12 ms·
I find it strange that research of this scale is looking exclusively at a compound metric. TC is HDL (apo A-I), LDL, VLDL, IDL (apo B) and few more things. Its
by keymone 7y ago
I find it strange that research of this scale is looking exclusively at a compound metric. TC is HDL (apo A-I), LDL, VLDL, IDL (apo B) and few more things. Its different proportions of these things that define how healthy your cardiovascular system is, not the total sum. To complicate even more - those things are usually measured as concentrations (mass/volume) while much more important metric is particle count, but that’s not easy/cheap to measure.
Considering how complex this system is, measuring TC is like measuring average body temperature in the hospital.
It’s cool that they found a U-shape but this approach just makes patients(and doctors) hack the TC number without understanding how that affects lipoprotein composition and, subsequently, patient’s health.
- salty_biscuits 7y ago"much more important metric is particle count" That is really interesting, do you have a source you can recommend for reading further?
- keymone 7y agoThere is plenty of research, but here’s more consumable version: https://peterattiamd.com/the-straight-dope-on-cholesterol-part-iv/ https://peterattiamd.com/the-straight-dope-on-cholesterol-pa... The whole series is a gold mine tbh
- virtuallynathan 7y agoI think Lipidology has now moved on from LDL-P, now it's all about ApoB containing lipoproteins and lifetime burden of exposure.