Unheardof wrote:Hello, I am new to the forum so thanks in advance for anyone that is able to get back to me.
I am a 35 year old male and live a pretty healthy lifestyle in my opinion. Weightlifter, crossfitter, competitive soccer player, hardly any body fat. I don’t follow a super strict diet but I don’t eat any “junk.” And I did one of those comprehensive blood work tests just for fun basically. Everything came back in the green category except Lpa, which was red and I knew nothing about until my recent research.
The LPa was measured (or calculated, I don’t know) at 191 nmol/L. The other cholesterol numbers were ok.
Total C - 182 mg/dL
LDL - 106 mg/dL
HDL - 57 mg/dL
TG - 93 mg/dL
So after researching naturally I wasn’t thrilled with finding this out so I went to my GP and brought the test results. He wasn’t impressed at all. He pointed out the HDL of 57 and said as long as that number is high and you keep up your daily exercise that I shouldn’t worry about it. He said LDL could come down a little to under 100 but that’s about it.
I wasn’t happy with this answer so I booked an appointment with a cardiologist. He seemed equally unimpressed. He showed me some cardiac risk calculator that had my CVD risk at something ridiculously low but it didn’t even factor in LPa. Anyway he did a quick evaluation, told me if I should consider switching to a mostly plant-based diet and that should get the LDL down to 80 or so and not worry about the rest, and come back for an advanced lipid panel in 8 months.
I’ll do that but don’t really want to not be addressing the root problem of high Lpa in the meantime. So I’ve been obsessively researching and stumbled across this forum. It seems like vitamin C and lysine is my best course of action along with niacin in knocking the LPA number down. So I’ll start working my way up to 6g of each daily. I don’t see as much mention on niacin here, is that because it is recommended to be administered under the care of a doctor because of potential effects in liver?
Anyway if there are others here in a similar situation (seemingly perfectly healthy and in very good cariovaacular shape in terms of exercise capacity, and good other lipid numbers but very high Lpa, I’d be interested in the course of treatment you followed and if it has translated to lower tested LPa numbers. Thanks!
francisunderwood wrote:I would get a retest and ask if it is calculated or measured. If it is high look into proline.
But I would like to have my doctor or cardiologist be on board with working with me on the niacin and finding a correct dosage that is effective.
Unheardof wrote:Thanks Zarfas for the response.
Yeah I’m actually quite addicted to eggs. Before I found about the Lpa I probably had 2 whole and 4 whites per day. Once finding out the high Lpa I cut out a lot of the yokes to reduce ldl a bit and mostly eat egg white omelettes now. Still have probably 2-3 yokes a week. I see so many conflicting things on egg yokes and whether they are bad or not.
I also saw the study on exercise and Lpa. That’s unfortunate but I guess I’m just going to take my chances that it provides more benefits than it does harm.
I will pick up some k2 after just reading up a bit about it after your post.
Also, cut back on egg yokes
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