▲ 9 r/PeterAttia+1 crossposts

35M genetically confirmed high Lp(a), elevated ApoB, thin family history. Looking for real experiences before my cardiologist appointment

35M, 6’0”, around 195-198 lbs right now, been lifting and training regularly for years, trying to get down to a lean 185. No history of hypertension, no chest pain or angina, not diabetic, no personal history of any heart disease or previous cardiac events. Family history is really just my grandfather who lived to 93 and had a pacemaker put in sometime in his 70s, nobody else on either side had a heart attack or stroke or anything like that, and the rest of my family doesn’t take care of themselves diet or exercise wise and seems totally fine.

This is my first full panel like this, no previous history to compare trends against, so I don’t know how long these numbers have actually been elevated.

Full panel:
Total cholesterol 181, HDL 46, LDL 116, triglycerides 90, non HDL 135, total chol/HDL ratio 3.9, ApoB 102, Lp(a) 184 nmol/L, LDL particle number 1091, LDL small 182, LDL medium 244, LDL peak size 220.4 angstrom, HDL large 4056, labeled LDL pattern A despite the small/medium numbers being flagged high

hs-CRP 7.1, but I got this draw after about 4 hours of sleep and a hard training session so I know this one is probably inflated and I’m getting it rechecked under normal conditions before reading into it
Glucose 91, HbA1c 5.5, insulin 7.0, leptin 2.0

Testosterone total 513, free 90.3, estradiol 34, SHBG 23, DHEA-S 290, prolactin 19.4 (again drawn after bad sleep and a workout so probably inflated too)
TSH 3.05, free T4 1.1, free T3 3.3, thyroid antibodies both negative

ALT 15, AST 15, ALP 51, GGT 19, total bilirubin 1.4 (this one runs high consistently for me, pretty sure it is Gilbert’s syndrome, confirmed with a genetic test)
BUN 18, creatinine 1.13, eGFR 87

Vitamin D 64, ferritin 119, homocysteine 10.3, zinc 67

Omega 3 total 6.7%, omega 6 total 34.6%, omega 6/3 ratio 5.1, arachidonic acid/EPA ratio 12.1

Diet the last year or two has basically been a pound of ground beef, 3-4 eggs, and a lot of rice almost every single day because it’s easy and hits my protein numbers. I know that is probably a big part of the ApoB and LDL story and I am already cutting the daily ground beef out.

Also ran my raw DNA against this and the Lp(a) number is confirmed by the LPA gene variant (rs10455872), so that part isn’t going away with diet, it’s just genetic. APOE came back 3/3 which I think is the neutral version, not the bad one.

Getting a coronary calcium scan and seeing a cardiologist regardless of what anyone says here, this isn’t a substitute for that. But with barely any family history behind me except a grandfather who lived to 93, I’m trying to figure out how seriously to actually take the Lp(a)/ApoB numbers versus how much the family track record should count for something.

Also curious what people think about the LDL debate in general, I’ve seen people say it’s the whole ballgame for heart disease and other people, especially in the longevity and testosterone spaces, say it’s overrated and even correlates with better cognition and hormones as you get older. Not trying to talk myself out of caution, just want a range of opinions. Same with statins, I don’t think I’m anywhere near needing one yet but curious if anyone with similar numbers ended up going that route or did something else instead.

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u/No-Assignment-9699 — 13 days ago
▲ 11 r/Affordablewatches+1 crossposts

[Discussion] Leveling up the collection: budget at or under under $1k

Aight so here’s where I’m at currently: Sea-Gull automatic, Casio Duro, Moonswatch, CasiOak incoming. Some Casio beaters. Nothing crazy.

Not doing the Rolex thing. Just want something where a watch person looks at my wrist and respects it, and a normal person thinks it costs more than it did.

Thinking wearing for work trips and dates. Work will have the Rolex and Omega Crowd.

Not trying to pretend to be something I’m not but want something fun.

BB58 is the dream but not right now. Want that energy though like a tool watch, clean, wears like it means something.

Was thinking Tissot PRX and Seiko Panda as my next two. Open to being talked out of it.

Hard no on Longines. Just feels like settling to me with an unnecessary price tag.

Miami for context. Also care about how things photograph.

Want to spend around 1k, for 2 watches that would be fun for work and dates. Or just 1 at that price point. I travel a lot so don’t really want something I worry about losing.

u/No-Assignment-9699 — 2 months ago

I got into watches the wrong way. Now I make real money and my wrist is having an identity crisis. Roast me and help me rebuild.

Alright, hear me out.

It started innocently. I discovered that watches exist on AliExpress. I discovered that most watches are made in China anyway (I told myself this repeatedly, like a mantra, while clicking “Buy Now” at 1am). I told myself I was being a savvy consumer. A contrarian. A man who sees through the marketing.
I was not those things. I was just cheap and dopamine-addicted to flat-rate shipping.

Fast forward to now: I’ve got a real job, real adult responsibilities, and I’m actively dating again. I pulled out my watch box on a date and she asked if I “collected timepieces.” I said yes. She was impressed. Then she looked closer. Silence. The kind of silence that ends relationships before they start.

So here’s the box. Laid bare. No shame. Well, some shame.

I genuinely don’t know which of these are keepers and which are “donate to a nephew who won’t know the difference” tier. A few I actually like. Some I’m pretty sure are legally required to be declared at customs as “inspired by a real watch.”

My questions for the hive mind:

1.	Which ones do I keep without embarrassment?  
2.	Which are secretly actually good and I lucked into them?  
3.	What’s the first real watch I should buy now that I can actually afford one — without going full “guy who just got a raise and bought a Submariner to prove it”?

Budget is flexible. I’m not cheap on things that matter, I just historically have not believed watches matter. I’m open to being wrong about this. The Casios stay, obviously. I’m not a monster.

Be honest. Be brutal. I can take it. My wrist has already taken worse.

u/No-Assignment-9699 — 3 months ago

1.5 years of plantar fasciitis treatment that wasn’t working - think I finally found the real cause but need help

Started with a plantar wart on my right big toe. Instead of resting it I taped it up and kept playing tennis and pickleball. Looking back I was subconsciously avoiding pressure on that toe with every step.

Eventually got what I thought was plantar fasciitis. Doctor confirmed heel spurs. Saw 4-5 different PTs over 18 months. Every single one noted weak/inhibited glutes and a chronically tight right QL. Did all the work - calf raises, hamstring, glutes, abs, foot drills. Nothing fully resolved it.

Recently someone pointed out that my abductor hallucis (muscle along the inner edge of the foot by the big toe) is basically offline on my right side. When I try a short foot drill on my left foot that muscle visibly pops up no problem. On the right I can barely feel it, have to concentrate like crazy, and instead of the muscle engaging my plantar fascia just lights up with pain. Like my foot forgot how to use that muscle and the plantar fascia is doing its job instead.

My theory is the original toe avoidance pattern shut this muscle down, the plantar fascia has been overloaded ever since, and everything up the chain has been compensating for two years.

Has anyone rehabbed this specific pattern? How do you activate that muscle when the plantar fascia keeps firing instead? And did fixing the foot actually fix the glute and QL issues or did those need separate work?​​​​​​​​​​​​​​​​

u/No-Assignment-9699 — 3 months ago