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Doctor insights on: What Is Lipid Panel With Reflex To Direct Ldl

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Dr. William Cromwell
89 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 arterial ...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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On march my lipid panel results were: Total 198, trigly 129, hdl 41, vldl 26, ldl 131, hdl ratio 4.8. I'm 34, female, overweight and scared.?

On march my lipid panel results were: Total 198, trigly 129, hdl 41, vldl 26, ldl 131, hdl ratio 4.8. I'm 34, female, overweight and scared.?

Cholesterol.: The HDL definitely could afford to be higher and the LDL could afford to be lower. They’re not in any “imminent danger” ranges, but they need to be corrected. Weight loss, proper nutrition and regular exercise will help. ...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?

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?

All good: Current goals: chol < 200, HDL >35, LDL <135. Your numbers all look good now, probably because you are young, and hopefully because you are exercising, are the proper weight, and are eating a prudent diet. Next time, though (like in about 2-3 years at annual exam time), request the new NMR test which will analyze the specific quality of your LDL particles to see if you have the right number & size. ...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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Lipid panel done. Triglycerides 263, HDL 45, LDL 66, cholesterol 163. what would cause the high triglycerides with normal values otherwise?

Abnormal test: Hi
It's possible to have isolated, high triglycerides. If that value was from a non-fasting test, and if you had a fatty meal before the test was done, you could see an isolated high trig level. But triglycerides at that level suggest that there may be an abnormality with lipid metabolism. Please be sure to follow up with your doctor about the results. Hope this helps. ...Read more

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

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

See Below: For the most part yes. I would like to see your HDL higher 40-50. Exercise, no smoking will help improve this. Adhere to a healthy diet as well. ...Read more

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38yr old female 5' 1" 136lbs total lipid panel 236 trig 82 HDL 76 vldl 16 LDL is 144↑ I avoid fried/greasy foods & most sugar water/coffee only. Why?

38yr old female 5' 1" 136lbs total lipid panel 236 trig 82 HDL 76 vldl 16 LDL is 144↑ I avoid fried/greasy foods & most sugar water/coffee only. Why?

Lipid panel: Blame it on genetics. Unfortunately many lipid panel abnormalities are difficult to pin down as to root cause. Good dietary analysis of other foods, like protein and carbs is also in order. Sometimes simple adjustments to diet can make the difference. But pretty good HDL on this report. ...Read more

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34 year old male CHOLESTEROL 162 mg/dL HDL 40 mg/dL LDL 103 mg/dL TRIGLYCERIDE, NONFASTING 136 mg/dL CHOLESTEROL, NON-HDL 122 mg/dL Am I doing alright? Lipid Panel

34 year old male CHOLESTEROL 162 mg/dL HDL 40 mg/dL LDL 103 mg/dL TRIGLYCERIDE, NONFASTING 136 mg/dL CHOLESTEROL, NON-HDL 122 mg/dL Am I doing alright? Lipid Panel

HDL a bit low..: Outside your HDL being a bit low, your numbers look pretty good. Your HDL should be a little bit higher, and would be great if it was above 65. Regular cardiovascular exercise can help to raise this. ...Read more

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My lipid panel total cholesterol 284, HDL 116, LDL 157, trig 56, vldl 11, t chol/ HDL ratio 2.4?

Lipids: Good and nots so bad. Your HDL is excellent your LDL is mildly elevated likely would not treat w meds. ...Read more

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Recently had a lipid panel. Was wondering if I need to make dietary changes. This is my result. Cholesterol 165, triglyceride 75, HDL 73, LDL 77.

Changes?: Your lipid panel is normal. All the values tested, total cholesterol, tg's, LDL and HDL cholesterol are in the normal range. At the present time, you need no medication or diet adjustments. Good luck. ...Read more

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My fathers Lipid Panel! Total cholest: 243, Triglycerides: 257, HDL: 44, VLDL: 51, LDL: 148, LDL/HDL ratio: 3.4. Calcium score was a 1. Is this bad?

My fathers Lipid Panel! Total cholest: 243, Triglycerides: 257, HDL: 44, VLDL: 51, LDL: 148, LDL/HDL ratio: 3.4. Calcium score was a 1. Is this bad?

Hyperlipidemia: Bad is a part of a formula or an angle. It depends on your dad's pmhx, MI, Cardiovascular Risk factors etc. It is likely that his LDL should be lower as well as Triglycerides.
I would assume he is currently on a Statin or will be placed on one in addition to lifestyle modification. ...Read more

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My lab results were Lipid Panel TG 193 HDL 35 LDL 69 and my BUN/Creatinine Ratio is 22.... is this bad?

My lab results were Lipid Panel TG 193 HDL 35 LDL 69 and my BUN/Creatinine Ratio is 22.... is this bad?

Not bad: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your results are within normal limits. Your HDL is low for a woman. You can improve that by exercising. Start with walking 30 minutes a day and increase the intensity of exercise as tolerated. ...Read more

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Total cholesterol 219, HDL 73, LDL 114, vldl 32, triglycerides 161. Thought I was eating good. No fried foods & not a lot of sugar. Is my lipid panel bad?

Total cholesterol 219, HDL 73, LDL 114, vldl 32, triglycerides 161. Thought I was eating good. No fried foods & not a lot of sugar. Is my lipid panel bad?

