Cardiologist explains Lipoprotein(a)

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  • Опубліковано 18 гру 2024

КОМЕНТАРІ • 120

  • @Malcolm-Achtman
    @Malcolm-Achtman Рік тому +47

    At 3:00 in this video the presenter says there is little value in measuring something, e.g. Lp(a), that we can't treat. But perhaps doctors don't know that a change in diet can sometimes lower Lp(a). For example, a low carb - high fat diet can lower one's Lp(a). The first time I ever had Lp(a) tested I was eating a fair amount of carbs and my Lp(a) was 32 mg/dL (a bit above the top end of the reference range of 30 mg/dL). Eventually, my diet evolved toward low carb - high fat and my Lp(a) has come in as low as 10 mg/dL. Some doctors will say Lp(a) is genetic so you just need to test it once. I disagree. Test it every now and again, especially if you are making significant diet and lifestyle changes.

    • @jessicamcelroy3051
      @jessicamcelroy3051 Рік тому

      What kind of test did you get to show Lp(a)? Also, good for you!

    • @Malcolm-Achtman
      @Malcolm-Achtman Рік тому

      @@jessicamcelroy3051Lp(a) is a routine blood test. Any doctor should be able to request it.

    • @trueicecoldfire
      @trueicecoldfire Рік тому

      Is 148.8 nmol/L in the range or above the range, much appreciated 🙏

    • @Malcolm-Achtman
      @Malcolm-Achtman Рік тому

      @@trueicecoldfire I suspect your value of 148.8 nmol/L for Lp(a) is high. You should be able to find a reference range along with your results. But I will say most of the time I see Lp(a) measured in units of nmol/L, the acceptable reference range goes no higher than 75 nmol/L. Some labs use a cut-off of just 50 nmol/L. Go ahead and check your info but I think you'll discover it's high.

    • @trueicecoldfire
      @trueicecoldfire Рік тому

      @@Malcolm-Achtman I apologize it is 124.8 nmol

  • @konradx498
    @konradx498 Рік тому +9

    Very nicely done. Clear, cogent, concise, non-contradctory, and presented with no distracting speech idiosyncracies.

  • @darwinhughey3861
    @darwinhughey3861 10 місяців тому +39

    I'm in clinical trials for last 3 years. Lowered my Lpa 267 to 39❤

  • @vegsource
    @vegsource 10 місяців тому +8

    I have high LP(a) and reduced it by 40% with a medically supervised 10 day water fast. I have a video on my channel showing this.

  • @parvatikaiba
    @parvatikaiba Рік тому +7

    Thank you! I have a presentation and research paper on lipoprotein (a), this really helps! ❤

    • @TheHeartDoctor
      @TheHeartDoctor  Рік тому +2

      I'm so pleased it helped. Good luck with your presentation and research paper!

  • @PerimenopausePlus
    @PerimenopausePlus 11 місяців тому

    0:50 seconds in and I’ve already learned more than I have since discovering I had FH around 8 years ago! Thank you! ❤

    • @TheHeartDoctor
      @TheHeartDoctor  11 місяців тому

      Thank you for your lovely message 🙂

  • @TanChoonHong
    @TanChoonHong 9 місяців тому +2

    First time I heard of Lp(a)! Living under a rock or info suppressed by vested interests? Thanks for this exposé.

    • @seancourtney9021
      @seancourtney9021 9 місяців тому +1

      not suppressed. Once you start looking at Controversies over the use of Statins to lower Cholestrol, you will come across the distinction between the different types of LDL, which includes LDL little a. Google it. Cheers. ps. I just had my Little a measured.

  • @inthevortex-de1rh
    @inthevortex-de1rh Рік тому +11

    I recommend to listen to Dr Nadir Ali on this topic. He is a cardiologist with about 30 years of experience and will open your mind

  • @hrishikasesodia5259
    @hrishikasesodia5259 Рік тому +10

    Hi doc, I’m 23 years old. My dad got heart attack last month. My Lipoprotein is higher than 100 but 2 years back it was 29. How is that possible?

