The HS CRP level is high. This indicates an increased level of C-reactive protein, which is a marker of inflammation in the body. Research shows that elevated HS CRP levels may be associated with an increased risk of cardiovascular disease and other chronic conditions. It's recommended that you discuss these results with your doctor to further evaluate the underlying cause of the inflammation and determine appropriate treatment options.
HS CRP
high
5.6 mg/L
Note: Reference Range
Optimal <1.0
Jellinger PS et al. Endocr Pract.2017;23(Suppl 2):1-87.
For ages >17 Years:
hs-CRP mg/L Risk According to AHA/CDC Guidelines
<1.0 Lower relative cardiovascular risk.
1.0-3.0 Average relative cardiovascular risk.
3.1-10.0 Higher relative cardiovascular risk.
Consider retesting in 1 to 2 weeks to
exclude a benign transient elevation
in the baseline CRP value secondary
to infection or inflammation.
>10.0 Persistent elevation, upon retesting,
may be associated with infection and
inflammation.
Advanced Lipid Panel
Insights
Your blood test results show that your LDL Particle Number, LDL Small, and LDL Medium are all high. Research shows that high LDL Particle Number and small LDL particles are associated with an increased risk of cardiovascular disease. Additionally, your LDL PEAK SIZE is low, which further increases the risk. It's recommended that you speak with your healthcare provider about lifestyle changes and possibly medication to help lower your LDL particle number and size.
LDL PEAK SIZE
low
Low
Desirable > 222.9
219.0 Angstrom
Note: This test was developed and its analytical performance
characteristics have been determined by Quest Diagnostics
Cardiometabolic Center of Excellence at Cleveland HeartLab.
It has not been cleared or approved by the U.S. Food and
Drug Administration. This assay has been validated pursuant
to the CLIA regulations and is used for clinical purposes.
Relative Risk: Optimal >222.9; Moderate 222.9-217.4; High
<217.4. Male and Female Reference Range: 216 to 234.3
Angstrom. Adult cardiovascular event risk category cut
points (optimal, moderate, high) are based on an adult U.S.
reference population plus two large cohort study
populations. Association between lipoprotein subfractions
and cardiovascular events is based on Musunuru et al.
ATVB.2009;29:1975. For additional information, please refer
to http://education.QuestDiagnostics.com/faq/FAQ134 (This
link is being provided for informational/educational
purposes only.)
LDL Particle Number
high
Desirable < 1138
High
1408 nmol/L
Note: Relative Risk: Optimal <1138; Moderate 1138-1409; High
>1409. Male and Female Reference Range: 1016 to 2185 nmol/L.
LDL Small
high
Desirable < 142
High
247 nmol/L
Note: Relative Risk: Optimal <142; Moderate 142-219; High >219.
Male Reference Range: 123 to 441 nmol/L; Female Reference
Range: 115 to 386 nmol/L.
LDL Medium
high
Desirable < 215
High
289 nmol/L
Note: Relative Risk: Optimal <215; Moderate 215-301; High >301.
Male Reference Range: 167 to 485 nmol/L; Female Reference
Range: 121 to 397 nmol/L.
LDL Pattern
good
A Pattern
Note: Relative Risk: Optimal Pattern A; High Pattern B. Reference
Range: Pattern A.
Apolipoprotein B
good
Desirable < 90
High
64 mg/dL
Note: Risk: Optimal <90 mg/dL; Moderate 90-119 mg/dL; High >= 120
mg/dL; Cardiovascular event risk category cut points
(optimal, moderate, high) are based on National Lipid
Association recommendations- Jacobson TA et al. J of Clin
Lipid. 2015; 9: 129-169 and Jellinger PS et al. Endocr
Pract. 2017;23(Suppl 2):1-87.
Lipoprotein (A)
good
Desirable < 75
High
66 nmol/L
Note: Risk: Optimal <75 nmol/L; Moderate 75-125 nmol/L; High >125
nmol/L. Cardiovascular event risk category cut points
(optimal, moderate, high) are based on Tsimika S. JACC
2017;69:692-711.
Cholesterol, Total
good
Desirable < 200
High
156 mg/dL
HDL Cholesterol
good
Low
Desirable > 49
71 mg/dL
Triglycerides
good
Desirable < 150
High
60 mg/dL
LDL-Cholesterol
good
Desirable < 100
High
71 mg/dL (calc)
Note: Desirable range <100 mg/dL for primary prevention; <70
mg/dL for patients with CHD or diabetic patients with >= 2
CHD risk factors.
