Recent NMR lipoprofile results!!!!should I be concerned

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magnus68

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Does TRT alter Lipoprofile? My Primary does NOT prescribe my TRT. But says I need to be on Atorvastatin. According to a recent Heart cath my arteries look good, what gives?



[h=4]Lab Test Results[/b]Nmr Lipoprofile
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable, width: 517"]
[TR]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabTest"]Test[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabAbnormalFlag"]Low[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabAbnormalFlag"]Normal[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabAbnormalFlag"]High[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabReferenceRange"]Reference Range[/TH]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabUnits"]Units[/TH]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Ldl-P[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]1169[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]<1000[/TD]
[TD="class: alternatingRow ccrItemText"]nmol/L[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Ldl-C[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]108[/TD]
[TD="class: LabCorpCCRItemText, align: center"]0-99[/TD]
[TD="class: ccrItemText"]mg/dL[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Hdl-C[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]33[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]>39[/TD]
[TD="class: alternatingRow ccrItemText"]mg/dL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Triglycerides[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]102[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]0-149[/TD]
[TD="class: ccrItemText"]mg/dL[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Cholesterol, Total[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]161[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]100-199[/TD]
[TD="class: alternatingRow ccrItemText"]mg/dL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Hdl-P (Total)[/TD]
[TD="class: LabCorpCCRItemText, align: center"]24.3[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]>=30.5[/TD]
[TD="class: ccrItemText"]umol/L[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Small Ldl-P[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]687[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]<=527[/TD]
[TD="class: alternatingRow ccrItemText"]nmol/L[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Ldl Size[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]20.7[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]>20.5[/TD]
[TD="class: ccrItemText"]nm[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Hdl Particle Percentile[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]12.0[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Small Ldl Particle Percentile[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]64.0[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Ldl Size Percentile[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]45.3[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Large Vldl Particle Percentile[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]34.9[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Large Hdl Particle Percentile[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]5.2[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Vldl Size Percentile[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]29.8[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Hdl Size Percentile[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]0.2[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Lp-Ir Score Percentile[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]66.0[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Protein[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]514[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Pffa[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]122[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Prot And Pffa Calc[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]636[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"][/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Idl Particle Number[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]7[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]nmol/L[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Large Ldl Particle Number[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]342[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]nmol/L[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Large/Med Hdl Particle Number[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]5.8[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]umol/L[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Large/Med Vldl Particle Number[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]28.1[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]nmol/L[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Medium Hdl Particle Number[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]3.7[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]umol/L[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Medium Vldl Particle Number[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]27.6[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]nmol/L[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Small Vldl Particle Number[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]38.4[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]nmol/L[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Vldl Particle Number[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]67.2[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]nmol/L[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Vldl Triglycerides[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]73.1[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]mg/dL[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Vldl/Ldl Particle Number[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]1252[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]nmol/L[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Small Hdl Particle Number[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]18[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]nmol/L[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
 
Defy Medical TRT clinic doctor
Beyond Testosterone Book by Nelson Vergel
TRT can decrease HDL at doses higher than 150 mg per week. It does not have an effect on LDL and may have a lowering effect on triglycerides.

I would not freak out too much since your NMR profile is not horrible. It is actually a little off except for the low HDL.

I would try 500 mg niacin plus 600 mg NAC twice per day with food, exercise more and potentially decrease TRT dose if it is over 150 mg/week.
 

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