    • @blakeleymusic
      @blakeleymusic Рік тому +5

      I’d like an answer to that too!

    • @Malcolm-Achtman
      @Malcolm-Achtman Рік тому +6

      Just be sure the labs were using the same methodology and the same units of measurement. Go back and take a closer look. Perhaps your measurement of 29 was a value of 29 mg/dL, while the value of 100 was actually 100 nmol/L. You need to be sure you are comparing apples to apples, so to speak.

    • @prateekpawanpaharia8687
      @prateekpawanpaharia8687 Рік тому +2

      Hello. Can you please share an update? 27 y.o male, and lp(a) has come out at 84mg/dl. Disturbed!

    • @Malcolm-Achtman
      @Malcolm-Achtman Рік тому +3

      @@prateekpawanpaharia8687 Were you given a reference range for your Lp(a) test? Typically, the acceptable range will be 0 - 30 mg/dL, but there could be variations from lab to lab.

    • @prateekpawanpaharia8687
      @prateekpawanpaharia8687 Рік тому

      @@Malcolm-Achtman yes sir. Acceptable range was below 30mg/dl. I am feeling clueless as how do i even approach the problem. There's so much to fix and so much to be done.

  • @Peter-vn5jq
    @Peter-vn5jq 3 місяці тому +1

    I had it measured recently, the assay coulnd't pick any up- it was below the threshold for detection. I guess I should be happy about that?

    • @Jesusrevus
      @Jesusrevus Місяць тому

      If correct - you might be one in the hundreds that could maybe getting away with eating anything and never/rarely lay down any plaque in your arteries. 👏

  • @BumbleBee666-u5t
    @BumbleBee666-u5t Рік тому +1

    This was very helpful also worrying but thank you.

  • @kevinlindsay5255
    @kevinlindsay5255 Рік тому +1

    Fantastic and concise, but a little more explanation on those medical terms would assist us without medical training. I am reading "The Clot Thickens" by doctor Malcolm Kendrick and he dives deep into this subject.

    • @peterholt4806
      @peterholt4806 Рік тому +3

      This is the most brilliant book as it explains Atherosclerosis and understandable steps as to how you get to poor cardiovascular health without the LDL-C nonsense. Calling anything "bad" (as in bad cholesterol) makes no sense when it is so vital for many bodily functions. The term Atherogenic is nonsense. If there was such a thing then you'd get plaques in veins, but you don't.

    • @kevinlindsay5255
      @kevinlindsay5255 Рік тому

      @@peterholt4806 Once I fully started to understand the science I gave up statins knowing my GP was wrong, is still wrong, as she sings out of the NHS hymnbook that say LDL is bad cholesterol and statins prevent all heart attacks.

  • @محمدعماد-غ3ظ6ظ
    @محمدعماد-غ3ظ6ظ Рік тому +1

    Shkran

  • @KS_LT_Investor
    @KS_LT_Investor 4 місяці тому

    Hello, I'm 39 years old and I have my reports for last 2 years in which I can see following if you could please suggest if the LP(a) as per report would be correct? My Triglycerides decreased from 486 to 102, HDL Cholesterol decreased from 39 to 37, Ldl Cholesterol increased from 110 to 126, APO-A1 decreased from 127 to 111, APO-B from 106 to 103, LP(a) increased from 25.1 to 50.77. As I understand the LP(a) level is generally same over lifetime since 5 years of age.

  • @BumbleBee666-u5t
    @BumbleBee666-u5t Рік тому

    Very helpful, thank you.

  • @ironmaidenfitness654
    @ironmaidenfitness654 Місяць тому

    Go high fat, medium protein and no carb to lower it. The issue is that not many would be willing to give up carbs to be healthier therefore they conclude we are stuck with this.

