HDL over 100. Anyone else?

[Anonymous]

Anyone else have very high HDL, with all other markers being healthy? What does your doctor suggest? Apparently there is new research that suggest very high HDL can *increase* your cardiac risk, even if LDL & triglycerides are low.

My HDL is 118 (it's in a similar range every year). It brings my total cholesterol to over 200, even though LDL is 89.

[Anonymous]

I wish. Mine hovers at 30-35 no matter what I do so apparently I’m a walking heart attack waiting to happen.

[Anonymous]

Mine is over 100.

[Anonymous]

Do you drink a lot of alcohol/red wine? Mine is also very high which concerns me because I have heart disease in family. But it does get a little lower- 80’s- when I abstain from drinking alcohol for a time.

[Anonymous]

Anonymous wrote:Do you drink a lot of alcohol/red wine? Mine is also very high which concerns me because I have heart disease in family. But it does get a little lower- 80’s- when I abstain from drinking alcohol for a time.

No, in fact I rarely drink (like 10-20/year).

I'd honestly want to lower my HDL, since "the higher the better" isn't necessarily true.

[Anonymous]

Mine hovers around 100. My LDL is also high though. I don't drink at all, am slightly over weight, and exercise a ton (I'm a runner).

My doctor is overall completely unconcerned but I'd love to find a doctor who would be willing to run additional tests (like LDL particle number, etc.). If anybody has recommendations (bonus if they take BCBS!), I'd appreciate it.

[Anonymous]

Anonymous wrote:Mine hovers around 100. My LDL is also high-ish though. I don't drink at all, am slightly over weight, and exercise a ton (I'm a runner).

My doctor is overall completely unconcerned but I'd love to find a doctor who would be willing to run additional tests (like LDL particle number, etc.). If anybody has recommendations (bonus if they take BCBS!), I'd appreciate it.

Can't you just ask your doctor to order a fractionated lipid panel? I asked and my doctor ordered the test. I have Aetna PPO. I don't think the test costs more than $150 if not covered by your insurance.

I also have high HDL of 90. I have booked to see a cardiologist to help me understand the results as I don't feel my family doctor is across this. It's a bit hard to figure out the overall picture from the lipid panel. For example, it says the optimal HDL size is greater than 6729 and mine is 8481 (is there such a thing as too high though?). Similarly, it says optimal lipo(a) is less than 75 but mine is less than 10. It is a key risk factor for heart disease and, being genetically determined, does not respond to lifestyle or statins, but maybe being that low is not a good thing? You get what I mean. All in all, I need someone to assess the overall picture.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Mine hovers around 100. My LDL is also high-ish though. I don't drink at all, am slightly over weight, and exercise a ton (I'm a runner).

My doctor is overall completely unconcerned but I'd love to find a doctor who would be willing to run additional tests (like LDL particle number, etc.). If anybody has recommendations (bonus if they take BCBS!), I'd appreciate it.

Can't you just ask your doctor to order a fractionated lipid panel? I asked and my doctor ordered the test. I have Aetna PPO. I don't think the test costs more than $150 if not covered by your insurance.

I also have high HDL of 90. I have booked to see a cardiologist to help me understand the results as I don't feel my family doctor is across this. It's a bit hard to figure out the overall picture from the lipid panel. For example, it says the optimal HDL size is greater than 6729 and mine is 8481 (is there such a thing as too high though?). Similarly, it says optimal lipo(a) is less than 75 but mine is less than 10. It is a key risk factor for heart disease and, being genetically determined, does not respond to lifestyle or statins, but maybe being that low is not a good thing? You get what I mean. All in all, I need someone to assess the overall picture.

I know youre not asking this but low lp(a) is great. There is no too low!

[Anonymous]

Mine hovers around 70-100. Doctor is not at all concerned. I've seen a cardiologist (due to family history) and have had a calcium score done. My cardiac risk is about as low as it can be even with high LDL.

[Anonymous]

15:00 here. My PCP refuses to do any more digging--she doesn't want me to get "obsessed". Not sure why, hence my asking for recs for a new PCP (montgomery county). Sounds like it wouldn't be a bad idea to see a cardiologist though. Thanks to PP for posting.

[Anonymous]

basically, all of those are just approximations for what you really want to know, which is: are your arteries hardening.

ask your cardiologist or pcp for a cardiac calcium score CT scan. $100 cash at medstar radiology in foxhall

[Anonymous]

Anonymous wrote:basically, all of those are just approximations for what you really want to know, which is: are your arteries hardening.

ask your cardiologist or pcp for a cardiac calcium score CT scan. $100 cash at medstar radiology in foxhall[/quote]

What? Can you share more?

Does this include an appointment? $100 for a cardiac CT scan does not seem real.

[Anonymous]

Anonymous wrote:

Anonymous wrote:basically, all of those are just approximations for what you really want to know, which is: are your arteries hardening.

ask your cardiologist or pcp for a cardiac calcium score CT scan. $100 cash at medstar radiology in foxhall[/quote]

What? Can you share more?

Does this include an appointment? $100 for a cardiac CT scan does not seem real.

16:11 poster. My insurance covered both the cardiologist appt and the cardiac CT scan.

[Anonymous]

No one else has ridiculously high HDL only?

[Anonymous]

I have high HDL, low LDL and low triglycerides. 116/96/40
My overall score puts be above 200 which flags on charts but both primary care doctors I’ve seen having bloodwork like this said it’s great and nothing to worry about. There is no heart disease or stroke history in my family so my risks even with high HDL are low. My doctors said it was great to have it high but they might be going off the old information. Women may have higher HDL than men.