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Metabolic and Nutritional Disorders

Dyslipidemia

Dyslipidemia testing maps how your body packages and traffics fats, signaling atherosclerosis risk and metabolic stress. At Superpower, we measure LDL, HDL, Triglycerides, ApoB, LDL-P, HDL-P, LDL Size, and HDL Size to characterize particle burden, functionality, and vascular impact.

With Superpower, you have access to a comprehensive range of biomarker tests.

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Key Benefits

  • Understand your heart risk by mapping cholesterol and artery-clogging particle number and size.
  • Spot plaque-building particle burden with ApoB and LDL-P, beyond LDL cholesterol.
  • Flag high triglycerides that raise pancreatitis risk and signal insulin resistance.
  • Guide therapy choices and intensity to cut plaque risk and prevent events.
  • Clarify HDL quality with HDL-P and size when triglycerides run high.
  • Detect small, dense LDL patterns linked to faster plaque growth in insulin resistance.
  • Support pregnancy planning by flagging lipid patterns tied to preeclampsia and gestational diabetes.
  • Track progress from diet, exercise, and medications through particle and triglyceride changes.

What are Dyslipidemia

Dyslipidemia biomarkers are blood measures that reveal how your body packages, moves, and clears fats. They track the traffic of energy fats and cholesterol from the intestine and liver to tissues and back to the liver for recycling. This testing shows whether the system that loads, delivers, and retrieves these fats is in balance or drifting toward artery-clogging buildup. Core markers capture the fats themselves (cholesterol, triglycerides) and the particles that carry them (lipoproteins: LDL, HDL, VLDL, remnants). They also include the protein “tags” that define these particles (apolipoproteins: ApoB, ApoA-I) and a genetically driven variant that heightens stickiness in arteries (lipoprotein(a)). Some tests quantify how many cholesterol-carrying particles are in circulation and how they’re built (particle number and size; LDL-P). Together, these biomarkers reflect production by the liver, release from the gut, remodeling in the bloodstream, and clearance by cell receptors. They enable early detection of imbalance, indicate which pathways are off, and guide prevention and treatment to reduce atherosclerosis risk.

Why are Dyslipidemia biomarkers important?

Dyslipidemia biomarkers track how your body packages and moves fats through the bloodstream—information that touches every system that relies on energy, hormones, and vessel health. They signal how well the liver, intestines, and endocrine network load cholesterol and triglycerides into particles, and whether those particles are likely to nourish tissues or deposit in artery walls.

In most people, lower LDL, triglycerides, ApoB, and LDL particle number are favorable, because fewer atherogenic particles means less plaque formation. Higher HDL and higher HDL particle number tend to be protective, while larger LDL size (fewer small, dense LDL) and mid‑to‑larger HDL size reflect healthier metabolism. Women typically have higher HDL than men; children and teens usually have lower atherogenic profiles, and pregnancy naturally raises triglycerides and LDL as fuel for the placenta.

When values are low, the meaning depends on which marker is low. Low LDL, ApoB, or LDL‑P can reflect efficient clearance or, if very low, point to malabsorption, hyperthyroidism, or chronic illness. Very low triglycerides often mirror good insulin sensitivity, but can also occur with undernutrition or malabsorption. Low HDL or HDL‑P suggests reduced reverse cholesterol transport, commonly seen with insulin resistance—more frequent in men and in women with PCOS—often accompanied by central weight gain and fatty liver. Smaller LDL size (a “low” size) signals more small, dense LDL, a pattern linked to metabolic syndrome.

High LDL, ApoB, LDL‑P, and triglycerides mean more cholesterol‑rich or remnant particles that infiltrate arterial walls; this is usually silent until vascular disease develops. Very high triglycerides can inflame the pancreas. Extremely high HDL is uncommon and may be dysfunctional rather than protective.

Big picture: these markers integrate liver output, thyroid tone, insulin action, kidney function, and inflammation. Their long‑term patterns forecast atherosclerotic risk, pancreatitis risk, and metabolic health, tying daily energy handling to heart, brain, and liver outcomes.

What Insights Will I Get?

Dyslipidemia biomarkers map how the body packages and traffics fats and cholesterol that power cells, build membranes, and signal hormones; imbalances drive atherosclerosis and influence insulin signaling, hepatic metabolism, brain, reproduction, and immunity. At Superpower, we test LDL, HDL, Triglycerides, ApoB, LDL-P, HDL-P, LDL Size, HDL Size.

LDL delivers cholesterol to tissues; HDL returns it to the liver (reverse transport). Triglycerides are energy-rich fats in VLDL/chylomicrons; higher levels suggest remnant accumulation and hepatic insulin resistance. ApoB enumerates atherogenic particles (one per VLDL, IDL, LDL, Lp(a)). LDL-P is LDL particle number; more particles raise arterial wall exposure. HDL-P (HDL particle number) reflects transport capacity better than HDL-C. LDL size separates small, dense from larger, buoyant LDL; smaller is more atherogenic. HDL size gauges HDL maturation; very small or very large patterns can indicate less functional HDL.

Lower ApoB and LDL-P with adequate HDL-P support steady lipid delivery without excess arterial deposition. Moderate triglycerides imply efficient fat clearance and metabolic flexibility. Larger-average LDL with fewer small, dense particles reduces endothelial entry and oxidation, while balanced HDL size with sufficient particle number signals active cholesterol efflux and anti-inflammatory tone.

