12

votes

Post your Labs (general and specific cholesterols, vitamins, etc)

Answered on September 12, 2014
Created September 27, 2010 at 11:22 PM

...and changes before and after paleo, if possible. Are you concerned or satisfied with your results?

Here's mine. I don't have LDL-C, small dense, etc, but if you have them, post them too!

-->Total cholesterol- 271 [normal 110-199]

-->LDL- 177 [normal <160]

-->HDL- 81 [normal >40]

-->Triglyceride- 69 [normal 40-250]

-->Vitamin D- 43 [normal 20-100]

Like some other paleos, I went from a historically low LDL to a high LDL. My HDL and triglycerides have always been good. I'm not super concerned, but would like to get my LDL-C. My vitamin D went from 19 to 43 with a year of sporadic supplementation, which is great.

DISCLAIMER: Cholesterol, especially total cholesterol, is not a great direct marker of heart disease risk. But if we are emulating a hunter-gatherer diet and perhaps lab results, many of us would still have moderate cholesterol levels, like many hunter gatherer tribes do.

71356620481e2d7eb07fbc6421609e13

(0)

on August 08, 2012
at 02:19 PM

What about hdl? I have been checking mine for the last couple years and never have been more than 41.

5e92edc5a180787a60a252a8232006e9

(345)

on August 08, 2012
at 03:27 AM

Diet soda shouldn't raise your BG. It's not considered Paleo but the problem here is you're interpreting FBG as a marker of general blood sugar control. It's that day's FBG, influenced by what you ate the night before, how close to measuring you ate, stress, etc. You wanna look at like a weekly or monthly average, then compare that to your HbA1c. Also, if you're doing low carb Paleo, your FBG could climb since you've become less carb-sensitive. In such a case, it would make sense that your FBG would be in the mid-nineties rather than around 80. Google, physiological insulin resistance

7bea72ef073e8f76b5828727f1460900

(2718)

on January 25, 2012
at 07:30 AM

You meant to calculate the LDL.

3c6b4eed18dc57f746755b698426e7c8

(5147)

on January 02, 2012
at 06:02 PM

There is really no difference. Have you changed your diet? Your TC is low but your HDL is also low. LDL and TC are really directional: depends on what kind of inflammation markers and other measure you display. Base on your diet, my guess is you're doing some kind of moderate-carb: 150g carbs. Not too much exercise. Need to get Vit D up by supplementing.

3c6b4eed18dc57f746755b698426e7c8

(5147)

on January 02, 2012
at 05:29 PM

Let me guess, you do not eat rice.

7a205a7ce566d279e68070a6a4f582ae

(10)

on January 02, 2012
at 04:47 PM

Im seeing a heart doctor which i think im to young for or Should I be concerned?

3c997ffae3db9464325b96979346d9e9

(1290)

on September 17, 2011
at 05:48 PM

do you do aerobic exercise?

3c997ffae3db9464325b96979346d9e9

(1290)

on September 17, 2011
at 05:46 PM

A low triglyceride (below 90mg/dL) and high HDL insures the LDL will be be the light, fluffy, benign form.

Medium avatar

(39831)

on September 16, 2011
at 11:19 PM

Total is high *because* HDL is high...nothing to worry about.

B0fe7b5a9a197cd293978150cbd9055f

(8938)

on August 17, 2011
at 09:02 AM

Did you get a second blood test done? I'm curious to know how you're doing now :)

Ee5e5e35c3617b361d44ee1011bc6383

(40)

on August 05, 2011
at 08:38 AM

I'd really like to know wether my cholesterol is too low and how I could get it higher. I eat eggs daily. Also is my massive levels of beta-carotene of concerne?

26b7615ef542394102785a67a2786867

(7967)

on August 04, 2011
at 12:16 PM

OMG! That was almost my exact profile pre-paleo (when I was eating high in animal fats but also lots of grains)!! I think my HDL was 72 and LDLD 74. I haven't had a lab since. Never seen anyone with numbers like mine. I am 26, female, low total and high HDL run in the family (also, depression and anxiety)

26b7615ef542394102785a67a2786867

(7967)

on August 04, 2011
at 12:14 PM

OMG! That was almost my exact profile pre-paleo (when I was eating high in animal fats but also lots of grains)!! I haven't had a lab since. Never seen anyone with numbers like mine. I am 26, female, low total and high HDL run in the family.

