I'm 5'11", 175 lbs, physically active (walk and lift regularly) and primal. Diet is mainly eggs, fish, vegetables, fruit, dairy, nuts, and saturated fats. No grains, no vegetable oils, no sugar except in fruit and dark chocolate. Non-smoker, rarely drink.
Doc is a little concerned about my LDL-P and small LDL.
LDL 126 LDL-P 1641 Small LDL 701 Large LDL 5.5 Large VLDL <.7 total chol 188 particle size 21.1 Trigs 87 HDL 45 LP insulin resistance score 24
He's not too worried overall, but suggested reducing egg consumption (I eat 2-3/day now), but that seems contraindicated by the latest studies on PubMed.
Any advice from cholesterol experts?
asked byPrimalGuy (5)
Get FREE instant access to our Paleo For Beginners Guide & 15 FREE Recipes!
on April 03, 2013
at 11:53 PM
Chris Kresser's High Cholesterol Action Plan indicates LDL-P should be <1000. There seems to be individual variation and experimentation helps. One experiment might be to increase starchy carbs and reduce saturated fat and monitor the changes.
"Event-free survival was clearly worse for discordant individuals with low LDL-C and high LDL-P than for the group with high LDL-C and low LDL-P."
Event-free survival among participants with LDL cholesterol (LDL-C) and LDL particle number (LDL-P) above or below the median. Median values were 131 mg/dL for LDL-C and 1414 nmol/L for LDL-P.
on April 03, 2013
at 07:57 PM
Looks reasonable. My LDL-P is worse, but trigs and HDL are better (http://paleohacks.com/questions/184018/weird-lipid-panel-nmr-advice) and I don't think contemporary medicine has anything close to consensus on how the interplay of all these lipid markers works -- other than EVERYONE NEEDS STATINS, of course.
My doc also spoke of reducing eggs which is weird since not that many people are hyper-responders to dietary cholesterol. I suspect it's just default meaningless advice along the lines of "eat more vegetables"...