Reply to Just Got My Blood Test Results And My Total Cholesterol Number Is…………….

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[quote=Anonymous][quote=Anonymous]I have a family history of heart disease; my mother had a heart attack at 54 and her dad etc all died of widowmakers. So did she, later. I got my lipoprotein a checked and it’s 369; 99th percentile (but not everyone checks)

All to say- yes menopause has an affect of cholesterol, yes high cholesterol is a huge warning sign and get your lipoprotein checked so you know that if you have the classic signs of a heart attack get thee to a hospital if you have all the warning signs.[/quote]

+100 make sure to test lipoprotein a, ApoB, and LDL particle count. These 3 biomarkers are arguably superior predictors of cardiac/vascular risk. Major Canadian and European medical organizations already recommend testing these biomarkers as a standard practice of care. You can order direct labs online to test for this in most states. LDL and total cholesterol are also very good predictors of ASCVD risk, but the three biomarkers that I mentioned help to refine the estimate of risk. APOB and LDL-P are also useful predictors of residual risk after you start taking cholesterol medication. Sometimes these biomarkers don’t decline as much as your LDL mg/dL (after medication), which can indicate that you still need more aggressive treatment to minimize risk. Dont listen to the people that are saying you don’t need cholesterol medication or that you can fix your cholesterol issues entirely with diet/lifestyle. They are just wrong. Your TC is above the 95th percentile (for your age) and it’s exceedingly unlikely that diet/lifestyle can fix this problem. Furthermore, if your cholesterol has been high for years you need more aggressive treatment to mitigate future risk of cardiac events because decades of damage have likely accumulated already. [b]The lipid hypothesis is one of the most well-validated and researched topics in medicine. The evidence is almost unequivocal that more cholesterol = higher risk of cardiovascular disease. Don't listen to the uninformed people that say otherwise.[/b] I would recommend reading articles, books, or watching videos published by Dr. Thomas Dayspring or Dr. Paddy Barrett to learn more about this topic. [/quote]

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