A member asked:

Would an ldl level of 172 at 28 suggest familial hypercholesterolemia? no family hx of heart disease. all grandparents lived well in to 70s & 80s.

2 doctors weighed in across 2 answers
Dr. Clarence Grim answered

Specializes in Endocrinology

Familial cholesterol: 28 M Tx asks: Would an LDL level of 172 at 28 suggest familial hypercholesterolemia? No family hx of heart disease. All grandparents lived well in to 70s & 80s. ANS: Possible. but need further tests. The family Hx suggests not but you do not mention biological parents. What was your and their total cholesterol. Of course it is always possible your alleged parents are not really your parents.

Answered 10/19/2016

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Yes: Despite all the talk about "healthy living" and so forth, your LDL level is mostly genetic and if you need meds, you need meds -- remember that other lifestyle factors, especially smoking and fitness habits are under your control. In true familial hypercholesterolemia, the illness that kills folks around their 20's by itself, levels are much higher. Your physician's your best guide.

Answered 10/22/2016

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