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<blockquote data-quote="MollieB" data-source="post: 2207676" data-attributes="member: 519175"><p>That is extremely interesting...There is very little attention paid to it. In fact, our lab doesn't even report it. I always thought US and UK to be on about the same wave length with their medical "opinions" {doesn't matter where the studies are done, we are the same species <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> } but this is very different. Depending on how they do you LDL cholesterol measurement, fasting is key. (Fasting is also key to getting a true triglyceride reading). In the US, the standard LDL lab test is derived from calculating it by subtracting HDL and triglycerides from Total cholesterol. Since triglycerides are sensitive to fasting, if you are not fasting, the LDL levels are not going to be accurate. LDL also can now be measured "Directly" (not calculating it). Since it doesn't rely on the other numbers to calculate the reading, a direct LDL doesn't have to be fasting. We also have another test called an NMR, which measures LDL particle number. This is important because huge studies have shown the LDL particle number to be the best indicator for cardiovascular events. Diabetics, in particular, can have normal LDL levels and still have elevated Particle Numbers.</p></blockquote><p></p>
[QUOTE="MollieB, post: 2207676, member: 519175"] That is extremely interesting...There is very little attention paid to it. In fact, our lab doesn't even report it. I always thought US and UK to be on about the same wave length with their medical "opinions" {doesn't matter where the studies are done, we are the same species :) } but this is very different. Depending on how they do you LDL cholesterol measurement, fasting is key. (Fasting is also key to getting a true triglyceride reading). In the US, the standard LDL lab test is derived from calculating it by subtracting HDL and triglycerides from Total cholesterol. Since triglycerides are sensitive to fasting, if you are not fasting, the LDL levels are not going to be accurate. LDL also can now be measured "Directly" (not calculating it). Since it doesn't rely on the other numbers to calculate the reading, a direct LDL doesn't have to be fasting. We also have another test called an NMR, which measures LDL particle number. This is important because huge studies have shown the LDL particle number to be the best indicator for cardiovascular events. Diabetics, in particular, can have normal LDL levels and still have elevated Particle Numbers. [/QUOTE]
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