New and More Dangerous Cholesterol Found In Your Blood (Lipoprotein(a) - LPa)

[@danteburritar2822]

LDL and LP(a) are not cholesterol - they are containers that carry cholesterol inside them (just as HDL does). Our bodies re-use normal LDL (re-fill them with cholesterol) but cannot re-use LP(a). LP(a) can’t go back into the liver to be re-used as it won’t fit the receptors due to the extra protein. Hence LP(a) builds up and only reduces by being destroyed. Hence how one treatment for some people, in parts of europe for example, is filtering LP(a) out of the blood but that’s something that has to be done in a hospital and often so not practical for most people. It seems likely that LP(a) and the fact that atherosclerosis and plaque problems resulting in heart attacks requires arterial damage via inflammation (from smoking and too high blood sugar for decades - think high carb diets). This goes some way to explain some people who have heart attacks but don’t have high LDL and some people who have high “cholesterol” values that don’t have heart attacks. It’s worth noting that there is no LP(a) in dietary foods that contain cholesterol. Ergo, dietary cholesterol is pretty safe, and for many - people with LP(a) - it is preferable to the cholesterol that our liver makes. Remember that we would die without cholesterol, our bodies make more if it is needed, so if you eat plenty of dietary cholesterol then your body won’t feel as great a need to make as many cholesterol containers (lipoproteins) including the LP(a) type. Large fluffy LDL is actually healthy and good like HDL, it is small lipoproteins like some oxidised LDL and LP(a) particles that cause a problem : but only when the open door of arterial damage is already present. Cholesterol itself that lives inside the HDL, LDL and LP(a) is not the bad guy, things that cause inflammation are the bad guys that open the door. The main benefit of statins in this scenario is that they will reduce arterial inflammation - so they are of use if you have damaged arteries and high LP(a) - in fact that is likely the biggest benefit of statins to most people, not the cholesterol reduction. I had a WidowMaker heart attack 4 years and have made it my business to research this subject best I can - I recommend the videos with Thomas Dayspring and Ford Brewer here on youtube.

[@LVQ-so5th]

If you haven't done so, consider reading Malcom Kendrick's excellent book, The Clot Thickens. He has a good section on Lp(a), its purpose as a clotting factor, and why humans have it (a defense against vitamin C deficiency). Once people understand that injury to blood vessels is the cause of heart disease, then everything makes sense. Things that cause injury to arteries (sugar, metals from smoking, stress, diseases such as sickle cell, drugs such as avastin), or which disrupt repair processes of damaged arteries, lead to cardiovascular disease. Kendrick's clot theory unifies seemingly disparate risk factors. Interestingly, back in the 1980s, research on Lp(a) was going strong, but since it is genetically determined, there was no money to be made. Once statins were introduced, the medical profession switched it's focus to LDL (possibly misidentifying Lp(a) in plaques as LDL).

[@petertownsend252]

My Lp(a) is non-detect,

[@pecosgroup]

As long as LDL is not oxidized, it is no harm

[@08turboSS]

Well done indeed. Statins have worse side affects.

[@08turboSS]

Inflamation, insulin and sugar, and weight are the big ones. Its like these days more people have liver issues that dont drink.

[@johnlibonati7807]

Just dropped in to say my grandmother had high cholesterol her whole life. Never took meds for it. Lived to 100.

[@bgt993]

Do you know her numbers?

[@Total_Body_Fitness_USA]

Because there is much more to it than just cholesterol. As long as your HDL/Triglycerides is a 1:1 ratio you are good. Better than good! Even an HDL of 50 and triglycerides of 100 is still good. The problems occur when your triglycerides are very high like over 300 and your HDL is below 30. Lp(a) is sticky and causes a lot of inflammation and it is 100% genetic. People with that gene will not live to 100 since most start experiencing heart attacks at around age 40 or even before.

[@narenmenon6906]

I have read that one of the French Paradoxes is that they have higher LDL, and yet they live longer than other Europeans who live in industrialized countries. Then again, your grandma probably didn't not have high levels of Lp(a).

[@keithbronson9777]

🤣🤣🤣@@Total_Body_Fitness_USA

[@TalkingWithDocs]

Yes. There are also people who smoked 2 packs of cigarettes a day for 50 years and didn't get lung cancer or got in car accidents and survived despite not wearing seatbelts.

[@robinjones6999]

Perhaps one of your most interesting and fascinating vlogs yet - keep up the good work guys - many thanks from London

[@chrisbradford1027]

Thank you for the information. I have only recently started getting more intrusive with my cholesterol levels at 52. I requested my Lp(a) test with my doctor, and it came back at 199. I am trying to fully understand what I am facing and how to tackle it. This video has helped me understand it better!

[@boopsbucket]

Found out I have very high Lp(a) recently. I've been extremely depressed. Luckily my cardiologist is with the Cleveland Clinic. I'm thinking of asking her if there's a trial I can enter. Thank you so much for this video, it's kind of amazing that you just happened to drop it, considering I just learned this about myself. I've had a difficult time understanding it, and this has helped a lot.

[@TalkingWithDocs]

Glad we could help and best of luck to you.

[@boopsbucket]

@@TalkingWithDocs Thank you! I actually just found an incredibly promising article that was posted to the Cleveland Clinic's website this month about a drug called lipodisiran! "Findings from a phase 1 trial reported by a Cleveland Clinic physician show that a single dose of an experimental therapy produced greater than 94% reductions in blood levels of lipoprotein(a), a key driver of heart disease risk, with the results lasting for nearly a year." I think it's safe to say that I'm feeling significantly less depressed!!

[@tedreid1035]

That's not fun but when given lemons make lemonade. Diet and exericse and moderate any other risk factors as best you can. Good luck

[@Cheezyquackers2]

Love Dr Esselstyn❤ he's on you tube

[@plants_and_wellness1574]

Mine is 380 nmol/L. The best we can do is get our LDL-C/ApoB and particle count as low as we can. I’ve been able to drastically decrease those by following a mostly plant based diet.

[@hexhex7220]

The more informed we are, the better choices we can make. Thanks Docs

[@TalkingWithDocs]

We agree. Welcome

[@katherenewedic8076]

if you got the money to play the life extension game

[@Jeffs60]

You should be informed about this which they hid from you. The Lp(a) levels were inversely correlated with the CIMT in this population, suggesting that subjects with a low Lp(a) level may have a predisposition to carotid atherosclerosis. This finding was preliminary and should be investigated further in larger studies and in additional settings. 2012 article title, CIMT thickness in asymptomatic subjects with low Lipoprotein(a) levels.

[@hexhex7220]

@@Jeffs60 thank you, I'll investigate further and discuss with my GP :)

[@Jeffs60]

@@hexhex7220 Ask your doc why people with higher levels of Lp(a) live to 100 and are they just lucky to have it in their genetics for a reason or would we lower it so we can make money to create a drug someday to destroy their health?

