Physicians and Cardiologists - do you think that Total Cholesterol (TC) is a better risk marker than TC/HDL

T cholesterol/HDL cholesterol is a better index to be monitored. No doubts. Many physicians do no invest time on reading the updates in science. Every body with hypercholesterolemia should know that HDL cholesterol, like a scavenger, pick up the cholesterol from the vascular bed & deliver it to LDL cholesterol. LDL if it is in excess has no way to go out & deposit onto blood vessels. HDL matters! We have very rare people with pure hypercholesterolemia due to high HDL who live longer than normocholesterolemic people. Exercise is the only proven way to increase HDL.

TC/HDL ratio is a much better predictor than TC alone. If you have access to a specialist lab apoB/apoA ratio is probably the best lipid prognostic marker.