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Hack my cholesterol

Answered on August 19, 2014
Created April 17, 2012 at 9:14 PM

I've been doing paleo/primal since December 26, 2011. Prior to that I was vegetarian for 20+ yrs. Just had blood work done (3/10/12) and here's what came back:

Tot Cho - 252 LDL - 180 HDL - 57 Trig - 73

A year ago, when I was still veg, these were my numbers:

Tot Cho - 141 LDL - 90 HDL - 37 Trig - 70

I was surprised to see the huge difference. I have been pretty strict with my diet and been around 74-100 gr of carbs a day as I have no wt to lose (6'1", 157 lbs, <10% BF). I was especially intrigued by my LDL which came out as "extreme" on the chart from the test report.

Is this normal for the short time I've been on the diet? Anything to be concerned about here or should I just file the results and move on?

3c6b4eed18dc57f746755b698426e7c8

(5147)

on April 18, 2012
at 06:48 AM

If I were you, I'd increase carbs to about 200g per day with white rice, yams, and sweet potatoes. Being isocaloric, that would push your meats, eggs, fish or dairy, if any, to a smaller proportion. I'm positively certain that a higher carb / safe starch diet will decrease your TC and LDL. Your trigs, though, could increase but it depends on the individual: some people have very low trigs even with high carbs if they only eat safe starches. I'm not 1 of them, however.

3c6b4eed18dc57f746755b698426e7c8

(5147)

on April 18, 2012
at 06:44 AM

Interesting, your trigs didn't move. Were you doing 70-100g carbs too while vegetarian? This happens to a lot of people. I used to think only ApoE4 would have their LDL increase; not so ... I actually experienced this myself in reverse: when I increased carbs to about 50-60% of diet, my LDL fell from 110 to 80, and my TC from 210 to 160. These #s really don't tell much: how're your liver enzyems and how have they changed since you've gone primal? I recently had my liv enzymes move to single digits even though my trigs are now around 120 (up from 70). Yes, confounding.

83e08b3e7029521d4ae290a239b82d57

(250)

on April 18, 2012
at 02:24 AM

Wow, never been called scrawny before. I was an amateur endurance athlete for several years so I have that type of build. Since going paleo, I have gained a few pounds but lost fat. I am hoping the trend of gaining muscle will continue.

83e08b3e7029521d4ae290a239b82d57

(250)

on April 18, 2012
at 02:21 AM

No thyroid panel and I have not lost weight recently. I weighed over 200 back about 4 yrs ago and leaned out by doing endurance mountain biking. I will say that my transition to paleo took some time, my body did not like the reduction in carbs (I was eating 3-400 gr per day) and I had the carb flu for almost a month and a half. Now, I feel better physically than I have in years.

276a5e631b62f8e0793987c0496364bb

(1644)

on April 18, 2012
at 02:18 AM

What you eat on a regular basis most definitely is a variable.

0dbd7154d909b97fe774d1655754f195

(16131)

on April 18, 2012
at 12:07 AM

Did you have a thyroid panel done as well? Also, low cholesterol is NOT ideal. When the labs start implementing oxidised LDL then I'll start taking notice. But if you have low T3, or are going through a major fat loss phase, your number can be weird. You height weight is VERY lean.

83e08b3e7029521d4ae290a239b82d57

(250)

on April 17, 2012
at 10:12 PM

The blood draw both times was done after around 18 hours of fasting so that should not be a variable.

83e08b3e7029521d4ae290a239b82d57

(250)

on April 17, 2012
at 10:00 PM

I'm pretty strict primal/paleo. I eat a wide variety of pastured/grassed meat along with eggs and of course lots of veggies. I don't eat much fruit other than some berries on occasion. My only dairy is half and half or heavy cream in my one cup of coffee a day and an occasional piece of raw milk cheddar. I do have a small amount of dark chocolate (85%) daily.

Medium avatar

(10663)

on April 17, 2012
at 09:53 PM

HDL went up which is nice but I'm surprised trigs went up as well. Mind posting what you eat?

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1 Answers

1
1edb06ded9ccf098a4517ca4a7a34ebc

on April 17, 2012
at 11:29 PM

If you have lost weight recently that could explain your elevated LDLs. 157lbs is really scrawny for someone of your stature.

83e08b3e7029521d4ae290a239b82d57

(250)

on April 18, 2012
at 02:24 AM

Wow, never been called scrawny before. I was an amateur endurance athlete for several years so I have that type of build. Since going paleo, I have gained a few pounds but lost fat. I am hoping the trend of gaining muscle will continue.

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