My friend's father has been on paleo for 4 months and just got his cholesterol tested. His doctor is concerned his numbers went up. The doctor also said the LDL are small particles? Here are the results:
Total cholesterol=221 HDL=47 LDL=154 Triglycerides=66
I've been trying to delve into researching this on these boards here, and from the looks of it the numbers are quite healthy. I'm aware of the cholesterol myth, but its the idea the LDL are small that has me confused? I don't see how they could be small when he has cut out the grains and sugars for 4 months now? Thoughts?
asked byTracy_1 (100)
Get FREE instant access to our Paleo For Beginners Guide & 15 FREE Recipes!
on June 14, 2011
at 11:06 AM
If he did not have the NMR or VAP which measures the particle size the doctor just doesn't know that the LDL particles are small. The lower the triglycerides the larger the particle size. If he had the standard cholesterol panel the LDL is calculated anyway using the Friedwald formula which doesn't calculate the LDL correctly when the triglycerides are under 100. The Iranian formula is much more accurate when the triglycerides are under 100. The ratio of TRIG/HDL is a much more accurate indicator of risk.
It appears common for people with high triglycerides to have low HDL's, and these same people also tend to have high levels of clotting factors in their blood stream, which is unhealthy in protecting against heart disease. Therefore, in adults, the triglyceride/HDL-"good" cholesterol ratio should be below 2 (just divide your triglycerides level by your HDL). Or more precisely, the triglyceride/HDL ratio: 2 or less is considered ideal 4 - high 6 - much too high And, since HDL (high density lipoprotein) is protective against heart disease, the lower the ratio, the better. In other words, the lower your triglycerides, or the higher your HDL, the smaller this ratio becomes. It is now believed that the triglycerides/HDL ratio is one of the most potent predictors of heart disease.