๐Ÿ“Š April 2026 Baseline

Frank's Stack

A Hodgkin's survivor's dated cardiovascular and vascular baseline: current imaging, biomarkers, prevention framing, and the reasoning behind what is public so far.

Medical disclaimer:

Frank's Stack reflects one survivor's personal thinking and experience. It is not medical advice, diagnosis, or treatment, and nothing on this page creates a doctor-patient relationship. Never start, stop, or change medications, supplements, or screening plans based on this site alone. Review everything with your physician or cardio-oncologist. If you think you may be having a medical emergency, call 911 or seek immediate emergency care.

Snapshot note: this page is a dated baseline, not a live feed. Unless a newer dated update is explicitly added, the benchmarks and status language here refer to Frank's April 2026 baseline.

The Philosophy

Standard of Care Is the Floor, Not the Ceiling

At 23, I beat Hodgkin's lymphoma with ABVD and mantle field radiation. At 48, I'm healthy, fit, and active: by every visible measure. But radiation left a hidden footprint. Recent screening found a CAC score around 41, non-obstructive coronary plaque, and moderate right carotid artery stenosis. I feel great: which is exactly the point. Radiation-associated vascular disease can be silent.

I refuse to wait 5 more years and see what happens. I am not passive about this. I believe in longevity escape velocity: the idea that science is advancing fast enough that if you stay healthy long enough, you can stay ahead of the disease. That's my operating premise.

My stack is built around that philosophy: aggressive prevention, biomarker monitoring, the most relevant interventions with actual evidence, and selective biohacking where the risk/reward makes sense. I'm sharing what I can, not as medical advice, but as a fellow survivor who is doing the work.

Current Baseline

Frank's Starting Benchmarks

These are sanitized personal benchmarks from April 2026, shared to make the invisible visible. They are not medical advice and they are not a protocol for anyone else. The goal is to track whether prevention, treatment, and lifestyle choices change the trajectory over time.

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Coronary Imaging

CAC score about 41; non-obstructive CAD; max stenosis about 40% in the proximal LAD; total plaque volume 91.1 mmยณ.

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Carotid / Vascular

Right internal carotid stenosis measured as moderate, 50โ€“69%; left internal carotid less than 15%. Annual duplex follow-up recommended.

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Cardiac Function

Ejection fraction 60โ€“65%; GLS -18.3%; mild mitral regurgitation and mild diastolic dysfunction noted.

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Blood Markers

Current LDL-C 51, HDL-C 77, triglycerides 115. Prior ApoB baseline: 71 mg/dL. A more comprehensive follow-up panel is planned.

Planned Additions

The April 2026 baseline is live now. These sections will expand as Frank gets follow-up labs and decides what personal protocol details are useful to share publicly.

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Longitudinal Trends

Follow-up CAC/CTA, carotid ultrasound, plaque volume, ApoB, inflammatory markers, and other values tracked over time.

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Prevention Stack

A careful breakdown of medications, supplements, lifestyle choices, and what is evidence-based versus experimental.