Comments on: Lipoprotein a – How to Lower Lipoprotein a http://www.lisanelsonrd.com/blog/lipoprotein-a-how-to-lower-lipoprotein-a How to Lower Cholesterol, Natural Ways to Lower Blood Pressure, and Best Weight Loss Plan Fri, 27 Jan 2012 04:46:41 +0000 hourly 1 http://wordpress.org/?v=3.2.1 By: Kent http://www.lisanelsonrd.com/blog/lipoprotein-a-how-to-lower-lipoprotein-a/comment-page-1#comment-74425 Kent Fri, 15 Jul 2011 12:59:43 +0000 http://www.lisanelsonrd.com/blog/?p=1022#comment-74425 My LP(a) started a year and a half ago at 198 nmol/L, it is now down to 35 nmol/L. Thanks to Dr. William Davis's (http://www.trackyourplaque.com/blog/?s=LP%28a%29&searchsubmit.x=8&searchsubmit.y=16)advice that I followed in the Track Your Plaque book, including 4800mg combined EPA, DHA fish oil and 2000mg Niaspan, etc. I also want ot mention though that I have been following the Linus Pauling protocol as well, which I believe has a synergistic effect with the other principles applied. An interesting thing happened that is worth mentioning, my LP(a) had been gradually dropping over that period of a year and a half from 198 to 45 nmol/L, then I switched to immediate release niacin and my LP(a) jumped back up to 150 nmol/L. That was the only change I made, so I switched back to Niaspan and that is when it went back down to 35 nmol/L. Kent My LP(a) started a year and a half ago at 198 nmol/L, it is now down to 35 nmol/L. Thanks to Dr. William Davis’s (http://www.trackyourplaque.com/blog/?s=LP%28a%29&searchsubmit.x=8&searchsubmit.y=16)advice that I followed in the Track Your Plaque book, including 4800mg combined EPA, DHA fish oil and 2000mg Niaspan, etc.

I also want ot mention though that I have been following the Linus Pauling protocol as well, which I believe has a synergistic effect with the other principles applied.

An interesting thing happened that is worth mentioning, my LP(a) had been gradually dropping over that period of a year and a half from 198 to 45 nmol/L, then I switched to immediate release niacin and my LP(a) jumped back up to 150 nmol/L. That was the only change I made, so I switched back to Niaspan and that is when it went back down to 35 nmol/L.

Kent

]]> By: Lisa Nelson RD http://www.lisanelsonrd.com/blog/lipoprotein-a-how-to-lower-lipoprotein-a/comment-page-1#comment-39390 Lisa Nelson RD Fri, 25 Feb 2011 17:26:02 +0000 http://www.lisanelsonrd.com/blog/?p=1022#comment-39390 Here's some good information on lipoprotein(a) - http://www.drsinatra.com/lower-lpa-with-5-nutrients All the best, Lisa Nelson RD http://lisanelsonrd.com Here’s some good information on lipoprotein(a) – http://www.drsinatra.com/lower-lpa-with-5-nutrients

All the best,
Lisa Nelson RD
http://lisanelsonrd.com

]]> By: Ava http://www.lisanelsonrd.com/blog/lipoprotein-a-how-to-lower-lipoprotein-a/comment-page-1#comment-39359 Ava Fri, 25 Feb 2011 08:42:50 +0000 http://www.lisanelsonrd.com/blog/?p=1022#comment-39359 Judy, I learned last week that my Lp a is 210. I will also be watching for the reply to your question, and wishing you the best of results! Judy, I learned last week that my Lp a is 210. I will also be watching for the reply to your question, and wishing you the best of results!

]]> By: Judy Franklin http://www.lisanelsonrd.com/blog/lipoprotein-a-how-to-lower-lipoprotein-a/comment-page-1#comment-39329 Judy Franklin Thu, 24 Feb 2011 23:58:56 +0000 http://www.lisanelsonrd.com/blog/?p=1022#comment-39329 I recently had a physical and my results said that my lipoprotein (a) was 310. It was marked H for High but my doctor did not say anything to me about this and I am wondering why! Needless to say I am quite upset and plan to call him in the am. The rest of my test was Chol = 92, Trig = 55, HDL = 91, VLDL = 11.00, LDL-CALC = 90, Chol/hdl = 2.1 I asm a 57 year old female, with good blood pressure. Only meds I take are synthroid and Crestor every other day and an aspirin. I do have a family hx of heart disease but I am worried about this 310 number..can u tell me why it is so high and why my doctor did not flag this..thank u I recently had a physical and my results said that my lipoprotein (a) was 310. It was marked H for High but my doctor did not say anything to me about this and I am wondering why! Needless to say I am quite upset and plan to call him in the am. The rest of my test was Chol = 92, Trig = 55, HDL = 91, VLDL = 11.00, LDL-CALC = 90, Chol/hdl = 2.1 I asm a 57 year old female, with good blood pressure. Only meds I take are synthroid and Crestor every other day and an aspirin. I do have a family hx of heart disease but I am worried about this 310 number..can u tell me why it is so high and why my doctor did not flag this..thank u