[@aradpd3722]

My father died at 32yrs old of heart attack in 1970. My brother and I both have high levels of lp(a) . Mine is 265 nmol/L (normal levels

[@stevent5571]

Statins deplete CoQ10 in our bodies and if you take a statin, you really need to take coQ10 supplements so your muscles can work properly

[@robertusga]

​@stevent5571 no, you don't. You are just wasting your money. pubmed.ncbi.nlm.nih.gov/35297269/

[@Fearzero]

Whole plant diet. Only diet shown to reduce arterial plaques.

[@robertusga]

Do you have outcome data from human studies to support your comment? @@Fearzero

[@Fearzero]

@@robertusga Dean Ornish and Dr Esselstyn do. Also the longest ever diet study called the 7 countries study showed a high correlation between animal protein and shorter lifespan. 50 year study on 12,000 people.

[@davidotness6199]

Thanks, guys. I'll be 73 in a month (if my lucky stars remain aligned) and am paying attention. I appreciate your willingness to communicate on this level. As mentioned in a reply below, I am a newbie convert to natto kinnaise and N-AC w/ glycine daily. Remarkable results from Japanese studies.on the natto. Again, your efforts here are much appreciated.

[@haidersyed6554]

Please talk about Nattokinase, its ability to burst blood clots and shrink plaque

[@NancyEvansUSA]

pubmed.ncbi.nlm.nih.gov/33843667/

[@narenmenon6906]

Natto is even better. Organic frozen Natto, Made in Japan, is sold in many Korean Supermarkets. I had no problem with its taste or texture.

[@matthewgraham2546]

Docs and guest, thanks for this one. Appreciate the time you put in to make these videos.

[@TalkingWithDocs]

Glad you like them!

[@kimcollard4001]

Thanks Gentleman You really are Helping us to understand the Hows and Whys

[@jmarti03261]

Super informative as always, got my physical with my Dr tomorrow, I will request the LPa test to be part of my blood work.

[@stevemc2626]

I had 256 mmol. I started 500mg niacin . 3 months later I tested and the new number was 186. I then went to 1000mg/day and after 3 months I tested again - 156. I’m now on 1500/day and I’ve been on it for 3 months. Getting tested again today.🤞 So from my experience you can lower it. I also take the equivalent amount of TMG (as per advice from Chris Masterjon) , Nattokinase twice daily to reduce clotting factors and berberine because there are some reports that it can have a slight PCSK9 inhibition. Plenty of fish oil too for blood viscosity. I also give blood every 3 months, again to reduce viscosity. Oh and make sure your niacin is the flushing type. Non flushing won’t work. I hope this helps someone because I put many many hours into researching this.

[@jmcenterprises9591]

thank you for this information!

[@stevemc2626]

Just a follow up. My latest result - 45!!! Yes that is correct, 45. But now for the downside, along with this unbelievable result came a huge raising of my liver enzymes. I have been checking them each time and after the 500mg niacin and 1000mg things were all good. But it looks like the 1500 is too much for me to handle. Although I do take a few other supplements so maybe’s there is a cross reaction. So more trial and error to go but this confirms without doubt that at least for some people, high dose niacin can be extremely effective in lowering Lp(a). And let’s not forget that advice like ‘ you can’t change it so do everything you can for other markers like LDL (which is short for ‘take a statin’) will on average increase your Lp(a) by 11%.

[@narenmenon6906]

How is the flush at 1500 mg of Niacin?

[@e8a284]

Have you done a CAC to check any calcium build up in arteries?

[@alexmp3821]

can you let us know the brand of niacin you are taking

[@editaatteck9587]

Thanks for the video. Unfortunately many GPs in Ontario have no idea about lp(a) or apoB. It took a lot of self-advocacy to convince a cardiologist to measure these markers a year ago and even today.

[@JMK-vo8pv]

Thank you, gentlemen, for the informative video. Could you please direct me to JUST ONE trial, paper, study that proves CAUSATION between Lp(a) and atherosclerosis, NOT just a bunch of associative/correlation studies?

[@sheddkkhan6758]

No

[@vickiepatterson1748]

Now we have the Good, the Bad and the Ugly! I have heard nothing about LPa! And I don't know if this is something on my lab work. My LDL and HDL are both good and I would think my doctor would let me know if there was any concern with my LPa. But I see her in January and can ask her then (if I remember LPa). I love the great information you always provide for us! You're so good at keeping us informed about things we should know! You go out of your way to bring in specialists on different subjects so we can be better informed and make better choices I can't say I ever wanted to know about a third cholesterol so try to come up with a second good cholesterol!(wouldn't that be nice!)😉 Thanks for sharing another great video!

[@wendyveith]

This is so interesting. Both my parents had heart problems and had open heart surgery. My LPa is 152.5 and dr said it should be less than 75. I had 3 stents placed recently and also have mild aortic stenosis. Also high cardiac C-reactive protein, low total protein, and high A/G ratio. I don’t know what any of that means, but am happy to know about LPa now. Thank you.

[@dumpstadee8371]

wendy, i just had my lp2 checked at being 85. saying it should be below 75. god bless you at 152.5. i have 6 stents and xxxbypass and holding on at 68 years old. the drug company lilly took my blood test and i am waiting to hear back to see if i can particpate in trial.

[@richardmonson8657]

Great video guys. Please never stop saying “you are in charge of your own health.”

[@chiroxeyhealth]

❤

[@RobertStella-l9o]

Thank you Docs, your video's are always informative and are helping the masses better understand what goes on in our bodies.

[@barbarameuleman389]

Very informative. I see a specialist every 3 months re. high cholesterol. Because he said it was genetics, I asked about LPa and he said "We don't even check for that here." (Hospital in Canada.) I can't tolerate the statins he has prescribed so he did mention that injectables are an option. I'm really glad to hear it might be helpful. I hate needles but now I'm willing to try! Thank you!

[@jsstar76]

Hi Docs! Great video as usual! Almost 600K! So happy for you! 🎉🎉

[@AngloFrancoDane]

I had a heart attack 6years ago. This year my cardiologist ordered the LP(a) test and I was very high, very high risk. He put me on Praulent (on top of my statin). I have always done a lot of exercise, never smoked, never been overweight. Sometimes you just can't win.

[@skipbanks4fun1]

Did the Praulent help you ? I hope so. Skip

[@AngloFrancoDane]

Certainly lowered my LDL further, but my cardiologist says the LP(a) will not change, so no subsequent tests.@@skipbanks4fun1

[@drumsonfire1]

I heard Repatha is also effective but Praulent is less expensive and Repatha is not covered by drug companies.

[@sebastienbolduc5654]

Unfortunately it's genetic and diet nor exercise cannot control it. Don't let people insult you by trying to say that you did something wrong. We all have something genetic within our families.

[@x7j4]

My doctor gave me a requisition for this blood test about six months ago, but I didn’t bother to get it done. After watching your video I’m making an appointment tomorrow morning.

[@keithbronson9777]

Why go to the doctor if you don't follow up.