26b7615ef542394102785a67a2786867

(7967)

on August 04, 2011
at 12:13 PM

OMG! That was almost my exact profile pre-paleo (when I was eating high in animal fats but also lots of grains)!! I haven't had a lab since. Never seen anyone with numbers like mine.

95eda9fa0cec952b482e869c34a566b6

on January 24, 2011
at 02:54 AM

I need to find a doctor like yours!

C0fcb48d7da4f76fac17318efd2cd6b8

(4069)

on January 23, 2011
at 06:15 AM

That very afternoon before I took the test I caved in, fell off the wagon, and inhaled a rather large amount of frozen Christmas cookies of the non-paleo type. I assume this skewed the results, too? Normally, my carb intake is fairly low- 50 to 60 grams a day.

Medium avatar

(39831)

on January 23, 2011
at 05:10 AM

If that was non-fasting, then it's not really worth testing. Assuming that it was a 12-hour fast, that wouldn't be too bad except that the triglycerides are a bit high. What's your carb intake look like?

C3482e9fdd38d6e7fb3a8327d676cd79

(10)

on December 15, 2010
at 06:41 PM

My doc would not order it so I told them I would pay for the VAP test myself, and did, it was $40 US.

4ff24fb9a7d48305681487dfb8040a5e

(383)

on November 11, 2010
at 04:13 PM

Super, well done!

52a0f9552d0d9f732167f0bd1ff6ed07

(168)

on November 11, 2010
at 03:47 PM

Thank you Kamal!

21fd060d0796fdb8a4a990441e08eae7

(24543)

on November 11, 2010
at 03:43 PM

Excellent numbers. Good job!

7bea72ef073e8f76b5828727f1460900

(2718)

on November 10, 2010
at 04:31 PM

If your doctor was already considering statins based on those numbers, maybe it's time to consider a new doctor.

211d4075d68b24cd0aa7ebfa94262bb9

on September 28, 2010
at 08:54 PM

Nope, not Superman. And from what I've read here I'm eating pretty much the same diet that most folks here seem to be eating, although mine might be somewhat lower in carbohydrate.

30fd031cc07a0d7dee7f1cad57f48a0c

(443)

on September 28, 2010
at 03:58 PM

My NP asked if I had family history of anything, in order to get the test. I would bet almost everyones parents have at least high TG's.

21fd060d0796fdb8a4a990441e08eae7

(24543)

on September 28, 2010
at 03:42 PM

That might be the lowest TG/HDL ratio I've ever seen. Are you Superman?

211d4075d68b24cd0aa7ebfa94262bb9

on September 28, 2010
at 03:26 PM

By the way, when my doctor saw my more recent numbers he stated that I was "borderline" and considered putting me on statins. He also told me that fat is bad for you. :(

77732bf6bf2b8a360f523ef87c3b7523

(6157)

on September 28, 2010
at 01:09 PM

At best useless or at least of dubious value -- especially since newbies are apt to think that high cholesterol or high LDL is indicative of something that it's not. This is one of the biggest questions I get from beginners. "Should I be worried about my LDL, which is 180?" They don't know that LDL is calculated and unreliable for people with high HDL and low trigs, and they worry that they should take drugs or change their diet to lower their cholesterol numbers, because that's what their doctor nags them about.

21fd060d0796fdb8a4a990441e08eae7

(24543)

on September 28, 2010
at 04:43 AM

I work in a hospital--nagging my primary care doc in the next building over is a lot more convenient :)

21fd060d0796fdb8a4a990441e08eae7

(24543)

on September 28, 2010
at 04:42 AM

I work in a hospital--nagging my primary care doc is a lot more convenient :)

21fd060d0796fdb8a4a990441e08eae7

(24543)

on September 28, 2010
at 04:07 AM

I changed the title...now you can post whatever you think is indicative of health and/or disease risk :-)

A089b683ee0498f2b21b7edfa300e405

(3895)

on September 28, 2010
at 04:00 AM

There are several labs that will do a test on a self written prescription. one that comes to mind is privatemdlabs.com. (I have no association with them in any way)

21fd060d0796fdb8a4a990441e08eae7

(24543)

on September 28, 2010
at 03:49 AM

Everything that's measured is just to approximate heart disease risk (and other disease risk). To ignore measures just because CW misattributes correlation to causation, while biological plausabilities are still being researched, may be premature. Even paleo cardiologists do not encourage extremely high LDL levels--as they are correlated with high LDL-C levels even if most of it is large and fluffy (which is not certain to ward of heart disease).

