u/PuzzleheadedTank8062

Thoughts on high LDL cholesterol

Thoughts on high LDL cholesterol

Hi all - I was hoping to get some advice here.

I am a 32 y.o. male with high LDL cholesterol numbers. I had not done lab work in a long time, and Attia's book Outlive inspired me to begin being more proactive than reactive. I did lab work in March, which came back with two pretty scary numbers:

  • LDL = 162 (scary)
  • APOB = 116 (scary)
  • LPA = 10 (recognize fully genetic and does not change)
  • HDL = 45
  • Triglycerides = 75

Anyways, my diet was pretty shit at this point. So I switched it up in late March / April, started eating a ton of fruits and veggies, lean meat, eggs, beans. Got my blood done again this week. A few comments on my life style since:

  1. I strength train 3x a week, zone 2 / 3 cardio 1x, and do HIIT about 1x a week as well

  2. Calories are ~2300 a day

  3. Bumped up fiber to 45-50g a day (mostly psyllium husk, beans, avocado, greens)

  4. Saturated fat no more than 18g a day (less than 10% of total calorie intake)

  5. Supplements are simple with creatine, fish oil, magnesium

  6. Protein = 160g a day, carbs = 230g a day (mostly fruit, beans, oats), fat = 86g a day (fish, eggs, evoo)

Unfortunately, my numbers hardly budged! I knew I wouldn't be in "steady state" after 6 weeks of eating clean, but I expected to see some results. My new numbers as follows:

Updated numbers:

  • LDL = 164 (scarier)
  • APOB = (still waiting for results)
  • LPA = 10 (recognize fully genetic and does not change)
  • HDL = 56
  • Triglycerides = 72

At this point, I am going to look for a preventative cardiologist, but if I am eating clean, exercising, and numbers hardly budging, it seems the only answer is a statin. Thought I'd crowdsource here and see if folks here have any thoughts as well:

https://preview.redd.it/1e6bv3ok9d1h1.png?width=1013&format=png&auto=webp&s=7daaa5b241e4905bbd56ec366e81b1a75ffe3d4d

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u/PuzzleheadedTank8062 — 6 days ago