Triglycerides dropped by half, HDL barely moved, and my calculated LDL is almost exactly where it started, which is not the outcome I had been promised.
What I am after is whether an unchanged LDL-C alongside a large triglyceride fall is a good result or a bad one, because ApoB and LDL-C seem to be telling different stories.
Tell me what I have not thought of.
Dr.DermMIA said:Triglycerides dropped by half, HDL barely moved, and my calculated LDL is almost exactly where it started, which is not the outcome I had been…
Comprehensive lipid panel update relevant to the lipid panel:
| Marker | Baseline | 6 Months | 12 Months | Reference |
|---|---|---|---|---|
| Total Cholesterol | 263 | 218 | 188 | <200 |
| LDL | 168 | 133 | 108 | <100 |
| HDL | 41 | 50 | 60 | >40 |
| Triglycerides | 243 | 188 | 118 | <150 |
| LDL-P | 1743 | 1293 | 993 | <1000 |
The triglyceride drop is the most impressive. My cardiologist reduced my statin dose based on these results.
PharmD_Rodriguez said:Comprehensive lipid panel update relevant to the lipid panel: Marker Baseline 6 Months 12 Months Reference Total Cholesterol 263 218 188 <200 LDL…
Tracking labs for the lipid panel — here's the panel I get every 3 months and why:
- CMP: glucose, electrolytes, kidney function, liver enzymes
- Lipid panel: total cholesterol, LDL, HDL, triglycerides
- A1C: 3-month glucose average
- hsCRP: inflammatory marker
- CBC: blood counts, anemia screening
- B12, folate, iron: nutritional deficiency screening
- TSH, free T4: thyroid monitoring
- Lipase: pancreatic safety check
Total cost with insurance: about $32 copay. Without insurance, request cash-pay pricing from Quest/Labcorp — usually $157.
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View ResultsDr.DermMIA said:Triglycerides dropped by half, HDL barely moved, and my calculated LDL is almost exactly where it started, which is not the outcome I had been…
Same experience, arrived at from the opposite direction.
Adding the clinical framing, because it changes how the question reads.
Omega-3 index improvement on the lipid panel: often overlooked but my omega-3 index went from 3.5% to 7.5% over 8 months. I supplemented with 2g EPA+DHA daily.
This matters because omega-3s are anti-inflammatory and cardioprotective, complementing the GLP-1 benefits. Target omega-3 index is >8%. Combined with the triglyceride reduction from the medication, my lipid profile is the best it's been in decades.