21fd060d0796fdb8a4a990441e08eae7

(24543)

on September 28, 2010
at 03:48 AM

All true, especially the calculated nature of most LDL readings and the initial upshoot during paleo diets. But...worrying about cholesterol does not mean you are buying into the lipid heart hypothesis.

21fd060d0796fdb8a4a990441e08eae7

(24543)

on September 28, 2010
at 02:22 AM

And this is copied from WCC Paul on another paleohack, talking about Kurt Harris's advice if you only have basic cholesterol numbers: "Harris has said however that a total cholesterol of 300 is a good upper limit for "normal," which means that if it is significantly above that you could have FH (familial hypercholesterolemia) or thyroid issues. I would guess you would first have to find the proper formula (Iranian?) for calculating LDL and total"

21fd060d0796fdb8a4a990441e08eae7

(24543)

on September 28, 2010
at 01:28 AM

My PCP wouldn't order more specific testing until my LDL got to a certain number, which it did for the first time last week. Having worked for BCBS before, I can see this happening to others.

21fd060d0796fdb8a4a990441e08eae7

(24543)

on September 28, 2010
at 01:14 AM

Sorry, should have included some background. LDL-C is the LDL count. I believe it has emerged in the past decade as a more accurate marker than the regular, calculated LDL. See here... http://atvb.ahajournals.org/cgi/content/full/28/9/1582

667f6c030b0245d71d8ef50c72b097dc

(15976)

on September 28, 2010
at 01:02 AM

What's Ldl C? Is that what I've heard people refer to as "oxidized LDL".

21fd060d0796fdb8a4a990441e08eae7

(24543)

on September 28, 2010
at 12:40 AM

At best useless? Many people only have access to basic cholesterol numbers unless they prod their docs. If people post both LDL and LDL-C, at least they can see some correlation in other paleo eaters. In this way, it could be comforting. Also, a sky high LDL is not something to shrug off, especially if your LDL-C is also high.

77732bf6bf2b8a360f523ef87c3b7523

(6157)

on September 28, 2010
at 12:30 AM

Also, I think posting and discussing LDL numbers is at best useless and potentially harmful unless particle size/counts are included.

77732bf6bf2b8a360f523ef87c3b7523

(6157)

on September 28, 2010
at 12:29 AM

Please post your units in case some of our non-US readers are using different units (especially newbies who are likely to get confused).

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20 Answers

4
52a0f9552d0d9f732167f0bd1ff6ed07

(168)

on November 11, 2010
at 03:35 PM

Six years ago, I was diagnosed with a hormone imbalance, and three years ago, Polycystic Ovary Syndrome. I've been getting regular bloodwork for the past four years, and this round was the first after going paleo. My doctor was THRILLED. In the past, these numbers have been out of control with bad diet, tons of medications... Now, I'm down to two meds, and have all of these numbers in range for the first time in YEARS.

By the way, I'm a 22 year old girl.

Cholesterol, total: 188; HDL: 71; Cholesterol/HDL ratio: 2.6; LDL Chol, Calculated: 103; Triglycerides: 72;

Some other cool numbers:

Fasting glucose: 69; Insulin, serum: <2;

Here's the biggie: Testosterone, TOT: 23! (this number was once over 90. A healthy range for women is 2-45 ng/dL)

This, after less than a month of paleo. I'm actually excited for the next round of bloodwork in three months :)

21fd060d0796fdb8a4a990441e08eae7

(24543)

on November 11, 2010
at 03:43 PM

Excellent numbers. Good job!

4ff24fb9a7d48305681487dfb8040a5e

(383)

on November 11, 2010
at 04:13 PM

Super, well done!

52a0f9552d0d9f732167f0bd1ff6ed07

(168)

on November 11, 2010
at 03:47 PM

Thank you Kamal!

B0fe7b5a9a197cd293978150cbd9055f

(8938)

on August 17, 2011
at 09:02 AM

Did you get a second blood test done? I'm curious to know how you're doing now :)

3
Ee5e5e35c3617b361d44ee1011bc6383

(40)

on August 04, 2011
at 09:33 AM

Hi guys, I have just gotten a blood-test done.

I have been following some sort of the Paleo diet since December 2010. I say some sort of because in times I ate beans and lentils as I was travelling. I always ate lots of monosaturated and saturated fats during this half year and a lot of eggs and meat. For the last 2 months I've been following a closer Paleo-diet (no beans, dairy included, full fat) with lots of saturated fats and fewer carbs. Ocassionaly I ate pre-soaked lentils and quinoa and sweet potatoes. I ate like 2-3 fruits a day. I take no supplements.

