My trigs are 25, my HDL is 82. My Doc barely blinked when he saw my LDL was 304 because he knows how I eat and fully supports it.
He looked into getting a VAP test (to quiet the inlaws), but they are not available here yet, but he is fully assured that my LDL is of the large and fluffy type, because of my extremely low trigs (and the highest HDL he has ever seen).
Because of
protocol he had to offer me statins, knowing full well what my answer would be and he told me he was far from worried about my numbers and told me to keep up the great work.
There is evidence around that shows that as women age, they maintain better health with higher cholesterol numbers than lower. My Doc seems to be quite current on his studies so that was pleasing.
He knows I eat zero carbs and he knows how my kids eat, and he said if everyone ate more like us he would not have much to do at work all day and said he now knows why he never sees any of us in his office (I hadn't seen him since I was pregnant 3 years before).
Your numbers are amazing
What to say? Ask him if your LDL was calculated (it was). If he does not know then ask him for a VAP test to be sure. If he tries to tell you it wasn't calculated (he lied LOL) then ask if your LDL is type A or type B. That will trip him up LOL.
When trigs are under 100, LDL is ALWAYS calculated unless they run a VAP test. When they run a VAP test it breaks up the LDL into type A and type B (A: being the large and fluffy/harmless type). VAP tests are not standard so unless he asked for one I can assume it was not done.
Persons with LDL cholesterol pattern A have large, buoyant LDL cholesterol particles. Individuals with pattern A are more likely to have normal blood levels of LDL cholesterol, HDL cholesterol, and triglycerides. Pattern A is usually not associated with an increased likelihood of atherosclerosis.
Persons with LDL cholesterol pattern B have predominantly small and dense LDL cholesterol particles. Pattern B is frequently associated with low HDL cholesterol levels, elevated triglyceride levels, and the tendency to develop high blood sugar levels and type II diabetes mellitus.