Trying to work out whether my panel improved or merely rearranged itself, because two of the numbers went the wrong way.
What I actually want to know 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.
Numbers rather than impressions, if you have them.
quinn_sf said:Trying to work out whether my panel improved or merely rearranged itself, because two of the numbers went the wrong way.
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 $44 copay. Without insurance, request cash-pay pricing from Quest/Labcorp — usually $179.
JessicaH_TX said: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…
Comprehensive lipid panel update relevant to the lipid panel:
| Marker | Baseline | 6 Months | 12 Months | Reference |
|---|---|---|---|---|
| Total Cholesterol | 269 | 204 | 194 | <200 |
| LDL | 154 | 119 | 114 | <100 |
| HDL | 47 | 48 | 61 | >40 |
| Triglycerides | 289 | 174 | 104 | <150 |
| LDL-P | 1729 | 1179 | 979 | <1000 |
The triglyceride drop is the most impressive. My cardiologist reduced my statin dose based on these results.
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Omega-3 index improvement on the lipid panel: often overlooked but my omega-3 index went from 3.9% to 8.9% over 10 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.