I'm quite skinny (always been) and estimate body fat under 10%. I've just turned 22 and I'm a male.

Here are some more details to the way I have been eating and habits:

-no supplements -sleep is irregular but I almost always sleep between 8- 9 hours. no naps. habits not too much workout. ride my bike for about 15-20 km per week. doing sprints maybe every 10 days. im quite active though moving about. no stress ever. meditation daily. adequate sunlight.

usual breakfasts:

-3-4 eggs scrambled in 1-2 rich tablespoons of butter or coconut butter. with eggs either 2 tomatoes (fried), or 1 banana (fried with eggs) sometimes i put some olive oil over it after cooking that would be 2 -3 tablespoons +1 apple

usually eat in the later morning when im really hungry.

lunch:

sometimes I eat 300grams of quark (is like a really rich yoguhrt: for 100grams there is 10g protein, carbs 3.5g (3g in sugar), fat 8 g (saturated are 5g thereof) i eat the quark with 1 banana and a quarter cup berries. (rarely i eat this for breakfast)

salad with 1 avocado, lettuce, peppers, 2 eggs, broccoli, cucumber, wild salmon lots and lots of olive oil with vinegar

usually don't eat big lunch

dinners:

meat every day. around 250 grams of various kinds. mostly beef and pork and chicken (various parts) no offal because i cannot get it. also no liver. fish: wild salmon around 250 grams or pollock at least twice per weak. cooked in 2 tablespoons of butter

serve with broccoli raw, tomatoes cooked, onions with it, garlic, or spinach around 200grams of vegetable with it

or i eat sweet potatoes (orange kind) with it. about 2 big ones. i make fries with it and fry it in butter. sometimes lentils with it (the red ones, i soak them for 15 hours) about half a cup or quinoa half a cup

snacks:

i snack a lot during the day (when i eat a small lunch) mostly on fruits: apple, pears, plums, banana (i don't eat more than 1 per day) sometimes carrots but not really often, or yoghurt as stated above, almonds, shrimps sometimes proscuitto di parma as a snack

i drink about 2 liters of water a day. drink nothing else except alcohol sometimes.. mostly red wine occasional beers.

-my source of carbs would be vegetables, bananas, sweet potatoes, quinoa, lentils (in this order)

-test was done about 5 hours after I ate 4 eggs with 250grams of shrimp in two full tablespoon of butter for breakfast. i was not hungry when the test was done.

-i haven't eaten liver or anyother offal.

all foods are organic.

Here are my lab results, please comment on it!

It's in German but I believe it should be understandable as the names are quite similar. Somebody offered these conversions for the US:

Total 3.29 mmol/l = 127 mg/dl

Triglyceride 0.48 mmol/l = 42.5 mg/dl

HDL - 1.02 mmol/l = 39.4 mg/dl

LDL - 2.05 mmol/l = 79.3 mg/dl

post-your-labs-(general-and-specific-cholesterols,-vitamins,-etc)

Ee5e5e35c3617b361d44ee1011bc6383

(40)

on August 05, 2011
at 08:38 AM

I'd really like to know wether my cholesterol is too low and how I could get it higher. I eat eggs daily. Also is my massive levels of beta-carotene of concerne?

2
7e746be2f0e550a8cd7df881322ae705

on January 22, 2011
at 09:00 PM

My cholesterol has always been "good" FWIW, but I worried that my HDL was too low. My doctor has never really cared about it being low though.

8/25/10 just before going Paleo:

This was from a free work health screen, not super involved, just fasting bloodwork.

Fasting glucose: 82

Total cholesterol: 156

Triglycerides: "less than 45" (which I think means it didn't show up on their test)

HDL: 52

LDL: 104

12/18/2010 4 months Paleo

Fasting glucose: 90

Total cholesterol: 144

Triglycerides: 26

HDL: 63

LDL: 76

So, yay! I guess. I was just really glad to see the HDL go up. I had read some studies that low HDL was sometimes linked with depression because it helps your brain use seratonin. I had done everything I could find to raise it. I think it was finally the extra fat that pushed it up.

2
A3414e929f7c39da2fb07ef3b973bc25

on November 11, 2010
at 05:30 PM

You might want to use the alternative formula to calculate your HDL since your triglycerides are under 100. It would give you an LDL of 152 instead of 177.

While on a paleo diet, I dropped 40 points on my total cholesterol by doing nothing else but supplementing magnesium. I was quite surprised.

