide and lipitor in December 2024. This is how it my testosterone has looked over time. By early 2026, I definitely felt I was low on T and was having some side effects that would be indicative of that and thought I might need TRT and sought out a couple of clinics.

But then I realized that my cholesterol was very low and did some research and found out the cholesterol is needed to make T. Spoke to my pcp and I cut back on the lipitor.