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Doctor insights on: Lipid Panel With Reflex To Direct Ldl

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Dr. William Cromwell
74 doctors shared insights

Lipid Panel (Definition)

The lipid panel=measurements of cholesterol, triglycerides & Apo-A (of HDL particles) to estimate cholesterol within both High-Density Lipoprotein (HDL) & Low-Density Lipoprotein (LDL) particles in water outside cells. It does not measure actual LDL or HDL particle concentrations, the key issue driving arterial disease: heart attack, stroke & peripheral ...Read more


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The only abnormality in my lipid panel is LDL 128. Is it time to stop my Lipitor (atorvastatin) statin drug. Now ?

The only abnormality in  my lipid panel is LDL 128. Is it time to stop my Lipitor (atorvastatin) statin drug. Now ?

Depends : It depends on what your LDL was to start and if you have any co-existing vascular disease, diabetes, hypertension, family history or smoking history. There are some numbers that are absolutely too high and meds are needed but many people fall into a grey zone and all variable need to be considered. Diet and exercise should be the first line of intervention for most people. ...Read more

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Lipid panel done on 05/09/2014, results are:CHOL 246.00 mg/dL. . TGL 78. HDL 43. LDL 187.4: meds and diet by doc not helping, suggestions?

Lipid panel done on 05/09/2014, results are:CHOL	246.00 mg/dL. . TGL  78. HDL  43. LDL 187.4: meds and diet by doc not helping, suggestions?

Find and Fix Causes: It is important to determine why the LDL cholesterol is elevated. Your physician will need to check for several inherited and acquired medical conditions that can affect LDL levels. Another alternative is to see a lipidologist (physician specializing in lipid and lipoprotein disorders). You can find a lipidologist at www.Lipidboard.Org (click "verify status", then search your state). ...Read more

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Please advise on someone with the following lipid panel being prescribed a statin: hdl=136, ldl=108, triglyc=50 total cho=248 I am 58, female, nonsmoker.

Please advise on someone with the following lipid panel being prescribed a statin: hdl=136, ldl=108, triglyc=50 total cho=248 I am 58, female, nonsmoker.

If : If those are your levels before taking any medication and there is no premature heart disease in your family and you have no high blood pressure or diabetes or heart disease or history of stroke you do not need treatment. Some people have a high HDL cholesterol and still get heart problems. But in general, an HDL level above 60 is associated with a lower risk of heart disease. Most experts do not use ratios now but look at non-hdl cholesterol (total minus the hdl) and the levels of LDL cholesterol. You appear to not need any lipid therapy with those levels. ...Read more

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What does the total cholesterol number in a lipid panel mean. My total is not the sum of my HDL and ldl.?

What does the total cholesterol number in a lipid panel mean. My total is not the sum of my HDL and ldl.?

Complicated answer: Total cholesterol is comprised of cholesterol contained in multiple particles. These are: 1. Hdl (good) 2. Ldl (very bad) 3. Vldl (bad) 4. Idl (bad) 5. Chylomicrons and remnants (bad) 6. Lp(a) one easy way to assess your total bad cholesterol is to calculate non-hdl cholesterol by subtracting HDL from total. Some studies say this is better than ldl. Ideal levels of this are less than 130 mg/dl. ...Read more

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Does my lipid panel below need to get better: total cholesterol: 178 hdl: 42 ldl: 115 trig:106 vldl:21?

Does my lipid panel below need to get better:
total cholesterol: 178
hdl: 42
ldl: 115
trig:106
vldl:21?

Yes: Your cardiovascular risk depends on your age , presence of diabetes , high blood pressure and family history of heart disease. Also smoking. If u have more than 2 of these risk factors then aim for an LDL of less than 100. ...Read more

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My total cholesterol is 149 my HDL is 42 and my LDL is 92 & my ratio is 3.5 is all lipid panel normal, high or low?

Likely normal: If you don't have any other risk factors, this is a good panel. If you are diabetic or already have coronary disease, then your LDL should be <70 to be in the lowest risk group. ...Read more

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Can you tell me what the total cholesterol number in a lipid panel represent. My total is not the sum of my HDL and ldl.?

Need to see the: Results of total cholesterol, hdl, and triglycerides. Total cholesterol is the sum of HDL and ldl, unless triglycerides are greater than 400 mg/dl. ...Read more

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My HDL is 81, LDL is 132 and my triglycerides are 60. And lipid panel cholesterol shows 225. Can you tell me what this means please?

My HDL is 81, LDL is 132 and my triglycerides are 60. And lipid panel cholesterol shows 225. Can you tell me what this means please?

You're healthy: The HDL is highly protective. You're lucky. Your triglycerides are exceptionally low - also wonderful. Your LDL is normal. Your total cholesterol of 225 is meaningless since a large portion of it from hdl. ...Read more

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Had a lipid panel! ttl cholesterol- 159. Triglycerides- 61. Hdl- 38. Ldl- 106. Vldl- 12. Ttl cholest/hdl- 4.1. Non-hdl- 118. Is this good?

And the answer is: Total cholesterol under 200 is desirable (good) hdl less than 40 at risk of heart disease total LDL less than 100 good at 106 it is optimal. At your age i would stay/get active and watch the fried foods, junk foods. Get healthy for a lifetime and check again in 4 months and you will be suprised at how fast you can turn the numbers around. ...Read more

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Dr. William Cromwell
545 doctors shared insights

Ldl (Definition)

LDL, or low density lipoprotein, is a molecule in the body that transports lipids (fats) from the liver to other organs in the body. Because LDL cholesterol can get deposited in blood vessels which leads to cardiovascular disease, LDL cholesterol is ...Read more


Dr. Lois Freisleben-Cook
5 doctors shared insights

Lipid (Definition)

Are fats that are found ...Read more