I'm confused and slightly concerned.
So, I did a blood test a few weeks ago (about 6 weeks after starting paleo, coming off of eating a lot of whole grains). I've never had any cholesterol issues before. My blood work came back with the relevant numbers being:
Cholesterol: 265 (high; reference is <200)
Trigs: 87 (normal; reference is <150)
HDL 65 (reference is >39)
Calculated LDL 183 (High; reference is <100)
Risk Ratio CHLO/HDL: 4.08 (normal; reference is <4.44)
The doc wanted me to do a "CT Heart Saver Scan" which my insurance will not cover. I said maybe; I wanted to see what my CRP was and what my LDL particle size was (tests I'd asked for initially, and he said no).
So he said ok, and I went in last Monday for the test.
Just got a call from the nurse. I have NOT yet seen the paperwork. She said the doctor says that I have "Type 2B hyperlipedemia, that statins are not indicated, but he still wants the CT heartsaver scan"
OK, my first concern is that statins aren't ever indicated for women, as far as my understanding goes, so I'm already not happy that they're even mentioned! Clearly this doc isn't as educated as I would like (new town, new doc).
Then I asked her what that meant (the type 2B thing) and she doesn't know. I'm still clueless...does my doc think this indicates increased risk of CVD? I don't know b/c my doc isn't telling. Sigh.
Then I asked what the particle sizes were, since that was what I'd asked for in the first place. She says "we've never done something like this" and has no clue. I'm 99% sure they didn't run the test I wanted; it's definitely not a VAP and I'm not sure if particle size is calculated in any other test.
My CRP is .2, which I understand is pretty good?? I don't have the reference range, but the nurse said it was low and I said "well, that's good," and she said "yeah."
So....can anyone offer any insight? I'm going to change doctors asap obviously, but should I spend the cash out of pocket for that CT scan thing? I suppose it might give me peace of mind, but I'm just so frustrated now not to even understand this thing that the docs office says that I have!!! (I did google the Type 2B thing, but I confess I'm not sure what to think since so much of that stuff stems from conventional wisdom).
Edited to add: I'm female, 46 years old in a few days. I've been eating Paleo w/ no cheats, though I was doing lacto-paleo at the time of the blood tests (have since cut out dairy).