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Apolipoprotein B (ApoB) Testing

Apolipoprotein B (ApoB) Testing

January 21, 2026
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Do I need an Apolipoprotein B (ApoB) test?

Worried about your heart health or family history of cardiovascular disease? Could measuring ApoB give you a clearer picture of your true risk?

ApoB measures the number of cholesterol-carrying particles in your blood that can build up in your arteries. It's often a more accurate predictor of heart disease risk than standard cholesterol tests alone.

Testing your ApoB gives you a precise snapshot of your cardiovascular risk, empowering you to personalize your diet, exercise, and treatment plan to protect your heart and reduce future complications.

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Get tested with Superpower

If you’ve been postponing blood testing for years or feel frustrated by doctor appointments and limited lab panels, you are not alone. Standard healthcare is often reactive, focusing on testing only after symptoms appear or leaving patients in the dark.

Superpower flips that approach. We give you full insight into your body with over 100 biomarkers, personalized action plans, long-term tracking, and answers to your questions, so you can stay ahead of any health issues.

With physician-reviewed results, CLIA-certified labs, and the option for at-home blood draws, Superpower is designed for people who want clarity, convenience, and real accountability - all in one place.

Key benefits of Apolipoprotein B (ApoB) testing

  • Counts the actual number of cholesterol-carrying particles that damage your arteries.
  • Spots cardiovascular risk missed by standard cholesterol panels alone.
  • Guides precision treatment decisions for heart disease and stroke prevention.
  • Tracks how well diet, medication, or lifestyle changes lower your risk.
  • Clarifies risk in people with diabetes, metabolic syndrome, or family history.
  • Flags hidden danger even when LDL cholesterol looks normal.
  • Best interpreted with lipid panel, blood sugar, and cardiovascular symptoms.

What is Apolipoprotein B (ApoB)?

Apolipoprotein B (ApoB) is a large structural protein that sits on the surface of particles that carry fats and cholesterol through your bloodstream. It is made primarily in your liver and intestines. Each particle of LDL (low-density lipoprotein), VLDL (very-low-density lipoprotein), and several other lipoproteins contains exactly one ApoB molecule.

Every particle carries one ApoB molecule

Because each atherogenic particle has one ApoB, measuring ApoB tells you the total number of cholesterol-carrying particles in your blood. This is different from measuring LDL cholesterol, which tells you the amount of cholesterol inside those particles. More particles mean more opportunities for cholesterol to be deposited in artery walls.

ApoB reflects your true particle burden

ApoB is considered a more accurate marker of cardiovascular risk than LDL cholesterol alone. It captures all the potentially harmful particles circulating in your system, including small dense LDL that standard cholesterol tests may underestimate. Elevated ApoB indicates a higher particle count and greater risk for plaque buildup in arteries.

Why is Apolipoprotein B (ApoB) important?

Apolipoprotein B is the structural protein found on every particle that can deposit cholesterol into artery walls - including LDL, VLDL, and remnants. It offers a direct count of atherogenic particles circulating in your blood, making it one of the most accurate predictors of cardiovascular risk. Unlike standard cholesterol tests, ApoB reveals particle number, not just cholesterol content, giving a clearer picture of plaque-building potential.

It counts the particles that matter most

General reference ranges span roughly 40 to 125 mg/dL, but optimal values sit well below 90, and ideally under 80, to minimize long-term arterial damage. Lower ApoB reflects fewer atherogenic particles and reduced cardiovascular threat.

Very low values are uncommon outside of rare genetic conditions or severe malnutrition, where fat absorption or lipoprotein assembly is impaired. These situations may cause fat-soluble vitamin deficiencies and digestive symptoms, though they're clinically rare.

High levels silently accelerate plaque formation

Elevated ApoB means more particles are available to infiltrate vessel walls, even when LDL cholesterol appears normal. This mismatch is common in insulin resistance, metabolic syndrome, and diabetes. Over time, high ApoB drives atherosclerosis in coronary, carotid, and peripheral arteries, raising risk for heart attack and stroke without obvious symptoms until disease is advanced.

A window into lifelong cardiovascular trajectory

ApoB integrates lipid metabolism, insulin sensitivity, and inflammatory tone. It predicts events more reliably than LDL cholesterol alone and helps identify hidden risk in women, younger adults, and those with normal cholesterol but high particle counts.

What do my Apolipoprotein B (ApoB) results mean?

