Following up on this thread: Lipid Profle Question - Medical Q/A with Drs. Feigenbaum & Baraki - Barbell Medicine Forum
I had to go into sort of a verbal war to get these tested, but here they are
Apo-B => 0.60 g/L or 60 mg/dL
Lipo(A) => <29 mg/L or < 2.9 mg/dL
I’d say based on this, my risk is actually low for the time being considering other factors are controlled?
Was wondering on your expertise/take!
Yes, your risk from the standpoint of blood lipids appears to be low.
There can still be other risk factors for heart disease, of course (things like blood pressure, smoking, blood sugar/diabetes, etc.), but these numbers look great.
Thanks Doctor!
Are there available numbers for the ~30y group yet in terms of risk? 30y risk should probably be standard given the nature of apoB’s predictive validity but 10y seems to still be standard.
Thanks. So if I understand correctly, the consensus seems to be that moving to a 30 year model has superior predictive utility? I would think the literature on apoB (or LDL-C) in teens/youth correlating with long term health outcomes would solidify that.
The difficult thing now is knowing whether or not numbers in my 30s are adequate. My last test indicated an apoB of 87, which is in the “optimal” range for 40 but I’m not sure what the relevant range would be at this age.
I would not say this is “consensus” since it has not been incorporated into clinical practice guidelines. It is how I look at this issue in practice myself, though.
I would be fine with that apoB level and keeping an eye on it over time, especially if there are no other major risk factors or cardiac history.