I went to the doctor last month for a checkup and told him about my project.  I mentioned that I wanted as much data as I could get about myself, so he recommended the ‘super-duper’ blood workup instead of the normal one.   Here it is (click for readable version).

My Dec 2011 Bloodwork

So it turns out I have some issues.   I’m in the red zone for Triglicerides, VLDL Cholesterol, and especially for LDL-P and small LDL-P, where my values seem to be, quite significantly, off the chart.   The standard HDL and LDL values, as well as the ratios, seemed to be in the normal range, but I failed the test for these newfangled things.  The dash-P in LDL-P stands for particle, and it measures the size and number of particulates in your LDLs.

Wow.  So I did a little research on LDL-P.  It has been well known that elevated levels of LDL, combined with low HDLs, are a risk for heart disease.  But lots of people get heart attacks with normal LDL levels.  In the last ten years, the research is showing that not all LDLs are created equal – LDLs come in different shapes and sizes.  It turns out that – counterintuively – small particle LDLs are much more harmful than large particle LDLs.  The small ones are the ones that get stuck in arterial walls, while the large ones are more soluble and float on by harmlessly.   For two people with the same LDL levels, those with smaller particles are muchmore at risk for heart disease.

Oh boy.  I’ve got a family history of heart disease, so I think I need to take this seriously.    I’m not really interested in starting myself on medication (statins) that will last the rest of my life.  So, I’m going to really focus on  my new regime of increased exercise and healthy eating to make a dent in these numbers.  Also, I apparently  need to bulk up on fiber and omega-3s (oat encrusted salmon for dinner tonight I guess!).  I suppose I’ll give it 6 months of diet and exercise changes and then go  for more bloodwork.

But in general, I’m a little concerned about over-reaction to these kind of tests.  For one, I am not an expert.  For two, these kind of medical tests and advice seem to go in fads, and change every few years (eggs are bad!  eggs are good!).  So, for those of you out there who know anything about cardiac health and medicine – please feel free to let me know your view of my test scores and seriousness of this.  I’m happy to explore crowdsourcing my health care!

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