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DAgostino, I., Tacconelli, S., Bruno, A., Contursi, A., Mucci, L., Hu, X., Xie, Y., Chakraborty, R., Jain, K., Sacco, A., Zucchelli, M., Landolfi, R., Dovizio, M., Falcone, L., Ballerini, P., Hwa, J., & Patrignani, P
I want to know: Exact statin drug, dose and schedule, including changes over time Cardiovascular risk profile and indications based on NICE guidance (primary or secondary prevention, familial hypercholesterolaemia, diabetes, etc.) Muscle symptoms: location, timing, relation to exercise, past injuries, thyroid or rheumatological diagnoses Energy levels, sleep, mood, cognitive changes Diet pattern, alcohol intake, weight history, physical activity Core investigations I then build a lab panel that often includes: Lipid profile total cholesterol, HDL, triglycerides, non-HDL, ApoB where accessible Glucose metabolism fasting glucose, HbA1c, insulin where suitable Inflammation markers hs-CRP, fibrinogen in selected cases Thyroid profile, full blood count, iron status 25-hydroxyvitamin D especially in those with muscle pain, low sun exposure or higher risk groups Creatine kinase and liver enzymes in line with standard statin monitoring guidance CoQ10 testing exists but is not widely available in routine NHS settings, and interpretation is complex
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By modulating the activity of immune cells, it ensures that the body can effectively respond to infections and inflammation while minimizing the risk of excessive damage to healthy tissues
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