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Mothers LDL Cholesterol is high.... Advice?

Answered on August 19, 2014
Created December 21, 2012 at 12:14 AM

My mom got her blood work results back from the doctors today. CHOLESTEROL 6.81 MMOL/L Triglycerides 0.95 MMOL/L HDL CHOL. 1.81 MMOL/L LDL CHOL. 4.57 MMOL/L CHOL/HDL RATIO 3.76

Now she was told if her cholesterol doesn't go down, she'll need to take the cholesterol lowering medication. Help. She eats a low carb Paleo diet. Why is her cholesterol high? I've tried to look up info but cannot find an answer on how to lower this LDL.

Thanks!

Cbdc8318738324492f2d5918868ce4c9

(1211)

on December 24, 2012
at 02:39 PM

Here are some more examples supporting lower thyroid with LC http://perfecthealthdiet.com/2011/09/high-ldl-on-paleo-revisited-low-carb-the-thyroid

3327924660b1e2f8f8fc4ca27fedf2b2

(2919)

on December 23, 2012
at 04:33 PM

Only Kresser seems to think that LC = lowered thyroid. The fact of the matter is that he's a smart guy who is very incorrect on most matters dealing with Ketosis. There's a biological reason why there's less circulating T3 and T4 in ketosis and it's not lowered thyroid lol. There's absolutely nothing bad about ketosis that's substantiated by in vivo studies.

0faecc3397025eab246241f4dcd81f5e

(2361)

on December 21, 2012
at 12:48 AM

Dr Briffa is another drbriffa.com

0faecc3397025eab246241f4dcd81f5e

(2361)

on December 21, 2012
at 12:47 AM

My husband's is higher than this and the doc never says statins. Do a lot of reading - many people address this chrisKresser.com is one

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5 Answers

2
3491e51730101b18724dc57c86601173

(8395)

on December 21, 2012
at 12:32 AM

I don't know how to convert that to US mg/DL units to see how high it is exactly, but LDL does tend to go up on low carb, but increased does not necessarily mean anything is wrong:

  1. If the triglycerides go down (below 100 in US measurements), the FORMULA for calculating LDL (Friedenwald) become inaccurate, so that number may seem artificially high.

  2. LDL is made of small particles and large particles. Large particles are thought to be protective, small particles are the ones implicated in athersclerosis as they become embedded in arterial walls and plaque forms (oversimplification, and there's evidence that this is not the true picutre of what's happening). Her LDL C may be going up because the larger, less harmful particles are increasing while the smaller particles are decreasing. A calculated LDL-C is not a clear picture of what's happening.

  3. Studies show that 50% of people who have a cardiovascular event have LOW LDL, so LDL may not be a good predictor of risk. Johnny Bowden said that blaming LDL for cardiovascular risk is like blaming firemen for the fire. Their presence at the fire does not mean they caused the fire any more than elevated LDL means that it caused the cardiovascular event.

  4. The best measure of LDL is LDL particle number (LDL-P) High LDL-P numbers have been correlated to higher risk (and even then, treatment with statins may not be appropriate).

Total cholesterol often goes up with low carb because HDL goes up. That's a good thing, not a bad thing. High total cholesterol is pretty meaningless.

I have an elevated LDL and borderline total cholesterol. I just had blood drawn for an NMR lipo-protein profile which will give me an LDL-P measure to see what's really going on.

There's no evidence that statins are helpful in women at all. And in the Framingham study, postmenopausal women with higher cholesterol lived longer and healthier lives than their low cholesterol counterparts. So it may be protective in older women.

I'm not going on statins any time soon!

1
0faecc3397025eab246241f4dcd81f5e

(2361)

on December 21, 2012
at 12:46 AM

Get doctor to check thyroid hormones and function, if hasn't already - hypo thyroid can put up cholesterol.

0
3327924660b1e2f8f8fc4ca27fedf2b2

(2919)

on December 23, 2012
at 04:30 PM

If you love your mother, don't let her take Statins (cholesterol-synthesis inhibiting drugs like Lipitor or Crestor.)

0
930d02c6cf3fb783f15d22e3b49e0490

on December 21, 2012
at 04:42 PM

Turmeric is extremely useful for lowering cholesterol. I advise using it only once a day in small amounts (about 1/4 tsp to start), and working your way up to larger amounts if necessary. It's apparently an anti-inflammatory too, so there's another plus.

0
Cbdc8318738324492f2d5918868ce4c9

(1211)

on December 21, 2012
at 01:28 PM

A common reason serum cholesterol increases is because low carb can slow down thyroid function and therefore reduce LDL clearance.

BTW, the numbers seem pretty decent relative Kresser and Jaminet recommendations and the CHOL/HDL RATIO is good < 4.

Multiple your mmol/l TC/HDL/LDL by 39 and trig by 89 to compare to below values.

Paul Jaminet Cholesterol biomarker comment

But optimal levels are:
TC, 200-260 mg/dl
HDL, >60 mg/dl
LDL, 80-160 mg/dl (depends on context, numbers in this range can be healthy or signify a problem in different situations)
Trigs, < 90 mg/dl

3327924660b1e2f8f8fc4ca27fedf2b2

(2919)

on December 23, 2012
at 04:33 PM

Only Kresser seems to think that LC = lowered thyroid. The fact of the matter is that he's a smart guy who is very incorrect on most matters dealing with Ketosis. There's a biological reason why there's less circulating T3 and T4 in ketosis and it's not lowered thyroid lol. There's absolutely nothing bad about ketosis that's substantiated by in vivo studies.

Cbdc8318738324492f2d5918868ce4c9

(1211)

on December 24, 2012
at 02:39 PM

Here are some more examples supporting lower thyroid with LC http://perfecthealthdiet.com/2011/09/high-ldl-on-paleo-revisited-low-carb-the-thyroid

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