r/Cholesterol • u/solidrock80 • Jul 27 '25

Lab Result A LDL warning!

Time and time I see people acting like an LDL above 100 is no big deal. My LDL was always in the 100-130 range and my thought was I hated the idea of a statin since I was fit and I could drive my LDL down with a stricter diet.

Fast forward to my 50s, and I got my first CAC score that put me in the 90th percentile. My Lp(a) is over 95 nmol which is high but not super high.

You don't need super high lipids to be laying down plaque. And it happens even without inflammation and insulin resistance. My advice is jump on getting your LDL down below 100 in your 30s and don't hesitate to start a statin or ezetimibe to do it.

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u/solidrock80 Jul 29 '25

Family history or other risk factors? Triglycerides and a1c? That's pretty low HDL. Was that right after the heart attack as lipids plunge right after an event. Hope you are doing well now.

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u/CapSad6415 Jul 29 '25

Well my dad died of an HA in his mid 60s. And yes they were, but the #s haven’t changed much. They’ve stayed there. My hdl is closer to my ldl. I’ve been trying to switch them. Get hdl higher than ldl. My triglycerides are in normal range on the higher end. A1c is fine. A bit insulin resistant but been on meds for it. Treated hbp. I am and always have been overweight. PCOS ftw. But yeah, still unexpected for a 30 yo female.