Cholesterol, ApoB, Lp(a) and Heart Health

Most people know about cholesterol, but there are two independent blood tests that can give even more insight into heart disease risk:
ApoB
Lp(a).

ApoB (Apolipoprotein B)
• Think of ApoB as a count of the “bad” cholesterol particles in your blood.
• Every LDL (“bad cholesterol”) particle has one ApoB.
• More ApoB = more particles that can damage arteries.

Even if your LDL number looks “normal,” ApoB can still be high.

Lp(a) – Lipoprotein(a)
• Lp(a) is a genetic risk factor for heart disease.
• You’re born with it.
• Diet and exercise don’t lower it much.
• High Lp(a) increases risk of heart attack and stroke.
• Many people have never been tested

Why this matters:
• You can live a healthy lifestyle and still have elevated ApoB or Lp(a).
• Knowing your numbers allows for earlier, more personalized prevention.

Ask your healthcare provider if ApoB and Lp(a) testing is right for you especially if you have:
• Family history of heart disease
• Heart disease at a young age
• “Normal” cholesterol but unexplained risk

Renee Endicott