Terry's Personal Cardiovascular Risk Reduction Stack
Terry Simpson's personal multi-component approach to managing his familial hypercholesterolemia and cardiovascular risk, combining lipid-lowering medications, calcium scan monitoring, GLP-1 use, and Mediterranean diet pattern.
Assembled by Cited from Terry Simpson's recorded recommendations across multiple sources. It is not an ordered program and was not created or endorsed by them — it's our grouping of what they've said on the record.
Components
5-
In a protocol
Terry personally takes Crestor for familial hypercholesterolemia and recommends statins broadly; says he wishes he'd started decades earlier.
“I started with the Crestor
TP▶ 1:13:55CaveatsSome people have side effects (he had none)Certaintyexplicitpersonal useRosuvastatin (Crestor) as primary lipid-lowering agent -
In a protocol
Terry obtained a calcium scan to assess coronary artery disease and recommends it implicitly as part of cardiovascular risk assessment.
“I have a positive calcium scan
TP▶ 1:15:00CaveatsDoesn't replace need for treatment if APOB is elevatedCertaintyexplicitrecommendationCalcium scan done about a year after starting statin to assess coronary disease -
In a protocol
Terry personally uses Zepbound (tirzepatide), lost 50 lbs and kept it off, with improvements in sleep apnea, stress, libido, and food noise.
“I am now on it and it's done remarkable. I've lost 50 pounds
TP▶ 22:10DosageWeekly injection; half-life ~5 daysCaveatsGI side effects (constipation, nausea); food poisoning lasts longer; need to maintain hydration and fiberCertaintypersonal onlypersonal useZepbound for weight loss, contributing to cardiovascular risk reduction -
In a protocol
Strong endorsement of Mediterranean diet pattern (high vegetables, fruits, whole grains, olive oil, low red meat) for cardiovascular health, weight loss maintenance, cancer reduction, and longevity.
“The Mediterranean diet's about 50 to 55% plant forward
TP▶ 35:40Dosage250g+ vegetables/day, 250g+ fruit/day, 250g+ whole grains, <4oz red meat, <5oz wine for women/10oz menCertaintyexplicitstrong endorsementMediterranean diet as dietary foundation
How this protocol has evolved
Terry started with diet alone (got LDL from 190 to 180), then added Crestor, then ezetimibe at physician's recommendation, then added a calcium scan. Says he wishes he'd started statins 30 years earlier like his father did.