NMR blood test thoughts?

[Bubbs]

123810: NMR LipoProfile® With Lipids (With Graph) | Labcorp

Labcorp test details for NMR LipoProfile® With Lipids (With Graph)

www.labcorp.com

My cardiologist is an old school guy and mostly useless (insists all TRT is bad, wants to do a bruce treadmill protocol test on me even though I've had multiple knee and hip surgeries and other protocols would be better to get my HR up without pain limiting my ability to exercise etc)

unfortunately he won't differentiate between LDL types so I'm debating ordering this myself to get a better idea what's going on

My basic numbers aren't amazing

HDL - 49
LDL - 124

Triglycerides - 74


However the LDL is meaningless by itself since I don't know how much of it is the dense small stuff

Is the NMR test the one I should be getting to get more info on the actual picture?

 

[Cataceous]

I think the answer is yes and it's still on sale at LEF:

NMR LipoProfile. Blood Test - Life Extension

The NMR LipoProfile provides standard lipid tests plus risk assessment for insulin resistance. NMR LipoProfile is a cholesterol test used to identify people at risk for lipid-related coronary heart disease (CHD).

www.lifeextension.com

 

[Jurek Kletsy]

Is your crp raised? Are you insulin resistant? If not, I wouldn't worry about it. Your cardiologist has been taught to be scared of high cholesterol without even understanding what's behind it.

 

[Bubbs]

No to either. Agreed, this cardiologist certainly isn't someone I'd pick myself, but this state requires referrals to see specialists and I've been unable to find another one.

He has a strong apparent bias to vegetarianism (which I assume is because of his religious beliefs) so attempts to discuss cholesterol and diet have been pointless.

He also insists I have kidney disease because I ate a large BBQ meal 2 hours before prior bloodwork which raised my creatinine, despite my nephrologist saying I am fine - he refused to discuss my cystatin C based 110 egfr and zero protein urine test and wrote CKD on my records. Thanks doc.

If I didn't want to get an echo so badly I'd never go back and see him again honestly

 

[StoicDoc]

Peter Attia did a great five part series with Tom Dayspring on all things lipids. Good place to go for more information.

 

[Match]

Peter Attia did a great five part series with Tom Dayspring on all things lipids. Good place to go for more information.

Can you let us know the link?

 

[StoicDoc]

Apologies for the delay. There are excellent show notes, although these may be member only.

#20 - Tom Dayspring, M.D., FACP, FNLA – Part I of V: an introduction to lipidology - Peter Attia

#21 - Tom Dayspring, M.D., FACP, FNLA – Part II of V: Lipid metrics, lipid measurements, and cholesterol regulation - Peter Attia

#22 - Tom Dayspring, M.D., FACP, FNLA – Part III of V: HDL, reverse cholesterol transport, CETP inhibitors, and apolipoproteins - Peter Attia

#23 - Tom Dayspring, M.D., FACP, FNLA – Part IV of V: statins, ezetimibe, PCSK9 inhibitors, niacin, cholesterol and the brain - Peter Attia

#24 - Tom Dayspring, M.D., FACP, FNLA – Part V of V: Lp(a), inflammation, oxLDL, remnants, and more - Peter Attia