20 y/o with LDL 307 — possible FH? Looking for advice
Hi everyone,
I recently got my lipid panel back and I’m pretty concerned:
- Total cholesterol: 381 mg/dL
- LDL-C: 307 mg/dL
- HDL-C: 57 mg/dL
- Triglycerides: 84 mg/dL
- Non-HDL-C: 324 mg/dL
I’m 20 years old, and my triglycerides/HDL seem normal, but the LDL is extremely high. I also have family history: my maternal grandfather had issues, first heart attack around 42, and passed at 65.
I’ve already messaged my doctor, but I’m wondering if these numbers look like possible familial hypercholesterolemia. Has anyone here had LDL this high at a young age? What follow-up tests should I ask for — ApoB, Lp(a), genetic testing, CAC later on, etc.?
Also wondering what diet changes actually helped people with very high LDL, especially around saturated fat, dairy, eggs, and cholesterol.
Any advice or personal experience would be appreciated.