[@x7j4]

@@keithbronson9777 Kind of obvious why I didn’t bother!!’ Watch the video again, there is absolutely nothing they can do with the test results. The only reason I’m going now is curiosity.

[@JMK-vo8pv]

You keep saying that Lp(a) is genetic and an extremely static biomarker. You say that the Lp(a) blood level will change very little, if at all, during a lifetime. Are you folks familiar with the work of cardiologist, Dr. Nadir Ali and researcher Siobhan Huggins?These two investigators have demonstrated HUGE swings in levels of Lp(a) caused by fasting, certain diets, bodily injury, surgery and inflammation .

[@claudialieto-mckenna5907]

Can you please share a link. Unable to find it.

[@jmcenterprises9591]

Thanks Docs-I have high LPa and I have had heart attacks. Going by feel alone (chest pressure/pain), diet and lifestyle affects everything. When I eat clean-very low fat, almost vegan, I feel like I am 30 years old again. L-arginine and balsamic vinegar on leafy greens supposedly increases nitric oxide, protecting the arteries. I believe that the clean diet and exercise makes the arteries LPa-proof. Caldwell Esselstyn also states this (well known heart surgeon-recommend his book and diet). Your videos are the best! Thanks again.

[@TalkingWithDocs]

Glad you are ok and we agree - eat clean!!

[@suzanne296]

Thankyou for your story

[@jmcenterprises9591]

You're welcome@@suzanne296

[@markwiener1091]

Dr.Esselstyn suggests 100% vegan with plenty and frequently eating high nitrate leafy greens and abstaining from nuts and oils... Supplement at least with B-12. Get protein from beans and oats.

[@haidersyed6554]

You need nattokinase

[@elizabethfletcher1487]

Nice. I just ordered Apo-B and got a surprise Lp-a result as well and I am loaded with both. Been trying to learn what to do about both. Thank you. It was helpful.

[@tesos2866]

Determine if you are a hyperabsorber of hyper producer of Apob. One way is to try Zedia as a monotherapy, if it substantially drops ApoB Then you know you are a hyperabsorber of cholesterol. If that's the case 10mg zedia and a low dose of statin will drop it further with no rebound effect.

[@elizabethfletcher1487]

@@tesos2866 Thank you.

[@sheddkkhan6758]

@@elizabethfletcher1487 did you have ct angiogram

[@studentaccount4354]

Thank you so much!! I need to look at my lab work. I think I saw that and did not know what it was. There were no flags next to it. I had good HDL level and low VLDL. Dr. Lustig a author just wrote a book and was saying the ratio of Triglyceride to HDL was important. I would love to hear more on this. TY again!

[@TalkingWithDocs]

We will add it to the list. Welcome.

[@TomDOLAN-cb9th]

Both of you with your guests do a very important job...information...Thanks...

[@cherlgolja5402]

Berberine ! Takes care partial size issues in cholesterol! We found that on average berberine can modestly reduce low-density lipoprotein (LDL) cholesterol by 0.5 mmol/L (18 mg/dL) and triglycerides by 0.3 mmol/L (30 mg/dL). Berberine also increases high-density lipoprotein (HDL) cholesterol by 0.06 mmol/L (2 mg/dL).

[@Total_Body_Fitness_USA]

Not to mention all the benefits when it comes to controlling blood sugars.

[@TalkingWithDocs]

Would love to see that paper to review it.

[@TalkingWithDocs]

It does have some reported benefits for sugars. Just not for everyone

[@Total_Body_Fitness_USA]

@@TalkingWithDocs Yes, agree. We are all unique and I have yet to see anything work for everyone. When combined with benfotiamine it works even better. Now add in proper diet and exercise to increase insulin sensitivity and you are on your way to reversing type 2 diabetes. I've had men and women with an A1c over 13 and within 6 months be in the high 4s without using Metformin and other pharmaceuticals. Of course it won't work for everyone, especially if they are insulin dependent and have had longstanding diabetes for years.

[@carolhemingway2793]

Dr. Jason Hawrelak, top microbiome doc, says berberine is very negative for your microbiome. I think he said berberine enhances chances of leaky gut, and..I forget what other problems. He has a course on Probiotic Advisor called "Herbs that heal, Herbs that kill, or some such name. I took the course; it is still offered free. I totally stopped taking berberine.

[@misskitty4296]

In my mid sixties with some family history. My doc checked it and mine is high! Very high! So of course I researched and found nothing can really be done about it. I try to be healthy, but I am overweight with HBP and a somewhat high cholesterol markers, kept in check with medication and diet. At first I stressed! What good does it do me to have this info with nothing to do about it! So I finally relaxed and am just living my life as best I can. Love your videos, and esp your sense of humor! It was nice to hear someone talking about it, and to see others in the comments with the same issue!

[@catejordan7244]

My mom lowered hers with Niacin. Look into that. Not many studies because big pharma doesn’t make money with it

[@beepbeepnj2658]

Remarkably, one-quarter of the centenarians had high Lp(a) serum levels even though they never suffered from atherosclerosis-related diseases." 1998 G. Baggio.

[@chiroxeyhealth]

❤

[@beepbeepnj2658]

@@chiroxeyhealth High Lp(a) is good and low is bad. 2012 article title: Low Lipoprotein(a) Concentration Is Associated with Cancer and All-Cause Deaths: A Population-Based Cohort Study (The JMS Cohort Study)

[@robertusga]

You know that association does not equal causation, right? Reverse causation and confounders need to be considered. They did that. High Lp(a) is causal.

[@tesos2866]

If someone has high LP(a) But a zero CAC they are deemed to be low risk, the reason is that LP(a) really cranks up calcification. So if you are older and have zero calcification the version of LP(a) you have (crinkles/number of duplications of KIV2.more seem to be better) may not be a threat to you. studies are being done to allow of stratification of patients. LP(a) is also raised in cases of hypothyroidism, and does lower when treated. Seems not everyone with high LP(a) is at risk, we just need to be able to determine who is or is not. It looks like LP(a) evolved in humans to increase survivability when wounded, and heal quickly. A great benefit when humans only lived for 30 or 40years.

[@KPDancin]

Thank you! This was very helpful & easy to understand all about APOb and LPa - I can now have a better informed conversation with my Dr.

[@plants_and_wellness1574]

I’m curious to hear what any of you would do personally if you had really high Lp(a) and no one in your family lived past 67. What diet and lifestyle would you follow? My Lp(a) was 243 nmol/L last year and in April it was 380 nmol/L. I’m almost 40 but I’ve been a health freak for ten years. I have zero health problems but my high lp(a) concerns me. I’m 5’6 and 122 pounds. My A1C is 5.0. My last LDL reading was 132 even though I cut out saturated fat. But my LDL WAS 194 before I went almost 100% plant based. I thought I had a really healthy diet but my particles were almost 1900 and my LDL small particles were over 500. My Lp-Pla2 was over 225. Since I changed to an almost exclusive plant based diet my particles are under 1200 and my small particles are under 400. My last Lp-Pla2 was 118. My LDL was 112 in April and I recently added back eggs, I wonder if that’s the reason my LDL is now 132?