Notes: Interpretation shifts with age, sex hormones, pregnancy, menopause, acute illness, thyroid/liver/kidney disease, and medications (statins, estrogens, retinoids, steroids). Fasting status, recent alcohol, and strenuous exercise alter triglycerides and particle measures. Different assays yield modestly different particle counts and size cutoffs.

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Frequently Asked Questions About Dyslipidemia

What is Dyslipidemia testing?

This testing looks at the fats and the particles that carry them in your blood (lipids and lipoproteins) to gauge artery risk and metabolic health. Superpower tests for LDL, HDL, Triglycerides, ApoB, LDL-P, HDL-P, LDL Size, HDL Size. Cholesterol measures (LDL-C, HDL-C) tell you how much cholesterol is present. Particle measures (ApoB, LDL-P, HDL-P) tell you how many lipoprotein particles are circulating. Size metrics show whether particles are smaller or larger. Together, they reveal your atherogenic particle burden, remnant lipoproteins, and reverse cholesterol transport capacity—key drivers of atherosclerotic cardiovascular disease (ASCVD) risk.

Why should I get Dyslipidemia biomarker testing?

It quantifies the particles that drive plaque formation, not just the cholesterol they carry. ApoB and LDL-P capture the true atherogenic particle load and often outperform LDL-C when results disagree (discordance). Triglycerides reflect remnant particles and insulin resistance. HDL-C and HDL-P reflect cholesterol recycling capacity. This testing finds hidden risk early, refines ASCVD risk beyond standard panels, and clarifies risk when LDL-C is “normal” but particle numbers are high. It also provides a clear baseline for tracking change over time.

How often should I test?

Establish a baseline as an adult. If you are low risk with stable health, retest every 4–6 years. If you have prior abnormal results or changing risk (weight change, pregnancy, menopause, diabetes, thyroid or liver/kidney disease, new medications), annual testing is reasonable. After major changes that can alter lipids or particle counts, recheck in about 6–12 weeks to see the new steady state. More frequent intervals can be used to document stability when results have been variable.

What can affect biomarker levels?

Genetics (e.g., familial hypercholesterolemia/combined hyperlipidemia), age, sex hormones, pregnancy, and menopause matter. Metabolic conditions (insulin resistance, diabetes), hypothyroidism, kidney and liver disease, and inflammation shift levels. Diet pattern, alcohol, weight change, physical activity, sleep, tobacco, and timing/fasting status influence results. Medications can lower or raise markers: statins, ezetimibe, PCSK9 inhibitors, fibrates, omega-3s, niacin, beta-blockers, thiazides, steroids, androgens/estrogens, isotretinoin, antiretrovirals. Acute illness often lowers LDL-C and raises triglycerides transiently. High-dose biotin can interfere with some immunoassays (e.g., ApoB).

Are there any preparations needed before Dyslipidemia biomarker testing?

For the most stable results, draw in the morning. Fast 8–12 hours (water only) if your panel includes triglycerides or calculated LDL-C; ApoB and particle metrics are less affected but are often collected fasting for consistency. Avoid heavy alcohol the day before, and note any acute illness. Take prescription medicines as usual unless your clinician has said otherwise. Tell the lab if you use high-dose biotin supplements, are pregnant, or recently changed medications, as these can affect results or assay performance.

Can lifestyle changes affect my biomarker levels?

Yes. Weight change, diet composition (carbohydrates, fats, fiber), alcohol intake, physical activity, sleep, and tobacco exposure can shift LDL-C, triglycerides, ApoB, LDL-P, HDL-C, and HDL-P. Improved insulin sensitivity typically lowers triglycerides and remnant particles and reduces small, dense LDL prevalence. Alcohol tends to raise triglycerides. Aerobic activity can raise HDL-related measures modestly. Menopause and pregnancy alter lipids and particle profiles. These are physiologic effects on lipoprotein production, clearance, and particle remodeling, not just “cholesterol numbers.”

How do I interpret my results?

Start with particle burden. Lower ApoB and LDL-P mean fewer atherogenic particles and generally lower ASCVD risk. LDL-C shows cholesterol content per particle; when LDL-C and ApoB/LDL-P disagree, prioritize ApoB/LDL-P. Triglycerides reflect remnant lipoproteins and insulin resistance; higher levels signal metabolic risk. HDL-C and HDL-P gauge reverse cholesterol transport; HDL-P may better reflect functionality than HDL-C, and very high HDL-C is not always protective. Smaller LDL size tracks with higher particle number and risk; size adds context but is secondary to ApoB/LDL-P. Consider patterns across all markers, not any single number.

How do I interpret my results?

Start with particle burden. Lower ApoB and LDL-P mean fewer atherogenic particles and generally lower ASCVD risk. LDL-C shows cholesterol content per particle; when LDL-C and ApoB/LDL-P disagree, prioritize ApoB/LDL-P. Triglycerides reflect remnant lipoproteins and insulin resistance; higher levels signal metabolic risk. HDL-C and HDL-P gauge reverse cholesterol transport; HDL-P may better reflect functionality than HDL-C, and very high HDL-C is not always protective. Smaller LDL size tracks with higher particle number and risk; size adds context but is secondary to ApoB/LDL-P. Consider patterns across all markers, not any single number.

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UCLA Medical Professor, NYT Bestselling Author

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