]]> By: Lisa Nelson RD http://www.lisanelsonrd.com/blog/lipoprotein-a-how-to-lower-lipoprotein-a/comment-page-1#comment-19482 Lisa Nelson RD Tue, 16 Nov 2010 23:54:11 +0000 http://www.lisanelsonrd.com/blog/?p=1022#comment-19482 Here's an interesting article I think you'll enjoy reading: <a target="_blank" href="http://www.lef.org/magazine/mag2004/mar2004_ch_01.htm" rel="nofollow">http://www.lef.org/magazine/mag2004/mar2004_ch_01.htm</a> All the best, Lisa Nelson RD http://lisanelsonrd.com Here’s an interesting article I think you’ll enjoy reading:

http://www.lef.org/magazine/mag2004/mar2004_ch_01.htm

All the best,
Lisa Nelson RD
http://lisanelsonrd.com

]]> By: Lisa Nelson RD http://www.lisanelsonrd.com/blog/lipoprotein-a-how-to-lower-lipoprotein-a/comment-page-1#comment-19481 Lisa Nelson RD Tue, 16 Nov 2010 23:52:40 +0000 http://www.lisanelsonrd.com/blog/?p=1022#comment-19481 Hi Shelly, Cardiologist Dr. Stephen Sinatra recommends at least 1000 mg Vitamin C and potentially higher depending on lipoprotein(a) levels. I'd consult your physician to determine if a higher dose would be beneficial. All the best, Lisa Nelson RD <a href="http://lisanelsonrd.com" rel="nofollow">http://lisanelsonrd.com</a> Hi Shelly,

Cardiologist Dr. Stephen Sinatra recommends at least 1000 mg Vitamin C and potentially higher depending on lipoprotein(a) levels. I’d consult your physician to determine if a higher dose would be beneficial.

All the best,
Lisa Nelson RD
http://lisanelsonrd.com

]]> By: Shelly http://www.lisanelsonrd.com/blog/lipoprotein-a-how-to-lower-lipoprotein-a/comment-page-1#comment-19315 Shelly Tue, 16 Nov 2010 00:42:43 +0000 http://www.lisanelsonrd.com/blog/?p=1022#comment-19315 HI Can you share more on the quantities of vitamin C you should take if you have high Lipoprotein a? Mine is at 164. I already take 1000 mgs of omega 3s and just had to stop niaspan because I already have low blood pressure and at 1000 mgs, it dropped my bp too much. Help? HI
Can you share more on the quantities of vitamin C you should take if you have high Lipoprotein a? Mine is at 164. I already take 1000 mgs of omega 3s and just had to stop niaspan because I already have low blood pressure and at 1000 mgs, it dropped my bp too much. Help?

]]> By: Leslie http://www.lisanelsonrd.com/blog/lipoprotein-a-how-to-lower-lipoprotein-a/comment-page-1#comment-12804 Leslie Wed, 22 Sep 2010 16:24:42 +0000 http://www.lisanelsonrd.com/blog/?p=1022#comment-12804 Thanks SO much, Lisa! I appreciate your thoughtful, detailed response. I will follow up on all suggestions and report back when I have some results. I have found online resources to be so helpful in my investigation, and if I can help someone else along the way, all the better. Thanks again! Thanks SO much, Lisa! I appreciate your thoughtful, detailed response. I will follow up on all suggestions and report back when I have some results. I have found online resources to be so helpful in my investigation, and if I can help someone else along the way, all the better. Thanks again!

]]> By: Lisa Nelson RD http://www.lisanelsonrd.com/blog/lipoprotein-a-how-to-lower-lipoprotein-a/comment-page-1#comment-11702 Lisa Nelson RD Fri, 10 Sep 2010 22:05:21 +0000 http://www.lisanelsonrd.com/blog/?p=1022#comment-11702 Hi Leslie, I would also be skeptical of the lab results. That doesn't mean they aren't accurate, but I'd want everything double checked with a comprehensive lipid panel before agreeing to any medication. I personally had the Lipoprotein Particle Panel through SpectraCell Labs (you can check it out online). This gives you not only the basics (total chol, HDL, LDL, and triglycerides), but also a look at the particle sizes. Some are healthy and some are not. This goes for LDL and HDL. The only way to know if the medication is necessary is to look at the particle sizes. Your physician can contact the spectracell 800 number to request the test kit, complete the blood draw, and send it in. You did ask if I think the drop in Lipoprotein(a) could be related to the diet/exercise changes you've made. A decrease of 10 points is not necessarily significant in this case and may be related to variation in lab testing and a little bit due to lifestyle changes. However, as you already know, diet/exercise tend to have little impact on lipoprotein(a). A physician I highly recommend is Dr. Cynthia Shelby-Lane. Her medical practice is located in Detroit, but you are able to work with her online as a "health coach" via <a target="_blank" href="https://app.relayhealth.com/PhysicianWebSite.aspx?name=/shelbylaneMD" rel="nofollow">relayhealth</a>. Let me clarify what I mean by "health coach". She is a physician, but due to state licensure laws she can make recommendations and guide you out of state, but lab tests or medications she recommends would need to be ordered through your regular physician. This means I'm not sure how your insurance would cover her services. However, I know she is well versed in lipid levels, interpreting lab results, and appropriate treatment steps. I'm not sure a cardiologist would be able to help you more than your regular physician. They are so quick to prescribe medications. . .that are not always necessary. FYI - The American Heart Association recommends LDL be less than 130 mg/dl. If you do not have a strong family history of heart disease there may not be a need to push to get your levels lower. Sorry, I'm not giving you a clear cut solution:) HOWEVER, step #1 would be a comprehensive lipid panel! All the best, Lisa Nelson RD Hi Leslie,

