u/InsideAd4381

Hello all,

I am 42F. History of GDMx3, current A1c is 5.8. Hx of Gastric bypass (6 years ago). Majority of weight kept off, however had 3rd pregnancy and have slight (20lb) regain. Not on any meds.

Labs:
Total Cholesterol: 234 mg/dl
LDL: 146 mg/dl

HDL: 78mg/dl

Triglycerides: 87 mg/dl

apoB: 0.94g/L

lipoprotein A: 168

Ferritin: 22

A1C: 5.8

Strong FH (dad dx at age 50 with bypass).

Is it reasonable to start a statin and potentially tirzepatide to lower A1c, inflammation and weight further? What about ASA?

Hello all,

I am 42F. History of GDMx3, current A1c is 5.8. Hx of Gastric bypass (6 years ago). Majority of weight kept off, however had 3rd pregnancy and have slight (20lb) regain. Not on any meds.

Labs:
Total Cholesterol: 234 mg/dl
LDL: 146 mg/dl

HDL: 78mg/dl

Triglycerides: 87 mg/dl

apoB: 0.94 g/L

lipoprotein A: 168

Ferritin: 22

A1C: 5.8

Strong FH (dad dx at age 50 with bypass).

Is it reasonable to start a statin and potentially tirzepatide to lower A1c, inflammation and weight further? What about ASA?

Hello all,
I am at a bit of an impasse here and thought I would ask some questions.
I am 42f, 6 years post gastric bypass. I had a 3rd child in 2023, approx 3 years out. I had gestational diabetes all 3 times requiring insulin each time. I initially lost about 105lb but have regained about 20 post baby (I weigh about 202lb right now). Pre surgery my A1c was 5.8. The lowest it ever got was 5.5 and now I’m at 5.9. This indicates insulin resistance does it not? My cholesterol is also elevated over the past year and I have cardiac risk factors due to a family history. I am considering if tirzepatide would make the most sense at this point. What are your thoughts?