Lp(a) vs. LDL - How to Manage Lp(a) Part 1

แชร์
ฝัง
  • เผยแพร่เมื่อ 1 ธ.ค. 2024

ความคิดเห็น • 70

  • @ii7990
    @ii7990 3 ปีที่แล้ว +7

    Interesting. I'm a big fan of knowing how much trouble I'm in. It effects my motivation.
    If I'm not at high risk, then some TacoBell and a MtDew sounds really good.
    But if I know I'm at extreme risk, I'll eat veggies and water the rest of my life.

    • @PrevMedHealth
      @PrevMedHealth  3 ปีที่แล้ว

      Have you had a complete evaluation?

    • @ii7990
      @ii7990 3 ปีที่แล้ว

      @@PrevMedHealth No I need to get that done. I get an annual checkup and monitor my cholesterol, but that's it. I need to get a complete checkup done.

    • @skipbanks4fun1
      @skipbanks4fun1 10 หลายเดือนก่อน +3

      step away from Taco Bell for good you'll be glad you did. I did

  • @carriele6008
    @carriele6008 ปีที่แล้ว +11

    My lp(a) level is 644.8mg. I just got diagnosed yesterday. I’m 30 years old, my father passed away due to a heart attack last year when he was 55 years old. I’m a personal trainer, I eat healthy, exercise, I don’t smoke or drink alcohol. It feels really hard knowing my number is really hard but at the same time I’m not gonna stop living my life and try my best to prevent by having a good diet and exercise. Thanks for the video!

    • @vrb340
      @vrb340 ปีที่แล้ว +1

      644 mg/dl or mg/L

    • @prateekpaharia3028
      @prateekpaharia3028 11 หลายเดือนก่อน +1

      Hi Carrie, consider joining Family Heart Foundation.

    • @HA-kw7vq
      @HA-kw7vq 7 หลายเดือนก่อน +1

      Same mine is 1500 - enjoy each day and live your life when life gives you lemons

    • @sheddkkhan6758
      @sheddkkhan6758 4 หลายเดือนก่อน

      @@HA-kw7vqhow much ldl

    • @rawone8167
      @rawone8167 24 วันที่ผ่านมา

      Are u ok now?

  • @escalera601
    @escalera601 3 ปีที่แล้ว +10

    Thank you Dr. Brewer for your excellent presentations. I have a lp(a) in the 70s and I’m 60 years old. I have a history of family heart disease. My standard lipid number were all good. My doctor immediately sent me for a calc score test. It came back zero. I have been a life long athlete and eat pretty close to a plant based diet. My point is lp (a) is not a death sentence and you can do something about it.
    Thank you again.

    • @PrevMedHealth
      @PrevMedHealth  3 ปีที่แล้ว +3

      Thank you very much. I agree; it isn’t a death sentence, especially at those low levels.

    • @Rhythmandosyche
      @Rhythmandosyche 3 ปีที่แล้ว

      70 mg/dL?

    • @escalera601
      @escalera601 3 ปีที่แล้ว +1

      @@Rhythmandosyche Just looked it up. It is 89 mg/dL

    • @Rhythmandosyche
      @Rhythmandosyche 3 ปีที่แล้ว

      @@escalera601 Thanks for sharing and great news for us Lp a folks!

    • @escalera601
      @escalera601 2 ปีที่แล้ว +1

      @Bladerunner2043 Most of my life, yes. I do eat fish once in awhile.

  • @peterrosa7735
    @peterrosa7735 8 หลายเดือนก่อน +2

    I exercise regularly. Watch what I eat, stopped drinking , and have good Cholesterol ## , and suffered a heart attack in December. Stent was placed and statins started . I found out yesterday my lp(a) was 302 versus acceptable range less than 75. Head is swimming with this harsh reality

  • @CarnivoreAnesthetist
    @CarnivoreAnesthetist 3 ปีที่แล้ว +1

    I’m excited about our consultation coming up!

  • @vrossi2596
    @vrossi2596 3 ปีที่แล้ว +4

    260 nmol Lpa here., But 25 . When my doc explained it, if I'm honest it took quite a while to sink .. But like Chuck I'm aware of it and doing something right to hopefully prevent an event.. Thanks again doc 👍

    • @PrevMedHealth
      @PrevMedHealth  3 ปีที่แล้ว +1

      Thank you very much for sharing that

    • @TheGuitaristization
      @TheGuitaristization 3 ปีที่แล้ว +1

      @@PrevMedHealth Hi doc, i got to know the lp(a) thing when i started seeing your videos, thankyou for that. Mine was 47 mg/dl when i first checked. and now recently its 120mg/dl. How did it increased? I took niacin amide 500 mg Daily when i had around 47 mg/dl but it clearly doesn’t help. What should i do start enduracin because i dont like the flush it makes me anxious. How much dosage would be good for me? Although i had multiple ecg ,echo and one time stress test as i was very concerned about my heart but all is normal . My lipids are in the normal range with ldl around 80 and triglycerides/hdl ratio around 2.1 - 2.3. I’m 25 , my parents didnt have any heart disease till yet they are there 60’S but i do have family history from maternal side of strokes. I have been overweight almost all my life but in recent years i have lost a lot of weight and started eating clean i have been exercising daily for about 1.5 years now. Sorry for the length, but i’m for india and they dont see lp(a) a major thing here.

