Aashish a 34 year old IT professional underwent a lipid profile as part of his annual health check up and to his surprise his lipid profile was deranged which means way out of the normal range. His doctor started him on statins. He was also asked to check his diet and exercise regularly. However his case is not unique; there are a lot of people who are diagnosed with dyslipidemia or deranged lipid profile indicating a problem of lipoprotein metabolism deficiency or overproduction. However a lipid profile test is not talked about or discussed as much as it should be.