What we measure
ApoB, Lp(a) once in a lifetime at minimum, LDL particle number, triglyceride-to-HDL ratio, fasting insulin, hs-CRP, and a coronary calcium score when age and risk call for it.
Why ApoB
Every atherogenic particle carries one ApoB. Counting particles beats weighing cholesterol. Two people with identical LDL-C can have very different particle counts, and very different risk.
Lp(a)
Genetic, largely fixed, and missed by almost every standard panel. Knowing it changes how aggressively everything else is treated.
Tools
Diet and load first, always. Then statins where they fit, ezetimibe, bempedoic acid, and PCSK9 inhibition when statins are not tolerated or not enough. The goal is a particle number, not a prescription.
Educational. Not medical advice. Treatment decisions are made by a licensed clinician with the patient. Nothing here describes a product as approved by any regulator.