LDL-C is now calculated using the Martin-Hopkins
calculation, which is a validated novel method providing
better accuracy than the Friedewald equation in the
estimation of LDL-C. Martin SS et al. JAMA. 2013;310(19):
2061-2068 (http://education.QuestDiagnostics.com/faq/FAQ164)
LDL-C is now calculated using the Martin-Hopkins
calculation, which is a validated novel method providing
better accuracy than the Friedewald equation in the
estimation of LDL-C.
Martin SS et al. JAMA. 2013;310(19): 2061-2068
(http://education.QuestDiagnostics.com/faq/FAQ164)
CHOL/HDLC Ratio
good
Desirable < 5.0
High
2.2 calc
Non HDL Cholesterol
good
Desirable < 130
High
85 mg/dL (calc)
Note: For patients with diabetes plus 1 major ASCVD risk factor,
treating to a non-HDL-C goal of <100 mg/dL (LDL-C of <70
mg/dL) is considered a therapeutic option.
For patients with diabetes plus 1 major ASCVD risk
factor, treating to a non-HDL-C goal of <100 mg/dL
(LDL-C of <70 mg/dL) is considered a therapeutic
option.
HDL Large
good
Low
Desirable > 6729
7865 nmol/L
Note: Relative Risk: Optimal >6729; Moderate 6729-5353; High
<5353. Male Reference Range: 4334 to 10815 nmol/L; Female
Reference Range: 5038 to 17886 nmol/L.
This test is ideal if you're concerned about your heart health, have a family history of heart disease, or want to understand your cholesterol beyond basic numbers. It provides an advanced look at your cholesterol particle sizes and numbers, inflammation markers, and other factors that affect your cardiovascular risk. Many people use this test when they want a deeper understanding of their heart health or are managing high cholesterol with lifestyle changes or medication.
How should I prepare for this test?
Fasting is not required prior to this lipid panel collection. However, if you're taking N-Acetyl Cysteine (NAC) for acetaminophen overdose treatment, be aware it may interfere with cholesterol results. The interference should be insignificant by 12 hours after completing the initial IV infusion loading dose. Results typically arrive within 5 business days, though confirmation testing may extend this timeframe.
This comprehensive panel evaluates your cardiovascular health through advanced lipid particle analysis that goes beyond standard cholesterol tests, measuring particle size and number to identify hidden risks. It assesses inflammation through high-sensitivity CRP, which is a key predictor of heart disease risk. These measurements work together to provide a complete picture of your heart health, cholesterol management, and risk factors that standard cholesterol tests may miss.
What happens after I get my results?
You'll receive detailed doctor notes in simple language explaining what your cholesterol and cardiac markers mean for your heart health and disease risk. These notes include personalized recommendations like dietary changes, exercise suggestions, supplement options, or whether you should follow up with a cardiologist. You'll also get the standard lab report and can track your heart health markers over time using our trends feature to see how your lifestyle changes or treatments are working.
When will I get my results?
You can expect your results within 5 business days after your sample reaches the lab. In some cases, if confirmation testing is required for any marker, the turnaround time may be extended slightly. You'll be notified as soon as your results are ready and can access them securely online along with easy-to-understand doctor notes.
Who should consider getting this test?
This test is ideal for anyone with a family history of heart disease, high cholesterol, diabetes, or who has risk factors like being overweight, smoking, or having high blood pressure. It's also valuable for people already managing cholesterol who want to monitor their progress, athletes optimizing cardiovascular health, or anyone over 40 wanting a comprehensive heart health assessment. If your doctor mentioned you have high cholesterol or you're concerned about heart disease risk, this advanced panel provides deeper insights.
What symptoms indicate I may need this test?
While high cholesterol typically has no symptoms, you should consider this test if you experience chest discomfort, shortness of breath during activity, or have been told you have high cholesterol or triglycerides. It's also important if you have risk factors like obesity, diabetes, family history of early heart disease, or if you're experiencing fatigue that could be related to cardiovascular issues. Many people get this test proactively before symptoms appear to catch problems early.
How can I naturally support healthy cholesterol levels?