I would also be skeptical of the lab results. That doesn’t mean they aren’t accurate, but I’d want everything double checked with a comprehensive lipid panel before agreeing to any medication. I personally had the Lipoprotein Particle Panel through SpectraCell Labs (you can check it out online). This gives you not only the basics (total chol, HDL, LDL, and triglycerides), but also a look at the particle sizes. Some are healthy and some are not. This goes for LDL and HDL. The only way to know if the medication is necessary is to look at the particle sizes. Your physician can contact the spectracell 800 number to request the test kit, complete the blood draw, and send it in.

You did ask if I think the drop in Lipoprotein(a) could be related to the diet/exercise changes you’ve made. A decrease of 10 points is not necessarily significant in this case and may be related to variation in lab testing and a little bit due to lifestyle changes. However, as you already know, diet/exercise tend to have little impact on lipoprotein(a).

A physician I highly recommend is Dr. Cynthia Shelby-Lane. Her medical practice is located in Detroit, but you are able to work with her online as a “health coach” via relayhealth. Let me clarify what I mean by “health coach”. She is a physician, but due to state licensure laws she can make recommendations and guide you out of state, but lab tests or medications she recommends would need to be ordered through your regular physician. This means I’m not sure how your insurance would cover her services. However, I know she is well versed in lipid levels, interpreting lab results, and appropriate treatment steps. I’m not sure a cardiologist would be able to help you more than your regular physician. They are so quick to prescribe medications. . .that are not always necessary. FYI – The American Heart Association recommends LDL be less than 130 mg/dl. If you do not have a strong family history of heart disease there may not be a need to push to get your levels lower.

Sorry, I’m not giving you a clear cut solution:) HOWEVER, step #1 would be a comprehensive lipid panel!

All the best,
Lisa Nelson RD

]]> By: Leslie http://www.lisanelsonrd.com/blog/lipoprotein-a-how-to-lower-lipoprotein-a/comment-page-1#comment-11696 Leslie Fri, 10 Sep 2010 21:04:00 +0000 http://www.lisanelsonrd.com/blog/?p=1022#comment-11696 Hi Lisa, IS LP(a) sometimes impacted by diet/exercise? I had a full lipid panel done in May - HDL was 81, LDL was 124, Lipoprotein(a)was also 124. Thinking there might be a mix up and they read my LDL as my LP(a), I declined to start statin meds tolower LDL and opted to try diet, exercise, just to see if I could make a difference. I wasn't hoping to lower my LP(a), which I understood was not impacted by diet, but when I was re-checked, my LDL had dropped to 114, and so had my LP(a) - same number. Hmmm... This strikes me as an unusual coincidence. You too? Of course, my MD wants to start me on Zocor asap. I'm not convinced that's the right approach, especially if they're misreading test results. Plus, I have no family history of early onset CV disease - just late in life stuff in my dad who is not at all active. Mom has borderline high LDL, but also has high HDL and is active. I am fit, low BMI, very active. Think I need to speak with a Cardiologist rather than my GP? Any input is appreciated - thanks! Hi Lisa,

IS LP(a) sometimes impacted by diet/exercise? I had a full lipid panel done in May – HDL was 81, LDL was 124,
Lipoprotein(a)was also 124. Thinking there might be a mix up and they read my LDL as my LP(a), I declined to start statin meds tolower LDL and opted to try diet, exercise, just to see if I could make a difference. I wasn’t hoping to lower my LP(a), which I understood was not impacted by diet, but when I was re-checked, my LDL had dropped to 114, and so had my LP(a) – same number. Hmmm… This strikes me as an unusual coincidence. You too? Of course, my MD wants to start me on Zocor asap. I’m not convinced that’s the right approach, especially if they’re misreading test results. Plus, I have no family history of early onset CV disease – just late in life stuff in my dad who is not at all active. Mom has borderline high LDL, but also has high HDL and is active. I am fit, low BMI, very active. Think I need to speak with a Cardiologist rather than my GP? Any input is appreciated – thanks!

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