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u/familienvater030

▲ 2 r/Cholesterol

Hi everyone,

I’m 41M, 1.79 m and currently around 89 kg.

My recent bloodwork showed:

- Total cholesterol: 249 mg/dL
- LDL-C: 200 mg/dL
- HDL-C: 47 mg/dL
- Triglycerides: 70 mg/dL
- Non-HDL-C: 202 mg/dL
- HbA1c: 4.1%

My Lp(a) was 340 mg/L when it was last checked in 2022.

I’m on Mounjaro and have lost weight. I train around 4x/week, mostly Push/Pull/Legs. I’m also currently on TRT, but the elevated LDL - Lp(a) was already present years before TRT, so I don’t see that as the cause.

My main goal with this post is to understand what I can realistically do to lower my LDL and overall risk as much as possible, ideally without ending up on lifelong statins.

I know Lp(a) is mostly genetic and may not move much with lifestyle, but I’d like to know what actually helped others with LDL around this level.

Questions:

- What lifestyle or diet changes lowered your LDL the most?
- Did weight loss significantly improve your LDL?
- Did cutting saturated fat make a big difference?
- Did fiber/psyllium, oats, plant sterols or other changes help?
- Has anyone with LDL around 200 managed to bring it down enough without statins?
- If you did start statins, which one and what side effects did you actually notice?
- Did anyone stop statins because of side effects?
- Are there alternatives worth discussing with a doctor before committing to lifelong statins?

I’ll discuss everything with my doctor. I’m mainly looking for real experiences, especially from people who had high LDL plus elevated Lp(a).

Thanks.

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u/familienvater030 — 9 days ago
▲ 5 r/trtde

TRT-Blutwerte: bei 125 mg/Woche bleiben oder auf 140–150 mg erhöhen?

Hallo zusammen,

ich würde gerne eure Einschätzung zu meinen aktuellen TRT-Blutwerten und meiner Dosierung hören.(8 Wochen seit Start)

Ich bin aktuell bei 125 mg Testosteron Enantat pro Woche und überlege, ob eine leichte Erhöhung auf ca. 140 mg oder 150 mg pro Woche sinnvoll wäre.

Meine aktuellen Blutwerte:

- Gesamt-Testosteron: 26,8 nmol/l
- Freier Testosteron-Index: 85,9 %
- Freies Testosteron: 13,8 ng/l
- SHBG: 31,2 nmol/l
- Östradiol / E2: 34,1 pg/ml
- Prolaktin: 8,5 µg/l

Laut Labor liegt alles im Referenzbereich.

Was sich verbessert hat:

- Stimmung deutlich besser
- Depressionen fast komplett weg
- mein „ADHS-Kopfchaos“ ist deutlich ruhiger
- insgesamt mental viel stabiler

Was noch nicht optimal ist:

- Schlaf noch nicht optimal
- Erholung nur mittelmäßig
- tagsüber ab und zu müde
- Kraftwerte im Gym haben sich nicht deutlich verbessert

Aktuell habe ich keine typischen TRT-Nebenwirkungen:

- kein Wasserziehen
- keine empfindlichen oder juckenden Nippel
- keine auffälligen High-E2-Symptome
- allgemein keine größeren Nebenwirkungen

Zusätzlich: Mein LDL ist zu hoch und mein Lp(a) ist ebenfalls erhöht. Falls jemand dazu Erfahrungen oder Tipps hat, wie man die kardiovaskulären Marker verbessern kann, gerne her damit.

Ich nehme außerdem Mounjaro, dadurch liegt mein Blutzucker aktuell bei ca. 4,1 mmol/l.

Meine Hauptfrage:
Würdet ihr bei diesen Werten und Symptomen eher bei 125 mg/Woche bleiben, zuerst Schlaf, Ernährung und Erholung optimieren oder vorsichtig auf 140–150 mg/Woche erhöhen?

Mir ist klar, dass das keine ärztliche Beratung ersetzt. Ich suche hauptsächlich Erfahrungswerte und Einschätzungen aus der Community, die ich dann mit meinem Arzt einordnen kann.

Danke euch.

u/familienvater030 — 9 days ago
▲ 3 r/Testosterone+1 crossposts

Hello everyone,

I’d like to get some opinions on my current TRT bloodwork and dosage.(8 weeks in)

I’m currently on 125 mg testosterone enanthate per week and I’m considering whether it would make sense to increase slightly to around 140 mg or 150 mg per week.

My latest bloodwork:

- Total Testosterone: 26.8 nmol/L
- Free Testosterone Index: 85.9%
- Free Testosterone: 13.8 ng/L
- SHBG: 31.2 nmol/L
- Estradiol / E2: 34.1 pg/mL
- Prolactin: 8.5 µg/L

Everything is within the lab reference range.

What has improved:

- Mood is much better
- Depression is almost completely gone
- My “ADHD head chaos” is much calmer
- Overall I feel mentally much more stable

What is still not ideal:

- Sleep is still not optimal
- Recovery is just okay
- I sometimes feel tired during the day
- Strength in the gym has not noticeably improved

I currently don’t have any typical TRT side effects:

- No water retention
- No sensitive or itchy nipples
- No obvious high E2 symptoms
- No major side effects in general

One additional point: my LDL is too high and my Lp(a) is also elevated, so any advice on improving cardiovascular markers would also be appreciated.

I’m also taking Mounjaro, and my blood glucose is currently around 4.1 mmol/L.

Main question:
Based on these labs and symptoms, would you stay at 125 mg/week, first focus on sleep, diet and recovery, or cautiously increase to 140–150 mg/week?

I know this is not medical advice and I’ll discuss it with my doctor. I’m mainly looking for experiences and community feedback.

Thanks.

u/familienvater030 — 9 days ago