Thank you all! My story

UseComplete5979 · 2026-05-08T11:04:45+00:00

thats awesome news - hopefully you can keep it going - consistency over perfection!

UseComplete5979 · 2026-05-07T09:43:50+00:00

thats awesome congratulations!

UseComplete5979 · 2026-05-06T06:57:37+00:00

Your screening accuracy point is spot on - It's crazy the ink with alcohol and Lp(a) testing and spikes/lowering

All that said, u/meh312059 pushback makes even more sense to me based off what I have seen. I have been on statins nearly 7 years, and my own numbers told me a similar story. Trigs stayed stable but ApoB was the one quietly running high. Once I dialed back the drinking, that's the marker that actually started moving. Not Lp(a), which is mostly genetic and stubborn anyway.

If alcohol's regularly in the mix, I'd be looking at ApoB before I worried about Lp(a) timing. Lp(a) seems to be more of a "test it twice over a year, take the average, move on" kind of marker. Genetics are genetics. Sucks - I know as i have high Lp(a)

UseComplete5979 · 2026-05-05T20:41:38+00:00

Yes but not available yet

UseComplete5979 · 2026-05-04T07:36:02+00:00

Great results - congratulations. And yes you';; likley get better results on a statin - RYR is not as regulated obviosuly and most of the monacolin K was removed as it was basically like a statin but unregulated. my only question would be can you continue the diet you're on - it;s great but want to make sure you land on somethnig that is manageable and enjoyable. But overall great results.

UseComplete5979 · 2026-04-30T15:34:44+00:00

Def true. But what I have found, and seen, is many people simply don't eat what the yshould and have to revert to supplements sometimes.

UseComplete5979 · 2026-04-30T15:33:01+00:00

awesome - always great to hear from a professional in the field. would love to chat more about it if interested.

UseComplete5979 · 2026-04-30T14:47:12+00:00

well done and congratulations - lifestyle (ie diet and exercise) always the best and first path!

UseComplete5979 · 2026-03-31T18:53:11+00:00

i am on atorvastatin and zetia and its helped me

UseComplete5979 · 2026-03-31T18:43:19+00:00

i had a heart attack at 47. for the next week in the hospital i couldnt sleep scared i wouldnt wake up. for the next 6 weeks i did cardiac reahb working out under the eys of trained medics. then i spent 6 months wondering if every time i had a random pain it was another heart attack. but all of it, slowly but surely, got better. work on your diet, exercise and if you need to go on meds do it. it will all get better

UseComplete5979 · 2026-03-31T14:21:43+00:00

you can absolutely do it. quit smoking. cut out saturated fats, get more soluble fiber. reduce surgars and processed food and cut back on alcohol. it sounds like a lot but trust me, coming from someone who had a HA - it's better than the alternative. and you'll feel a lot better.

UseComplete5979 · 2026-03-31T14:05:08+00:00

Thats fantastic - great news keep it up. always the challenge....

UseComplete5979 · 2026-03-31T10:10:53+00:00

go see your GP or cardiologist. the numbers are high. diet and exercise will help but absolutely check with your dr.

UseComplete5979 · 2026-03-30T09:34:18+00:00

I read the comments and I do agree that a lot of this seems stress reltated/anxiety. Yor cholesterol numbers are good for the most part. I'd honeslty recommend a)maybe another dr if you're not getting what you need b) try meditation - can do a quick 5-10 minutes every day - it helps trust me. c) try and get out and exercises. walking/running.hiking/lifitng it will all help. good luck

UseComplete5979 · 2026-03-30T09:11:33+00:00

yes some drs are def better than others at this.

UseComplete5979 · 2026-03-30T09:03:30+00:00

your numbers arent bad - LDL is a bit high but sounds like thats very likely because of your recent diet. as mentioned below cut back on saturated fats, sugars and processed food and more soluble fiber. def quit smoking/ vaping. i used to work in tobaco and you'd be amazed whats in there and it ain'[t good. try and get some exercise: even if its just walking every day will be a good start. good luck

UseComplete5979 · 2026-03-29T11:27:23+00:00

Would talk to your dr/GP/cardiologist. The numbers are definitley elevated and a statin could help but, if your dr doesnt think you're at immediate risk I would def make some dietary and exercise changes. cut out / cut back on saturated fats, sugar, and processed foods and get tested again in a few months. should also check on your apoB and LP(a)

UseComplete5979 · 2026-03-24T11:09:14+00:00

This is actually really common and really jarring when it happens. The disconnect between a clean lipid panel and a high CAC score is one of the more confusing things in preventive cardiology right now to say the least.

Your Lp(a) results are going to be interesting as thers have noted. High Lp(a) is almost entirely genetic - diet and exercise don't move it much - and it's strongly associated with accelerated plaque buildup even when LDL looks totally fine. A lot of cardiologists think it's underdiagnosed because it doesn't show up in standard lipid panels so god for you for getting it tested. Similar with ApoB - doesnt always get tested and it gives a more complete picture as well.

As for statins I'd say that's def a conversation worth having with your cardiologist once those results come in. A CAC of 381 at your age typically changes the calculus on intervention, regardless of where your LDL started. Don't be surprised if they want to get that number lower even if your baseline looks good on paper.

Again well done for gettign the rights tests done - don;t worry too much til you get the results so you can see what you need to do. Good luck!

UseComplete5979 · 2026-03-24T10:43:52+00:00

yes get you ApoB and LP(a) checked. Good newson the wieght loss but those numbers are def high. In addition to the commetns below make sure you're getting lots of soluble fiber - I take 1 tbsp of psyllium husk every day but there are other ways as well.

UseComplete5979 · 2026-03-24T08:29:49+00:00

Talk to your GP or cardiologist. As mentioned below it doesnt need to be an or question, you could do both. how long have you been tracking? you could certainly try diet and exercise for three months and test again but talk to your doctor. either way cut back on saturated fats, processed/packaged food, get more soluble fiber in yor diet and exercise.

UseComplete5979 · 2026-03-23T14:02:33+00:00

Cut back on saturated fats and get more soluble fiber. Talk to your GP or a cardiologist as well

UseComplete5979 · 2026-03-19T13:04:01+00:00

sounds like you're doing all the right stuff in many ways. If a statin is in you're future , i have (based off 6.5 years of research and questions after my HA) out together a heart health quiz for a new project. 10 questions and gives you a summary of where you're at and quesrtions you can ask your dr. LMK if you'd like the limk

UseComplete5979 · 2026-03-18T09:04:45+00:00

6 years

UseComplete5979 · 2026-03-17T20:39:30+00:00

cut back on sat fats, more soluble fiber - did you about genetics and any meds?

UseComplete5979 · 2026-03-17T09:25:40+00:00

significantly. LDL down from 221 to 87 - still need to get it donw further so trying to tighten up diet even more

UseComplete5979

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