case_images: PMC7174731_01
case_images: Lipid Subfractionation. (A) The subject's baseline lipids, prior to starting his ketogenic diet, are shown on the right. His 7-month follow-up lipids are shown on the left. Green, yellow, and red imply optimal, medium, and high cardiovascular risk, respectively, based on standard reference ranges of isolated variables. (B) The subject's lipoprotein size distribution is characterized by a multimodal distribution of HDL, with the greatest peak being in large HDL, and a strong bias in LDL away from atherogenic, small LDL and toward large LDL. (C) Results of the subject's coronary artery calcium scan, performed at the time of the 7-month follow-up, indicating little-to-no calcified plaque accumulation.
case_images: fmed-07-00097-g0001.jpg
case_images: PMC7174731_01_fmed-07-00097-g0001.jpg
case_images: F1
case_images: Several alarming changes in conventional lipid parameters were flagged in the report in red, as follows: his total cholesterol increased from 160 to 450 mg/dL; his LDL-C increased from 95 to 321 mg/dL; and his LDL-P increased from 1,143 to 2,259 (Figure 1A). However, in this subject, a full fractionated panel was pursued and additionally included a size-based breakdown of the subject's LDL and HDL lipoprotein particles, LDL and HDL particle counts, Apo(B) mass, oxLDL, Lp(a), and PL-PLA2 activity (Figures 1A,B). It revealed no significant findings and reported a score of 0, suggesting no signs of calcified atherogenic plaques (Figure 1C).