Why is my blood work worse than my non-paleo wife's?

Answered on August 19, 2014
Created June 11, 2012 at 5:38 PM

My blood panel after almost 2 years eating Paleo. I eat very little sugar, low carb, grass-fed meat predominantly.

Chol 283 Tri 34 HDL 73 LDL 203.2 VLDL 6.8

Then here is my wife's. She also eats Paleo, but constantly cheats with sugar and bread when we go anywhere or out to eat.

Chol 185 Tri 28 HDL 64 LDL 115.4 VLDL 5.6

How is this possible? I exercise, sleep 8-9 hours a night, don't cheat hardly ever and have lowered my stress dramatically. She does not exercise, gets a lot less sleep and cheats constantly in a high stress job. I have tried to convince her of the benefits of Paleo lifestyle, but she just won't buy in and these tests certainly aren't going to help. In fact, it looks like I've got to change something about my diet. Why is my LDL so high?

Anyway, can anyone explain this? I love that my wife is healthy, I just don't quite understand why.



on June 12, 2012
at 12:30 AM

Genetics: the ultimate cop-out



on June 11, 2012
at 07:05 PM

Also, eat liver once a week if you aren't already.



on June 11, 2012
at 06:18 PM

Genetics, most likely ....



on June 11, 2012
at 06:16 PM

Correct, cholesterol and components should be evaluated in the context of inflammation markers (CRP, IL6) and independent risk factors (BP, LP(a), etc.) of heart disease. Your wife could have high inflammation markers and other risk factors that make her a prime candidate for heart disease, while you could have low risk in spite of your high TC. Both of you have large particle size LDLs.



on June 11, 2012
at 06:13 PM

you also don't have breakdown on ldl's--big and puffy or small?



on June 11, 2012
at 06:07 PM

How do you know that her levels are better than yours? I think the knowledge about what different cholesterol levels mean is highly controversial.

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on June 11, 2012
at 06:20 PM

Do you know what statistical variation is?

Almost every biomarker and blood number can vary by a certain percentage on the same person on the same day, so you have to see if the numbers are outside the range.

I'm suggesting perhaps only the LDL is fairly is substantially different between you and your wife.

What do you mean by constantly cheats? Once a day, once a week, once a month?


On a low-carb Paleo diet I wouldn't worry about LDL because there are 2 types and right now the testing doesn't differentiate well between them.

small dense bad - goes up with SAD, processed foods, etc.

large buoyant good - goes up with grass fed meat and dairy (including butter/ghee)




on June 11, 2012
at 07:56 PM

Women generally have "better" cholesterol numbers than men due to the effects of estrogen which, in part, lowers Total and LDL cholesterol and increases HDL cholesterol.

A woman may average a 19% variation in cholesterol levels based on where she is in her menstrual cycle.



on June 11, 2012
at 06:33 PM

Why are there people taller than me?
Why are there people more attractive than me?

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