Peter Attia· MD
the objective metric as with all patients is history first and very often in these families there is a family history of premature coronary disease that's one of the first things that speaks for these families then second these people have elevated LDL cholesterol without any other abnormality so hdl's normal triglycerides is normal LDL is elevated and you need to find elevated LDL in first degree relatives also so in Children of that individual or in one parent and in siblings