This is one of the biggest reasons why people who look healthy on paper still have heart attacks. Their inflammation is out of control. I always check and trend hs-CRP with my patients. If it’s elevated, we hunt for the root cause. Sometimes it’s excess visceral fat around your organs, insulin resistance, poor sleep, chronic stress, or even untreated dental issues. The good news is that most of these causes are fixable. When you fix the underlying problem, inflammation comes down, and your risk drops dramatically.
2. You’re Tracking the Wrong ‘Bad’ Cholesterol
For decades, you’ve been told to watch your LDL, the so-called “bad cholesterol.” While it’s a decent marker, it doesn’t tell you the full story. This is precisely why you can have a “normal” LDL but still be at high risk. To get a truly accurate assessment, you need to look at your Apolipoprotein B, or ApoB, number.
Here’s why this is so important. LDL (low-density lipoprotein) is just one type of particle that carries cholesterol through your body. But there are other players, like VLDL (very-low-density lipoprotein) and IDL (intermediate-density lipoprotein), that also contribute to plaque buildup. Your standard LDL-C test only measures the cholesterol inside the LDL particles, not the number of particles themselves, and it completely ignores these other troublemakers. ApoB solves this problem. Every single one of these artery-clogging particles—LDL, IDL, VLDL—has exactly one ApoB molecule attached to it. So, when you measure ApoB, you are getting an exact count of every single dangerous particle in your bloodstream. It captures the entirety of your risk.
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