Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Until this post, I had not heard that physicians were concerned with high HDL anymore. My labs don’t even show a preferred upper limit.

They aren’t concerned. Only LDL high numbers are a problem.

This is not true. In the past decade, there have been a number of studies showing a bell-curve effect regarding very high HDL (over 100), and an increase in all cause mortality risk (heart disease, cancer, stroke, etc). Too low HDL isn't good. Too high, is also not good.

Agreed, but I would also say the answer is never so black and white. The answer is, its complicated and there are so many confounding variables.

In the end, you do the research you can and optimize the best you can - within reason. Or, do nothing and trust the guidelines. Otherwise, you will end up down some weird Peter Attia fueled Lipidology rabbit hole. I somehow got the petter attia subreddit on my feed on reddit and those dorks are something else. 26 year old men trying to optimize their already more than satisfactory LDL numbers with statins, instead of doing reckless shit they won't have the time to do or the sense not to do later in life.

Anonymous wrote:

Anonymous wrote:Until this post, I had not heard that physicians were concerned with high HDL anymore. My labs don’t even show a preferred upper limit.

They aren’t concerned. Only LDL high numbers are a problem.

This is not true. In the past decade, there have been a number of studies showing a bell-curve effect regarding very high HDL (over 100), and an increase in all cause mortality risk (heart disease, cancer, stroke, etc). Too low HDL isn't good. Too high, is also not good.

I have high LDL (138) high HDL (63), and very low triglycerides (56). My doctor said it's fine, but it seems like an odd combination of numbers, and I don't know how to lower my LDL number. I already workout a lot, don't drink much, and eat well.

Anonymous wrote:Until this post, I had not heard that physicians were concerned with high HDL anymore. My labs don’t even show a preferred upper limit.

They aren’t concerned. Only LDL high numbers are a problem.

Until this post, I had not heard that physicians were concerned with high HDL anymore. My labs don’t even show a preferred upper limit.

Yes but it’s because of medication I take.

This is timely for me! I started lifting weights in earnest ~1 year ago. My HDL has risen from 55 to 84. LDL dropped from 97 to 85. All my other labs are well within the range of normal.

Anonymous wrote:

Anonymous wrote:My HDL is 82 but my LDL is 127. I run 4-5 miles 6 days/week, lift 1 hour 6 days/week and play tennis 3x week.

You take a statin?

No. My ascvd is very low.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I exercise a ton - 7 days a week- minimum 60 minutes a day (low impact on rest days)… all my cholesterol is high. My doc believes it’s genetic with me - I’ve lowered a bit with some supplements and eating less.

Me too! What supplements are you taking?

None ya business

Strange then that you posted your business on the internet.

Anonymous wrote:Drinking may raise it too. Do you drink heavier than most?

OP here. I hardly every drink - 5-10 drinks in a year.

It's probably not genetics, because my siblings don't have it.
I eat a pretty balanced diet - no restriction, everything in moderation. Low in meat, higher in veggies. I have a sweet tooth (BMI and all markers are fine).
But I do exercise heavily 6 days a week.

Anonymous wrote:My HDL is 82 but my LDL is 127. I run 4-5 miles 6 days/week, lift 1 hour 6 days/week and play tennis 3x week.

You take a statin?

Drinking may raise it too. Do you drink heavier than most?