[patorjk]

This kind of stat is misleading and is seen in many health metrics - blood pressure, cholesterol, etc. In fact, it's sometimes known as the "cholesterol paradox" because people with higher cholesterol have a lower risk of dying. However, it's misleading because blood pressure, weight, and cholesterol often come down as people suffer from chronic disease or malnutrition. The chronic diseases people get are often from their weight, blood pressure and cholesterol, and when this is corrected for, the all-cause mortality curves better reflect what a healthy person's numbers should be. So in reality the lowest point of the all-cause mortality curve for BMI is below 25. 25 is not optimal.

Dr. Carvalho recently made a video on this topic (he even mentions the BMI curve). You can watch it here: https://www.youtube.com/watch?v=n4h135SBebc

[apwell23]

Thats interesting because I am healthy in other ways but my cholestrol has been high ( high ldl, total and high apob) . My trigs, a1c, bmi, homa insulin score ect are in line. No history of heart disease in either side of family.

My cardiologist has been asking me to get on statins for a while but i've been not able to convince myself to get on board to take a pill for the rest of my life.

[patorjk]

There's something called a "lean mass hyper responder", it's a type of person with high LDL but they're still healthy. You may fall into that category. However, high apob is more correlated to heart disease than high LDL. A lot of the online doctors who say high LDL isn't bad are saying that because some people have large LDL particles, and it's apparently the number of particles that's the problem, not the amount of LDL cholesterol.

I've dug into this topic a lot sense there's a lot of heart disease in my family. I've found that eating a bowl of oatmeal once a day reduces my LDL under 130 (I've been taking quarterly cholesterol blood tests to keep an eye on things). It's probably the fiber content that's doing the work, but I haven't tried other high fiber foods yet. However, I'm not a doctor so make of this what you will.

[apwell23]

yeah APOB is what drove my doctor to give me a prescription for statin