What should I ask for re: blood test
If I want to know whether my LDL level is concerning or not (fluffy vs. dense), which blood test should I ask for ? Lipoprotein subfraction?
I think you want a VAP test (http://en.wikipedia.org/wiki/Vertical_Auto_Profile). It gives you a direct measurement rather than one based on formulas. If your trigs are very low then the formulas are apparently inaccurate. Checkout this post if you haven't already :
A VAP test is probably best. Look for "LDL pattern type." Pattern A is large, fluffy and non-harmful, which is what you want.
Just a comment--I had doctors bothering me for years about my "high" LDL (which was only about 140). When my endo did a VAP test, my LDL was 100% Pattern A!
He said that when the HDL is high (mine is always between 75 and 95) and the triglycerides are low (I'm about 50-60 all the time), he finds that the LDL is almost always the 'good' kind.
I've saved a copy of the test for other doctors who may be 'concerned' about my cholesterol.
Thanks everyone. VAP it is...
Does insurance generally cover this? If not, and it's out of pocket, what's the general range of costs?
Last edited by Primal; 04-11-2010 at 05:42 AM.
Is the VAP test better than the NMR?