0

votes

hack my cholesterol

Answered on August 19, 2014
Created February 16, 2012 at 12:35 AM

I am a member of the high cholesterol club, apparently.

My numbers:

Total cholesterol 243 HDL 71 LDL 159

About me: Athletic all my life. 5'9" 130 lbs, 55yrs. I rode a bicycle over 6,000 miles last year. Probably going to do less this year but not a lot less. Way low body fat, maybe 10%.

I lowered my carbs about 1 year ago before I new what Paleo was. pretty seriously Paleo compliant since about Sept. 2011. Really really compliant since about Dec. 2011.

My doctor wants me to go on meds. I'm pretty frustrated by this do to the fact that I've already been doing the things most often mentioned to keep cholesterol under control--proper diet and exercise. My blood pressure is "fantastic" (I didn't even ask him what, exactly, it is.

any ideas would be greatly appreciated.

461ab9dd60f3c07b5153c6a699e6155f

(40)

on February 16, 2012
at 08:32 PM

Also, great graphic here that shows that total cholesterol of between 200-240 leads to the lowest all-cause mortality rate. http://renegadewellness.files.wordpress.com/2011/02/cholesterol-mortality-chart.pdf

461ab9dd60f3c07b5153c6a699e6155f

(40)

on February 16, 2012
at 08:20 PM

Other way around. Trig/HDL, so 66/71 = 0.93 -- so you are good to go according to Lalonde, Mercola, Sears, etc.

6120c989fd5b69f42a0834b69b87955b

(24553)

on February 16, 2012
at 03:57 AM

Your doc is just going by the ldl over 100 = high cholesterol general mantra because most people can't get hdl as high as you have gotten it the literature doesn't address the what to do. You are doing everything right, you just have a lazy doc.

Dcf355a2a13a1cdac6b8932a145fbd9d

(278)

on February 16, 2012
at 03:49 AM

So trigs were 66. That would be HDL divided by trigs? 71 divided by 66 = 1.07. Could that be correct?

Dcf355a2a13a1cdac6b8932a145fbd9d

(278)

on February 16, 2012
at 03:43 AM

And thanks for your responses, I really appreciate your taking the time.

3846a3b61bc9051e4baebdef62e58c52

(18635)

on February 16, 2012
at 02:20 AM

I'd go as far as a congrats on your numbers and lifestyle! Don't mind your doc he's just following some out of date algorithms :)....if he gives you a script just throw it in the can on your way out to your bike.

3846a3b61bc9051e4baebdef62e58c52

(18635)

on February 16, 2012
at 02:16 AM

this...your in fine shape. Knowing your trigs might help ease your mind even more, but cholesterol in a vacuum looks good.

Dcf355a2a13a1cdac6b8932a145fbd9d

(278)

on February 16, 2012
at 12:46 AM

By the book Paleo. Eggs in the morning with, say, kale and other veg. with a bit of fruit. Lunch might be a big-ass salad (everything and anything), dinner, beef, chx or fish with vegetables. Virtually no snacking. I'll go off and hit Chipotle or do Tex-Mex once every other week, Maayyybeee, every ten days.

Ceda025d1f349bc43be115a5f9199fb1

(501)

on February 16, 2012
at 12:41 AM

What does your diet look like? I'm guessing you enjoy a good amount of saturated fat. Your HDL looks great. You're lean and active. I wouldn't lose any sleep.

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4 Answers

2
461ab9dd60f3c07b5153c6a699e6155f

on February 16, 2012
at 01:53 AM

Looks fine. You definitely don't need meds.

Your total/HDL is about 3.4, which is OK, but you should try to get your HDL up -- lift weights and consume saturated fat. Getting that ratio below 3 would be good.

Would like to see triglycerides too. You want your trig/HDL to be less than 2. Less than 1 is ideal.

Chris Kresser has a good video on this: http://www.youtube.com/watch?v=0_7u7aPkUQ0&feature=youtube_gdata_player If that link doesn't work, it is called "I Have High Cholesterol and I Don't Care."

Dcf355a2a13a1cdac6b8932a145fbd9d

(278)

on February 16, 2012
at 03:49 AM

So trigs were 66. That would be HDL divided by trigs? 71 divided by 66 = 1.07. Could that be correct?

461ab9dd60f3c07b5153c6a699e6155f

(40)

on February 16, 2012
at 08:32 PM

Also, great graphic here that shows that total cholesterol of between 200-240 leads to the lowest all-cause mortality rate. http://renegadewellness.files.wordpress.com/2011/02/cholesterol-mortality-chart.pdf

461ab9dd60f3c07b5153c6a699e6155f

(40)

on February 16, 2012
at 08:20 PM

Other way around. Trig/HDL, so 66/71 = 0.93 -- so you are good to go according to Lalonde, Mercola, Sears, etc.

2
6120c989fd5b69f42a0834b69b87955b

(24553)

on February 16, 2012
at 01:14 AM

According to web MD, the ideal cholesterol ratio is about 3.5:1

Your ratio is: 2.23943:1

Chillax, even by CW standards, you are doing better than average.

3846a3b61bc9051e4baebdef62e58c52

(18635)

on February 16, 2012
at 02:16 AM

this...your in fine shape. Knowing your trigs might help ease your mind even more, but cholesterol in a vacuum looks good.

3846a3b61bc9051e4baebdef62e58c52

(18635)

on February 16, 2012
at 02:20 AM

I'd go as far as a congrats on your numbers and lifestyle! Don't mind your doc he's just following some out of date algorithms :)....if he gives you a script just throw it in the can on your way out to your bike.

6120c989fd5b69f42a0834b69b87955b

(24553)

on February 16, 2012
at 03:57 AM

Your doc is just going by the ldl over 100 = high cholesterol general mantra because most people can't get hdl as high as you have gotten it the literature doesn't address the what to do. You are doing everything right, you just have a lazy doc.

0
Dcf355a2a13a1cdac6b8932a145fbd9d

(278)

on February 16, 2012
at 03:42 AM

Duh. I forgot to post the trigs which came in at 66.

Dcf355a2a13a1cdac6b8932a145fbd9d

(278)

on February 16, 2012
at 03:43 AM

And thanks for your responses, I really appreciate your taking the time.

0
3bad4b0b105bf44d7650e7fdfbe15cbd

on February 16, 2012
at 01:04 AM

That's "high cholesterol" according to medical guidelines, but realistically it's not unhealthy. Your HDL is great. Try talking to your doctor about getting a VAP test (to measure LDL particle size) as well as a test to measure triglycerides. Apolipoprotein B is another indicator of atherosclerotic risk that can be measured. I'm sure others will chime in with other useful tests.

In summary, if I were you, I would push your doctor to get more tests before he throws you on a bunch of meds.

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