Low ApoB levels

Low values usually reflect reduced production or increased clearance of lipoproteins that carry cholesterol into tissues. This is uncommon and may occur with genetic conditions affecting lipoprotein assembly, severe malnutrition, malabsorption syndromes, or advanced liver disease. Very low ApoB can impair fat-soluble vitamin transport and cellular lipid delivery.

Optimal ApoB levels

Being in range suggests balanced production and clearance of atherogenic lipoproteins. ApoB reflects the total number of LDL, VLDL, and remnant particles capable of entering the arterial wall. Optimal values tend toward the lower end of the reference range, as lower particle counts are associated with reduced cardiovascular risk across populations.

High ApoB levels

High values usually reflect an increased number of cholesterol-carrying particles in circulation, driven by overproduction, reduced clearance, or both. This occurs with insulin resistance, metabolic syndrome, familial hypercholesterolemia, and diets high in saturated fat or refined carbohydrates. Elevated ApoB indicates greater atherogenic burden regardless of LDL cholesterol concentration, as each ApoB molecule represents one potentially harmful particle.

Factors that influence ApoB

ApoB rises with age, obesity, and pregnancy. It is influenced by thyroid function, kidney disease, and medications including statins and PCSK9 inhibitors. ApoB provides a more accurate particle count than calculated LDL cholesterol, especially when triglycerides are elevated or particle size is small.

Method: FDA-cleared clinical laboratory assay performed in CLIA-certified, CAP-accredited laboratories. Used to aid clinician-directed evaluation and monitoring. Not a stand-alone diagnosis.

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Frequently Asked Questions

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How it works
What should I expect during a blood draw?
  • A trained phlebotomist will guide you through the process.
  • A tourniquet is placed on your arm, the site is cleaned, and a small needle is used to collect blood into one or more tubes.
  • Results are usually ready in about a week.
  • Most people feel only a quick pinch.
  • The needle is removed, gentle pressure is applied, and a bandage is placed.
How do I prepare for a blood draw?
  • Drink plenty of water beforehand — hydration makes veins easier to find.
  • Wear loose sleeves so your arm is easy to access.
  • Follow any fasting instructions you’ve been given.
  • Let us know if you’re on medications, have fainted before, or have needle anxiety.
What should I do after my blood draw?
  • Press gently on the site for a few minutes.
  • Keep the bandage on for 4-6 hours.
  • Skip heavy lifting or strenuous exercise for the rest of the day.
  • Drink extra water to rehydrate.
  • Monitor the site for redness, swelling, or pain.
How do I book a blood draw with Superpower?

Your membership includes:

  • An annual full body test and report across 100+ biomarkers
  • A personalized action plan to optimize your biomarkers and reach your health goals
  • A dashboard to centralize your health data and track changes across a lifetime
  • Access to a health concierge for questions on your plan and help scheduling
  • Plus a marketplace of curated health products and services cheaper than amazon

Many concierge clinics charge $10k – $100k for their services, we’ve built technology to make the world’s best healthcare as accessible as possible via an all-in-one membership.

Where can I take my blood test?

Superpower is currently available in the following US states:

  • Alabama
  • Arizona
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  • Delaware
  • District of Columbia
  • Florida
  • Georgia
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Our testing
Does Superpower replace my primary care provider?

Superpower specializes in prevention-based testing and treatments and is not intended for emergency or immediate health issues.

While you will have a Superpower care team, your annual membership is designed to complement a primary care doctor if you have one, not replace them.

We are happy to help you share any test results with an outside provider to ensure you receive well-rounded medical care.

How fast are blood test results and how do I read them?

Your annual lab test panel takes about a week to process. We will text you as soon as they become available in your dashboard. Other types of tests may have different testing windows. The Superpower concierge is your own health assistant who helps answer your questions on your results, ensure smooth scheduling, coordination of any office-based tests, specialist referrals as needed, and navigating you to interface with your care team.

Does Superpower accept health insurance?

Superpower membership and products are all eligible for HSA/FSA funding.

We see Superpower like a gym membership for those committed to prevention and performance. Superpower is a bridge between wellness and healthcare. Health insurance traditionally focuses on reactive care whereas, at Superpower, we believe it’s never too early to start looking out for your long-term health.

What if I want more than 1 blood test per year?

Absolutely — you're not limited to just one. Your membership includes one comprehensive 100+ biomarker blood test each year, but if you'd like to track your progress more closely, you can add extra tests at any time. Each additional full-panel test costs $179. You can order as many as you'd like throughout the year.

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Frequently Asked Questions about Apolipoprotein B (ApoB) Testing

What is Apolipoprotein B (ApoB) and what does an ApoB blood test measure?

