07/08/2025
Your Cholesterol Panel: What the Labs Don’t Say Out Loud
Most people think cholesterol is either good or bad.
Your doctor says, “Everything looks fine,” and that’s it.
But here’s the truth: those numbers on your lab report? They’re not grades. They’re data, and they deserve to be understood.
Let’s break down what actually shows up on your lipid panel:
🔹 Total Cholesterol: Your overall blood fat level. Not very helpful on its own.
🔹 HDL (High-Density Lipoprotein): “Good cholesterol.” Higher is better. Think of it as the vacuum cleaner for your arteries.
🔹 LDL (Low-Density Lipoprotein): Often called “bad,” but that’s an oversimplification. We’ll come back to this.
🔹 Triglycerides: Fat from food, sugar, and excess calories. Lower = better.
🔹 VLDL (Very Low-Density Lipoprotein): Carries triglycerides. Not always shown, but also considered “bad.”
🧠 Here’s Where It Gets Interesting: LDL Alone Isn’t the Whole Story. Doctors often flag LDL over 190 mg/dL as high and yes, that matters. But how dangerous your LDL is depends on two key things you probably haven’t heard about:
✅ ApoB – This is a lab that counts the number of LDL particles. More particles = more risk, even if your LDL level seems normal.
✅ Particle size – Small, dense LDL particles are more likely to cause plaque buildup than larger, fluffier ones.
If your provider hasn’t run an ApoB test, consider asking:
“Would ApoB testing give me more insight into my heart health?”
(It’s not weird, it’s smart.)
🧪 So When Is “High” Not Dangerous? Context matters.
An elevated LDL number might not be alarming if you also have:
✅ High HDL
✅ Low triglycerides
✅ No family history of heart disease
✅ An active lifestyle and healthy diet
It’s not just about the number it’s about the big picture.
📌 Here’s Your Takeaway:
If your LDL is over 160, it’s time to talk strategy not panic.
If it’s over 190, it’s time to talk, nutrition (Registered Dietitian), or statins.
“At 160, it’s time to pay attention. At 190, it’s time to take action.”
💬 Be the CEO of Your Body.
Don't just wait for a doctor to say “you’re fine.”
Pull up your labs. Learn what they mean. Ask questions.
You’re not annoying you’re advocating.
➡️ Save this post
➡️ Ask for your full lipid panel breakdown
➡️ Follow for Part 2: Glucose Your Daily Energy Report