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ForumsCardiovascular OutcomesLp(a) on GLP-1 agonists — any impact on this risk factor? Page 2

Lp(a) on GLP-1 agonists — any impact on this risk factor?

LipidDoc_ATL Sun, Jun 7, 2026 at 7:49 AM 8 replies 202 viewsPage 2 of 2
BariatricNurseD
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Jun 7, 2026 at 9:03 AM#6
LabKate said:
Omega-3 index improvement on the lipid panel: often overlooked but my omega-3 index went from 4.0% to 8.0% over 13 months.

Careful with treating an unchanged LDL-C as a failure. If ApoB and triglycerides both fell, the particle picture improved regardless of what the calculated LDL says.

I would rather be corrected than agreed with, if it comes to it.

Last edited: Jun 7, 2026 at 2:03 PM
32 2tony_orlando, Dr.NephBHM_UK, kim_atl_prep and 29 others
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Dr.GutHealth
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Jun 7, 2026 at 9:31 AM#7
LipidDoc_ATL said:
Triglycerides dropped by half, HDL barely moved, and my calculated LDL is almost exactly where it started, which is not the outcome I had been…

Tracking labs for the lipid panel — here's the panel I get every 3 months and why:

  • CMP: glucose, electrolytes, kidney function, liver enzymes
  • Lipid panel: total cholesterol, LDL, HDL, triglycerides
  • A1C: 3-month glucose average
  • hsCRP: inflammatory marker
  • CBC: blood counts, anemia screening
  • B12, folate, iron: nutritional deficiency screening
  • TSH, free T4: thyroid monitoring
  • Lipase: pancreatic safety check

Total cost with insurance: about $25 copay. Without insurance, request cash-pay pricing from Quest/Labcorp — usually $150.

Last edited: Jun 7, 2026 at 2:31 PM
31 1tyler_CSCS, VanRx_Mike, steve_okc and 28 others
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hyun_seoul
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Seoul, KR
Jun 7, 2026 at 9:59 AM#8
BariatricNurseD said:
Careful with treating an unchanged LDL-C as a failure.

Comprehensive lipid panel update relevant to the lipid panel:

MarkerBaseline6 Months12 MonthsReference
Total Cholesterol248223193<200
LDL173118113<100
HDL465565>40
Triglycerides268173123<150
LDL-P16281278878<1000

The triglyceride drop is the most impressive. My cardiologist reduced my statin dose based on these results.

30 0MASHdoc_SA, GenomicsKate, Dr.ObesityMed and 27 others
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GenomicsKate
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Jun 7, 2026 at 10:27 AM#9

Following on from traveltech_sara — and this may be the naive question:

Was that from a primary source or from a summary of one?

29 24Dr.PeteFamMed, claudia_zurich, nancy_portland and 26 others
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LipidDoc_ATL
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Atlanta, GA
Jun 7, 2026 at 12:41 PM#10

OP back with an update, since a thread like this is useless without one.

Resolved, and the thing that resolved it was the least interesting suggestion in the thread. Writing that down for the next person who wants the interesting answer.

Last edited: Jun 7, 2026 at 5:41 PM
19 19KristenIndy, MarkLI_maint, Dr.PeteFamMed and 16 others
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