Category Archives: LDL cholesterol

Letter from the insurance company

Claudia got this letter from her health insurance company: Dear Ms. ——, Based on a recent review of your cholesterol panel of January 12, 2011, we feel that you should strongly consider speaking to your doctor about cholesterol treatment. Reducing … Continue reading

Posted in LDL cholesterol, LDL particle number | 24 Comments

The LDL-Fructose Disconnect

I believe that we can all agree that the commonly obtained Friedewald LDL cholesterol (what I call “fictitious” LDL cholesterol) is wildly inaccurate. 100%–yes, 100% inaccuracy–is not at all uncommon. This flagrant inaccuracy, unacceptable in virtually every other discipline (imagine … Continue reading

Posted in Fructose, LDL cholesterol, Small LDL | 8 Comments

Will the real LDL please stand up?

The results of the latest Heart Scan Blog poll are in. The question: How has your LDL been measured? The 187 responses broke down as: I have only had a conventional calculated value 108 (57%) NMR LDL particle number 35 … Continue reading

Posted in LDL cholesterol | 13 Comments

Lies, damned lies, and statistics

In the last Heart Scan Blog post, I discussed the question of whether statin drugs provide incremental benefit when excellent lipid values are already achieved without drugs. But I admit that I was guilty of oversimplification. One peculiar phenomenon is … Continue reading

Posted in LDL cholesterol | 8 Comments

A Tale of Two LDL’s

Kurt, a 50-year old businessman with a heart scan score of 323, had a : –Conventional (calculated) LDL of 128 mg/dl–Real measured LDL 241 mg/dl. Laurie, a 53-year old woman who underwent a coronary bypass operation last year (before I … Continue reading

Posted in LDL cholesterol | 10 Comments

Triglycerides divided by five

Here’s a bit of lipid tedium that might nonetheless help you one day decipher the meaning of shifts in your cholesterol panel. Recall from prior discussions that conventional LDL cholesterol is a calculated value. Contrary to popular opinion, LDL is … Continue reading

Posted in LDL cholesterol | 8 Comments

Making Dr. Friedewald an honest man

Colleen started with the usual discrepancy between conventional calculated LDL cholesterol of 121 mg/dl and the far more accurate LDL particle number (NMR) of 1927 nmol/L. Those of you following this conversation or our many conversations on the Track Your … Continue reading

Posted in LDL cholesterol | 3 Comments

More on ASTEROID

Since we are on the topic of the ASTEROID trial and rosuvastatin, I’d make one more point before I start to sound like I’m plugging this drug (which I definitely am not). In an informative Roundtable Discussion (open to subscribers … Continue reading

Posted in LDL cholesterol | 3 Comments

The many faces of LDL

Pam has an LDL cholesterol of 144 mg/dl. To most people, this means that she has a mildly elevated LDL value. Many people would respond by cutting the saturated fat in their diet. Most physicians would concur and talk about … Continue reading

Posted in LDL cholesterol | 13 Comments

The many faces of LDL

Ginnie came in for an opinion about her heart scan score of 393. At age 57, this put her in the 99th percentile, a high score. As usual, we did a lipoprotein analysis by NMR (Liposcience). Some numbers: LDL cholesterol: … Continue reading

Posted in LDL cholesterol | Leave a comment