7bea72ef073e8f76b5828727f1460900

(2718)

on January 25, 2012
at 07:30 AM

You meant to calculate the LDL.

2
7bea72ef073e8f76b5828727f1460900

(2718)

on November 10, 2010
at 04:24 PM

My most recent:

Fasting Glucose: 88 mg/dL
Total Cholesterol: 257 mg/dL
HDL: 103 mg/dL
Triglycerides: 38 mg/dL

35-year-old male.

Doctor says: "Your total cholesterol is a bit high, but your HDL is great, so don't worry about it."

I don't. :)

95eda9fa0cec952b482e869c34a566b6

on January 24, 2011
at 02:54 AM

I need to find a doctor like yours!

3c997ffae3db9464325b96979346d9e9

(1290)

on September 17, 2011
at 05:48 PM

do you do aerobic exercise?

3c6b4eed18dc57f746755b698426e7c8

(5147)

on January 02, 2012
at 05:29 PM

Let me guess, you do not eat rice.

1
1c67bc28f4e44bbb8770b86df0463df3

on January 02, 2012
at 06:31 PM

Since you asked for it:

CHOLESTEROL 506 High mg/d

CHOLESTEROL.IN HDL 30 Low mg/dL

CHOLESTEROL.IN LDL 450 High

TRIGLYCERIDE 131 mg/dL

THYROTROPIN 1.070 uIU/mL

Free Test 318.5

1
Af005ec9a8e028f2b04bf5367b64e0d6

on January 02, 2012
at 06:17 PM

Total cholesterol- 180

LDL- 77

HDL- 103

Triglyceride- 35

25y/o M. He said keep doing whatever I'm doing. I'm young and I work out a lot so my bloodwork would probably be pretty good on a SAD too but it's hard to imagine it any better.

1
Bad3a78e228c67a7513c28f17c36b3cf

(1387)

on January 02, 2012
at 06:01 PM

53 year old female.
4/14/05 after years on a low fat high whole grain diet. All values mg/dl Total cholesterol-155 triglycerides 76 HDL 88 LDL 52

5/6/11

After five years of low carb, the final year paleo, and the last four months PHD. Total Cholesterol-193 triglyceride-49 HDL- 100 LDL Direct-72 VLDL-21

Not much change for me after five years of DRAMATICALLY increasing saturated fat, and eating an average of 14 eggs per week.

1
7a205a7ce566d279e68070a6a4f582ae

on January 02, 2012
at 04:20 PM

Hi, call me Mom_4. I'm a 30 year old African American woman, my weight 132 height 5'4". The year of 06/23/2010 Lab test
Test name:(Fasting) Lipid panel -Reference range: - Total cholesterol 150 125-200mg/dl
- HDL cholesterol 34L (out of range) > 46 mg/dl - Triglycerides 116 <150 mg/dl - LDL- cholesterol 93 <130 mg/dl (calc)

  • Vitamin D, 25 OH, total 17L

The year of 07/07/11
Test name: (Fasting) Lipid panel -Reference range: - Total cholesterol 155 125-200mg/dl - HDL cholesterol 31L (out of range) > 46 mg/dl - Triglycerides 115 <150 mg/dl - LDL- cholesterol 101 <130 mg/dl (calc)

7a205a7ce566d279e68070a6a4f582ae

(10)

on January 02, 2012
at 04:47 PM

Im seeing a heart doctor which i think im to young for or Should I be concerned?

3c6b4eed18dc57f746755b698426e7c8

(5147)

on January 02, 2012
at 06:02 PM

There is really no difference. Have you changed your diet? Your TC is low but your HDL is also low. LDL and TC are really directional: depends on what kind of inflammation markers and other measure you display. Base on your diet, my guess is you're doing some kind of moderate-carb: 150g carbs. Not too much exercise. Need to get Vit D up by supplementing.

1
652fa24a39be1fce50e264d0fe65a15b

on September 16, 2011
at 11:07 PM

17 year old female

Total cholesterol- 217 HDL- 104 LDL- 94

Should i be concerned that my Total is high even though my HDL is really high and my ldl is low?

Medium avatar

(39831)

on September 16, 2011
at 11:19 PM

Total is high *because* HDL is high...nothing to worry about.

1
C0fcb48d7da4f76fac17318efd2cd6b8

on January 23, 2011
at 01:33 AM

OK< this just in. My first ever cholesterol test. Kinda freakin' out, even though maybe I shouldn't.

Comments?

