Having finally found a UK source for an LDL particle size test I got my results back today. There were other marker results in the test and it was a mixture of mainly good news but some not so good. The results were as follows Total Cholesterol 5.64 LDL Cholesterol 3.08 HDL 2.17 Triglycerides 0.87 LDL paricle count 1,131 HDL partcile count 30.2 LDL Size 21.1 (means large pattern A) LP(a) 0.82 CRP 0.52 LpPLA2 210 Fibrinogen 9.1 Homocysteine 23.5 The good news is that the LDL size was big and fluffy and not small and dense. Most other markers were all in acceptable range for the marker with the exception of Total LDL (for those who still think this marker is predictive), LpPLA (too high) and Homocysteine (too high). Homocysteine was very much on the high side with the acceptable range being 3.7 to 10.4. The jury seems to be out a little on this factor, some people seem unconvinced that it is a responsible factor for heart disease whilst others are. It is produced from methionine and has a genetic influence. Kidney problems can also elevate this factor so the way forward would seem to be centred around keeping ones kidneys flushed with water and reducing high methionine foods such as meat (not really applicable in my case) and Brazil nuts (applicable in my case). PLA2 is an enzyme detected in the blood when someone has plaque build up in the arteries. This one might prove a little harder to crack.
There are some useful comments below on the use of Vit B6, B12 and Folate for lowering Homocysteine and a useful link here