VERY high HDL: what to do?

Well, it is a good 6-hour drive from NYC to Brattleboro so I don’t know why one would do that. It would be closer to do it somewhere in PA or MA for about 2-hour drive, unless Vermont is the only place that offers e certain service. I am generally pissed that labs in NY are at least 30% more expensive than some other states.

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I was replying to this. Are you allowed to get self-prescribed lab tests in NY?
The times I was quoting were courtesy of Gemini AI

Of course, I do it all the time but at a higher price than some other states. I used good labs through bioreference and they are a bit cheaper than going directly through LabCorp or quest, but yes you can order any test you want without a doctor’s note.

Reminds me of the lyric “Two men say they’re Jesus, one of them must be wrong.”

Which of these states, New York, New Jersey, Pennsylvania, and Vermont,
allows self-prescribed blood tests from such sites as Ultalabtests.com and goodlabs.com to be used in the state at Quest or LabCorp?

Claude (Sonnet 4.6):

Of the four states you listed, only Pennsylvania and Vermont allow self-prescribed/direct access lab testing through services like UltaLabTests or similar sites at Quest or LabCorp.
New York – Prohibited. Direct access testing is prohibited by law in New York.New Jersey – Prohibited. Self-ordered testing through services like these is unavailable at both LabCorp and Quest in NJ.

Pennsylvania – Allowed. Pennsylvania is not on any restricted list for either Quest or LabCorp for direct access testing.

Vermont – Allowed. Vermont is “silent” on the issue — it has no laws or regulations addressing who is authorized to request testing or receive results — meaning direct access testing is fully permitted.

Of your four states, Pennsylvania and Vermont are the ones where you can use sites like UltaLabTests or similar services at Quest or LabCorp locations.

It seems you are right in principle, but I’ve been doing it for a while now. All I do I go online at labcorp (lately at goodlabs) and pick the tests I need/want and I get an order form and go to the nearest labcorp (bioreference for goodlabs) and they draw my blood. Now that I think of it, I believe there is a doctor’s name on the form but I never speak or consult with them, so in a way it is same as in PA or any other states where doing labwork on your own is legal. Ultra labs however does not offer services in NY.

What is it with the stupidity of control freaks in NY state? What possible harm is there in getting your own labs? I thought they were big believers in “my body, my choice”, but apparently it’s just ordinary hypocrisy of the usual suspects. If only they’d spend less time generating red tape and useless laws infringing on people’s rights and more time fixing actual problems, but what else is new.

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The world is full of people, particularly politicians, who believe they are smarter than everyone else and have the right to interfere in personal lives.

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Glad you found a workaround. New York and California politicians boggle the mind for many of us.

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20260226114901.pdf (75.7 KB)

This is the form I printed after I ordered and paid for the tests online through goodlabs last time, and yes they do list a doctor on the form which may be fake (maybe not) for what I know but why would I care. I never needed to talk to him or anyone but to me all it matters is the fact I can order labwork online, and that is great.

You might want to consider moving to a state that is more friendly to choosing your own health choices.

Good news: Asked my PCP to order Apoa1. (Basically a particle count, for apoliprotein A, similar to APOB count for LDLC). it came back: 248! That is quite high – normal range is about 100 to 150. In this case high is definitely good --means a large number or particles, so that means that the size of the particles in my very high HDLC of 115 is small – and for HDL, small size means that the particles are doing a good job of cholesterol efflux. (It’s the opposite of LDL, for which large “fluffy” particles are good). So —no longer worried about the HDL level or functionaity. Hooray!!!

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