In Cholesterol Tests Your Doctor Hasn’t Told You About, I briefly describe a cholesterol blood test for Apolipoprotein B (ApoB). This simple blood test measures the number and size of LDL (bad) cholesterol: it’s an important test if you have high LDL (bad) cholesterol or are at ‘high risk’ of cardiac disease, as it provides a more finely tuned assessment of cardiovascular risk.
In fact, it might be a critical test for those with low LDL (bad) cholesterol – because it can reveal hidden cardiac risk.
While studies show ApoB is a better predictor of cardiac risk,
A standard cholesterol lipid panel provides four measures: Total Cholesterol, LDL Cholesterol, HDL Cholesterol and Triglycerides. But did you know that there are two other blood tests — and one ratio that’s easy to calculate — that can better predict your risk of heart disease? Which means that even with high cholesterol, you might not need a statin medication if these tests show low cardiac disease risk.
Or you might think you don’t need a statin … and in fact do.
And yet, your doctor probably has not told you about these tests. So let me.