Treatment plan
Prevention programme, twelve months
Medication
- Vitamin D3 2,000 IUOne tablet daily, with a meal · Vitamin D was 17 ng/mlNew
What you do
- Move 150 minutes a weekModerate: brisk walking, cycling, swimming. Five times thirty minutes, or three times fifty. Something you will still do in March.
- Alcohol below 100 g a weekThat is about one bottle of wine over the whole week, not two glasses an evening. The liver values and the triglycerides answer within weeks.
- Weight 89 kg by MarchFive percent. Slower is fine; the direction is what December measures.
- Measure your blood pressure for seven days before the December visitMorning and evening, seated, after five minutes of rest, two readings each time.
The decision in December
- LDL below 100 and ApoB below 100: continue without a tabletNext check in September.
- LDL 100 or above, or ApoB above 100: a statin conversationThe guideline says “should be considered” at your risk; your lipoprotein(a) argues for starting rather than waiting. If it is close, a coronary calcium score settles it.
When to call us
- Chest pain, or breathlessness that is new when you climb stairsThe same day. Not because we expect it; because the rule applies to everyone.
Appointments
- Please bookUltrasound of the liverIn the practice, twenty minutes, no preparation.
- Week of 14 Dec 2026Blood test 2Lipids, apolipoprotein B, ALT, GGT, HbA1c, vitamin D, uric acid. Fasting.
- 18 Dec 2026, 09:00Visit with Dr. WeberResults, home readings, the decision on lipid-lowering treatment.
- March 2027Check-in, videoWeight, activity, how the weeks went. No blood test.
- Week of 13 Sep 2027Blood test 3The full panel again, without lipoprotein(a).
- 20 Sep 2027Annual review with Dr. WeberWhere you stand after a year.
Drafted from the results of 15 September, the intake and the visit of 16 September. Targets from the ESC 2021 prevention guideline, the ESC 2024 blood pressure guideline, the ADA 2026 standards and the Endocrine Society. Signed by Dr. med. Sarah Weber; every statement can be traced to the note.