Exercise Induced Headaches
Hi Peter. My name is Ben Robertson. I am an orthopedic surgeon in Minnesota. 46 years old. I am wondering if, through all of your experience in exercise and medicine, you have come across exercise induced headaches? As I have gotten older, I have struggled with headaches after strenuous exercise. These are most prominent following aerobic exercise, like cycling or nordic skiing. I have ruled out the bad things like aneurysm etc. I have tried UCAN, and multiple diets. The headaches feel to me like migraines. I know you don't diagnosis and treat over your website and podcast. But I was hoping you might do a podcast on causes and treatments for headaches following exercise. Any information would be greatly appreciated!
Absolute risk reduction vs. absolute risk increase of harm of statins in primary prevention
A while ago you said you used to take a low dose statin for prevention due to family history, but then you quit. I don’t believe you provided a reason for quitting, and I haven’t heard you speak about statins recently for prevention. Surprisingly I’ve never heard you speak about the metabolic effects of statins that increase the risk of diabetes. Since the nnt meta-analysis of the use of statins in people without known heart disease showed an absolute risk reduction of 1.61% for heart attack and stroke combined, and a 12% absolute risk increase of harm (2% diabetes, 10% muscle damage), do you have an opinion on the use of statins for primary prevention? Using MESA or another valid risk calculator, where would you draw the line for recommending a statin? https://www.thennt.com/nnt/statins-for-heart-disease-prevention-without-prior-heart-disease-2/
Statins and Primary prevention absolute risk reduction and harms
I'm not sure this went through the first time, so I'm re-submitting. A while ago you said you used to take a low dose statin for prevention due to family history, but then you quit. I don’t believe you provided a reason for quitting, and I haven’t heard you speak about statins recently for prevention. Surprisingly I’ve never heard you speak about the metabolic effects of statins that increase the risk of diabetes. Since the nnt meta-analysis of the use of statins in people without known heart disease showed an absolute risk reduction of 1.61% for heart attack and stroke combined, and a 12% absolute increased risk of harm (2% diabetes, 10% muscle damage), do you have an opinion on the use of statins for primary prevention? Using MESA or another valid risk calculator, where would you draw the line for recommending a statin? https://www.thennt.com/nnt/statins-for-heart-disease-prevention-without-prior-heart-disease-2/