  • @MikeD_
    @MikeD_ 10 місяців тому +1

    Just one man's opinion, and one who is not in the medical profession, but is a member of the human race. Everyone should have their Lp(a) tested. While it can't be treated as of yet, it will show those who have increased risk for heart attacks and strokes, and thus this would be further evidence they can use to motive and address parts of their diets they can improve.

    • @myraquilt
      @myraquilt Місяць тому +1

      I read that using niacin may help lower Lp(a). If that doesn't work, having the PCSK9 inhibitors could also lower Lp(a). These are injections you get quarterly. There are 2 injections available, Praluent and Rapatha.

  • @ASpectacular3777
    @ASpectacular3777 10 місяців тому +2

    My LP(a) is 70. My family drop like flies. I feel doomed😢

    • @gronig6pat833
      @gronig6pat833 9 місяців тому +1

      Go view Nadir Ali on the subject of Lp(a).
      He might alleviate some of your concern

    • @ArseniusFitness
      @ArseniusFitness 8 місяців тому +1

      Mine is down to less than 10 on the carnivore

    • @michaelvanzanten4941
      @michaelvanzanten4941 8 місяців тому +2

      I think you need to look at how the LP (a) is measured. My blood test in the US in in NMOL/L, rather that MG/DL.

    • @darwinhughey3861
      @darwinhughey3861 6 місяців тому +1

      70? Mine was 267

    • @caligirl4490
      @caligirl4490 2 місяці тому

      @@darwinhughey3861how did you get it down

  • @divit00
    @divit00 Місяць тому

    I am very fit. My ldl is 82 and hdl is 49 but my lpa is 121 mg/dl. What can I do ? I cant improve my fitness or diet as it is as good as it can be.

  • @petertownsend252
    @petertownsend252 Рік тому +4

    My Lp(a) is non-detect,

    • @DK-pr9ny
      @DK-pr9ny 11 місяців тому +1

      What was your Lp(a) before going low carb?

    • @petertownsend252
      @petertownsend252 11 місяців тому

      @DK-pr9ny Update: I just discovered I carry the Lp(a) null allele at marker rs41272114 on chromosome 6. My genotype is C/T. 3% of the general population carries the Lp(a) null allele. The Lp(a) null allele results in a non-detect level of Lp(a). I am going to edit/delete my earlier comment.

    • @tool_fighter
      @tool_fighter 3 місяці тому

      Mine is lower on complex carb diet

  • @HA-kw7vq
    @HA-kw7vq 7 місяців тому +3

    When they do these videos, they hand you a sentence i was told mine is over 1500 yes over 1000!!! is genetic and must go on a statin. I was begged to go on one by doctors - i find it overwhelming, to be honest and wish i didn't know and let life do its thing

    • @virtualgigi1220
      @virtualgigi1220 3 місяці тому

      @@HA-kw7vq did anything change?

    • @myraquilt
      @myraquilt Місяць тому

      Statins don't lower Lp(a). Google Lp(a). There's a wealth of information there.

  • @dancassidy7471
    @dancassidy7471 9 місяців тому

    mine is 113 i continue to lift weights and do cardio

  • @salyx6687
    @salyx6687 Рік тому

    can it also cause heart burns that feel like radio thst is not working? I am 22 but my lipo a is 245 ;(

  • @Dan-nx1xk
    @Dan-nx1xk 2 місяці тому

    I m 20 years old and i had my first check on it.... My lpa is 37mg/ld but when i did the examination i was quite stressed and also i had my period in these days.... So may it be a mistake and i have to do the blood test again for sure?

    • @myraquilt
      @myraquilt Місяць тому

      If it would be 50 or above you should be concerned. You're below that.

  • @shivamve1
    @shivamve1 9 місяців тому

    hi dr hafiz, your videos can be edited better and can be improved, do you need editor? content is good.
    let me know ill share portfolio link
    your videos are actually helpful to me, just subscribed your channel.

