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ForumsLab Results & BiomarkersCholesterol dropped 80 points and my doc is shook

Cholesterol dropped 80 points and my doc is shook

dan_philly Sat, May 9, 2026 at 10:28 AM 23 replies 941 viewsPage 1 of 5
dan_philly
Member
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2,123
Jul 2024
Philadelphia, PA
May 9, 2026 at 10:28 AM#1

Trying to work out whether my panel improved or merely rearranged itself, because two of the numbers went the wrong way.

What I am trying to establish is whether an unchanged LDL-C alongside a large triglyceride fall is a good result or a bad one, because ApoB and LDL-C seem to be telling different stories.

Numbers rather than impressions, if you have them.

31 9DadBodDave, AmyNC_wife, SkepticalSean and 28 others
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Dr.NutriCornell
Senior Member
1,345
6,234
Mar 2024
Ithaca, NY
May 9, 2026 at 12:03 PM#2
dan_philly said:
Trying to work out whether my panel improved or merely rearranged itself, because two of the numbers went the wrong way.

Before/after bloodwork compilation for the lipid panel — everything in one place for those who want comprehensive data:

CategoryMarkerBeforeAfter 10moChange
MetabolicA1C7.4%5.6%⬇️ 1.6%
MetabolicFasting Glucose12287⬇️ 32
LipidsLDL17099⬇️ 42
LipidsTriglycerides242112⬇️ 92
InflammationhsCRP7.51.0⬇️ 5.0

Every single metabolic marker improved. This is why I'm a believer in this therapy.

32 10Dr.SleepRoch, laura_annarbor, JenMemphis and 29 others
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FranDenver
Member
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Oct 2024
Denver, CO
May 9, 2026 at 1:38 PM#3
Dr.NutriCornell said:
Before/after bloodwork compilation for the lipid panel — everything in one place for those who want comprehensive data: Category Marker Before After…

Tracking labs for the lipid panel — here's the panel I get every 3 months and why:

  • CMP: glucose, electrolytes, kidney function, liver enzymes
  • Lipid panel: total cholesterol, LDL, HDL, triglycerides
  • A1C: 3-month glucose average
  • hsCRP: inflammatory marker
  • CBC: blood counts, anemia screening
  • B12, folate, iron: nutritional deficiency screening
  • TSH, free T4: thyroid monitoring
  • Lipase: pancreatic safety check

Total cost with insurance: about $30 copay. Without insurance, request cash-pay pricing from Quest/Labcorp — usually $175.

33 11BariatricNurseD, MASHdoc_SA, GenomicsKate and 30 others
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jennifer_SEA
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890
Nov 2024
Seattle, WA
May 9, 2026 at 3:13 PM#4
dan_philly said:
Trying to work out whether my panel improved or merely rearranged itself, because two of the numbers went the wrong way.

This is my experience too, for whatever a second data point is worth.

34 12jim_asheville, matt_MKE, Dr.ReproEndo and 31 others
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julia.endo
Senior Member
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Feb 2024
Cincinnati, OH
May 10, 2026 at 12:28 AM#5

From the other side of the consultation, briefly.

Omega-3 index improvement on the lipid panel: often overlooked but my omega-3 index went from 3.6% to 8.6% over 13 months. I supplemented with 2g EPA+DHA daily.

This matters because omega-3s are anti-inflammatory and cardioprotective, complementing the GLP-1 benefits. Target omega-3 index is >8%. Combined with the triglyceride reduction from the medication, my lipid profile is the best it's been in decades.

35 13chris_chi24, tampaLisa73, KarenAZ_mom and 32 others
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