This video was quite informative. Thank you. I was diagnosed Type 2 in 2008. After years of moderate success and setbacks, I am on the right path. My a1c is at 6.2 (down from 14.4 in June, 2023). My LDL is 55, triglycerides, 51 and HDL, 45. My LPa is 79. Recently had an echo, my cardiologist was happy with the results. However, I suffer from high blood pressure, which is managed with Losartan Potassium (100mg) and Amlodipine (10mg). What kind of healthy foods can I add to my diet to help lower my LPa?
My Lpa was 240!!! LDL is 196 HDL 106 Tri 67 BP normal A1C 5.7 (elevated) Glucose 93 CT calcium heart scan score 0 plaque. I'm waiting for LipoB results. I schooled my Dr.to auth these tests. I eat extremely healthy, no seed oils, low carbs, exercise daily, pasture raised organic everything... 61 124 5'2 post menopause no HRT high stress. I'm shocked and am amazed and concerned. I heard Niacin is effective but just heard you say no.
Hi! I would focus on lowering your LDL, apoB and A1c levels with a high Lp(a). Our goal is to optimize all your cardiometabolic metrics to reduce the risk of high Lp(a). A CAC score of 0 indicates no hardened plaque but there can still be soft plaque in the arteries brewing. Niacin used to be given to people with high Lp(a) levels and research now shows that it increases the risk of blood clots so it is advised against.
@@hearthealthwithmichellethank you for your response. How else can I lower these levels? I take cod liver oil, olive oil.. I should probably give up all dairy and red meat? I know sugar and carbs are a culprit but I eat low everything so I'm so confused. I lost 6lbs because when I took the tests I was 130!
I had heart palpitations and my pcp sent me to a cardiologist at 35 and he sent me to get a CAC scan and my score was 600! I ended up having a CTA that showed 99% blockage in my RCA and 75% in my LAD but when having a heart cath performed I only have about 10-20% in both arteries. I guess a blessing but still worrisome. My lipid specialist says it will only increase over time but on Repatha a meds to try to help. Thank you for the helpful info! I’m now 38 so I have learned so much.. and not scared anymore but glad I caught it!
I've tested my Lp(a) 3 times. I have to order it myself since primary care has no idea what Lp(a) or Apo(B) is. I've gotten 76, 109, and 123 nmol/L. I remain unconvinced that Lp(a) is a once in a lifetime test and cannot be influenced by nutrition profile.
There are foods, medications and supplements that decrease lipoprotein a but not at an impactful degree to lower risk. Research shows that the fluctuations do not have a significant enough decline to have an impact on cardiovascular risk. Once it is high it is a sign there is heightened risk and we need to implement stricter protocol which is why it is only clinically recommended to test it once.
@@sybillc263 I wish I knew, I tried a million things and half don't work. I did make lifestyle changes aimed at reversing liver cirrhosis, including periodontal treatment, which may have helped. According to my dentist there is no more new plaque buildup.
I just got mine done and LPa was 191 others are slightly elevated by a point or so but I am diabetic and I don’t have complications from diabetes but likely insulin resistance. I don’t really want a statin so I’m trying to see if I can get it down naturally. Is that possible
When you have a high Lp(a), the target cardiometabolic metric parameters are at a much lower range than the general population. You can optimize your cardiometabolic metrics naturally through nutrition. Lp(a) can fluctuate but research shows it is not significant in reduce of MACE (major adverse cardiovascular events), which is why targeting these metrics with a high Lp(a) is more advisable.
It may help reduce Lp(a) by 20-25%. I would also stress the importance to get apoB low and optimize all cardiometabolic metrics to help with reducing the risk of future heart disease and it's complications. I wrote a blog post about Lp(a) you may find helpful on my website (www.entirelynourished.com).
The average LDL cholesterol level of a centenarian without medications is about 110 mg/dL which means in mid life it was a little higher. There are no long lived healthy populations or centenarians that have LDL cholesterol levels under 90 mg/dL except for a few anomalies.
@@beepbeepnj2658 Median value is around 100 mg/dL, so the number you gave of 110 mg/dL is an example of what I was referring to. The value of 70 mg/dL is where no atherosclerosis occurs so higher than this also.
@@Steve-nb9kg There are no long lived healthy populations or centenarians that have LDL under 80 mg/dL because they already died early from stroke, heart attack or cancer, so no you never want levels under 70 because you trade one problem for another.
@@Steve-nb9kg Here is how low cholesterol levels promote atherosclerosis from slim and fit, non smoking long term Chinese vegetarians taking no medications with a BMI of 22 and low total cholesterol levels. 2005 article "Vascular Dysfunction in Chinese Vegetarians: An Apparent Paradox?" The CIMT test results show the truth.
