Davin8r
#122
Yes it is confusing. My health care organization used to report the number in mg/dl but recently changed to mmol/L, which I believe is more precise. Here’s the explanation. Btw when the units were mg/dl the normal range was <30, but with mmol/L the normal range is < 75, so that suggests a conversation of 2.5x but I don’t know if that conversation factor holds across all levels.
Yeah, nmol/L is suppose to be a more accurate measure.
Well Just got my NMR results back

Should I try to do more cardio? Or is just general exercise fine, I say this because lately I have been focusing on muscle building and neglecting my zone 2 cardio.
And I guess any other interventions I should try to do?
Also how often would you get your lipids checked after trying different interventions?
Davin8r
#126
As a PhD student, you should be able to do much of this PubMed research yourself. Cardio is great and essential for vascular health but doesn’t have a huge effect on LDL and especially not Lp(a). I’d assume you know strategies for lowering LDL particle quantity and increasing quality (maximizing whole foods/vegetables/fruits/beans/nuts/seeds, minimizing saturated fat and high glycemic carbs, minimizing processed foods in general, minimizing fructose outside of whole fruit sources, etc etc). Doing that (and exercise) should help you trim excess visceral fat, which also helps LDL quality.
If your diet sucks, I’d work on fixing that first. If your diet is already good and you have low visceral fat yet still have the numbers above, then time to consider supplements (at the very least) and maybe meds. Also (obviously), what does your doctor say?
3 Likes
My doctor will probably get back to me this week on this, I definitely can improve my diet, I never have checked my visceral fat but like I said I exercise daily and eat relatively healthy diet, I have a low BMI and am at a healthy weight. What supplements do you think would be beneficial. I usually do athletic greens every other day, and then I take taurine and fish oil, anything else you feel I should look into that has helped you?
I more am concerned that this is happening as I have no family history of any cardiovascular related health issues.
Davin8r
#128
At least your LDL particle size and IR resistance scores aren’t bad. But that particle count is way too high. Good job catching this now when you’re 24 instead of 10 or 20 years later when so much more damage would have been done!
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Yeah well I fought my doctor on ordering the more detailed labs. I also am worried because not to be mean, but my doctor literally weighs close to 400lbs so I am worried about what he will say as its hard to take advice from someone who is that obese.
I am wondering if i should go see a cardiologist to get an echo or maybe even a CAC?
Davin8r
#130
See my previous post above. I take amla and citrus bergamot. You could also consider a red yeast rice supplement (which is just plant based source of a weaker statin drug). Berberine also lowers lipids, but I don’t take it due to potential interaction with rapamycin and other meds.
However, OTC supplements are unregulated. I subscribe to ConsumerLab.com because they periodically test OTC supplements for purity/quality (also their multi weekly supplement/research news updates are priceless).
4 Likes
Yeah I saw the previous post above, was just curious about other supplements that you may take(such as fish oils, etc) , also should I avoid rapamycin for now until I get these values lowered or how has your Lp(a) and LDL been since taking rapamycin?
I just started taking it last week ( 1mg).
Thanks for the link, i will check it out!
Davin8r
#132
Baseline CAC might not be a bad idea if you make sure the machine they’re using only uses very low radiation (they’ve come a long way in CAC scans and most machines use very low levels of XRays, or so I’ve heard). You’ll always want to weigh cost/benefit of any scan that involves radiation, especially when you’re young. Seeing a cardiologist for a consult is a great idea IMO.
2 Likes
约瑟夫
#133
FWIW…Taking Health Advice from a person who’s is unhealthy.
You just replied to your question.
true, well he is just my primary that I use to get things such as bloodwork and physicals, less so than health advice. I am just interested to see what his advice is going to be about my blood work
Davin8r
#135
Fish oil is good for lowering TG, and EPA specifically looks very promising for cardio health, which is why I take Vascepa 1g daily, but it doesn’t really do much specifically for LDL. Fish oil (especially in higher than 1g daily dose) raises risk of atrial fibrillation, which is why I stick with 1 gram of pure EPA daily.
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do you need a prescription for Vascepa ?
Davin8r
#137
Yes. You know you can just Google “Vascepa” and get that answer immediately, right?
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Yes, I did. But I was wondering if you got it via prescription or similar methods like most people get rapamycin
约瑟夫
#139
Discuss / show your blood work to three different MD’s{not telling each one you are seen others] you will get three different
opinions and advice.
Davin8r
#140
That’s kind of nihilistic IMO. The vast majority of medical practitioners understand that keeping LDL and visceral fat low and cardiovascular conditioning high via exercise (and by eating plenty of whole minimally processed foods/vegetables/beans/nuts while minimizing sugar and processed carbs) are the cornerstones of vascular health. Dietarily, there are some disagreements on healthfulness of meat and just how aggressively to restrict carbs and/or fat, but at least there’s general consensus on the basics.
3 Likes
Yeah agree. I mean there are plenty of people out there who can give good advice but not follow through on it themselves. I mean tom dayspring talks about how unhealthy he was and he is the leading expert when it comes to lipidology!
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Don’t know if you saw the part where I asked about your Lp(a) /LDL since taking rapamycin and if I should avoid taking it until I get my values lowered?