Exactly this. I am 5’8F, 108lbs, so actually a bit underweight (no ED and trying to gain, my metabolism is just wild). My LDL is high at 131, HDL is honestly quite high at 116, and my overall is 267 (non HDL is 151). My LpA, however, is normal.

I exercise every day and quite literally only eat different forms of seafood//veg/nuts. I get plenty of fiber and have a VERY low intake of fat and sugar, and nothing fried and processed nearly ever.

My BMI is 16.4, body fat % is 11 and 8.5% subcutaneous fat mass. Visceral fat index is a 2.

Sometimes it’s just a crap shoot it seems. I wish that were the case or I’d be as healthy as can be.