New HDL/LDL management guidelines from American College of Cardiology

jdthoosier · Dec 25, 2018

New Guidelines: 2018 ACC/AHA Multisociety Guideline on the Management of Blood Cholesterol
NY Times article: HDL Cholesterol: Too Much of a Good Thing?

Instead of a cookie cutter approach to treating high LDL -C levels, tailor the treatment to the patient, with a stronger emphasis on lifestyle. Still, go-to treatment are statins for high-risk.
Sweet spot for HDL is 40-60 mg, based on a u-shaped curve.
No such thing as a sweet spot for LDL-C. Still a question of what adaptive benefits a higher LDL-C could provide? Concerns above 70mg for 'unhealthy' patients, 100mg for otherwise healthy.

Vince · Dec 26, 2018

Know Your Risk for Heart Disease

jdthoosier · Dec 26, 2018

Vince said:
Know Your Risk for Heart Disease

I've seen this - but few of these tests appear to be available outside of the Cleveland Clinic domain. DiscountedLabs does not appear to have any of them. Take the hsCRP. You can get the cCRP, but not sure how they compare. For example, if I take the cCRP and my score is very low, does that necessarily mean the hsCRP really is not needed?

jdthoosier · Dec 26, 2018

And BTW, I took some of these steps as identified by the site mentioned by Vince (less red meat, more veggies/fruits, more fish, more vigorous exercise) and really improved my HDL, LDL, and cholesterol levels. It would be good however to see what the correlating inflammatory tests are like, but as mentioned, hard for me to get these tests locally.

Vince · Dec 27, 2018

jdthoosier said:
And BTW, I took some of these steps as identified by the site mentioned by Vince (less red meat, more veggies/fruits, more fish, more vigorous exercise) and really improved my HDL, LDL, and cholesterol levels. It would be good however to see what the correlating inflammatory tests are like, but as mentioned, hard for me to get these tests locally.

I go through a clinic (advanced lipidology) to get my labs done from the Cleveland Heart Clinic. I had to do a lot of research to find a clinic that accept my insurance and did the proper lipid panel testing. When I originally started with them, they were out of network.