High ApoB Levels? Here’s What To Do | Simon Hill on Mark Bell’s Podcast EP

[@BlahBlahPoop617]

I lowered my ApoB/LDL to below the point Dr. Dayspring recommends by eating a mostly plant based diet, but with the addition of fat free dairy/fish for my protein, but also with vegan protein options. I eat 4 meals per days and about 2 are vegan protein sources. I eat fiber at each meal. I do this because fiber throughout the day with meals helps lower cholesterol reabsorption in the gut. I keep saturated fat very very low and focus on olive oil, avocado, nuts for my fat. I eat blueberries and cacao daily for polyphenols, antioxidants, etc. I walk daily, try to get at least 20-30k steps. Keeps blood pleasure low. I ride my bike and lift 5-6 days per week. I try to get 200 grams of green veggies in daily too like spinach or broccoli.

[@willbrink]

Lowered it from what to what? Dayspring recommends very low ApoB. Did you lose any weight in the process?

[@jayjam9106]

Just for case example, I dropped my ApoB and LDL by well over 60% by diet only. These are now in the optimal (ApoB) and physiological (LDL) ranges. Simply 6 months on Esseltyn

[@Meanbeanmachine1988]

Me too on an esselsteyn like program. Went from 1.1 to 0.62 in the span of 5 years.

[@cynthiabroze]

I lowered my LDL by 40 points (down to 87) in one month on the Portfolio diet. Was already on a vegan diet so the main change was adding plant sterols. But when I tested my ApoB few months later it was 90. Plan to test Campesterol etc. soon because Dr Dayspring scared the bejesus out of me to take plant sterols without knowing if Im a hyper absorber or not.

[@HakuCell]

you can still get atherosclerosis with an LDL-C of 87 mg/dL.

[@cynthiabroze]

@@HakuCellI’m 71. So I’m sure I have some now. I was complaining that my ApoB is too high which is more important than LDL.

[@damens-xn9pu]

So I am a doctor based in Germany and I am aware of the guidelines from the esc to lower ldl below 55 mg/dl. The problem with these guidelines is, that the authors almost to the last person have a conflict of interest. While these new and expensive drugs lower your cholesterol they dont necessarily lower your risk of heart disease. As far as I am aware, lowering below 120mg/dl might actually have more side effects in cognition, pain, development of diabetes. It is important to note, that medication is necessary if you have an overall risk of cardiovascular disease above 20% and that a moderate or high dosis of statin is sufficient for most people according to the data looking at the outcomes. I will say that most cardiologist disagree with me here but is in accordance with some independent (german) national guidelines

[@swites]

How about those without a gallbladder due to surgery. they have a constant drip of bile into intestine. Does this potentially increase cholesterol absorption I wonder?

[@jonbarlow3542]

Sooooooo sick of folks saying, "See a Medical professional/doctor", (must be a youtube agreement)in my 60 + years, not once has a doctor asked me about my diet, and over the years I have had my fair share of "medical" issues. I spent years as a carer and observed in both the hospital and Care institution, where I worked for 12 years, educated dieticians always recommended more meat and dairy for the elderly, never ever more veggies or more legumes/lentels, not even once! I'm suggesting here that as far as "health" is concerned a Doctor may not be the best choice! Obviously, there will be Doctors with a more rounded education and know good dietary guidelines but its nowhere near the majority.

[@fleshmotorcycle94]

If I want to clarify everything cardiovascularly and measure apo b as well as lipoprotein a and LDL, do I still have to or should I measure oxidized ldl, sd ldl and v ldl or is that unnecessary because apo b covers everything as far as the current status is concerned? I appreciate every response, preferebaly backed up by science. I´m a welder and not in this field, thanks

[@michaelmccool7073]

A standard lipid panel, ApoB and LP(a) are really the only thing you need to get a clear picture of your cardiovascular risk

[@michaelmccool7073]

In terms of laboratory metrics

[@helmutkrusemann9194]

@@michaelmccool7073this is interesting. When should an individual measure oxidized LDL or V LDL?

[@Jupiter_Crash]

You want a NMR LipoProfile test. Each lab has its own name for it. It should use NMR technology and include triglycerides, total cholesterol, HDL, non-HDL (LDL+VLDL) , Lp(a), ApoB, LDL particle number, LDL peak size, LDL Pattern, LDL small and LDL medium at a minimum. Some will include HDL large and hs-CRP which are informative.

[@michaelmccool7073]

@@helmutkrusemann9194 save your money. Those three test. Especially apoB and LP(a) can really give a good picture of your overall risk. You can further stratify risk with hs-CRP and a coronary artery calcium score. All the other lab metrics are fine for curiosity but imo they don’t add much to stratifying your overall risk

[@acke26]

Simon, you mentioned that people take phytosterol supplements and it's tru it lowers LDL - but high phytosterol levels are actually more harmful. Especially campesterol and sitosterol are dangerous. So what's the gain consuming phytosterols ? Isn't it just a false assumption when we see the LDL drop thinking it's beneficial when the phytosterols have increased ?

[@TheProofWithSimonHill]

Unless supplementing with phytosterols and have a genetic mutation it’s unlikely you’ll end up with very phytosterols levels that are at a deleterious level. And we still need outcome data on phytosterol supplements to know if they are net positive or negative. At this stage it’s unknown.

[@acke26]

Simon, Another thing, ......you've spent a lot of time with Thomas Dayspring and obviously his views have off course affected you. I have huge respect for Thomas Dayspring and his long experience in this field. He is considered to be a part of the old school establishment in lipid healthcare. Wouldn't it be interesting for you to meet and interview people that have taken a wider approach to the newest studies and findings within lipidology like Dr David Diamond and Dave Feldman etc. David Diamond 's own history is very fascinating and interesting to hear.

[@markcampbell6249]

Agreed that a conversation with David Diamond would be very interesting. Not sure if you saw that Simon had on his podcast lipidologist, Dr. Bill Cromwell, and Dave Feldman about four months ago. Three hours long but interesting discussion. They take a deep dive into ApoB