Need Particle Data: High triglyceride (tg) is often a marker for high LDL particle number (ldl-p). As tg rise ldl-p rises. However, when tg is high the amount of cholesterol carried by LDL particles goes down. This often results in "normal" LDL cholesterol (ldl-c) and low hdl-c levels despite high (ldl-p). When ldl-p is high cardiovascular risk is high independent of ldl-c, hdl-c, tg levels. ...Read more

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Should I consider getting lpa tested if lipid panel is normal (total 94, LDL 34, HDL 47) even with strong family history of heart disease and stroke?

Should I consider getting lpa tested if lipid panel is normal (total 94, LDL 34, HDL 47) even with strong family history of heart disease and stroke?

Lp (a) lipoprotein: Is a marker for increase cardiovascular risk and can be lowered with agents such niacin. However, no outcome studies have showed efficacy in lowering cardiovascular events by lowering lp (a). Attempt lowering risk you can managed like smoking, diabetes, hypertension, obesity, physical inactivity, diet, alcohol consumption, psychosocial stressors. Good luck. Also I will recommend a stress test. ...Read more

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Lipid panel: ttl cholesterol- 159, hdl- 45, ldl- 102, triglycerides- 61, cholesterol/hdlc ratio- 3.5, non hdl- 114. Is this good with heart disease?

Lipid panel: ttl cholesterol- 159, hdl- 45, ldl- 102, triglycerides- 61, cholesterol/hdlc ratio- 3.5, non hdl- 114. Is this good with heart disease?

Depends on the natur: If it is coronary artery disease, then this lipid profile needs to be improved further. The goal is to get LDL down to <70mg/dl. This can be achieved with daily exercise for 30-45 minutes, avoid any saturated fats in diet or cooking and increase the dose of statin being used. Your cardiologist should help to titerate the statin dose further. ...Read more

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Yes, does having a lipid panel of total cholesterol 227, HDL 76, Triglycerides 79 and LDl 135 constitute having a bad heart? Are these bad results?

Yes, does having a lipid panel of total cholesterol 227, HDL 76, Triglycerides 79 and LDl 135 constitute having a bad heart? Are these bad results?

That's pretty good.: While your LDL could afford to be a bit lower (< 100 to be really good), your HDL is really high, which is very heart-protective, and your triglycerides are in an acceptable range. Your total is high in part because your HDL is so high, which is a good thing. But again, the LDL could afford to be a bit lower. ...Read more

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34 year old male Heart desease in family. Lipid panel, total cholesterol 153, Tri. 67, Hdl 38, Ldl 102, Vldl 13, Hem. A1c 5.1 Should I be concerned?

Heart disease risk: Although I don't know your race or blood pressure I think your risk shouldn't be very high if you keep your LDL low and try to keep your HDL higher than 45 with exercise.
Tell me what your race is and also your blood pressure and if you take medication for blood pressure and I can calculate your 10-year and life time risk. ...Read more

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Lipid panel CHOL 257 TRIG 174 HDL 65 LDL 157. VLDL 35. .. 20 weeks pregnant. Is this bad? How can I lower and what would be my total cholesterol

"Bad": Your levels are not too good, particularly with 20 weeks pregnant.
Please see your doctor for control of several blood results.
The levels will be recovered to some good extent and you should have no concern about a beautiful new baby.

Michael Kleerekoper ...Read more

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Lipid panel showed total cholesterol 180, LDL 70, HDL 50, trigs 300. Do I have a cholesterol problem and what do I do? Dad had heart attack at 54.

Lipid panel showed total cholesterol 180, LDL 70, HDL 50, trigs 300. Do I have a cholesterol problem and what do I do? Dad had heart attack at 54.

Risk: Your triglycerides could be lower, the rest of your lipids are good. You need to continue the BP control, should be getting daily aerobic exercise and an 81mg Aspirin a day is a consideration. Talk to your dr. About other factors that may not be in your list above. A mediterranean diet is also a very good idea. ...Read more

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Lipid panel came back as TSH 5.4 can that effect the red blood cell count & my cholesterol levels? Rbc 3.87- HDL 73 vldl 32 LDL 114 trig 161 total 219

Lipid panel came back as TSH 5.4 can that effect the red blood cell count & my cholesterol levels? Rbc 3.87- HDL 73 vldl 32 LDL 114 trig 161 total 219

Yes It Can: Elevated TSH (> 5.0) is present in approximately 10 percent of individuals with abnormal triglyceride (> 150) or LDL cholesterol values. This should be evaluated and managed as part of the strategy for treating abnormal lipid values. ...Read more

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How much do genes play part in lipid panel? My total cholesterol 170, LDL 84, HDL 80, Triglycerides 63.I eat healthy & exercise daily & also have lupus

Genetics of lipids: Genetics are a powerful determinant of cholesterol metabolism. Some people eat super healthy and still have very high cholesterol requiring medicine to control. Others eat poorly and still have low cholesterol. By the way, treatment of lupus w/ steroid drugs can also contribute to development of heart disease. For personalized advice on this, talk to your doctor or a consultant here on HealthTap. ...Read more

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My doctor ordered all these tests. What is a CBC, T4, tsh, comp metabolic panel and lipid w/ trig & LDL? Why do I need all of this?

My doctor ordered all these tests. What is a CBC, T4, tsh, comp metabolic panel and lipid w/ trig & LDL? Why do I need all of this?

Many tests: When you go in to get the results of the test, it is a great time to ask all of these questions to your doctor. ...Read more

Dr. William Cromwell
572 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. Eric Weisman
5 Doctors shared insights

Lipid (Definition)

Are fats that are found ...Read more