Supporting heart health starts with eating more fiber-rich foods like oats, beans, and vegetables, along with heart-healthy fats from fish, nuts, and olive oil. Regular aerobic exercise like walking, swimming, or cycling for 30 minutes most days can significantly improve cholesterol levels. Limiting saturated fats, trans fats, and refined sugars while maintaining a healthy weight, managing stress, and not smoking all contribute to better cardiovascular health.
What is LDL particle number and why does it matter?
LDL particle number measures how many cholesterol-carrying particles are in your blood, which is often more important than just total LDL cholesterol. You can have normal LDL cholesterol but still have too many particles, which increases heart disease risk. Think of it like traffic: it's not just how much cargo is on the road, but how many trucks are carrying it. More particles mean more chances for cholesterol to build up in your arteries.
What does high hs-CRP mean for my heart?
High-sensitivity CRP (hs-CRP) measures inflammation in your body, and chronic inflammation is a key factor in developing heart disease. Elevated hs-CRP indicates your blood vessels may be inflamed, which can lead to plaque buildup and increase your risk of heart attack or stroke. Unlike cholesterol, hs-CRP responds well to lifestyle changes like losing weight, exercising regularly, eating an anti-inflammatory diet, and managing stress.
How often should I retest my cholesterol and cardiac markers?
If you're making lifestyle changes or starting new medications, retesting every 8-12 weeks helps track your progress and adjust your approach. Once your levels are stable and healthy, annual testing is typically sufficient for ongoing monitoring. If you have heart disease, diabetes, or multiple risk factors, your doctor may recommend testing every 3-6 months to ensure your treatment plan is working effectively.
How’s this work?
Getting your blood test with us is easy, private & backed by the power of science.
Long story short:
In the test options, use the filters or search box to narrow your choices and find the test you want.
If you need a hand navigating through options, text our super friendly support team at 754-799-7833, and we'll provide tailored suggestions to help you find the ideal test.
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If this is your first time ordering, you'll be prompted to create a password for instant login access to your patient portal. It's a quick way to conveniently access your orders and results whenever you want.
When you’re ready, visit one of our 4,000 locations. Just bring your ID – no printing or faxing of your lab order is needed, as your order and details will already be in the lab system.
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If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.
How do I know which test to get?
In the test options, find the test you want.
If you’re not sure which test to get, we can lend a hand in finding the right option.
Just text or call us at 754-799-7833, email us at [email protected], and we'll gladly help you. We've got your back and reply quickly.
Is it possible to make changes to my lab order if I made a mistake with the name, date of birth, or any other details?
Absolutely! We totally understand that errors can happen. No worries, we're here to help you.
Just reach out to us via text at 754-799-7833 or shoot us an email at
[email protected]. Remember to include your order number and let us know the correct information you’d like to update.
Our awesome team will jump right in and make sure everything is sorted out and accurate for you.
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Our lab requires an address to be listed to generate an order.
Do you accept health insurance?
Only HSA & FSA is accepted.
Our services are strictly self-pay and cannot be submitted to your health insurance provider except for Health Savings Accounts or Flexible Savings Accounts.
This policy applies to all insurance companies, including federal health insurance programs like Medicare.
You can read more about our cancellation policy here.
How can I find a lab location near me?
During the ordering process, you’ll be able to select a specific lab near you, with no strings attached!
You can switch it up later easily and visit any of our authorized locations as long as it’s the same lab company you selected your test for (Quest Diagnostics or Labcorp).
Before you proceed with your order, feel free to browse through all our lab locations here. This will give you the peace of mind of knowing that there's a lab nearby your home, office or your favorite gym.
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Demo results
LDL Particle Number1580 nmol/L
Demo results
LowOptimal 700 - 1300High
1580 nmol/L
What this means
Your LDL particle number is elevated above the optimal range, which indicates a higher number of cholesterol-carrying particles in your blood. This increases your risk for heart disease even if your standard LDL cholesterol appears normal, as more particles mean more opportunities for plaque buildup in your arteries.
Recommended actions
Increase soluble fiber intake with oats, beans, apples, and vegetables to help reduce particle numbers
Include omega-3 fatty acids from fatty fish like salmon, or consider fish oil supplements
Engage in regular aerobic exercise for at least 30 minutes most days of the week
Consider retesting in 8-12 weeks after implementing dietary and lifestyle changes
* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.
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