Some crazy cholesterol numbers

Answered on August 19, 2014
Created March 09, 2013 at 11:30 PM

Ok folks...I have been eating Paleo for about 3 months now. I'm 6' 165 lbs. I work out 30 min. a day.

Free cholesterol screening today turned up these results:

Total = 322 Tri = 76 HDL = 64 LDL = 243 (uh yeah) TC/HDL Ratio = 5.1 My non-fasting blood glucose 100

Should I beat a path to the emergency room with an LDL like that?

Thnx, B



on March 10, 2013
at 12:15 AM

Can you be a bit more specific about the "eating Paleo" part? In particular, how much saturated fats and how much carbs are you eating?

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on March 09, 2013
at 11:58 PM

So...how much butter and cream are we talking about?



on March 09, 2013
at 11:53 PM

Diet? Macros ?

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6 Answers



on March 10, 2013
at 12:51 PM

If you are losing weight, you are dumping cholesterol into your bloodstream. Let your weight stabilize and try again in a few months. Here's Mark Sisson's blurb on it here:




on March 11, 2013
at 05:10 PM

The most likely explanation for your results is that you are one of the subset of people who respond to paleo/low carb diets with greatly increased LDL. While there is no need for panic as issues with LDL would take time to develop, you probably don't want to ignore it. Yes, a retest couldn't hurt but in the meantime, we would need to know more about you, your health, and your diet to make any suggestions. As much information as you are willing to provide would be helpful.



on March 11, 2013
at 04:41 PM

Was your blood test fasting, or was it a spur of the moment thing at a store?



on March 10, 2013
at 06:57 PM

Too high on Cruciferaes? Do you eat them often? How do prepare them? Do you supplement iodine?

Cruciferaes such as all sorts of brussel sprouts, napa/green/red/savory/whatever cabbage, broccoli, cauliflower and so on can induce the formation of goiter which cn damage your thyroids and raise your cholesterol number. You might wanna check those things.


on March 10, 2013
at 06:26 PM

Checkout the Perfect Health Diet site for some good info on high LDL with low carb Paleo.. Assuming that applies to you.



on March 10, 2013
at 12:54 AM

Slow down, you're looking at a snapshot in time with a single set of serum lipid numbers. Do you have even a single datapoint prior to paleo to compare to? That's the first really big thing to do. Variance in measured numbers can be quite large as well, maybe this snapshot is simply high for various unknown reasons. Test again to know if the numbers are trustworthy or not.

Of themselves, the numbers aren't the end of the world. Your trigs are good, HDL is good, LDL is poor. A lot of folks like to look at ratio as better predictors. Your trigs to HDL is good, HDL to TC is mediocre.

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