I found out I have Lp on 300 , my cholesterol score is 4,2, b.sugar 4.1 , everything else was perfect, only thet lipoprotein . I cut out red meat and Idint use seed oils at all (few years) , not drinking, no smoking ,never. Running, lifting ,mtb ,mountaineering is my lifestile, have u somthing more to recommended to me? 😅 thx
Hi! I would focus more on foods you are adding in your diet to protect your blood vessel health and that will help optimize all your cardiometabolic risk factors. Having a high Lp(a) can accelerate plaque formation and increase risk of heart failure and Afib HOWEVER if you take a more aggressive risk management approach you can live a long and healthy life with high Lp(a). I provide more tips on my blog post about Lipoprotein(a) that you can visit on my website www.entirelynourished.com, and in my email newsletters ( Sign up here: view.flodesk.com/pages/64cd30719b48101ef1dcf6e9). Hope that helps!
@@zocentive3691 Could you please clarify? Usually, measurements of LP(a) are in mg/dl or nmol/L. Rarely, in mg/L. as you reported. The type of measurement would make a big difference in what your number means.
I feel like you are handed a death sentence with this - incredibly stressful - don't smoke, don't drink try to be healthy as well having an autoimmune to tackle i have been told I have a lipoprotein score of over 1500 plus overall cholesterol score of 6.4 - Dr then says, i am begging you to go on a statin! The frustrating thing about this is there is nothing that can be done - a statin prolong your life for just a month - just need to embrace each day.
I completely understand the stress that comes with an elevated Lp(a). There are several trials currently going on with medications to lower this value. In the meantime, I would focus on lowering apoB and LDL cholesterol as we have seen that people can live in their 100s with high Lp(a) as long as they have well controlled apoB and LDL values. Feel free to visit my blog post where I talk about Lp(a) more extensively.
@HA-kw7vq Are you actually sure that '1500' is about Lipoprotein (a) i.e. Lp(a) or another 'lipoprotein'? Also that '6.4' seems a score about glycated hemoglobin (glycated hemoglobin), not a cholesterol score. Anyway search on youtube for 'Living with elevated Lp(a)'.
This video was quite informative. Thank you.
I was diagnosed Type 2 in 2008. After years of moderate success and setbacks, I am on the right path. My a1c is at 6.2 (down from 14.4 in June, 2023). My LDL is 55, triglycerides, 51 and HDL, 45. My LPa is 79. Recently had an echo, my cardiologist was happy with the results. However, I suffer from high blood pressure, which is managed with Losartan Potassium (100mg) and Amlodipine (10mg).
What kind of healthy foods can I add to my diet to help lower my LPa?
My Lpa was 240!!! LDL is 196 HDL 106 Tri 67 BP normal A1C 5.7 (elevated) Glucose 93 CT calcium heart scan score 0 plaque. I'm waiting for LipoB results. I schooled my Dr.to auth these tests. I eat extremely healthy, no seed oils, low carbs, exercise daily, pasture raised organic everything... 61 124 5'2 post menopause no HRT high stress. I'm shocked and am amazed and concerned. I heard Niacin is effective but just heard you say no.
Hi! I would focus on lowering your LDL, apoB and A1c levels with a high Lp(a). Our goal is to optimize all your cardiometabolic metrics to reduce the risk of high Lp(a). A CAC score of 0 indicates no hardened plaque but there can still be soft plaque in the arteries brewing. Niacin used to be given to people with high Lp(a) levels and research now shows that it increases the risk of blood clots so it is advised against.
@@hearthealthwithmichellethank you for your response. How else can I lower these levels? I take cod liver oil, olive oil.. I should probably give up all dairy and red meat? I know sugar and carbs are a culprit but I eat low everything so I'm so confused. I lost 6lbs because when I took the tests I was 130!
@@susanpusateri2129 I would focus on what you are actually eating to improve these values versus just taking away.
Why would you avoid HRT when you have HIGH LPa??
HRT (estrogen specifically) LOWERS cholesterol and LPa. You're making a mistake.
I had heart palpitations and my pcp sent me to a cardiologist at 35 and he sent me to get a CAC scan and my score was 600! I ended up having a CTA that showed 99% blockage in my RCA and 75% in my LAD but when having a heart cath performed I only have about 10-20% in both arteries. I guess a blessing but still worrisome. My lipid specialist says it will only increase over time but on Repatha a meds to try to help. Thank you for the helpful info! I’m now 38 so I have learned so much.. and not scared anymore but glad I caught it!
I've tested my Lp(a) 3 times. I have to order it myself since primary care has no idea what Lp(a) or Apo(B) is. I've gotten 76, 109, and 123 nmol/L. I remain unconvinced that Lp(a) is a once in a lifetime test and cannot be influenced by nutrition profile.
There are foods, medications and supplements that decrease lipoprotein a but not at an impactful degree to lower risk.
Research shows that the fluctuations do not have a significant enough decline to have an impact on cardiovascular risk.
Once it is high it is a sign there is heightened risk and we need to implement stricter protocol which is why it is only clinically recommended to test it once.
Yes
primary care has no idea what Lp(a)
My Lp(a) was down 32% in 12 months so I am not convinced either.
@@doubledutch3439 How did you lower it so much, if I may ask? Mine just came at over 350.
@@sybillc263 I wish I knew, I tried a million things and half don't work.