[@emsea1658]

Do you really think your LDL going from 112 to 132 is pathological and not physiological? That's still low. And as you get older there is evidence that higher LDL to an extent has an inverse relationship with mortality. Now of course nutrition science is a war zone nowadays and I dont mean to get into a back and forth arguement. Ive never had my lipo a tested so I really cant answer much of your question. There is a pretty comprehensive all cause study that found the sweet spot for LDL was in the upper 100s anyways and even slightly above 200 the risk change is miniscule. Again like i said, nutrition science is a mess nowadays. Just sharing some thoughts and wishing you good health. One more being an a1c is not always definitive marker for metabolic health, since your insulin status may still remain untested. As in your insulin response to food. ie, the Kraft test. This can drive chronic inflammation behind the scenes for years before an abnormal a1c throws a flag

[@plants_and_wellness1574]

@@emsea1658 my mom is the only one in our family to make it to 70. Her parents and 4 siblings died early 60’s to late 60’s. All from heart disease. They all ate mostly red meat and veggies covered in butter or lard. Their breakfast of choice was eggs fried in lard and bacon. My mom has high Lp(a) and has smoked for 50 years, yet she doesn’t have ONE heart problem. What did she do differently? Her LDL is 80!! She stayed away from red meat, butter, lard, milk, etc. Her low LDL must be doing something for her because she should have died by now but she’s actually pretty healthy at 70. Even though she smokes. She eats a mostly plant based diet, has chicken a couple times a month and fish 2-3 times a week. I think high Lp(a) isn’t a death sentence if your LDL is low and you live an otherwise healthy lifestyle. She’s proof of it.

[@Fearzero]

Whole plant diet, well planned, zero processed foods will sort you out. Eat lots of cooked greens for the nitric oxide and 1c blueberries daily as well as steel cut oats and walnuts and pumpkin seeds topped with homemade hemp milk.

[@Ansonidak]

Continue to work hard on all the other risk factors that you can affect.

[@lenakohl2339]

@@emsea1658 "And as you get older there is evidence that higher LDL to an extent has an inverse relationship with mortality." This may be a correlation, but not causation. Or even reversed causation. E.g. some types of cancer can lower LDL.

[@jackiesflowerfarm3874]

Hi thanks for information .I have just had my diagnosis and my lips are 183. . I’m a lady 70 and a bit worried .I am invited to take part in a clinical trial . I’m not a great lover of medicine and have tried to keep away from it so far . Wood appreciate any help you can offer . Jackie Armer

[@hg2614]

Great information thank you drs for sharing!!

[@pjost6643]

I had a heart attack almost 6 years ago I had the Lp(a) tested after my heart attack & stent and just prior to my bypass surgery. I also had a tested about three weeks ago and it was according to their guidelines very high. 308 nmol/L. Now I think I’m more thankful than ever that my cardiologist decided to keep me on Brilinta long-term. I also have AB+ blood which I know type AB is more likely to clot. My other cholesterol numbers are very good now, but I’ve historically had low HDL….finally I’m up around 39 on that number.

[@TalkingWithDocs]

There is a new medication coming that would be the first to be able to lower LPa

[@pjost6643]

@@TalkingWithDocs how soon? If FDA approves it hopefully my insurance will cover it.

[@pamelabyars3983]

What about particle size and how it affects what cholesterol numbers would be bad for you personally.

[@vj8002]

brilliant explanation!

[@aliaaabdulhakeem7081]

Great videos, thank you so much

[@myhappynest6125]

My sister had a heart attack around age 56. She was in excellent fitness. Her HDL number was 40(low). She had her LPa tested and was very elevated.

[@whobdis77]

Mine was tested maybe 8 years ago. It was around 250. Lowered it with Niacin to 219..though maybe it was just pure chance. My cardiologist (who also has high LPa) thought it was not a cause..though that was 3 years ago. I've had 3 stents. It will be interesting to see what the outcome of current trials reveal.

[@sheddkkhan6758]

Hi

[@susanbriggs862]

I’ve been plant based vegetarian/vegan my whole life and my blood lipids have always been in normal range but not super low like other plant based vegans. I just had my LPa checked and was shocked (as was my doctor) that my level is at 300. My BMI is low normal and I don’t smoke nor drink. I see a cardiologist in a month for extensive testing to see if I have any blockages. He mentioned apheresis? Is that an option? It seems extreme. I’m hoping to try the drug that inhibits LPa but my doctor said most insurance doesn’t cover it and they want you to exhaust other medication routes first like high dose statins (which you said are ineffective). Very frustrating.

[@Luwanasue]

I have high cholesterol and triglycerides and have been on several statins but none of them have helped lower my numbers. My Dr. is trying to get Repatha pre-approved. I’m 66 years old and weigh 118 and my numbers have been high for 20+ years it must be hereditary because my Mom also had the same problems. I sure hope the repatha ( If approved) brings my numbers down. Thanks for the informative video 😊

[@circa1890]

Try 2 tsp of psyllium husk in 1 c water/daily with your large meal of the day and see if that works for you.

[@Luwanasue]

@@circa1890 Thanks, I’ll try that and hopefully you’ll get my numbers down without more statins😊

[@hellegilbert3000]

Thank you Doctors. I will ask for this lpa test.

[@zanereese4796]

I quit alcohol (cheap beer mostly), I eat a little ground whole flaxseed everyday, and my LDL crashed, from way high and fell way below that good-bad line. My other numbers improved, I'm now about 9% cardiovascular risk number. I'm borderline my doctor wanting to prescribe a statin.

[@paulmaxwell8851]

If your doctor is attempting to lower appropriate lipid numbers, you need to find a new doctor. It sounds as if you already know what to do, with regards to lifestyle.

[@debbiebatten6021]

Thank you docs! I just wanted to comment on the “evil statins”, even though they don’t help with this particular form of cholesterol. I worked with my doctor for two years trying different kinds of diets and exercise programs to lower my cholesterol naturally. While I greatly admire those who are able to make this work for them, it wasn’t meant to be for me. Finally, my doctor came into the exam room with my latest lab results and said, “It isn’t what you eat.” I started on a statin and my cholesterol plummeted in just three weeks. Fortunately, I have had no side effects, and I’m feeling great. I do continue to watch my diet and get regular exercise because I don’t believe statins are magic bullets, but I am grateful for them at this point. I appreciate that you take the time to make these videos. Thank you again!

[@roch369]

Were you on a low fat plant based diet? Thats made many peoples numbers plummet.

[@debbiebatten6021]

@@roch369 Yes, I tried it for 6 months. Whole foods, plant based, and no oils. I was so disappointed when that didn’t help! I think it came down a few points, but not nearly enough to be helpful.

[@roch369]

@@debbiebatten6021 Did you try Dr.Esselstyn or Ornish plan?

