CCTA booked
upcoming test · 2026-08-18
CCTA scheduled for 2026-08-18.
Hygieia Brain
Hermes brief
Hermes brief
This is the one-screen summary Hermes should read before analysing your health questions.
Current context
- Medications: Rosuvastatin 5 mg. Mounjaro started 2.5 mg on 2026-02-28 and is now at 7.5 mg. User previously reported taking rosuvastatin; Mounjaro start/current dose reconciled from reviewed supplement file and screenshot evidence.
- Supplements: Blueprint stack. Red yeast rice included in stack per user report.
- Findings: CAC 150. Minimal bilateral proximal internal carotid non-calcified plaque on carotid Doppler (30/07/2026). No significant stenosis. Latest loaded biomarker context: ApoB 0.6 g/L (2026-08-14); LDL 2.1 mmol/L (2026-08-14); Non-HDL 2.6 mmol/L (2026-08-14); hs-CRP 0.27 mg/L (2026-08-14); HbA1c 4.7 % (2026-08-14); Glucose 4.6 mmol/L (2026-08-14); Insulin 9 mU/L (2026-07-24).
- Upcoming: CCTA booked for 2026-08-18.
- Priorities: Lower LDL / ApoB / Non-HDL further while watching side effects, especially glucose/insulin-resistance concerns. Clarify cleaner strategy: higher rosuvastatin vs ezetimibe vs simplifying red yeast rice overlap.
- Doctor questions: Should I increase rosuvastatin or add ezetimibe? Does red yeast rice create unnecessary overlap with rosuvastatin? How should we monitor glucose / insulin resistance if lipid treatment is intensified? How should the CCTA result on 2026-08-18 change lipid target intensity?
Current biomarkers
- Biomarker: 2.1 mmol/L (2026-08-14)
- Biomarker: 1 mmol/L (2026-08-14)
- Biomarker: 1.2 mmol/L (2026-08-14)
- Biomarker: 2.6 mmol/L (2026-08-14)
- Biomarker: 0.6 g/L (2026-08-14)
- Biomarker: 0.27 mg/L (2026-08-14)
- Biomarker: 4.7 % (2026-08-14)
- Biomarker: 44 nmol/L (2026-01-27)
Upcoming follow-ups
- Review ApoB trend after 2026-01-27 — 2026-07-24
- Review inflammation context after hs-CRP 0.32 — 2026-07-24
- Reconcile Homocysteine from final_homocysteine_pathology_report.pdf.txt — 2026-07-24
- Reconcile High sensitivity CRP from final_homocysteine_pathology_report.pdf.txt — 2026-07-24
- Reconcile Insulin from final_homocysteine_pathology_report.pdf.txt — 2026-07-24
Health memory timeline
Review statin vs ezetimibe strategy
doctor question · 2026-08-08
Need cleaner LDL/ApoB lowering strategy while watching possible glucose / insulin resistance and red yeast rice overlap.
Carotid Doppler showed minimal bilateral non-calcified plaque
scan result · 2026-07-30
Formal report: minimal bilateral proximal ICA non-calcified plaque with no significant stenosis. Vertebral flow normal bilaterally.
Current lipid pattern recorded
lab result · 2026-07-25
LDL 3.1, ApoB 0.95, Non-HDL 3.6, HDL 1.4, Triglycerides 0.8, hs-CRP 0.41, HbA1c 5.2, Homocysteine 13.4.
Calcium score 150
scan result · 2026-01-26
Use CAC 150 as the current calcium-score context for cardiovascular discussions.