Apolipoprotein B (ApoB) is a structural protein found on cholesterol-carrying lipoproteins made mainly in the liver and intestines. An ApoB blood test measures the number of atherogenic (artery-damaging) particles in circulation, because each LDL, VLDL, IDL, remnant particle, and lipoprotein(a) carries exactly one ApoB molecule. This makes ApoB a direct particle count, not just a cholesterol “cargo” estimate.

Why is ApoB considered a better marker of cardiovascular risk than LDL cholesterol alone?

ApoB is often a stronger predictor of cardiovascular risk because it counts the “vehicles” that can penetrate artery walls and form plaque - LDL, VLDL, remnants, and lipoprotein(a). LDL cholesterol estimates how much cholesterol is inside particles, but people can have normal LDL-C with a high number of particles. Measuring ApoB can reveal hidden atherosclerosis risk missed by standard cholesterol panels.

How does ApoB relate to VLDL, IDL, LDL, and lipoprotein(a) particle number?

ApoB sits on the surface of all atherogenic lipoproteins that can deposit cholesterol into arteries: VLDL, IDL, LDL, and lipoprotein(a). Because each of these particles contains one ApoB molecule, ApoB concentration reflects the total number of these cholesterol-carrying particles. Higher ApoB generally means more opportunities for arterial infiltration, inflammation, and plaque formation over time, even if LDL cholesterol appears acceptable.

What are optimal ApoB levels for most adults, and when is ApoB considered high?

From the provided context, many experts consider ApoB below 90 mg/dL favorable for most adults, with lower levels associated with reduced heart attack and stroke risk. ApoB above 100 mg/dL suggests an elevated number of atherogenic particles and can indicate increased cardiovascular risk, even when a standard lipid panel looks normal. Reference ranges vary by lab, so results should be interpreted in context.

What does it mean if my ApoB is high but my LDL cholesterol looks normal?

High ApoB with normal LDL cholesterol typically means you have a higher number of cholesterol-carrying particles that each contain less cholesterol, so LDL-C can look “fine” while particle burden remains high. This pattern can still raise risk for coronary disease, stroke, and peripheral artery disease because risk is driven by particle entry into artery walls. ApoB helps flag this hidden danger.

What are common causes of elevated ApoB, including insulin resistance and metabolic syndrome?

High ApoB commonly reflects increased production or reduced clearance of atherogenic particles and is associated with insulin resistance, metabolic syndrome, obesity, and diabetes. It can also be seen with familial lipid disorders (such as familial hypercholesterolemia) and dietary patterns high in saturated fat and refined carbohydrates. Elevated ApoB can accelerate silent vascular damage for years before symptoms appear.

What does a low ApoB result mean, and can very low ApoB be harmful?

Low ApoB usually indicates reduced production or increased clearance of ApoB-containing lipoproteins and is generally not linked to higher cardiovascular risk. Very low ApoB may occur with malabsorption syndromes, severe liver disease, hyperthyroidism, rare genetic conditions affecting lipoprotein assembly, malnutrition, or chronic inflammatory states that suppress liver synthesis. In rare cases, very low ApoB can impair fat absorption and transport of vitamins A, D, E, and K.

How do age, sex hormones, pregnancy, kidney disease, and medications affect ApoB results?

ApoB tends to rise with age and is influenced by sex hormones; women often have lower ApoB than men until menopause, when levels can increase. Pregnancy, kidney disease, and certain medications (including steroids and immunosuppressants) can affect ApoB levels. Acute illness or inflammation may transiently lower ApoB. Because of these factors, ApoB is best interpreted alongside overall clinical context.

How is ApoB used to track response to diet, lifestyle changes, or cholesterol-lowering treatment?

ApoB is useful for monitoring whether diet, medication, and lifestyle changes are actually lowering the number of atherogenic particles, not just changing cholesterol content. Since ApoB reflects particle burden, it can provide precision feedback on cardiovascular risk reduction over time. Tracking ApoB can help guide heart disease and stroke prevention decisions, especially in people with insulin resistance or metabolic risk factors.

Should ApoB be interpreted with a lipid panel, blood sugar testing, and cardiovascular symptoms?

Yes. The context emphasizes ApoB is best interpreted together with a standard lipid panel and blood sugar markers, along with cardiovascular symptoms and overall risk factors. This combined view clarifies whether elevated particle number aligns with metabolic issues like diabetes or metabolic syndrome and helps identify risk missed by cholesterol values alone. Using ApoB alongside these measures supports more precise prevention and treatment planning.

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