A 26 year old lady has been on Olanzapine for the treatment of Schizophrenia. All of the following are the ATP III (Adult Treatment Panel) criteria for metabolic syndrome, except:

**Core Concept**
The Adult Treatment Panel (ATP III) criteria for metabolic syndrome are a set of clinical parameters used to identify individuals at risk of developing insulin resistance, cardiovascular disease, and type 2 diabetes. These criteria include central obesity, dyslipidemia, hypertension, and impaired glucose regulation.

**Why the Correct Answer is Right**
The correct answer, **D. LDL > 150 mg/dl**, is incorrect because the ATP III criteria for metabolic syndrome specifically state that a low HDL (high-density lipoprotein) level (<40 mg/dl in men and 150 mg/dl is indeed a criterion for metabolic syndrome, indicating dyslipidemia.

**Option C:** Blood pressure > 130/85 is also a criterion for metabolic syndrome, indicating hypertension.

**Clinical Pearl / High-Yield Fact**
When evaluating patients for metabolic syndrome, it is essential to assess for central obesity, as it is a critical component of the syndrome. The presence of two or more of the other criteria (dyslipidemia, hypertension, and impaired glucose regulation) in conjunction with central obesity is diagnostic of metabolic syndrome.

✓ Correct Answer: D. LDL > 150 mg/dl

✓ Correct Answer: D. LDL > 150 mg/dl