# When is "good enough" actually good enough on Vital 5?

**URL:** <https://forum.barbellmedicine.com/t/when-is-good-enough-actually-good-enough-on-vital-5/19982>\
**Category:** Medical Q&A \[Moderated\]\
**Created:** [July 28, 2026, 8:54pm UTC](https://forum.barbellmedicine.com/t/when-is-good-enough-actually-good-enough-on-vital-5/19982 "2026-07-28T20:54:48Z")\
**Posts on this page:** 2\
**Page:** 1

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**Author:** ![acconrad](https://avatars.discourse-cdn.com/v4/letter/a/e0b2c6/32.png) [@acconrad](https://forum.barbellmedicine.com/u/acconrad)\
**Post date:** [July 28, 2026, 8:54pm UTC](https://forum.barbellmedicine.com/t/when-is-good-enough-actually-good-enough-on-vital-5/19982/1 "2026-07-28T20:54:48Z")

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I’ve aced my Vital 5 (and the additional 6th one on insulin resistance) other than my ApoB is at 70. My MacroFactor 3 month analysis shows I ate on average 36g of fiber a day, 21g of saturated fat (8.5% of total calories ~2205). Latest blood panel was:

- 192 Total
- 94 HDL
- 57 Trigs
- 85 LDL
- 2.0 CHOL/HDLC ratio
- 98 NON-HDLC
- 7.8 Lp(a)

If everything else is in the ideal/optimal score and this is slightly off (70 vs 60) - I dunno much more than I can do that I’m already doing? But statins+pharma feels overkill even if not in the optimal range? What are people supposed to take away from that action plan in a case like mine?

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**Author:** ![Austin\_Baraki](https://sea1.discourse-cdn.com/flex001/user_avatar/forum.barbellmedicine.com/austin_baraki/32/1095_2.png) [@Austin\_Baraki](https://forum.barbellmedicine.com/u/Austin_Baraki)\
**Post date:** [July 28, 2026, 8:56pm UTC](https://forum.barbellmedicine.com/t/when-is-good-enough-actually-good-enough-on-vital-5/19982/2 "2026-07-28T20:56:33Z")

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The intent is to initiate a conversation with your doctor, if concern arises.

I can’t give individualized advice via the forum, but if I had those numbers with no concerning family history or any other apparent risk factors, I’d agree that there’s probably not a clear role for initiating lipid lowering therapy here.