Some people with hypercholestrolemia, a severe genetic condition leading to extreme circulating cholesterol levels, benefit significantly from statins and reduced cholesterol diet. The unfortunate problem, is there are too few people with this condition, so the drug companies just filled in the cholesterol/negative outcome population curve all the way down to normal levels of cholesterol. Voila! Look at the clear health benefit statins provide. Now, millions of people can be treated with statins.

Rarely are the populations of clinical trials scrutinized as deeply as the data of the trial itself. Truthful representative sampling is critical to a meaningful interpretation of results.

Lesson: Statistics are often misinterpreted when pockets can be filled. However, the scientific community pushed the FDA to utilize standardized statistical testing. So now a hungry drug company must use statistics that are correct; however, clever sampling methods skew the results towards a statistically relevant observation.

23&Me has a goldmine of data on how to build your study population for your needed outcome. It’s going to get worse before it gets better. DYOR.

Reply to this note

Please Login to reply.

Discussion

Agreed on the DYOR. I just got recent bloodwork, and I basically have to make decisions based upon how I look/feel when it comes to LDL and ApoB specifically.

My LDL is kind of high - so that makes my ApoB high. I do not care about the LDL because my Triglycerides/HDL ratio is less than 1 and fasting insulin and hsCRP are great.

But I do have what the reference range considers a Very High ApoB.

Peter Attia wants you to get your LDL and ApoB to an infant's level. Paul Saladino disregards higher LDL and ApoB if the other numbers are good...and you are eating animal-based and whole foods.

Two thought leaders - two different opinions. My next step would be a coronary calcium score, so perhaps I do that in 2024. But even then...would any plaque be a result of the first 50 years of life...even though my revised nutrition/body comp and associated labwork dramatically changed over the LAST 5 years.