← Wellness
Supplement Protocol
Updated 2026-03-26
Pocket guide — based on Stanford MyHealth labs (Oct 2024 – Nov 2025)
15
pills / day
3
AM
12
PM
2
to buy
Essential (statin-related)
Prescription
To add (not yet purchased)
AM
Morning — with breakfast
3 pills
2
CoQ10 + Vitamin E
Essential
2 softgels — ~200mg CoQ10 total
Statins deplete CoQ10. Supports cardiac energy. Take AM — mildly stimulating.
1
Vitamin B-12
1 tablet — 1,000 mcg
Optional insurance. Labs show no deficiency (MCV 86.2 normal). Can drop if serum B12 confirms adequate.
PM
Evening — with dinner, 7:45–8:30
12 pills + optional fiber
1
Crestor (rosuvastatin)
Rx
1 tablet — 20mg
Cholesterol synthesis peaks overnight. LDL 208→124 in 13 months.
2
Magnesium Glycinate
Essential
2 capsules — 400mg total
Sleep + HRV + replaces statin-depleted Mg. Glycinate is kidney-friendly. Perfect at night.
2
Fish Oil (Nature Made, USP)
2 softgels — 2,800mg fish oil / ~1,294mg omega-3
HDL support (46, target >60). Increased from 1→2 softgels. Fat-soluble, needs food.
2
CholestOff Plus (plant sterols)
2 softgels — 900mg sterols/stanols
Clinically proven to reduce LDL 5-15% on top of statin. Must be with food.
1
Vitamin K2 (MK-7)
1 softgel — 100 mcg
Prevents arterial calcification. Works synergistically with D3.
1
Ashwagandha (root extract)
1 capsule — 600mg (2.5% withanolides)
Cortisol, HRV, sleep. Monitor TSH — dropped 1.86→1.42 (may be ashwagandha effect).
1
Vitamin D3
Buy
1 softgel — 5,000 IU
K2's essential partner. No Vitamin D lab on file. Get 25-OH Vitamin D tested.
1
NAC (N-Acetyl Cysteine)
Buy
1 capsule — 600mg
Kidney protection (eGFR 82→74), glutathione precursor, mucolytic for asthma. Pending new labs off creatine.
Warnings
NAC + Lab Day
Stop NAC 48-72 hours before any lipid panel. It falsely lowers cholesterol, HDL, and triglyceride readings.
Creatine — ON HOLD
Stopped Jan 2026. Do NOT restart until new labs confirm creatinine/eGFR have normalized off creatine. Get Cystatin C for true kidney picture.
Labs to Request (Next Visit)
PCP: Dr. Christina Pagano — request annual physical
25-OH Vitamin D
Never tested. Need to confirm D3 dose.
Cystatin C
True kidney function (not affected by creatine/muscle mass).
Creatinine + eGFR
Recheck now that creatine is stopped (2 months off).
hsCRP
Baseline inflammation marker.
Vitamin B12 serum
Confirm if B12 supplement is needed.
Uric acid
Relevant with possible eGFR decline.
Shopping List
Items to buy
Vitamin D3, 5,000 IU softgels
☐
NAC 600mg capsules
☐
Extra Fish Oil bottle (doubled to 2/day)
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Psyllium husk / Metamucil (optional)
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