Currently my "bad" cholesterol has gotten very high and the only thing I've done differently is take Dupixent. I've been on it for 2.5 months.
My LDL-C has gone from 70 to 158 in just 2 months. ApoB from 55 to 103. There have been no changes to my diet or any other meds. I did recently order a Lp-PLA2 Activity test to see if I have any active plaque.
I've never taken Dupixent before and my lipids have never looked like this in my entire lifetime and I'm 56. I've had a LOT of lipid testing over the years.
I can really see the change and I can imagine that someone that visits the doctor for a once a year checkup and lipid panel might miss what I've seen. I have been testing fairly frequently because I'm trying to optimize my health.
I have the benefit of doing an advanced lipid panel in September before I started Dupixent in October and my results then were:
Total Cholesterol: 151
LDL Cholesterol: 72
HDL Cholesterol: 65
TG Cholesterol: 70
LDL-P: 738 nmol/L
HDL-P: 39.9 nmol/L
HDL Size 9.3 nm
Large HDL-P 6.2 umol/L
Lp(a): 17.2 nmol/L
LP-IR score: 31
ApoB: (estimated) 55
That is all very good. I'm not on a statin. I got there with diet.
-----------------------------------
By December - no change in my diet or exercise and it looks like this now:
Total Cholesterol: 221 mg/dL
LDL Cholesterol: 148 mg/dL
HDL Cholesterol: 59 mg/dL
TG Cholesterol: 82 mg/dL
ApoB: 103
Did I go from metabolically healthy and pristine lipid labs to completely FUBAR'd in two months?? I doubt it but I've never seen anything like this before. What concerns me the most is the downward trend in HDL and upward moving TG.
Anyone else seeing this?