  • @helenk8888
    @helenk8888 Рік тому +1

    I recently received my LPA (a) in addition to A1 and B100. My LPA a is 266 and A1 2.08 and B100 1.08. How can this be? From research my B100 is an indicator or CVD.

    • @SET12DSP
      @SET12DSP Рік тому +2

      Wow I'm very sorry to hear you're Lp-a is so high, I just got my first test of it, my GP has never issued this test to anyone. But mine came back as 20. Needless to say, it could be far worse!
      I have been on the Linus Pauling Heart Protocol for the past 3 years reversing my CAC Score from 660 to 458 with high dose vitamin C and Lysine and Proline which are suppose to neutralize Lp-a. I cannot imagine how high it would be without these amino acids, also high dose vitamin C helps tremendously.
      Good luck 👍

    • @inthevortex-de1rh
      @inthevortex-de1rh Рік тому

      ​@@SET12DSPdo you get intravenous vit C? I've been listening to Dr Levy on Vit C and i think it's amazing.

    • @inthevortex-de1rh
      @inthevortex-de1rh Рік тому

      Watch dr Nadir Ali on this topic!

    • @annast9172
      @annast9172 10 місяців тому

      @@SET12DSP Thank you for reminding me about this protocol. I`m still fairly young and my doctor wants me to take statins for the rest of my life because of my LPa of 126.

    • @SET12DSP
      @SET12DSP 10 місяців тому

      @annast9172 You're very much welcome, Ann. I wish you well on your journey. Think about a CAC at age 45 sooner if you're concerned about plaque build-up. The trick is to have a CAC with contrast as the contrast highlights plaque present.
      No plaque build-up shown means no statin for me. I personally will never be on it.
      There is just no reason to be on a statin if no plaque is present.
      Not only does the protocol help your heart, but it does so much more!
      Try reading, Dr. Thomas Levy's books "Curing the Incurable" and "Stop America's #1 Killer" Proof that the Origin of All Coronary Heart Disease is Clearly Reversible Arterial Scurvy"

  • @israamady6042
    @israamady6042 Рік тому +2

    👍👍🙏

  • @TraderZer0
    @TraderZer0 9 місяців тому

    So having high lipo a increases risk but doesn't guarantee that the disease will happen?😊

    • @Jesusrevus
      @Jesusrevus Місяць тому

      If you have high LPa, the lower you need your ApoB. And people with super low LPa, can get away with a higher ApoB.

  • @DrProfX
    @DrProfX 4 дні тому

    The more I know about the Lp(a), the more I think it’s a B.S. - they did not even standardize how it’s measured and depending what antibodies are used to test it can give you higher or lower value… this comes across when the same individual measures it multiple times and you find that it actually fluctuates wildly - like, for example, 118 nmol/l to 190 nmol/l - and this is for something that supposed to be genetically determined and that’s argued that it’s “the same number” your entire life… very suspect!

  • @Bugnetblue
    @Bugnetblue 8 місяців тому +1

    Well done. Thank you.
    Hmmm, genetically decided.
    Proves it is important to pick your parents.

  • @dahisano
    @dahisano 4 місяці тому +1

    Cant tell if im diabetic or gay after watching this video.

    • @MarcusAurelius12
      @MarcusAurelius12 3 місяці тому

      @@dahisano I laughed so hard at this 🤣🤣🤣🤣🤣🤣🤣🤣😂😂😂. Super comment

  • @usedofficewarehouseequipme9792
    @usedofficewarehouseequipme9792 4 місяці тому

    It is not genetic

  • @sameermalik8580
    @sameermalik8580 3 місяці тому

    He looks A.I

  • @magicf7076
    @magicf7076 Рік тому

    Nonsense.

    • @annast9172
      @annast9172 10 місяців тому +2

      What exactly is nonsense? Otherwise your comment is useless