One interesting note is that sometimes low triglyceride levels can occur with high LDL levels (which often indicate a higher heart disease risk). If low triglyceride levels lower heart disease risk, but high LDL levels increase it, what can cause this inconsistency?
There are two types of LDL particles that should be taken into account when calculating heart disease risk:
LDL-A particles are larger, less dense, and lower your risk. LDL-B particles are smaller, denser, and increase your risk.
When you have low triglyceride levels but high LDL levels, it could indicate that you have a diet filled with healthy fats.
Healthy fats will not only cause an increase in good cholesterol (HDL) but can also change the type of the LDL particles in the blood. Therefore, those high LDL levels may not actually be a bad thing.
Instead, it is more likely that they are LDL particles that have become larger and less dense from the intake of healthy fat. Low triglycerides and high HDL levels in the blood will generally support this idea.
请教大家关于我的胆固醇化验的问题。个人情况：女，47岁，BMI为20左右。A1C 5.3. 没有大的健康问题。以下结果都没有fasting.
一年前我的结果如下：医生说：Your cholesterol panel is excellent. 当时我就很奇怪，我的Total那个数学那么高，为什么还说excellent。但之后一年也没有见她，也就忘了。这次结果我会问她，但短时间见不着，想先在这儿听听大家的看法。
今年（昨天）的结果如下：
谢谢大家帮我分析。
翻译来就是：
低甘油三脂和高LDL可以同时出现，前者降低心脏病风险，后者增加风险，为什么有这种不统一的情况？因为LDL有两种：LDL-A和LDL-B。A的分子较大，不那么密，可以降低风险，B则相反。
低甘油三脂和高LDL的同时存在，可能说明你的饮食中有大量健康的脂肪。
健康的油脂不仅能增加HDL水平，也能改变LDL的种类。所以此类高LDL可能不是一个坏事。更有可能是因为摄入好的油脂，使LDL的分子变得大且不那么密了。血液中低水平的甘油三脂和高水平的HDL可以基本上支持这个说法。
这么说来我不用那么担心了？我的医生说的是对的：我的情况不错？但无论如何我应该要控制一下总量吧？
One interesting note is that sometimes low triglyceride levels can occur with high LDL levels (which often indicate a higher heart disease risk). If low triglyceride levels lower heart disease risk, but high LDL levels increase it, what can cause this inconsistency?
There are two types of LDL particles that should be taken into account when calculating heart disease risk:
LDL-A particles are larger, less dense, and lower your risk. LDL-B particles are smaller, denser, and increase your risk.When you have low triglyceride levels but high LDL levels, it could indicate that you have a diet filled with healthy fats.
Healthy fats will not only cause an increase in good cholesterol (HDL) but can also change the type of the LDL particles in the blood. Therefore, those high LDL levels may not actually be a bad thing.
Instead, it is more likely that they are LDL particles that have become larger and less dense from the intake of healthy fat. Low triglycerides and high HDL levels in the blood will generally support this idea.
Tri 53 降了
HDL 73
LDL 123 升了 （我以为吃牛排油太大+变老了）
Cholesterol 206 过限了 （特意问医生，是问题吗？回答：不是问题，因为HDL很好）
不用太担心。
下次验血，记得要空腹。
最新的研究结果是：1）LDL高不好（和过去一致）；2）HDL高在一些人群中并不能降低心脑血管病风险，不低也不高反而是最好的。（和过去不一致）
肉和羊肉很少吃。牛肉吃得总量不多，但还是有可以减少的空间。鸡肉和鱼相对多一点。
https://bbs.wenxuecity.com/health/1068066.html
事实上，没有一个人说得清楚，包括所谓专家在内。