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RE: Plaque regression vs plaque stabilization
LPa also called lipoprotein a. This is not routinely checked in lipid profile.
I think this may be checked if there is familial hypercholesterolaemia.
The Bp reading in the picture is unrealistic. Diastolic which is the bottom bit of the reading of 134 indicates malignant hypertension and imminent haemorrhagic stroke.
Interesting article
I see you are either a medical researcher or a doctor? This is all true what you said. And yes LP(a) isn't regularly checked but you can get it checked privately by simply going through Quest Diagnostics. It's good to have this information because knowing your level of risk can help you make decisions regarding lifestyle modification. LP(a) being high is increased risk which means you have to reduce your risk elsewhere to avoid consequences. Just as getting a CT scan increases risk of cancer even though there is no proof it causes cancer.
Im a doctor.
Yes LPa can be checked privately but I don’t think it makes much difference as long as we control LDL and total cholesterol.
It is difficult to research the radiation associated cancer but there is a risk.
I agree with what you say above. What would you suggest is the appropriate range to keep LDL and total cholesterol?
These are in mmol/l
Total chol < 5, LDL<3.
In patients who already has ischaemic heart disease the targets are 4 and 2 respectively.
Now there is more emphasis on non HDL cholesterol which is total cholesterol minus HDL and this should be < 4
I aim to keep my total chol under 3.8 with ideal around 2.5. This is supposed to be around 150 max and 100 ideal total cholesterol in mg/dL. The reasoning behind these numbers are the result from the Framingham Study. From a risk perspective the 150 mg/dL and below seems to provide the most assurance. More specifically the ratio between LDL/HDL seems important from what I know about how HDL clears arteries.
This is achievable through a plant based diet for the most part but there are herbal supplements which can help as well. From what I could find there isn't really any harm in having extremely low LDL and only added risk if it's higher.
Reference
https://en.wikipedia.org/wiki/Framingham_Risk_Score
The evidence is contradictory