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Cardiovascular · Reference range

ApoB

Also reported as: Apolipoprotein B · ApoB-100

The number of atherogenic lipoprotein particles in circulation — one ApoB molecule sits on every LDL, VLDL, IDL and Lp(a) particle, so ApoB is a direct particle count.

Lab reference range
55–140 mg/dL

Varies by laboratory; women's upper bound is often quoted slightly lower at ~130 mg/dL.

Optimal target
< 80 mg/dL

Preventive-cardiology convention for primary prevention. Below 60 mg/dL is the target where atherosclerotic disease is already established or risk is high.

To convert to g/L, multiply by 0.01.

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Where the thresholds sit

BandRange (mg/dL)Note
Optimal< 60 Target for established disease or high risk.
Good60–80 Reasonable primary-prevention target.
Borderline80–100
Elevated100–130
High> 130

Why it matters

Atherosclerosis is driven by how many particles cross the arterial wall, not how much cholesterol those particles happen to carry. Two people with identical LDL-C can differ substantially in particle number, and it is the particle number that tracks with risk. ApoB outperforms LDL-C as a predictor in every head-to-head comparison, which is why preventive cardiology has increasingly moved to it.

What raises it

  • Saturated fat intake, particularly from dairy fat and processed meat
  • Insulin resistance and visceral adiposity
  • Familial hypercholesterolaemia and other genetic lipid disorders
  • Hypothyroidism
  • Nephrotic syndrome and cholestatic liver disease

What lowers it

  • Statins, ezetimibe and PCSK9 inhibitors
  • Soluble fibre — 5–10 g/day of viscous fibre
  • Replacing saturated with monounsaturated and polyunsaturated fat
  • Weight loss where visceral fat is the driver

How to move it

  1. 1If ApoB is above 100 mg/dL, treat that as a conversation with a doctor rather than a diet project — pharmacological options move it far further than diet alone.
  2. 2Cut saturated fat to under 7% of calories. This is the single largest dietary lever on ApoB.
  3. 3Add 5–10 g/day of viscous soluble fibre (oats, psyllium, beans). Expect a 5–10% reduction.
  4. 4Address insulin resistance if present — ApoB tends to fall with it.
  5. 5Retest at 8–12 weeks. Lipid changes need that long to stabilise.

What moves this marker

Interventions on this site with evidence behind them for this specific marker. None of them replaces working out why yours is where it is.

What makes a single reading misleading

  • ApoB does not require fasting, unlike a standard lipid panel with calculated LDL-C.
  • A single reading can vary by 5–10% from biological variation alone. Trends matter more than one number.
  • Acute illness temporarily lowers lipid levels; wait several weeks after an infection.

Sources

Read next

Interpret your whole panelAll biomarkers

Educational only. Reference ranges are not diagnostic thresholds and this page cannot account for your medical history, medication or symptoms. Discuss any result that concerns you with a qualified clinician. See our medical disclaimer.