Cholesterol 319 mg/dL H Triglyceride 81 mg/dL
HDL Chol 109 > 39 mg/dL
LDL Direct 192 mg/dL
FASTING STATUS NON-FASTING

Medium avatar

(39831)

on January 23, 2011
at 05:10 AM

If that was non-fasting, then it's not really worth testing. Assuming that it was a 12-hour fast, that wouldn't be too bad except that the triglycerides are a bit high. What's your carb intake look like?

C0fcb48d7da4f76fac17318efd2cd6b8

(4069)

on January 23, 2011
at 06:15 AM

That very afternoon before I took the test I caved in, fell off the wagon, and inhaled a rather large amount of frozen Christmas cookies of the non-paleo type. I assume this skewed the results, too? Normally, my carb intake is fairly low- 50 to 60 grams a day.

1
24fcc21452ebe39c032be6801d6bbadd

(9812)

on January 21, 2011
at 09:31 PM

I didn't test prior to going paleo, but got blood work done last week, and will check back again in 6 months. I havent talked to my doc, but I'm a little confused because one section on the results said "Lipid Panel:" Total- 180 Trig- 53 HDL- 96 VLDL- 11 LDL Calc- 73

But the VAP section said (among other things): LDL- 89 HDL- 94 VLDL- 13 Total- 196 Trig- 60 HDL2- 27 HDL3- 67 VLDL3- 8

For kicks, my glucose is 71, VitB12 is 466, folate 11.4, Vitamin D is 43.1. As for the lipid panel, I'm guessing I should go with the VAP results, but I guess it looks pretty good either way. Any thoughts are more than welcome- I'm new to this bloodwork stuff!

1
A3e654929c08c0723607842656b57f8f

(834)

on January 12, 2011
at 04:48 AM

25 year old male.

-->Total cholesterol- 220 [normal 110-199] down from 239 pre paleo

-->HDL- 29 [normal >40]

-->LDL- 159 [normal <160] pre-paleo 149

-->Triglyceride- 161 [normal 40-250]

-->Vitamin D- 31 [normal 20-100]

Glucose: 97 (normal range = 70 to 100)

Should I be concerned about my raise in LDL or glucose level?

1
40e925ddc9657e211c9a2ee83c2cc579

(364)

on December 16, 2010
at 12:54 AM

39 year old male.

Total cholesterol 7.8mmol

HDL 1.7mmol

LDL 5.4mmol

Tri 0.7mmol

BG 5.5mmol

Vitd 123

The doctor was alarmed at the cholesterol numbers, but then plugged my numbers into some software she had on her PC. And said "Oh, you only have a 1% chance of a heart problem in the next five years, see you later."

Been paleo since April last year, after being diagnosed with Hashimotos. I'm now just about off the thyroid meds having gotten my thyroid antibodies down from >250 to 45.

Blood sugar is still higher than I would like, still working on that...

1
C3482e9fdd38d6e7fb3a8327d676cd79

(10)

on December 15, 2010
at 06:28 PM

39 Year Old Male, ~10% BF, 185 lbs

3/2008 Pre-Paleo/Primal TOTAL: 166 LDL: 103 HDL: 44 TRIG: 116 Ratios Total/HDL: 3.77 TRIG/HDL 2.64 LDL/HDL 2.34

11/2009 After just a few months 100% Primal TOTAL: 176 LDL: 78 (Iranian Calc) HDL: 67 TRIG: 55 Ratios Total/HDL: 2.63 TRIG/HDL 0.82 LDL/HDL 1.16 Notes: Very happy with my ratios, the increase in HDL and drop in Trigs

10/2010 Over a year of 100% Paleo TOTAL: 274 LDL: 118 (Iranian Calc) HDL: 110 TRIG: 47 Ratios Total/HDL: 2.49 TRIG/HDL 0.43 LDL/HDL 1.07 Notes: Excellent ratios, LDL a bit on the high side, some concern about insurance company dropping discounts (they want total <200)

11/2010 VAP TEST A WEEK FOLLOWING PREVIOUS TEST TOTAL: 295 LDL: 163 MEASURED HDL: 97 TRIG: 66 Ratios Total/HDL: 3.04 TRIG/HDL 0.68 LDL/HDL 1.68 Notes: Still decent ratios, but concerned that these are going in the wrong direction. However, my VLDL is excellent and my LDL is the "good" kind. Should I concern myself with these??

Anyone have any thoughts or comments on this? Should I be worried about the direction? In the past year I've done two Whole30's, increased my fat intake from Pork, Grass-Fed meat, Fish, Coconut. Dropped alcohol, dairy, and nuts almost completely. I feel great but I am a bit surprised with the Lipid direction... What gives?

