Keeping tabs on bloodwork

Hey guys,

I’m 29 years old, 5’11, 200 pounds, 35.5" waist, and recently had bloodwork completed for some outside of employer life insurance.

I have a family history of cardiac disease on my father’s side, not my mother’s, and so I know that I will likely need to be more vigilant than the average person due to this. One uncle had a triple bypass before 60 years of age, the other had a quin bypass before 55, and both (now 10-15 years post surgery) are doing fine otherwise. They are not excessively overweight. My dad has had extensive testing done to make sure he does not have something similar to his two brothers, and tests have so far been conclusive. He has slightly elevated cholesterol and takes a medication for it, but it’s not as bad as the other two brothers ever were prior to the bypass. They had two uncles (my great uncles) who both passed away from heart attacks in their 50s. My mom’s side does not have this issue. The men on that side regularly live into 80s, and are very healthy. My grandfather is 83, and does not take any medication.

Anyway, back to my results.

I had a 164 total cholesterol figure, 62.7 HDL, 89 LDL, and 58 Triglyceride reading. These all seem to range from good to great. They took three separate BP readings for the panel as well, and they averaged around 117/78. My glucose reading - maybe relevant - was around 90, with A1C of 5.4. I believe I had been fasted for around three hours prior to the test.

Other than continuing to remain a healthy bodyweight/waist, training regular, keeping dietary factors and stress in check, would you recommend any regular bloodwork as I age? Maybe I picked up more from my mom’s side, and staying healthy will work in my favor.

Thanks!

Hello,

Our overall thoughts on this question (including the blood test question) are discussed here: Where should my priorities be to improve my health?

If there is an extensive family history of early cardiovascular disease, one could make an argument for a one-time blood measurement of Lipoprotein(a) levels, but otherwise monitoring blood lipids and blood pressure are the main things moving forward. Given your current lipid panel, you also do not need to have this checked annually; these checks could be spaced several years apart.