Triglycerides dropped by half, HDL barely moved, and my calculated LDL is almost exactly where it started, which is not the outcome I had been promised.
What would genuinely help is knowing whether an unchanged LDL-C alongside a large triglyceride fall is a good result or a bad one, because ApoB and LDL-C seem to be telling different stories.
Numbers rather than impressions, if you have them.
mike.trainer_LA said:Triglycerides dropped by half, HDL barely moved, and my calculated LDL is almost exactly where it started, which is not the outcome I had been…
Advanced lipoprotein testing on the lipid panel — going beyond standard lipid panel:
| Marker | Baseline | Month 8 | Clinical Meaning |
|---|---|---|---|
| LDL-P | 1568 | 968 | Particle count (more precise than LDL-C) |
| Small dense LDL | 58% | 28% | Atherogenic pattern |
| Remnant cholesterol | 32 | 17 | Triglyceride-rich lipoproteins |
| oxLDL | 73 | 46 | Oxidative stress marker |
The shift from small dense to large buoyant LDL is particularly important — it represents a fundamental change in the atherogenic profile.
COA_Karl said:Advanced lipoprotein testing on the lipid panel — going beyond standard lipid panel: Marker Baseline Month 8 Clinical Meaning LDL-P 1568 968 Particle…
Comprehensive lipid panel update relevant to the lipid panel:
| Marker | Baseline | 6 Months | 12 Months | Reference |
|---|---|---|---|---|
| Total Cholesterol | 253 | 208 | 178 | <200 |
| LDL | 158 | 123 | 98 | <100 |
| HDL | 41 | 52 | 65 | >40 |
| Triglycerides | 273 | 178 | 108 | <150 |
| LDL-P | 1733 | 1283 | 983 | <1000 |
The triglyceride drop is the most impressive. My cardiologist reduced my statin dose based on these results.
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Browse GL Biochemmike.trainer_LA said:Triglycerides dropped by half, HDL barely moved, and my calculated LDL is almost exactly where it started, which is not the outcome I had been…
Same experience, arrived at from the opposite direction. The detail I would add is minor and it is already implied above.
Clinical perspective, offered as context rather than as advice.
Tracking labs for the lipid panel — here's the panel I get every 3 months and why:
- CMP: glucose, electrolytes, kidney function, liver enzymes
- Lipid panel: total cholesterol, LDL, HDL, triglycerides
- A1C: 3-month glucose average
- hsCRP: inflammatory marker
- CBC: blood counts, anemia screening
- B12, folate, iron: nutritional deficiency screening
- TSH, free T4: thyroid monitoring
- Lipase: pancreatic safety check
Total cost with insurance: about $38 copay. Without insurance, request cash-pay pricing from Quest/Labcorp — usually $163.