Trying to work out whether my panel improved or merely rearranged itself, because two of the numbers went the wrong way.
The question I want answered is 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.
If the honest answer is that nobody knows, that is a useful answer and I would rather have it.
mike.trainer_LA said:Trying to work out whether my panel improved or merely rearranged itself, because two of the numbers went the wrong way.
Advanced lipoprotein testing on the lipid panel — going beyond standard lipid panel:
| Marker | Baseline | Month 8 | Clinical Meaning |
|---|---|---|---|
| LDL-P | 1713 | 1013 | Particle count (more precise than LDL-C) |
| Small dense LDL | 58% | 29% | Atherogenic pattern |
| Remnant cholesterol | 41 | 17 | Triglyceride-rich lipoproteins |
| oxLDL | 78 | 41 | Oxidative stress marker |
The shift from small dense to large buoyant LDL is particularly important — it represents a fundamental change in the atherogenic profile.
Dr.RaviCardio said:Advanced lipoprotein testing on the lipid panel — going beyond standard lipid panel: Marker Baseline Month 8 Clinical Meaning LDL-P 1713 1013 Particle…
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.
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View Resultsmike.trainer_LA said:Trying to work out whether my panel improved or merely rearranged itself, because two of the numbers went the wrong way.
Same experience, arrived at from the opposite direction. The detail I would add is minor and it is already implied above.
From the other side of the consultation, briefly.
Comprehensive lipid panel update relevant to the lipid panel:
| Marker | Baseline | 6 Months | 12 Months | Reference |
|---|---|---|---|---|
| Total Cholesterol | 265 | 220 | 190 | <200 |
| LDL | 170 | 120 | 110 | <100 |
| HDL | 43 | 52 | 62 | >40 |
| Triglycerides | 245 | 150 | 120 | <150 |
| LDL-P | 1505 | 1255 | 905 | <1000 |
The triglyceride drop is the most impressive. My cardiologist reduced my statin dose based on these results.