[@CarrieV9]

My grandpa died at 51 after his 6th heart attack. My mom has had 3 and had quadruple bypass. My LDL was above 200 despite healthy diet and weight. I thank god there are medications and other interventions to help lower my risk.

[@claudialieto-mckenna5907]

There are no medications.

[@claudialieto-mckenna5907]

…for LP(a)

[@WhereNerdyisCool]

My Lp(a) is very high and they put me on a PCSK9 med that should drop it some. A recent study showed statins can raise Lp(a) a great deal! 😢

[@immasher2139]

So it's a damned if you do and damned if you don't scenario...

[@jackspintz5784]

the most dangerous situation is a cardiovascular doc putting someone on a statin and not knowing they have elevated Lila. however the docs and FDA make money on statins, so they need to fig how to capitalize on the money. 20% of america has high Lil a and plus they want everyone dead anyway. Niacin 500-1000mg flush will help, dont believe the study that says will still cause events, that is bogus! of course niacin is cheap why wouldn't they say that. I never go to docs about my genera health anymore do all my blood work, only see them for surgery if needed or X-ray etc.

[@WhereNerdyisCool]

@@immasher2139right? They are testing an mRMA jab that could shut off the mechanism that generates so much Lp(a). Last video I saw on it stated it was being developed and brought it down 90-95% on test subjects. As the docs state, big pharma is working on some stuff. I get retested in January to see how the PCsK9 med is working.

[@bobeskance8965]

L-lysine and L-proline will pull LP(a) out of the arterial plaque.

[@markbodine9298]

Great discussion, peeps! My father was 42 when he died suddenly, new year’s morning, 1971, of a massive MI. All my siblings are aware of our high level of risk of cardiovascular disease. I’m 69, and I have a CAC score of >1200 ( which means I have a LOT of calcified plaque in my coronary tree). I go to the gym 5x times a week minimum, keep the carbs low, eat no processed toxic food or seed oils. I take a 10mg Rosuvastatin about every other day, more for the vascular endothelial protective benefit than ldl modulation. Dante is correct in saying that there has to be endothelial dysfunction in the first place to allow the renegade ldl particles under the one-cell thick lining of the arteries. Furthermore, there is a gossamer, ethereal structure on top of the endothelium called the glycocalyx, and the idiots..I mean, cardiologist’s haven’t figured what it even does yet. Also note that ldl particles, as mentioned by Dante, typically get picked up by receptors on the liver for recycling, but when they crash into glucose repeatedly they become damaged, and the liver receptors no longer recognize them, stranding them in the circulation, where they begin causing trouble. The ONLY lipid panel worth getting is the NMR analysis, showing the relative sizes and count of the various lipid sub fractions (chylomicrons, VLDV, IDL, HDL, LDL). When the damaged ldl particles are reduced to less than 20 microns in diameter, that’s when the real trouble begins.

[@my-smalltowns]

My Lipoprotein (a) is 279 should be

[@petertownsend252]

My Lp(a) is non-detect,

[@hindnamir6985]

Thank you for sharing your age and lpa. Because I’m freaking out. My 13 years old has high lpa. I’m thinking he is going to have heart attack at early age?!!

[@StickMan...77]

Thank you for sharing,hope God gives you many more years.

[@sheddkkhan6758]

@@hindnamir6985hello

[@sheddkkhan6758]

@@hindnamir6985hi

[@marieholzwasser9224]

Fascinating VLOG!!!! We are always learning something about our bodies.

[@TalkingWithDocs]

Awesome!

[@28_babyshark]

I have a question from your other video. How does tachycardia effect high blood pressure? What is an alternative medicine to slow down the heart rate with less side-effect then Metoprolol?

[@tedreid1035]

I don't know that tachycardia has direct effect on blood pressure. When you say tachycardia how fast is it going? Is it a sinus tachycardia or someother form? Beta blockers have been the mainstay of treatment for years but there are a couple other classificatins of meds tha work depending on the type of tachycardia.

[@28_babyshark]

@@tedreid1035 For me heart rate stays around 82 to 95. What other classifications of medicines to slow down the heart?

[@wread1982]

To get rid of tachycardia, buy a redundant bike and ride it 30-40 minutes a day and increase the tension and time each time and get your heart in really good shape, it will also make your vessels more flexible with endothelial function improvements. Got rid of all my skipped beats, flutters and raising heart and it lowered my BP, a sauna will do the same thing, it works the heart while you sit there

[@billwilliams44]

@@wread1982 if you’re fat, out of shape and have tachycardia, that could work. Or even if you’re not fat, it could work. But it doesn’t work for everybody. I have a history of Atrial fibrillation and of frequent PVCs (like so many that my perfusing pulse at times had been 32 to 38 beats a minute) I’ve been riding bicycles all my life. Despite four vigorous bicycle rides a week I had these problems. But, again, a regular exercise habit can certainly help reduce cardiac problems.

[@beverlyperry663]

Thank you so much for your really important information.

[@immasher2139]

Now that it interesting! I will have it tested. I have had genetically high LDL for decades (thanks, Dad). No statins per my choice. Thanks Doc's, I love your channels and your specialist guests!

[@robertusga]

No statins per your choice? Why? I hope you are taking alternative medical interventions to lower your ApoB. Many other options than statins these days. Most of the fear mongering on statins is proven to be completely unfounded an nocebo effect. Also, using combo of very low dose statin and ezetimibe eliviates most if not all potential side effects.

[@immasher2139]

@@robertusga I have seen how the side effects affected many of my own patients. I didn't want any part of the pharmaceutical interventions with what I witnessed.

[@robertusga]

@@immasher2139 yeah lots of docs starting statins at crazy high doses and then being shocked patients get side effects. How about brushing up on the latest outcome data and actually treat your patients properly? Super low dose rosuvastatin and ezetimibe could be a start. You also realize statins are not the only option nowadays right?

[@patriotone755]

Great info! Thank you!

[@TalkingWithDocs]

Glad it was helpful!

[@YogaWithGail]

What are the diet and exercise regimens that help lower one's inflammatory LP(a)? Recommended nutritionists?

[@Value1lady]

I want to know as well

[@jackspintz5784]

take 500mg flush niacin do the research

[@Total_Body_Fitness_USA]

Anything that lowers inflammation. Lp(a) is a sticky molecule and eating a high fat oxidized diet is very very very bad. Check all your inflammatory markers along with OxLDL and MPO and do your best to keep your triglycerides below 100 and preferably your HDL above 50. Most people with high Lp(a) have genetically high HDL so that is beneficial. The unfortunate ones with low HDL are the ones that have heart attacks before the age of 40. Research high dose niacin, berberine, and nattokinase along with K2. BTW, I've trained in functional medicine for over a decade. Best of luck.

[@Value1lady]

@@Total_Body_Fitness_USA my son in law was taking berberine. My hdl is sometimes above 50 seems i cant keep it that way y i dont know and i dont eat a high fat diet bc of my ldl cholesterol that is slightly elevated my total was good so idk how to bring the hdl up tried but can’t succeed. U have any suggestions for that?