1
84666a86108dee8d11cbbc85b6382083

(2399)

on November 10, 2010
at 02:08 PM

Total cholesterol 7,1 mmol/L /// 277 mg/dL

LDL 5.1 mmol/L /// 199 mg/dL

HDL 1.4 mmol/L /// 54 mg/dL

Trig 0.8 mmol/L /// 71 mg/dL

Vit D 61.3 ng/ml*

*Lab note: Increased vitamin D level is due to overdosis :D (Ref range goes only from 20-60).

4-6 months Paleo or so.

1
211d4075d68b24cd0aa7ebfa94262bb9

on September 28, 2010
at 03:00 PM

Here's my previous lipid panel, back when I was eating the conventional "healthy" diet:

Total Cholesterol 154

Triglyceride 40

HDL 70

LDL (Calculated) 76

Here are my results after 6 months of eating ~85% paleo:

Total Cholesterol 247

Triglyceride 31

HDL 106

LDL (Calculated) 135

I'm a 36-year-old male.

21fd060d0796fdb8a4a990441e08eae7

(24543)

on September 28, 2010
at 03:42 PM

That might be the lowest TG/HDL ratio I've ever seen. Are you Superman?

211d4075d68b24cd0aa7ebfa94262bb9

on September 28, 2010
at 08:54 PM

Nope, not Superman. And from what I've read here I'm eating pretty much the same diet that most folks here seem to be eating, although mine might be somewhat lower in carbohydrate.

211d4075d68b24cd0aa7ebfa94262bb9

on September 28, 2010
at 03:26 PM

By the way, when my doctor saw my more recent numbers he stated that I was "borderline" and considered putting me on statins. He also told me that fat is bad for you. :(

7bea72ef073e8f76b5828727f1460900

(2718)

on November 10, 2010
at 04:31 PM

If your doctor was already considering statins based on those numbers, maybe it's time to consider a new doctor.

26b7615ef542394102785a67a2786867

(7967)

on August 04, 2011
at 12:13 PM

OMG! That was almost my exact profile pre-paleo (when I was eating high in animal fats but also lots of grains)!! I haven't had a lab since. Never seen anyone with numbers like mine.

26b7615ef542394102785a67a2786867

(7967)

on August 04, 2011
at 12:14 PM

OMG! That was almost my exact profile pre-paleo (when I was eating high in animal fats but also lots of grains)!! I haven't had a lab since. Never seen anyone with numbers like mine. I am 26, female, low total and high HDL run in the family.

26b7615ef542394102785a67a2786867

(7967)

on August 04, 2011
at 12:16 PM

OMG! That was almost my exact profile pre-paleo (when I was eating high in animal fats but also lots of grains)!! I think my HDL was 72 and LDLD 74. I haven't had a lab since. Never seen anyone with numbers like mine. I am 26, female, low total and high HDL run in the family (also, depression and anxiety)

1
62ed65f3596aa2f62fa1d58a0c09f8c3

(20807)

on September 28, 2010
at 03:39 AM

Consider age range and gender as well. LDL levels have some correlation with heart disease in male populations under 50 years of age. But low LDL levels are also heavily correlated with higher cancer rates. And if you are older or female, correlation between LDL and heart disease is nebulous at best. In the elderly, low cholesterol and cholesterol that goes down is correlated with increased mortality. In all populations it is correlated with more cancer. Low cholesterol is also correlated with being in prison, commiting suicide, feeling depressed, slower reaction time, and poor memory. Remember that the brain needs good levels of cholesterol to function properly. LDL is also now believed to be an important put of proper immune system function.

Also, make sure they do a direct measure test on your LDL. Most tests are 'calculated' and are inaccurate. ALso, I have read on one of the paleo blogs that for many people just starting paleo, LDL tends to go up at first, but then go back down within about a year. Certainly an interesting concept if true.

Worrying about cholesterol is in some part, going to be mean you are buying into the lipid heart hypothesis that suggests that LDL actually causes heart disease. Whereas an increasing number of scientists are starting to feel that while it can be mildly correlated with heart disease in some populations, it may not in fact be causal at all but more of a symptom of other issues like inflammation. If so, then lowering cholesterol will do little or nothing to actually help with the problem. Similar to how turning off your alarm clock will not stop the sun from rising.