I did make lifestyle changes aimed at reversing liver cirrhosis, including periodontal treatment, which may have helped.
According to my dentist there is no more new plaque buildup.
I just got mine done and LPa was 191 others are slightly elevated by a point or so but I am diabetic and I don’t have complications from diabetes but likely insulin resistance. I don’t really want a statin so I’m trying to see if I can get it down naturally. Is that possible
When you have a high Lp(a), the target cardiometabolic metric parameters are at a much lower range than the general population. You can optimize your cardiometabolic metrics naturally through nutrition. Lp(a) can fluctuate but research shows it is not significant in reduce of MACE (major adverse cardiovascular events), which is why targeting these metrics with a high Lp(a) is more advisable.
I have been advised Inclisiran for elevated Lipoprotein A.
How effective is it?
It may help reduce Lp(a) by 20-25%. I would also stress the importance to get apoB low and optimize all cardiometabolic metrics to help with reducing the risk of future heart disease and it's complications. I wrote a blog post about Lp(a) you may find helpful on my website (www.entirelynourished.com).
What is the recommended daily allowance for saturated fat for elevated Lp(a)?
Depends on your gender, age, caloric consumption, apoB and non-HDL cholesterol levels.
The average LDL cholesterol level of a centenarian without medications is about 110 mg/dL which means in mid life it was a little higher. There are no long lived healthy populations or centenarians that have LDL cholesterol levels under 90 mg/dL except for a few anomalies.
Yes best genetic profile is higher cholesterol with no atherosclerosis. But not everyone is like this so must prevent atherosclerosis to live longer.
@@Steve-nb9kg What do you mean by higher cholesterol? Do you have any specific numbers or values that mean higher?
@@beepbeepnj2658 Median value is around 100 mg/dL, so the number you gave of 110 mg/dL is an example of what I was referring to. The value of 70 mg/dL is where no atherosclerosis occurs so higher than this also.
@@Steve-nb9kg There are no long lived healthy populations or centenarians that have LDL under 80 mg/dL because they already died early from stroke, heart attack or cancer, so no you never want levels under 70 because you trade one problem for another.
@@Steve-nb9kg Here is how low cholesterol levels promote atherosclerosis from slim and fit, non smoking long term Chinese vegetarians taking no medications with a BMI of 22 and low total cholesterol levels. 2005 article "Vascular Dysfunction in Chinese Vegetarians: An Apparent Paradox?" The CIMT test results show the truth.
I have APO.A and APO.B in range but the LPA in 38mg can l help me whit some opinion?
I would retest Lp(a) in nmol/L for more accurate assessment.
My doctors refused to test
I found out I have Lp on 300 , my cholesterol score is 4,2, b.sugar 4.1 , everything else was perfect, only thet lipoprotein . I cut out red meat and Idint use seed oils at all (few years) , not drinking, no smoking ,never. Running, lifting ,mtb ,mountaineering is my lifestile, have u somthing more to recommended to me? 😅 thx
Hi! I would focus more on foods you are adding in your diet to protect your blood vessel health and that will help optimize all your cardiometabolic risk factors. Having a high Lp(a) can accelerate plaque formation and increase risk of heart failure and Afib HOWEVER if you take a more aggressive risk management approach you can live a long and healthy life with high Lp(a). I provide more tips on my blog post about Lipoprotein(a) that you can visit on my website www.entirelynourished.com, and in my email newsletters ( Sign up here: view.flodesk.com/pages/64cd30719b48101ef1dcf6e9). Hope that helps!
You should get a CAC score. My LPa is 277nmol and CAC is 229! Puts me in 99th percentile. Started statins
My LPa is 721 mg/ L , other stuff are normal . I am not obese . I don’t smoke at all
@@zocentive3691 Could you please clarify? Usually, measurements of LP(a) are in mg/dl or nmol/L. Rarely, in mg/L. as you reported. The type of measurement would make a big difference in what your number means.
I feel like you are handed a death sentence with this - incredibly stressful
- don't smoke, don't drink try to be healthy as well having an autoimmune to tackle i have been told I have a lipoprotein score of over 1500 plus overall cholesterol score of 6.4 - Dr then says, i am begging you to go on a statin! The frustrating thing about this is there is nothing that can be done - a statin prolong your life for just a month - just need to embrace each day.
I completely understand the stress that comes with an elevated Lp(a). There are several trials currently going on with medications to lower this value. In the meantime, I would focus on lowering apoB and LDL cholesterol as we have seen that people can live in their 100s with high Lp(a) as long as they have well controlled apoB and LDL values. Feel free to visit my blog post where I talk about Lp(a) more extensively.
@@hearthealthwithmichelle thank you so much really appreciate your reply 🙏🏾
@@HA-kw7vq My true pleasure!
@@HA-kw7vqhi
@HA-kw7vq Are you actually sure that '1500' is about Lipoprotein (a) i.e. Lp(a) or another 'lipoprotein'? Also that '6.4' seems a score about glycated hemoglobin (glycated hemoglobin), not a cholesterol score. Anyway search on youtube for 'Living with elevated Lp(a)'.