My recent health/fitness hiccup

[jon-nyc]

ChatGPT calls my lipid panel ‘unusually favorable’. Claude ‘as good as it gets’. Nice to know I have some good genes too.

[xenon]

Impressive - how is your LDL so low? I’m guessing your consumption of saturated fat is super low.

My LDL is much higher - I eat lots of saturated fat. My trigs are really low though (I think they were 40 last time I measured).

[jon-nyc]

Honestly I have no idea. Diet is surely part of it. I would imagine there is a genetic component. I have results going back to 2018 and the numbers have ranged from 34 to 52.

[Mik]

I’m doing well on a 10mg Atorvastatin. HDL is a little low.

[Klaus]

@jon-nyc none of your medications is LDL-lowering, maybe as a side effect? Then that's an amazing value.

I have to get my LDL very low now because of my heart condition. I'm hoping to get in the range you are already in with 10mg of rosuvastatin and 10mg of ezetemibe.

[jon-nyc]

Both prednisone and tacrolimus can increase it but that doesn’t seem to have happened in my case.

[xenon]

Has anyone here gotten their ApoA and ApoB checked, or their CAC? I was going to ask for that in my next round.

ApoB in particular is supposed to be the best predictor of adverse cardiovascular events.

[Mik]

Yes, I’m going to ask about that next time as well.

[Klaus]

@jon-nyc said:

Both prednisone and tacrolimus can increase it but that doesn’t seem to have happened in my case.

A natural LDL-C of 40ng/dl at your age basically doesn't exist. The 0.5% percentile at your age and sex is at 62 ng/dl.

[jon-nyc]

Interesting.