    • @shwethasankarr
      @shwethasankarr 3 ปีที่แล้ว

      @@TheGuitaristization I’m having a similar problem accidentally did a cholesterol panel check in india a year ago and found my lp a was 32mg/dL slowly in a year now it’s 48mg/dL . I’m taking rusovastatin 5mg daily I see some improvement in my cholesterol but Lp(a) is increasing Dono y… I live in Switzerland and seen doctors who want me to ignore lp(a)… so I’m going to start enduracin 500 mg from this week, possibly it will reduce lp(a) … please share ur status too

    • @danielconner5476
      @danielconner5476 2 ปีที่แล้ว

      @@shwethasankarr careful because while statins decrease LDL, they increase Lp(a) plasma levels. Might explain your increase.

  • @Akira-nw4jl
    @Akira-nw4jl 3 ปีที่แล้ว +5

    I have read that niacin is good to lower Lp(a). I believe that a vit B complex covers so many different areas.

  • @davidivers9295
    @davidivers9295 3 ปีที่แล้ว +11

    Thanks, Dr. Brewer. How is elevated LPa treated?

    • @nicmart
      @nicmart 2 หลายเดือนก่อน

      There is no treatment except a sort of dialysis. No drugs are available.

  • @lubasulpovar5081
    @lubasulpovar5081 ปีที่แล้ว

    Thanks again Dr Ford for your response, highly appreciated 👍

  • @2023Red
    @2023Red 3 ปีที่แล้ว +3

    Hello. I could not locate part 2. Could you provide a link? Most interesting!

  • @salpusateri7242
    @salpusateri7242 2 วันที่ผ่านมา

    So glad I found this video. I asked my doctor to do a cardio IQ blood test. He did not know how to read it. ApoB 144mg Lipoa 226 nm LDL 136.
    He wants to but me on a Statin?
    I need to find a video on how to naturally lower my ApoB . Any suggestions. Thank you !

  • @ameralgayar4931
    @ameralgayar4931 3 ปีที่แล้ว

    Thank you very much for the helpful information

  • @lubasulpovar5081
    @lubasulpovar5081 3 ปีที่แล้ว +2

    Addendum-vitamin C for lowering "Lpa"

  • @SuperAmazingAnt
    @SuperAmazingAnt 3 ปีที่แล้ว +1

    If blood pressure is 125-130 in the morning and evening, but higher during day 135-155. Is blood presurre meds generally needed?

    • @PrevMedHealth
      @PrevMedHealth  3 ปีที่แล้ว +2

      I would consider weight loss and a RESPeRATE first.

  • @kinpatu
    @kinpatu 3 ปีที่แล้ว +3

    It’s generally accepted that Lp(a) doesn’t change, but I’ve measured mine at 76 and 120 nmol.

  • @spek2554
    @spek2554 3 ปีที่แล้ว +1

    Doctor, I believe that you have previously stated that rosuvastatin raises Lp(a). My BMI is 21 and my triglycerides over HDL is 1.0. I have never been tested for Lp(a). I am on 20 mg rosuvastatin and metoprolol. Should I press my cardiologist to check Lp(a)?

  • @AK-qo6tx
    @AK-qo6tx 3 ปีที่แล้ว +1

    My lp a is in the 120 mg/dl range with prior heart attack and stents. I'm still getting blockages from recent stress test. I'm currently exploring enrolling in the Novartis anti sense drug trial. I just got in contact with a Stanford doctor who is part of the trial. DR. Brewer, I would like to know your opinion about this new drug and whether it would really benefit someone like me. Do you have any patient looking at enrolling in the drug trial?

    • @PrevMedHealth
      @PrevMedHealth  3 ปีที่แล้ว +4

      Thanks for asking. The drugs are getting 80-90% reduction. I think they are an exciting development.

    • @fablife1093
      @fablife1093 ปีที่แล้ว +1

      Hi. Any update please?