[@YogaWithGail]

@@Total_Body_Fitness_USA Well, my LP (a) was 147, but LDL was 36, Triglycerides 26, and HDL 59. I tend to eat more plant-based with venison, eggs, & lean beef thrown in, to up iron content. I took a nutritionist's course, on how to read one's blood work, and one of the suggestions was to get an LP (a), blood work done.

[@keithpomeroy3654]

I was a patient of Dr Heffernan 22 years ago and he did an excellent job of reassuring me when a genetic defect (bicuspid) aortic valve needed to be replaced. (I have had a second operation since). Your Talking With Docs presentations are very informative! Thanks

[@harrytrevenen2310]

Is this the same thing that has in the past been described as an LDL protein that has oxidized, or something totally different?

[@immasher2139]

Good question!

[@d.e.b.5910]

Thanks for posting this vid

[@terribrooks9041]

Just found out I have extremely high Lp(a). Trying hard to not get seriously depressed. Educating myself on this and cant believe that so many doctors and professionals in all matters of the heart no so little about this terrible genetic lipoprotein. After talking with a certified lipidologist, I have a heart xray scheduled to show what my coronary calcium score shows. To say least it is very concerning. I am reading that i should also make other family members (siblings, children) aware of this terrible news which just adds another layer of terribleness to this bc dialysis and MAYBE this injectable inhibitor you mentioned (that you can't get without going through what sounds like impossible hoops) . Since I've learned of my situation it's like a surreal experience and situation I don't even want to share with anyone. People think if you just lower your LDL it will all just be fine - that's not the case. LDL and this genetic risk factor are two different things . I could go into more elaborate explanations of this but it's too exhausting.

[@elizabethfletcher1487]

Judging by your photo, you are quite a bit younger than me. I am 73 and have Apo-B of 1800 with Lp(a) of 574. I am still doing fine as far as being able to hold 85% of my max heart rate for one minute during an hour on a treadmill at 4% incline. Have first doctor visit after discovering my Lp(a) [I did my own blood work for years and learned enough this year to check for particle number and Lp(a). Hope all is well with you now and you are a bit calmer. My siblings took the news about this genetic problem with their usual slap in the forehead and their irritation. You can lead them to water....

[@Titan2024-Xtc]

I had a NSTEMI at 57…premature for a women. So doc tested for Lp(a)…over 300 nmol. I got on a clinical trial for high Lp(a)…there are a few still recruiting. They are in stage III, so the meds have been tested on humans and dosages settled on. I am in the Horizon trial…results expected next year. I had a heart cath last month…plaque levels went from 50% to 30% in LAD and LCX. Lpa is really the culprit…not LDL. Relax…and if you want, find a clinical trial. It gave me hope for the future. 🙏❤️🕊️

[@elizabethfletcher1487]

My ultrasounds of carotid, leg, and aortic arteries came up clean as a whistle. Echocardiogram was fine too, so don't fret til you get the data...

[@waldini-bp7bv]

​@@Titan2024-XtcMeine Geschichte ist sehr ähnlich. Mit 61 einen Infarkt überlebt und den hohen Lipoprotein a Wert festgestellt. Statine haben mich echt fast umgebracht und enorme Magen- Darm Probleme verursacht. Derzeit nehme ich keine mehr. Ich laufe täglich oder gehe 30 Minuten auf meinen Crosstrainer. Nimmst du noch Statine? Ich höre jetzt das die Statine den den Lipoprotein a Wert erhöhen.

[@sheddkkhan6758]

@@elizabethfletcher1487 hi sir

[@mjg5628]

Thanks very much in- deed for this valuable info.

[@TalkingWithDocs]

Glad it was helpful!

[@flowersinherhair]

Is there an active clinical trial for this?

[@davidh5309]

Yes, there are 4 drugs in the pipe. Amgen is in Phase 3 with OLPASSIRAN and Eli Lilly is testing LY3819469. 2026 is probably the earliest you might see the first hit the market. The Amgen preliminary findings has found OLPASSIRAN, in heavy dose, capable of lowering your Lpa to 0?

[@leadimentoobrien1221]

Did u docs take HASHIMOTOS AND HYPOTHYROIDISM into acccount?

[@katherinekinnaird4408]

This is interesting . Understandably there will be people who feel this is a negative. As a senior in years I am accustom to less than positive medical reports. I can say that for myself I would want to know especially if I am on the fence when it comes to Lifestyle Changes concerning LDL heart conditions Etc. Proactive seems to be a weapon in this case.

[@Eric_G65]

I was recently diagnosed with atherosclerosis. My CAC score is 766 at 58 years old. My APOB is 86 though my combined cholesterol has never over 180. Interestingly, my LP(a) was only 10 on my last comprehensive blood test. My triglycerides have always been elevated at around 200. Instead of addressing this with meds I chose to address it with diet, supplements and exercise. I became vegan since I first discovered this issue about 4 months ago. I'm interested to see if what I'm doing actually improves my lipid results. I am surprised, based on this video, that I'm in this condition with an LP(a) of 10. I read that too low LP (a) could be a problem too but I don't think you addressed that in this video.

[@lloydhlavac6807]

Just my personal opinion, but your very high triglycerides of 200 are the huge issue. They should be lower than your HDL, at least under 100. High trigs can be caused to too high a consumption of carbohydrates.

[@Eric_G65]

​​@@lloydhlavac6807I'm not sure where you read or heard that Triglycerides should be lower than your HDL levels but I've never seen any peer reviewed articles that recommended that. Normal recommended Triglycerides levels should be under 150 and the optimal ratio of Triglycerides to HDL is 2:1. Eating too many carbs is only one way that Triglycerides could be high. Obesity, sedentary lifestyle and metabolic disorders can all cause increased Triglyceride levels. Prior to becoming a vegan, my diet was never high in carbs. I never ate a lot of bread or sugary desserts. In fact, I never really ate dessert at all. My issue was eating too much and not exercising. I eat even more now but now I do exercise regularly and my diet has almost no added carbs. The only bread I eat now is vegan and keto and almost all the food I eat has zero added sugar. I'll find out in February if what I'm doing makes a difference. From my first follow-up, the biggest improvements seem to come simply from weight loss. We'll see if there is a substantial difference at my next checkup in February.

[@lloydhlavac6807]

@@Eric_G65 Yes, I would be very interested to see your next test results too, if you would be willing to post them here when the time comes. And remember, many vegetables and fruits especially are high in carbs. All depends on what you choose. Good luck!

[@Eric_G65]

@@lloydhlavac6807 of course. Yes, I'm familiar with exactly how much sugar I'm consuming. Few vegetables have significant sugar and I rarely eat plain fruit. The only thing I consume that has significant sugar these days is oat milk. It contains 8 grams of sugar per 8 ounces though I never have more than 4 ounces and I only have it about every other day.

[@gmnotyet]

You have LPa = 10, TC = 180, and CAC = 766. That does not make sense to me.

