5 doctors weighed in:

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?

5 doctors weighed in
Dr. William Cromwell
Clinical Lipidology
2 doctors agree

In brief: 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.

In brief: 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.
Dr. William Cromwell
Dr. William Cromwell
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1 comment
Dr. Milton Alvis Jr
LDL & HDL fat transporting protein particles are the correct issue, not cholesterol. See NMR particle test. In the 1970s, cholesterol, a fat manufactured by every animal cell (~30% of all animal cell membrane fat molecules) was promoted as a cheaper (~$200 vs. $5,000) way to guestimate lipoprotein particles for 2 reasons: (1) lower cost and (2) LDL particle concentrations also tended to be high when total cholesterol concentrations were very high, especially >250 mg/dL. However, this correlation becomes more & more unreliable when cholesterol concentrations are lower, indeed becoming reversed when cholesterol concentrations are quite low and lipoprotein concentrations are in quite healthy ranges. This is why desirable total cholesterol is considered to be below 200 mg/dL (actually way below 200 mg/dL). However, below 200 mg/dL, cholesterol is no longer a good or reliable indicator.
Dr. Roberta Beals
Family Medicine
1 doctor agrees

In brief: This is good.

You hdl:trig ratio is good.
Hdl above 60 and triglycerides below 150 are optimal. Your LDL goal with no risk factors are <130.

In brief: This is good.

You hdl:trig ratio is good.
Hdl above 60 and triglycerides below 150 are optimal. Your LDL goal with no risk factors are <130.
Dr. Roberta Beals
Dr. Roberta Beals
Thank
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