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Old 07-28-2009, 11:00 AM   #1
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flyer99 HB User
hs-CRP test YIKES! - Please help!

Hi All,

I had a fitness assessment done a month or so ago, as I am on a lifestyle change program of diet and exercise to lose weight and to keep an eye on my cholesterol and blood sugar levels. One part of this evaluation was blood work. I met with my doctor this am and my cholesterol readings were down from last November and were much, much better (except for HDL which is still a bit low). My blood sugar A1C was 6.5 and within normal limits. My BP was 115/70 and very good.

Prior to the bloodwork, I had a stress test, a 24 hour holter monitor and a 24 hour blood pressure monitor all done by a cardiologist. Everything was great, with no abnormalities.

Today scared me though as hs (high-sensitivity)-CRP readings should be:
<1 mg/L = low risk
1-3 mg/L = average risk
>3 mg/L = high risk
>10 mg/L = Active Inflammatory Disease

Mine was 14.1!

My doctor said not to be concerned as all other tests and factors are normal and that many factors influence the hs-CRP test. He said the high reading could be the result of inflammation in joints, muscles, etc. As well, even having a cold or sinus problems can affect the reading, as can stress. He said that hs-CRP results can be so misleading at times as so many factors are involved. He said even taking aspirin can affect it. He said, in my case, he doubts the high reading is heart related.

I know I have constant muscle spasms in my lower back due to two bad lower discs. It takes me 15 minutes to get out of bed after putting on a cold pack. And I see a chiropractor once a month to keep me going.

However, he wants me to repeat the blood work in a month or two and he said have it done when your back and joints are at their best (if I can do that) and certainly not if I have a cold or sinus problems. This time he added two more tests to the hs-CRP: a regular CRP and an ESR (sed rate) test.

I see him again in September. Should I be worried about this? Not much I can do about it other than keep on with my lifestyle changes. I have gone from 262 lbs to 219 lbs with about 40 more lbs to lose. I'm male and 59 years of age.

Thanks.

Last edited by flyer99; 07-28-2009 at 11:04 AM.

 
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Old 07-31-2009, 02:01 PM   #2
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Re: hs-CRP test YIKES! - Please help!

Hi,

Seven years ago, at age 60, my bloodwork came back with a CRP of 6. My cardiologist told me that losing weight and eating low-fat would help, but so would cutting out inflammation-producing foods such as trans fats (found in baked goods, crackers, or anything made or prepared with shortening or other hardened fats, etc.), cut out red meat (including pork in any form), and avoid fried foods in general. He also put me on Lescol temporarily, a statin drug, since my cholesterol was a little high, and he hoped that might reduce the CRP level a little bit too.

I was so scared that I began eating smaller, more frequent meals (five a day), ate chicken, fish + lots of vegetables, and as a result I lost over 50 pounds in ten months. This was amazing, because dieting was always hard for me. I found I was never hungry eating that way, and I would always be able to eat something again in a couple of hours. Later, I went in to have my bloodwork done again, and my CRP level was down to just under 2.0 I was amazed and relieved, because most of the CRP improvement was due to the change in diet! I was able to get off my blood pressure and cholesterol meds, and have kept the weight off ever since. And I still eat the same way I did to lose the weight. I sometimes miss french fries, etc., but can live without them as long as I can have them occasionally.

It is true, I think, that things like arthritis or illness can elevate one's CRP level too. But my change in diet will be permanent. I eat a small amount of red meat, but only now and then. I avoid trans fats; at least now they're listed on food labels, so it's easier to avoid them. I find I don't miss the baked goods with trans fats, and have learned to make cookies and other bakery myself with canola oil instead of shortening or butter. Much healthier. Please don't worry...just try to eat healthier, avoid stress, and do the best you can. The CRP test can only predict inflammation in the body, and can't tell whether it's from sinus, arthritis, or blood vessel inflammation (which is what your doctor was concerned about). My bet is that if you make a few life changes, it will help. If not, then the CRP level may be caused by sinus or something else. In either case, try not to worry. Your doctor is right. Take his advice.

 
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Old 08-01-2009, 01:05 AM   #3
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Re: hs-CRP test YIKES! - Please help!

Hi flyer 99!

I have markedly elevated CRP levels. They become concerning once they've become chronic - meaning when they remain chronically elevated - when there seems to be no apparent reason for them to be. If certain criteria are met, in such circumstances it is assumed that the elevated levels reflect an on-going inflammatory processes in the blood vessels.

I remeber reading that, as the previous posters suggest, living a healthy lifestyle, which includes eating heart-healthy foods, plenty of exercise and losing excess weight can improve CRP levels. Try not to worry too much - the CRP levels can change quickly. If your elevated CRP level is an isolated occurence, and the inflammation marker has returned to its normal level, it is probably nothing to worry about. If both the sedimentation rate (ESR) and the CRP level are are elevated, some type of an inflammatory process is likely.

Good luck!
flowergirl

Last edited by flowergirl2day; 08-01-2009 at 01:07 AM.

 
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Old 08-03-2009, 12:59 AM   #4
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Re: hs-CRP test YIKES! - Please help!

Well my first hs CRP was 28.45 and two weeks later they redid my test and it was high at 33.48. they know something is going on and it is use by most cardiologists at times. So I'm losing weight and eat more better and they will redo my blood again to see what they are now.

 
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