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Headed in right Paleo direction? blood work after 1 yr

Answered on August 19, 2014
Created March 20, 2012 at 1:35 AM

here is the simple blood work I just got back.

Started paleo jan 2011 - had blood work done in March 2011 after I had already lost 20lbs

Now total weight loss 70 lbs, female, 37

dr says Vitamin D is still low - I am taking 10,000 IUs a day - guess I should try another brand?

how does it look otherwise? I get kind of confused about blood work from a paleo perspective,..whether it should be going up or down or if even matters at all :-)

http://i39.tinypic.com/icn11g.jpg

Ab566019baa884ec9e3327c108586ff8

(1055)

on October 24, 2012
at 05:45 PM

New blood work in back today (see below)

Ab566019baa884ec9e3327c108586ff8

(1055)

on March 24, 2012
at 12:08 AM

I was taking Sam's club liquid gels, but then was doing solid GNC D3 - I hear the liquid ones are better. Interesting note that Sam's now sells a D3 10,000 iUs one gel pill a day - an amount that previous raised eyebrows

1a68c71d62aa058a86c83c5bb0c28650

(150)

on March 20, 2012
at 06:56 PM

What brand are you taking? When I switched to 5000 IU of Solgar capsules it finally went up for me. Though nothing beats time out in the sun....

Ab566019baa884ec9e3327c108586ff8

(1055)

on March 20, 2012
at 02:42 PM

thanks for your thoughts! I was doing paleo for 1.5 months before my 2011 blood test so maybe thats why the trigs were down. Yes, we do supplement with fish oil and use plenty of coconut oil, dont drink and some exercise. I have been taking 10,000 IUs of Vitamin D almost daily for the last 6 months + - so thinking I either need to take more or find a higher quality source I guess?

Medium avatar

(10663)

on March 20, 2012
at 04:07 AM

Disregard LDL. That's the large buoyant cholesterol which is not a risk factor for heart disease. What matters is VLDL, which in her case is low and that's great (optimal range is between 0-30) and her HDL has increased. The ratio of HDL and triglycerides should also be taken into consideration. 88/50 = 1.76. Anything less than 2 is a good sign.

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4 Answers

1
3c6b4eed18dc57f746755b698426e7c8

on March 20, 2012
at 04:24 AM

That's a typical pattern when you do Paleo:

  • LDL increases in most, though not all, people
  • Trigs go down (but your Trigs were already low to begin with: were you LCing prior to going Paleo?)
  • HDL goes up: are you taking fish oil, coconut oil, dry red wine, avocadoes; exercise regularly?
  • Vit D won't move up significantly unless you supplement at 5k or 10k IU for 3-4 months. Depending on your latitude, if you're doing 10k per day, I would retest in 2 months and check your level. You should be >=70.

But those are overall, pretty good numbers: HDL at 38% of your TC. Trigs / HDL under 1. When your Trigs are 50, the LDL particle size would tend to be large and bouncy, rather than small and atherogenic.

But this is only based on your lipids. You could still have CVD risks based on inflammation or other independent risk factors. You might want to measure inflammation cytokines or other markers of CVD risk like IL-6, CRP, Ferritin, Fibrinogen, LP(a), blood pressure, etc. Your lipid #s tell only half the story. The rest is well-hidden and tucked away unless you probe with your forensic magnifying lens.

Ab566019baa884ec9e3327c108586ff8

(1055)

on March 20, 2012
at 02:42 PM

thanks for your thoughts! I was doing paleo for 1.5 months before my 2011 blood test so maybe thats why the trigs were down. Yes, we do supplement with fish oil and use plenty of coconut oil, dont drink and some exercise. I have been taking 10,000 IUs of Vitamin D almost daily for the last 6 months + - so thinking I either need to take more or find a higher quality source I guess?

1a68c71d62aa058a86c83c5bb0c28650

(150)

on March 20, 2012
at 06:56 PM

What brand are you taking? When I switched to 5000 IU of Solgar capsules it finally went up for me. Though nothing beats time out in the sun....

Ab566019baa884ec9e3327c108586ff8

(1055)

on March 24, 2012
at 12:08 AM

I was taking Sam's club liquid gels, but then was doing solid GNC D3 - I hear the liquid ones are better. Interesting note that Sam's now sells a D3 10,000 iUs one gel pill a day - an amount that previous raised eyebrows

0
Ab566019baa884ec9e3327c108586ff8

(1055)

on October 24, 2012
at 05:32 PM

for my 6 month follow up

https://plus.google.com/photos/115141205768995729493/albums/5802929148411205761?authkey=CMec6P7r-s_o7gEheaded-in-right-paleo-direction?-blood-work-after-1-yr

looks like I got my Vit D up to wear it should be. I have been taking Sam's club 10,000 IUs daily plus Vit K

Only thing that has change in last 6 months is I have included regular exercise 3 days a week. I havent really lost much more weight but have gained muscle.

0
Ab566019baa884ec9e3327c108586ff8

(1055)

on March 24, 2012
at 12:05 AM

Thanks for those thoughts

0
D9696f320df21ded9ac0604ba50d2a8e

on March 20, 2012
at 03:20 AM

LDL Cholesterol looks a bit high.

Less than 100 Optimal
100 - 129 Near optimal/above optimal
130 - 159 Borderline high
160 - 189 High 190 and above Very high

Medium avatar

(10663)

on March 20, 2012
at 04:07 AM

Disregard LDL. That's the large buoyant cholesterol which is not a risk factor for heart disease. What matters is VLDL, which in her case is low and that's great (optimal range is between 0-30) and her HDL has increased. The ratio of HDL and triglycerides should also be taken into consideration. 88/50 = 1.76. Anything less than 2 is a good sign.

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