Lipid Profiles: LDL vs ApoB for Longevity

TropicStrength · Post by **TropicStrength** » Tue Jan 20, 2026 2:30 am

Is anyone else prioritizing ApoB testing over standard LDL-C? Peter Attia seems to think LDL-C is an outdated metric.

MedellinMuscle · Post by **MedellinMuscle** » Tue Jan 20, 2026 3:05 am

ApoB is definitely the more accurate marker for atherogenic particle count. LDL can be misleading if you have large fluffy particles.

AndeanLifter · Post by **AndeanLifter** » Tue Jan 20, 2026 3:40 am

Agreed. Every atherogenic particle has exactly one ApoB molecule. It's a direct count.

CaliFlex · Post by **CaliFlex** » Tue Jan 20, 2026 4:25 am

What's the target range? Under 60 mg/dL?

LatinoBulk · Post by **LatinoBulk** » Tue Jan 20, 2026 5:10 am

If you want zero plaque progression, 60 or lower is ideal. Most "healthy" people are walking around at 100+.

TropicStrength · Post by **TropicStrength** » Tue Jan 20, 2026 5:50 am

Standard labs don't even include it. You have to pay extra for the "cardio-advanced" panel.

MedellinMuscle · Post by **MedellinMuscle** » Tue Jan 20, 2026 6:35 am

Lipoprotein(a) is another one people miss. That one is mostly genetic and very dangerous.

AndeanLifter · Post by **AndeanLifter** » Tue Jan 20, 2026 7:15 am

Lp(a) is a one-time test. If you have it high, you need to crush your other risk factors.

LatinoBulk · Post by **LatinoBulk** » Tue Jan 20, 2026 8:00 am

Does fish oil help lower ApoB? The studies on Vascepa are interesting.

TropicStrength · Post by **TropicStrength** » Tue Jan 20, 2026 8:35 am

Fish oil mainly lowers triglycerides. For ApoB, you need fiber and saturated fat restriction.