[@matchboxmalayalam8195]

Hi, please help me i have LPa of 176..how should i reduce that??. What type diet

[@TalkingWithDocs]

At this point there have been no specific reproducible ways to reduce your LPa however there are medications coming to market that may help. Generally speaking if you have high cardiovascular risk the advice would be to consider a whole food mostly plant based diet.

[@beepbeepnj2658]

You should eat the same diet as centenarians. "Remarkably, one-quarter of the centenarians had high Lp(a) serum levels even though they never suffered from atherosclerosis-related diseases." 1998 G. Baggio.

[@darrelstewart3002]

It seems as everyone wants to live forever. At 79 years, quality of life is more important to me. What’s the use of living to 100 if it’s in a rest home. Being active is important to me as well as maintaining the muscle to do it. My cholesterol has always bounced around but I’m not convinced that taking a pill helps much. I eat low carb and very low sugar except for occasional fruit and avoid insulin spikes. I may be wrong but I don’t want to end up being a burden to my family or hungry all the time. Sugar is highly over rated

[@TalkingWithDocs]

We would tend to agree with you. Healthspan not just lifespan

[@horcents]

You guys are awesome. Love your approach to informing the masses. Hope you can cover STEMLESS shoulder replacement technology sometime soon. Thanks.

[@GTLee9]

When should you test for lp a? When you’re on statins? Or does it make a difference?

[@narenmenon6906]

My understanding is that statins do not reduce Lp(a). Niacin does.

[@cookiemomma123]

Congratulations on almost having 600000 subscribers

[@carolalbert2254]

You guys are wonderful! Thank you so much!

[@2manycatsforadime]

what are the values for LP(a). What about PCSK9 injections. How often are these given?

[@EileenShea-g8b]

I’m 62. My LPa results were in the upper 500’s. I live in Chicago Illinois with great health insurance and it was VERY difficult to get the test! My mom died at 66 by heart attack. I’ve been on statins since she died (about 25 years) but have become intolerant to the statins. I’m doing everything I can - but this is terrifying!

[@BillyBoy66]

Carnivore diet will change your life for the better. Do some research on it. It's not to late.

[@EileenShea-g8b]

Thank you, but I’m a vegetarian 😮

[@BillyBoy66]

@@EileenShea-g8b Ok, well I'm a carnivore and my cholesterol dropped 50 points in the last 4 months because of it. I'm 57 and feel 30 yrs younger. All of my major health issues have been reversed. I eat NO sugar and very little carbs (less than 20g per day). If you're a vegetarian because you like it, then fine. But if you're a vegetarian because you think it's more healthy, I'd say think again.

[@OnyxOnyx-r7w]

@user-sy8ri4iz5l There are several types of statins; also ezetimibe, also bempedoic acid, PCSK9 inibitors... Meanwhile, look at the Lp(a) Clinical Guidance calculator in order to motivate you about the Lp(a) residual risk. By the way, exactly which is the specific reason for being intolerant to the statins?

[@KAT-dg6el]

@@BillyBoy66 I tried the carnivore diet, and in two months I lost 4 inches around my waist, (i’m not overweight I just have the belly and I’m positive now it wasn’t all fat but some of it was inflammation) also my knees that ached for years stopped hurting. I went from 17 units of basal insulin down to six units a day. My blood sugar stayed between 80 and 110 all the time. But my LDL did skyrocket up to 315. Doctor told me I was gonna die without statins or vegetables. I did add back in low carb vegetables but said no to the statins. I gained 2 inches back in my waist and had to increase my basal insulin to 10 units. Last month the doctor scared me into taking Crestor. Red yeast rice had decreased my LDL from 315 to 288. I was on Crestor for two weeks and I stopped. Knee pain back, heart fluttering, heart pounding out of my chest, and for some weird reason I’d wake up every morning crying. I don’t know what the hell that was about, and blood sugar skyrocketed. I’ve been off of it for two weeks and I still have knee pain off & on and blood sugar spikes for no reason. Which tells me the statin drug is still in my system! I am so mad that I ever took that drug. I’m going back on the carnivore and going to try to keep my carbs as low as possible. 10 g a day or less. I seem to fit what Dr. Ken Berry says about his body when it comes to getting close to zero carbs as possible. If I die I die because I am sick and tired of listening to Doctor’s and their drugs.

[@CindyLearns]

I just had my annual exam this week and asked my PCP about adding the lipo (a) onto my blood test…my results just came in and it’s at 404.4 nmol/L . I am 36 years old female, of Ecuadorian background. In this video you said South America is on the lower end of values…but my family always said that high cholesterol runs rampant. It’s crazy! Still, I will continue to eat well and make exercise part of my lifestyle.

[@TalkingWithDocs]

Best of luck Cindy

[@sheddkkhan6758]

Hi

[@sheddkkhan6758]

Hi

[@barbhelle5481]

You Docs are so funny. Thank you 😊

[@virginiabrooks3861]

Can you talk about patient taking Repatha? Is it as good as doctors say? My doctor says there are no side effects. Is that even possible?

[@TalkingWithDocs]

So all medications have side effects but it's profile seems to be a bit better. We can add it to the list.

[@davidh5309]

Just started taking it, other than a small bruise at the injection site, no side effects? It’s very effective at lowering LDL and Triglycerides, but the Lpa side of lowering isn’t that great, around 20% from what I’m reading? If your Lpa is high like mine, your going to have to wait a couple years when the first generation of Lpa lowering drugs hit the market. There are 4 in clinical trials right now.😊

[@billoberg3272]

Sometime soon, please talk about vitamin E supplement tocotrienols as a supplement. Another channel proports that it can reduce risk of STROKE???

[@TalkingWithDocs]

Ok bill we will take a good look at it.

[@nikwies4843]

A lot of doctors have problems with simple things that are often overlooked. and yes there are things that lower LPa, but ofcourse not pharma medicine type stuff.

[@lacmeadows4092]

Thank you for bringing awareness to LPa. The two drug classes looking at this specifically are PCSK9 and siRNA (Repatha and Leqvio)Let's hope the data reads out soon and is favorable so that there is something that can treat it.

[@davidh5309]

No, the PCSK 9 inhibitors have little effect on the Lpa, around 20%. Your going to have to wait until one of the four drugs in the pipe that specifically target the Lpa. Hopefully by 2026?

[@somuchtruth2306]

I wasn't sure if I understood one point in this video. If a person has extremely low LDL (mine is 45) is it likely that will offset the danger of having a high LP(a)? Unless I can find some numeric goals to shoot for, I don't believe I will take the LP(a) test because it will just frighten and depress me if I score high.

[@Total_Body_Fitness_USA]

As a functional medicine practitioner, I've been teaching about Lp(a) for at least a decade.

[@TalkingWithDocs]

That's great!

[@tedreid1035]

What do you teach or say about Lp(a)?

