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DrRussMD, Board Certified Physician
Category: Medical
Satisfied Customers: 65325
Experience:  Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.
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I just received lab test results and am concerned about the

Customer Question

I just received lab test results and am concerned about the following results
Inflammation/Oxidation Fibrinogen (mg/dl) 557 ; Lipoprotein Particles and Apoliproteins %sdLDL 9calculated) 29 lp(a)Mass(mg/dl) 152 LP(a) Cholesterol (mg?dl) 22
I am 71 years old, just lost weight and my cholesterol has dropped from 200 to 147. Problem is my mother had a stroke at ag 85. What can I do to overcome these risk factors? Thank you
Submitted: 6 years ago.
Category: Medical
Expert:  DrRussMD replied 6 years ago.
who did this test
what type of doctor?
Customer: replied 6 years ago.
My doctor is a geriatric internest. Very qualified. The lav is Health Diagnostic Laboratory Richmond, Virginia. Dr Joseph McConnell, Laboratory Director. My doctor called to tell me my cholesterol had gone down to 149, and asked that I come back for a visit in 3 months.
My husband saw him today and was given my test results.
Expert:  DrRussMD replied 6 years ago.
do you have
hdl cholesterol
ldl cholesterol

your current labs are not particularly meaningful
let me know
Customer: replied 6 years ago.
LDL Direct (mg/dl) 76
HDL-C (mg/dl) 55
Triglycerides (mg/dl( calculated 95
Expert:  DrRussMD replied 6 years ago.
you are fine
I see no problems with your cholesterol
The fibrinogen is a non-specific test and if elevated means any inflammation in the body.
please show me any reference ranges on the other labs
Customer: replied 6 years ago.
This is the first time my cholesterol has been this low. I has hovered at about 289, 300, for 20 years. Since the diet, it has dropped to this level
I am not sure what othe tests you want to see, there are so many. Here addition to what you have
Myocardial Stress NT-proBNP (pg/ml) 165
Lipoprotein) particles and Apolipoproteins
Apo B mg/dl/ 79
LDL-P nmol/L 1193
sdLDL (mg/dl) 22
Apo A-1 mg/dl 149
hdl-p umol/l 35.8
hdl2(mg/dl 19
apo b apo a-1 ratio calculated .53
lp (a mass mg/dl 152
lp (a) cholesterol 22
Inflamation Oxidation No more room
Expert:  DrRussMD replied 6 years ago.
your cholesterol is supposed to drop
that is good
do you have reference ranges..highs and lows, or these other values?
Customer: replied 6 years ago.
Apolipoprotein E Genotype High Risk 3/4
glucose Intermediate Risk 104 range 55-125
Renal Estimated Glomerular Filtration RAte egfr ml/min/1.73m2) 111
intermediate risk range 79-125
alt/gpt u/l 42 High reference interval up to 33
ast/got u/l 43 High " " up to 32
Change: Triglycerides 79
Non HDL C (mg/dl calculated 95
Hope this maked sense...not a typist
Expert:  DrRussMD replied 6 years ago.
do you have highs and lows on these

Apo B mg/dl/ 79
LDL-P nmol/L 1193
sdLDL (mg/dl) 22
Apo A-1 mg/dl 149
hdl-p umol/l 35.8
hdl2(mg/dl 19
apo b apo a-1 ratio calculated .53
lp (a mass mg/dl 152
lp (a) cholesterol 22
Customer: replied 6 years ago.
1- intermrdiate
2- "
3 "
%sdldl calculated 29 high risk
4 intermediate
5 optimal
6 "
7 optimal
8 152 high risk range 30
9 22 high risk 3-6 fibrinogen 557 High risk
range 390-465
Expert:  DrRussMD replied 6 years ago.
your cholesterol is good
There is only one real problem here and that is the lpo a level which is an independent risk factor for heart problems and stroke.
This is not a modifiable risk factor exact for making sure that any diabetes or thyroid disease is controlled.

Fibrinogen indicates a risk due to inflammation in the body.

How you can further modify this is with an anti-inflammatory nutrient dense diet, not only good for weight but reduces all inflammatory markers in the body
as well as adding
fish oil
turmeric and ginger to cooking...inhibit inflammatory mediators

The nutrient dense diet is found in a number of places but Eat to Live by Dr. joel Fuhrman is one of the best books on the subject.

Otherwise...your profile is looking excellent and very low risk
good luck

Let me know if you have further questions

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