"If everything isn't black and white, I say why the hell not?” John Wayne
Gut microbiota and cholesterol discussions can be very complex, especially when you're not a Gastroenterologist or Lipidologist.
Thank heavens you're reading a newsletter written by a former helicopter pilot, turned car guy, turned residential mortgage guy.
I happen to have an honorary degree in non-medical translation or "talk to me like I'm a 5th grader" communications.
So, let’s dive into the fascinating world of gut microbiota and lipid management, and then I’ll share some actionable prevention tips, including the importance of a Lipoprotein(a) test.

The microbial metropolis that is your gut microbiota is like a bustling city of microbes that play a crucial role in your health. These tiny residents help process dietary nutrients into metabolites, which act as fuel and signaling molecules for your body.
They also influence lipid metabolism, affecting levels of fatty acids, triglycerides, and cholesterol. A balanced gut microbiota can promote the production of beneficial short-chain fatty acids (SCFAs) and regulate gut hormones, leading to improved metabolic outcomes.
However, a dysbiosis (fancy word for an imbalance between good and bad bacteria) can lead to inflammation and metabolic disorders like obesity and non-alcoholic liver disease (NAFLD).
With me so far?
Now, let’s talk prevention. Here are some actionable tips to keep your heart healthy:
• Eat a Balanced Diet: Focus on vegetables, fruits, whole grains, lean proteins, and healthy fats. Dietary fibers and fermented foods are especially important for maintaining a healthy gut microbiota.
• Stay Active: Aim for at least 150 minutes of moderate-intensity exercise per week. Physical activity helps manage weight and improves cardiovascular health.
• Monitor Your Lipids: Regularly check your cholesterol levels, including LDL and Lipoprotein(a). High Lp(a) levels can increase your risk of heart disease.
• Get a Lipoprotein(a) Test: This test can reveal hereditary lipid profile issues. The Family Heart Foundation offers a free at-home testing kit through their Cholesterol Connect program. It’s a great way to uncover hidden risks and take proactive steps for your family’s heart health.

How do I know about the last one?
Because I'm tighter than two coats of paint.
So, when I stumbled across a Twitter (sorry, it's now called X) post about free Lipoprotein(a) tests, my radar picked it up.
Many cardiologists recommend having one of these tests done at least once in your life to see if you have an increased risk for cardiovascular disease (CVD).
Typically, lipid panel blood tests from your healthcare provider don't include an LP(a) screening. They are starting to gain some traction but we're not there yet. They're not terribly expensive, maybe $100 or so.
But remember the whole “two coats of paint” thing.
Now, while it's true not much can be done if you have this ingredient baked in your CVD cake, this information can help your doctor tailor a prevention plan that might start with lipid-lowering therapies earlier than usual.
It can also be very helpful to know for the rest of your family.
If any of this strikes a chord with you, here's how you too can get this free test done:
1. Click on this link to order a free test by mail: https://familyheart.org/ldl-and-lpa-screening 2. Follow the step-by-step test procedures 3. Drop it in the mail 4. Follow up online for your results
It really was that easy.
How did my test go you ask?
Thankfully, I am not part of the 20% of mankind walking around with elevated LP(a) levels. I find this type of information very helpful in educating my own medical team as well as other family members who can benefit from this knowledge.
By following these tips and staying informed, you can keep your heart and gut in top shape!
Thanks for reading,
Jeff
