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

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Dr. William Cromwell
87 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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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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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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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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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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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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Dr. William Cromwell
568 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. Tiffanie Noonan
5 Doctors shared insights

Lipid (Definition)

Are fats that are found ...Read more