I have linked to David Diamond presentations multiple times and I suppose you have watched some of them. It kind of boils down to what research papers a person believes and what interpretation and who to believe. If you are good with the knowledge you have about it and your personal decision, good for you. That is a very important step. To be informed and make an informed decision for your own health. I applaud you. It is a subject I believe is worth becoming informed about.

Fortunately for me my CAC score, though not zero, was in single digits. My wife was in double digits so surprisingly she shows more calcification than me. That is surprising and not supposed to be that way because I am the diabetic (one of the biggest risk factors for heart disease, much greater than LDL) for 35+ years and she is not. But it is what it is. We should have it tested again to see if it has progressed or stayed stable. Been several years ago since the test (pre covid).

The doctor that reviewed the test results wanted to have a consultation for the possible recommendation of us both taking a statin. We declined. My (previous) heart doctor also wanted me on a statin. I declined. I think the hospital in KC used the CAC as a loss leader (cost us each 50 bucks, normally 100 at that time) to get more traffic in the hospital (pre covid), which is fine (I think it was going to be 3 or 4 hundred at our local hospital - but my heart doctor didn't even want me to have one). We just did the test and got the results. Then I gave mine to my heart doctor at home. Then fired him when I figured out on my own what the problem was. (It was exercise induced - which when I questioned him he acknowledged it was a possibility, I KNOW it was because the trip to the emergency room was about a half day after the exercise and my research on line confirmed all the symptoms plus my hospital sonogram test showed up perfect - I cancelled my scheduled stress test with contrast once I had it figured out)