Hi. I’m wondering what the cause of high ldl and low triglycerides could be, and what are the possible implications for cardiovascular health?
165 and 40 for ldl and triglycerides, respectively.
You are asking us to interpret two numbers with zero context here.
No patient demographics, medical history, or medications. No other lab data - not even the rest of the lipid panel.
Sorry.
390 lb AA male 43 y/o
In the middle of weight loss (100lbs down), eating very low carb w/ 2 high carb days/week
Working in an auto plant full time (on feet the whole shift)
2018 2015
chol 223. 289
triglycerides 43 49
Hdl 50
ldl 164 230
chol/hdl ratio 4.5 5.9
Hb A1C 5.4%
lipoprotein A 75
Sorry.
43 y/o AA male, 6’2” 390lbs in the middle of losing weight (100 lbs down). Full time plant worker (standing entire shift). No prescription meds except Rhythtmol as needed.
2018 2015
Chol 223 289
Tri. 43 49
HDL. 50
LDL 164 230
chol/HDL 4.5 5.9
Hb A1C 5.4%
LipoPro A 75
I’m still researching this on my own, but I wanted to hear your takes. Thank you.
So it sounds like your TC has improved significantly with weight loss (good job on that - keep it up!).
Your low triglycerides are likely reflective of your consuming a very low carbohydrate diet.
Your LDL-C is elevated, but is improving with weight loss and should continue to do so.
Your HDL-C and HbA1c are in a good range.
Your Lp(a) is a bit elevated, which does confer increased cardiovascular risk … but again, this should improve with continued weight loss.
All in all - things appear to be on the right track. Keep working to get your waist measurement down and these numbers should continue improving.
Thanks Austin. I’m definitely gonna keep up with the weight loss; got about 170-190 to go. Based on my (limited layman) research, I was planning on approaching my pcp about Naicin (he already wants to put me on aspirin and a statin) for the Lp(a).
Here’s a question that just occurred to me. My understanding is that there can be a genetic component to elevated Lp(a). Is there any way to know whether my elevated Lp(a) is related to my weight or my genetics at this point, or does the obesity cloud the issue such that the only way to know for sure would be genetic testing, or seeing what the numbers are when I’ve lost the weight?
Yeah we don’t have much in terms of good treatments for lowering Lp(a).
As for your question on the testing, I’d repeat the labs after your weight loss and see how things look before diving deeper.
Ok. Thanks for the help, doc.