    • @askpam9558
      @askpam9558 หลายเดือนก่อน

      Yes, any updates

  • @lubasulpovar5081
    @lubasulpovar5081 3 ปีที่แล้ว +2

    Thanks again and again for great videos and education Dr Ford. I have "Lpa" 150, 3MI, STENT. My cardiologist said-STATIN! I take Rosuvastatin 10mg. What's your opinion about taking HIGH dose vitamin C for lowering Lap? Highly anticipated for answer😀

    • @Raatwastories
      @Raatwastories 2 ปีที่แล้ว

      How old are you

    • @Chaitanyaworld2692
      @Chaitanyaworld2692 ปีที่แล้ว

      Did rosuvastatin reduced you're ldl cholesterol can you please tell?

  • @knockstarstv5711
    @knockstarstv5711 8 หลายเดือนก่อน

    my doctor said he can't help me and its been hard to find anyone to understand this. Is there anyone that can help with labs online or help? Mine is super high.

  • @LauraK93
    @LauraK93 2 ปีที่แล้ว

    I'm a 64 year old woman with no cardiac problems in my history but an Lp a of 239.9 nmol/l. Low inflammation markers, low BP, low resting insulin, blood glucose and triglycerides , good HDL. Living on a low carb diet with intermittent fasting. This makes LDL increase. Anything else you would recommend? Statins, PCSK9 inhibitors?

    • @PrevMedHealth
      @PrevMedHealth  2 ปีที่แล้ว

      Have you had an IMT, insulin survey, & cv inflammation panel?

    • @LauraK93
      @LauraK93 2 ปีที่แล้ว

      No, will be having a TTE (echocardiogram), carotid ultrasound and getting a CAC score soon. I will mention these to my cardiologist.Thank you

    • @TheShumoby
      @TheShumoby 2 ปีที่แล้ว +1

      @@LauraK93 how did it go?

    • @LauraK93
      @LauraK93 2 ปีที่แล้ว +3

      @@TheShumoby Great! CAC of zero and other tests look so good that cardiologist says he can't justify suggesting statins. I've become a carnivore and have decided to ignore the Lp little a.

    • @sheddkkhan6758
      @sheddkkhan6758 7 หลายเดือนก่อน

      @@LauraK93hello

  • @ang1783
    @ang1783 ปีที่แล้ว

    why we only focus on LDL, LPa etc.... for the risk factor, actually there are more, and they even have a heavier weight than LDL.

  • @TheShumoby
    @TheShumoby 2 ปีที่แล้ว

    My lp (a) is less than 8.4 nanomoles/L.

  • @edrock4605
    @edrock4605 ปีที่แล้ว

    LDL level? Whzt ki d of LDL?

  • @Sapwolf
    @Sapwolf ปีที่แล้ว +2

    Just found out about 30 minutes ago that my Lipo a is at 170. Maybe that's why my inflammation was off the charts earlier this year (and probably still is) which led to five stents put in my heart due to a CACS of 721. Maybe I'll just drink a fifth of Jack's and find a blizzard to wander off in. F*CK!

    • @skipbanks4fun1
      @skipbanks4fun1 10 หลายเดือนก่อน

      Dude stay positive please. I got a scary Lpa score . Remember the word fear stands for False Evidence Appearing Real.
      Mine is 69 and suppose to be about 29. I refuse to think I cant get this mo fo down ..you can to. It won't beat me I will beat it. Best wishes to ya.Skip

  • @robrae14
    @robrae14 3 ปีที่แล้ว +5

    I think there's a percentage of people with high LPa that have no CVD. I don't have any and I'm 58 and have high LPa.

    • @PrevMedHealth
      @PrevMedHealth  3 ปีที่แล้ว +2

      Interesting. How high?

    • @robrae14
      @robrae14 3 ปีที่แล้ว +2

      @@PrevMedHealth 184 nmol/l

    • @sheddkkhan6758
      @sheddkkhan6758 8 หลายเดือนก่อน

      @@robrae14how did you confirm that you do not have disease

  • @fordharrison2649
    @fordharrison2649 ปีที่แล้ว

    Dr. i have very high LPa at 145 mg/dl , age 54, could you advice me ?

    • @WhiskeyCurious
      @WhiskeyCurious ปีที่แล้ว +2

      Hi, not a doc, but based on the hundreds of hours of videos I've watched, the best we can do is manage all other risk factors...and hope we make it till a drug gets approved. There are a few in phase three of trials, hopefully we'll see something by 2026.

    • @fordharrison2649
      @fordharrison2649 ปีที่แล้ว

      @@WhiskeyCurious many thanks

  • @shodhanpatel3505
    @shodhanpatel3505 3 วันที่ผ่านมา

    In short control your metabolic health, you should do fine and may even live longer than average population !

  • @nicmart
    @nicmart 2 หลายเดือนก่อน

    There is no way to manage Lp(a). No physician should suggest otherwise.

  • @cherylmathlouthi7324
    @cherylmathlouthi7324 ปีที่แล้ว

    8/30/23