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Extreme TG with normal LDL

Commented on June 19, 2014
Created June 18, 2014 at 7:00 PM

Hello!

I can't understand what could be the culprit of too high triglycerides while having normal LDL.

Here are the details:

Total cholesterol: 255.6 mg/dL

Triglycerides: 1188.7 (!!!) mg/dL

HDL: 21.7 mg/dL

LDL: 80 mg/dL

VLDL: 153.9 mg/dL

At the same time:

Apolipoprotein A1: 1.45 g/l

Apolipoprotein B: 1.18 g/l

Lipoprotein(a): <3 mg/dL

So, what's the problem with this lipid profile? Why are TG so high? Could this be due to the error in the lab?

75d65450b6ff0be7b969fb321f1200ac

(2506)

on June 19, 2014
at 08:38 PM

Get retested and let us know the results. But honestly, if again you get such an astronomical TG value you really need to get medical advice. Perhaps as address your TG issue you will see some benefit in HDL. Oh, also get fully tested (kidney, liver, thyroid, urine, sex hormone, stool). Such tests might provide clues as to what's wrong.

32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on June 18, 2014
at 09:46 PM

Because your serum lipids (if those are true values, get retested to be sure) are far, far outside of normal.

Who knows why you're exhibiting such a lipid profile. I was leaning towards a clerical/test error at first, but your mention of wine immediately reminded me of fatty liver, and makes sense giving your lipid profile. While that amount of wine might be fine for a healthy person, it might be the straw that breaks the camel's back in your case.

I really hope is just a dumb error (I can tell you want it to be an error), as opposed to a real issue.

568a63417a8ab71b711630072ae8c602

(0)

on June 18, 2014
at 09:27 PM

No, I order tests myself every year.

If these high TG indicate some dangerous condition, shouldn't other indicators be present also?

3ce6a0d24be025e2f2af534545bdd1d7

(26217)

on June 18, 2014
at 09:18 PM

if your trigs were 200, maybe you look at other things. at 1000 you are talking major metabolic derangement or a significant auto-immune condition. You are also playing with fire as far as your pancreas is concerned.

Have you seen a doctor or did you order these tests yourself?

568a63417a8ab71b711630072ae8c602

(0)

on June 18, 2014
at 09:09 PM

Liver tests are normal. Why seeing a doctor?

And why don't you pay attention to LDL and apolipoprotein B? As far as I know, these indicators are much more important for determining problems with lipid profile.

I supposed that such high TG can be caused by very fatty meal even 10 hours before the test.

P.S: By the way, wine alone, without western diet with all those PUFAs and other junk foods, is very unlikely to cause severe damage to the liver.

568a63417a8ab71b711630072ae8c602

(0)

on June 18, 2014
at 08:21 PM

Diet: no vegetable seed oils, cooking only with coconut or red palm oil, olive oil in salads. I also eat butter and a lot of eggs (at least 3 per day). Sometimes pizza and pies, but not too often. Alcohol: quality red dry wine (3-4 bottles per week), rarely beer.

I take supplements: vitamin C (2000 mg per day), vitamin E (800 IU per day), milk thistle, NAC while drinking, B-complex (very potent concentrations).

I fasted about 10 hours before the test, but did not sleep enough. Before this I had very fatty meal (bread, butter, and liver pate).

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3 Answers

0
32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on June 18, 2014
at 08:35 PM

DISCLAIMER: THIS IS NOT MEDICAL ADVICE:

High trigs, low HDL, 3-4 bottles of wine a week? Fatty liver disease. See a doctor, PRONTO. You may be on the path to liver cirrhosis.

568a63417a8ab71b711630072ae8c602

(0)

on June 18, 2014
at 09:09 PM

Liver tests are normal. Why seeing a doctor?

And why don't you pay attention to LDL and apolipoprotein B? As far as I know, these indicators are much more important for determining problems with lipid profile.

I supposed that such high TG can be caused by very fatty meal even 10 hours before the test.

P.S: By the way, wine alone, without western diet with all those PUFAs and other junk foods, is very unlikely to cause severe damage to the liver.

0
3ce6a0d24be025e2f2af534545bdd1d7

(26217)

on June 18, 2014
at 07:44 PM

That is an absurd number and suggest major metabolic derangement (unless of course this happened:

https://www.youtube.com/watch?v=vZv0MdkVwkA)

Did you get this done with a doctor or on your own? The only advise I can give you is, get thee to a doctor

0
75d65450b6ff0be7b969fb321f1200ac

(2506)

on June 18, 2014
at 07:40 PM

Getting tested again is always prudent, and make sure you fast at least 12 hours before the test. In addition to your TG your HDL is really in the toilet. I expect your doctor wants to take action.

How is your diet and lifestyle?

Do you have a family history of cholesterol issues?

Are you on any meds?

_Lazza

75d65450b6ff0be7b969fb321f1200ac

(2506)

on June 19, 2014
at 08:38 PM

Get retested and let us know the results. But honestly, if again you get such an astronomical TG value you really need to get medical advice. Perhaps as address your TG issue you will see some benefit in HDL. Oh, also get fully tested (kidney, liver, thyroid, urine, sex hormone, stool). Such tests might provide clues as to what's wrong.

568a63417a8ab71b711630072ae8c602

(0)

on June 18, 2014
at 08:21 PM

Diet: no vegetable seed oils, cooking only with coconut or red palm oil, olive oil in salads. I also eat butter and a lot of eggs (at least 3 per day). Sometimes pizza and pies, but not too often. Alcohol: quality red dry wine (3-4 bottles per week), rarely beer.

I take supplements: vitamin C (2000 mg per day), vitamin E (800 IU per day), milk thistle, NAC while drinking, B-complex (very potent concentrations).

I fasted about 10 hours before the test, but did not sleep enough. Before this I had very fatty meal (bread, butter, and liver pate).

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