It could be that eating healthy allows your body to make more of what it needs to deal with other problems. Cholesterol may in fact be a weapon against problems like cancer. In fact, no study that I know of has ever actually found a correlation between plaque build up and cholesterol levels. I have read several studies that have tried. If cholesterol was really important and causal in the development of plaque, then there should be a strong correlation! Plus there is always the grand question of why plaque only tends to build up in heavily used areas of large arteries. Why does it not build up in veins and smaller arteries? Clearly, the simple old fashioned idea of cholesterol being a sludge that accumulates like oil on the side of a pipe cannot be correct considering these issues and many others.

21fd060d0796fdb8a4a990441e08eae7

(24543)

on September 28, 2010
at 03:48 AM

All true, especially the calculated nature of most LDL readings and the initial upshoot during paleo diets. But...worrying about cholesterol does not mean you are buying into the lipid heart hypothesis.

21fd060d0796fdb8a4a990441e08eae7

(24543)

on September 28, 2010
at 03:49 AM

Everything that's measured is just to approximate heart disease risk (and other disease risk). To ignore measures just because CW misattributes correlation to causation, while biological plausabilities are still being researched, may be premature. Even paleo cardiologists do not encourage extremely high LDL levels--as they are correlated with high LDL-C levels even if most of it is large and fluffy (which is not certain to ward of heart disease).

1
30fd031cc07a0d7dee7f1cad57f48a0c

(443)

on September 28, 2010
at 01:25 AM

get a V.A.P. test to see a COMPLETE breakdown of your cholesterol count/size vit d, insulin, Creactive protein, a1c and many more. Ask your provider for it...its has over 20 values and is the most comprehensive test on the market.

21fd060d0796fdb8a4a990441e08eae7

(24543)

on September 28, 2010
at 01:28 AM

My PCP wouldn't order more specific testing until my LDL got to a certain number, which it did for the first time last week. Having worked for BCBS before, I can see this happening to others.

21fd060d0796fdb8a4a990441e08eae7

(24543)

on September 28, 2010
at 04:43 AM

I work in a hospital--nagging my primary care doc in the next building over is a lot more convenient :)

21fd060d0796fdb8a4a990441e08eae7

(24543)

on September 28, 2010
at 04:42 AM

I work in a hospital--nagging my primary care doc is a lot more convenient :)

A089b683ee0498f2b21b7edfa300e405

(3895)

on September 28, 2010
at 04:00 AM

There are several labs that will do a test on a self written prescription. one that comes to mind is privatemdlabs.com. (I have no association with them in any way)

30fd031cc07a0d7dee7f1cad57f48a0c

(443)

on September 28, 2010
at 03:58 PM

My NP asked if I had family history of anything, in order to get the test. I would bet almost everyones parents have at least high TG's.

C3482e9fdd38d6e7fb3a8327d676cd79

(10)

on December 15, 2010
at 06:41 PM

My doc would not order it so I told them I would pay for the VAP test myself, and did, it was $40 US.

0
71356620481e2d7eb07fbc6421609e13

on August 07, 2012
at 10:59 PM

30 y/o male

A1C-5.3 C reactive protein <.10 fasting glucose 94 LDL 130 HDL 38 Total Cholesterol 188 Triglycerides 70 Sub class info HDL -2 most protective 6 L HDL-3 less protective 32 VLDL -3 13

Type B small dense LDL

My labs about 8 months ago were as follows cholesterol 170 HDL 41 Non HDL cholesterol 129 Triglycerides 51 LDL 119 fasting glucose was 79

Now I am confused, I am on paleo my fasting blood glucose was higher now than before, now i do cheat from time to time but I am wondering what can cause my elevated blood sugar? Anyone have any ideas. My cheat is usually a diet soda, I know its bad but i am going to quit it completely to see if that does anything to my numbers.

71356620481e2d7eb07fbc6421609e13

(0)

on August 08, 2012
at 02:19 PM

What about hdl? I have been checking mine for the last couple years and never have been more than 41.

5e92edc5a180787a60a252a8232006e9

(345)

on August 08, 2012
at 03:27 AM

Diet soda shouldn't raise your BG. It's not considered Paleo but the problem here is you're interpreting FBG as a marker of general blood sugar control. It's that day's FBG, influenced by what you ate the night before, how close to measuring you ate, stress, etc. You wanna look at like a weekly or monthly average, then compare that to your HbA1c. Also, if you're doing low carb Paleo, your FBG could climb since you've become less carb-sensitive. In such a case, it would make sense that your FBG would be in the mid-nineties rather than around 80. Google, physiological insulin resistance

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