@kris1130 you may be a good candidate for a VAP test which is a fancy cholesterol screening that gives much more info than the usual cholesterol check.

I copied and pasted as chrome says it better than I could

The VAP (Vertical Auto Profile) cholesterol test is an advanced lipid test that provides a detailed breakdown of cholesterol and lipoprotein particles beyond the standard lipid panel. It measures various subtypes of LDL, HDL, and VLDL cholesterol, including small dense LDL particles, and lipoprotein(a), which are important markers for cardiovascular risk. This test uses ultracentrifugation to directly measure lipid fractions rather than calculating LDL cholesterol, making it more accurate in identifying hidden heart disease risk.
The VAP test is useful for people with normal routine cholesterol tests but who still have risk factors or family history of heart disease. It provides a comprehensive profile that helps guide more personalized treatment strategies to reduce cardiovascular risk. The test is considered more precise in evaluating lipid abnormalities and detailed cardiovascular risk assessment than routine cholesterol tests.