[@keithbronson9777]

🤣🤣🤣🤣🤣🤣🤣🤣

[@petertownsend252]

My Lp(a) is non-detect,

[@222ouch]

what if you have a high Apo-b and a low and normal LIP-a. are you still at risk

[@nanecky]

Thanks Docs!! Just had an Advanced Lipid panel LP(a) 144.2 APOB 132 TC 334, LDL 203, HDL 112. But the predominantly high particle size puts my risk very very low. CT Angiogram shows no plaque no stenosis and a Zero CAC. I do have AFib but at less than 1% A carotid artery ultrasound found some issue so having a CIMT in a couple of weeks so we’ll see. Not planning to take statins.

[@jackspintz5784]

yep your particles are important and metobolic health, insulin etc.

[@nanecky]

@@jackspintz5784 my IR was 22 and glucose measured in August was 83

[@Total_Body_Fitness_USA]

I always go by Triglycerides to HDL ratio even if your Lp(a) is a little high, you can counteract it as long as you keep your triglycerides in balance with your HDL. Preferably a 1:1 ratio, especially if your Lp(a) is over 100. I'm assuming you are under the age of 40. Also, the body compensates. Just look at your HDL is off the charts compared to other people with normal Lp(a). Check your OxLDL and MPO to make sure there is no oxidation going on. Cholesterol is only bad in the presence of oxidation and inflammation.

[@DK-pr9ny]

Triglycerides? A1C?

[@nanecky]

@@Total_Body_Fitness_USA I wish I was under 40! I’m 64. 5’4 130lb

[@adamlowther7332]

Just found out I have a high LPa. Any progress on treatment? What about blood donation.

[@km-bo3zx]

You said that LP(a) is inflammatory. So, wouldn’t taking a low dose statin (like Crestor), which is anti-inflammatory, be recommended?

[@TalkingWithDocs]

At this point the evidence does not support that

[@JMK-vo8pv]

Would you agree that cardiologists should ROUTINELY be ordering cardiovascular biomarkers (hsCRP, MPO, Lp-PLA2, Alb/Creat on their CAD patients? Since we know that atherosclerosis is an INFLAMMATORY disease, it seems that following such CV biomarkers would help to "risk stratify" known CAD patients for future MACE. @@TalkingWithDocs

[@constantinedimopoulos1110]

Great videos. Very informative!

[@joemodzelewski3242]

I am a practicing Pathologist. In my opinion, the additional lipoprotein on LP(a) should be called 'lipoprotein little a'. You mentioned it once, but hammer it home. That would help a lay person understand the difference in LDL and LP(a) much better, especially as testing for apolipoprotein A and apolipoprotein B becomes more common place.

[@robertusga]

Sure, as long as you start using LDL-c and not LDL. Not the same. There is no test for LDL, there is for LDL-c.

[@jaguilar11009]

THANKS 👍 FOR YOUR HELP ❤😊👍👏👏👏😊

[@gener.1253]

Instead of hunting for a drug and treating the symptoms forever how about looking for the cause of high LPa. If it's in the body, it's either there because the body needs it or something wrong is going on in the body to create it.

[@zealman79]

I'm guessing twisting yourself into pretzels of logic is a speciality of yours. The cause of LP(a) is the same cause that you're alive today.... Your mom and your dad

[@LVQ-so5th]

They'd go out of business if they did that.

[@ruffloverescue2617]

Thank you! Excellent explanation!

[@keppela1]

"New"? I remember reading about lipoprotein (a) 30 years ago. C'mon guys.

[@tedreid1035]

they ain't the same.

[@keppela1]

@@tedreid1035 Really? There's more than one lipoprotein (a)? Care to elaborate?

[@LVQ-so5th]

You are correct. A pubmed search will verify this.

[@gordonwedman3179]

My LDL went up by 0.1so my doctor switched me to genuine Crestor rather than the generic version. He said the generics are only 80% active ingredient. I will ask him about LPa when I see him in a few weeks. Thanks for the info.

[@TheFightingSheep]

Drug pushers and medical racketeers, no conscience and no shame.

[@TalkingWithDocs]

If you watched the video he literally said there are no drugs to lower this. There are trials taking place. Yes what medicine should do is sit back and let the people with elevated Lp(a) just suffer. Our channel is definitely not for you. Best of luck.

[@rukhsanachaudhry2]

Good information.Thankyou.

[@slaterider]

The fear mongering is grotesque in the video. It can be dropped with diet and lifestyle changes. I dropped my LP(a) from 190nmol/L to 80 nmol/L in 8 months of low to zero carb high fat diet. that was 3 months ago, and I bet it's even lower now. Doctor told me it couldn't be lowered, and it was genetic, and I was dealt a bad hand of cards. Wanted me to take Repatha, I wouldn't touch a PCSK9 inhibitor with a 10-foot pole. Everyone taking this medication is a guinea pig because there are no long-term studies. They will eventually pull it from the market.

[@Value1lady]

My dr wanted me to take that as well so glad u said this. I will not take it period! Is LPa is that the fat in the blood? When they do the cholesterol panel that fat in the blood part is this the LPa or is this something totally different?

[@slaterider]

@@Value1lady It's another protein in the blood that transports cholesterol.

[@pekkatanninen2898]

Thank-you all, I will ask my docter to request LPa blood test.😅

[@Value1lady]

@@slaterider oh ok wow always something new we have to deal with

[@bobdear5160]

Live in UK and haven’t been offered this test. My blood cholesterol is lowish but I do take pravastatin - I’m T2 diabetic with hypothyroid (so Levo) and BMI just on 25. The NHS doesn’t test directly for LDL, it is calculated from Total cholesterol and HDL if I remember correctly, so would be interesting to know how LPa is calculated. If LPa is so similar to LDL, I’m surprised that medications and lifestyle changes targeting LDL don’t also target LPa as well, though other comments about it building up and never decreasing might explain the apparent ineffectiveness of cholesterol busting meds.

[@jimmydandy9364]

Isn't ApoB testing a better indicator of heart risks than the typical LDL numbers used ? A lot of doctors are fast to prescribe Statins, even when patients do not have high cholesterol, as prevention when other risk factors are present such as HBP. This is crazy insane. How many doctors will test ApoB levels for better risk assessment, alongside the other numbers. But of course it keeps big pharmas happy - big pharmas first, patients last.

[@robertusga]

LDL is low density lipoprotein. We do not test that. We test the cholesterol inside the LDL. Please use the correct term LDL-C.

[@nancyv4431]

Please make a video explaining Lipoproteins fractionation ion mobility testing. What can be done to lower those numbers?

[@chrisstepleton4761]

I read that a whole food plant based diet can reduce your LPa by 15 % in 4 weeks.

[@arnoldfrackenmeyer8157]

Does LP(a) decline in the population as we go further south down the Florida Peninsula? The reason I ask is because death rates from heart disease declines as we go south in Florida. Also what about Minnesota, Colorado, and Hawaii which have the low death rates from heart disease. Does the population in these States have lower LP(a) than states like Alabama, Mississippi, Louisiana which have significantly higher death rates?