Dr.RaviCardio said:Advanced lipoprotein testing on the lipid panel — going beyond standard lipid panel: Marker Baseline Month 8 Clinical Meaning LDL-P 1713 1013 Particle…
Careful with treating an unchanged LDL-C as a failure. If ApoB and triglycerides both fell, the particle picture improved regardless of what the calculated LDL says.
mike.trainer_LA said:Trying to work out whether my panel improved or merely rearranged itself, because two of the numbers went the wrong way.
Omega-3 index improvement on the lipid panel: often overlooked but my omega-3 index went from 3.7% to 8.2% over 12 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.
Dr.KarenChen said:Careful with treating an unchanged LDL-C as a failure.
Before/after bloodwork compilation for the lipid panel — everything in one place for those who want comprehensive data:
| Category | Marker | Before | After 13mo | Change |
|---|---|---|---|---|
| Metabolic | A1C | 8.4% | 5.5% | ⬇️ 1.6% |
| Metabolic | Fasting Glucose | 117 | 90 | ⬇️ 37 |
| Lipids | LDL | 175 | 104 | ⬇️ 57 |
| Lipids | Triglycerides | 277 | 107 | ⬇️ 127 |
| Inflammation | hsCRP | 6.5 | 1.0 | ⬇️ 4.0 |
Every single metabolic marker improved. This is why I'm a believer in this therapy.
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View ResultsFollowing on from Dr.SleepRoch — and this may be the naive question:
Did your prescriber agree with that reading, and if not what was their objection?
OP back with an update, since a thread like this is useless without one.
Update — I was wrong in the opening post, specifically about the direction. Correcting it here rather than editing it away.