FWIW. I’ve been reading and learning as much as I can on this as I carry the APOE4 allele and as such, am predisposed to ApoB issues.
Low and behold, despite a very clean diet, lifestyle and supplements; my LDL and particles are a little off.
If any of you deal with the same, either by way of generic predisposition or doing keto or carnivore, I strongly suggest getting acquainted with Dr Nadir Ali.
He is a Cardiologist out of Texas who refutes popular opinion about LDL issues being atherogenic in relation to mortality risk.
He espouses and prescribes low carb, keto and even carnivore to his patients.
He and Ivor Cummings (brilliant), have some fascinating discussions about this and on the overall dogma of lipidology and statins. Plenty on YouTube.
That said, as a layman, it’s becoming increasingly challenging to determine who and what is right.
All of the medical literature seems to point to ApoB ~ LDL, most notably LDL-p being THE causative factor for predictive risk for CVD events. Yet, an increasing body of MD’s are now challenging this and even implementing high fat diets themselves and for their patients.
I will tell you that statins are no joke, ditto that for PCSK9-I’s as it relates to sides (insulin resistance, dementia, erectile dysfunction, lowered immunity to fight typical insulted as well as cancer); especially long term so as someone forced to figure out what is the best decision for me, this has become an obsession almost overnight.
FWIW. Both camps seems to argue that HDL is not the Savior everyone thinks it is. It’s never been demonstrated to reverse CVD events despite all we have heard all these years so all of these efforts by bodybuilders and the medical community obviously to elevate HDL to combat dyslipidemia of any type, has proven to be sort of useless. It’s used as a biomarker to analyze the overall picture but efforts to increase it to disarm high C and LDL levels seems to be pointless.