any experts on chol please

[borderter]

Just had chol results and have the lowest 4.6 that I have ever had so well suprised at having a call re adding ezetimibi to my statin so please can anyone unravel the result. Hdl 1.9
serum chol 2.4
serum non hdl 2.7
trigs 2.5
so does this make sense to anyone please

 

[HSSS]

Huge thread here with a lot of links https://www.diabetes.co.uk/forum/threads/cholesterol-and-statins.156985/

it seems crazy to me. Your total serum is marginally higher than they want for diabetics but a few years ago was considered normal. At itself has a higher than normal HDL level, which is widely considered the “good” one, which also means the “bad” one LDL will in turn be lower than average (I’m assuming that’s the second figure at 2.4). Your trigs aren’t as good as they could be but statins, or their ilk like ezetimbi, don’t work on trigs, just ldl.

Add in the uselessness of total cholesterol for predicting outcomes, LDL being calculated not measured, the composition of LDL not being identified at all which is very relevant, the decent HDL, the fact that older women especially have better outcomes with moderately higher LDL compared to lower ones. If you are currently losing weight that can push trig levels up temporarily too. In light of all that I’d want to be understanding the topic better and wanting better explanations other than “you tick the box” before I started a new medication.

For anyone wanting to see a calculation of how their numbers actually compare and what they mean have a look at these

New Report Tool Launched

Consider this our open beta for the new Report Tool. Feel free to try it out yourself and comment in your report down below. Also, let us know any/all issues or bugs you may encounter. Please remem…

cholesterolcode.com

And
U.K. Version https://www.hughcalc.org/chol-si.php
Us version https://www.hughcalc.org/chol2013.php

 

[ianf0ster]

I'm not a doctor but take Lipid theories quite seriously. To me, the cholesterol numbers look good except for the triglycerides.

 

[Outlier]

Very useful calculation chart - thanks for the link.