I follow a paleo style diet.
my paleo diet was low carb say50 carbs a day max.
I do not eat a lot of saturated fat except virgin coconut oil, say max 1 big table spoon a day in meals.
I do eat a handful of mix nuts each day mixed with sunflower seeds.Have done this for say 1 year ,I cut down a lot in the last month.
hmm I wonder if the zinc content depleted the copper in me??? and raised LDl.
My LDL is also elevated results below are from lab tests,
My ldl began to soar with my paleo style diet.which I started about a year ago.
Before that my total cholesterol was 6.2, so hdl was low and trig high and ldl high,
it was something like this below ,
Total Cholesterol: 6.2 mmol/L = 241.8 mg/dL
LDL Cholesterol: 4. mmol/L = 156 mg/dL
HDL Cholesterol: 1 mmol/L = 39 mg/dL
Triglerides: 3 mmol/L = 267 mg/dL
my vit d and b12 was low at this time so I started supplementation.It is okay now.
over this period I lost circa 7 kilo, I am not overweight now.My BMi weight index is fine
but it improved my HDl , and triglycerides.
I am type 2 diabetic on diet only, no medication for it.Have been this way 4 years.
I also have hypothyroidism, I take T4 and I also started taking T3 medication too 5 weeks ago, As my T3 was just a bit below the minimum range.
After starting the T3 my total cholesterol has dropped circa 10 % mainly LDl is this a coincidence. ???
My diabetes is fairly well controlled ,as per results below,
Blood results ##
Below are Uk and USA readings
cholesterol total 9.7 mmol USA 375. << this was 10.5 mmol before starting the T3
triglycerides 1.03 91 USA
hdl 1.59 USA 61
LDL 7.6 USA USA 293
Thyroid tests Tsh 0.11 range is 0.3 4.2 Ft4 17.7 range is 12 -22 Ft3 6.7 pmol range is 3.1- 6.8 pmol <<< my t3 has raised with the t3 meds.
Thyroid antibody test looks good so possibly no hashimitos ? but perhaps a conversion issue T4 to T3 , tpo ab 7 range is 0 -35
hb1ac 5.7 % range is 4.0 - 6.0
new range 39.0 mmol range 20 -42
Inflammation markers below ## seem to look good so not sure why the LDl is not clearing. unfortunately i have a long wait to get the results of my LDl sub fraction test, hopefully it is the large fluffy kind , but still it is too high.
crp <1 range 0-5 ESR was 5 mm/hr range 1.0 10.0
ferritin 75 ug/l range 14 -200
vitamin B12 3236g/ml range 200-660
Magnesium 0.82 range mmol/l range 0.7- 1.0
vitamin D 85 nmol divided by 2.5 = 34 ng USA
I have been eating virgin coconut oil, a bit of salad,fish , free range meat etc when I can get it.
B12 brazil nuts or selenium for my thyroid vit B complex fish oil , krill oil
any ideas folks, I hoped the T3 medication would lower my LDl, nut alas , i have not prevailed.
I was thinking oft taking chelated copper , chelated zinc, and iodine, and selenium,
not to sure how much to take, or if the chelated minerals can be taken together.
Any ideas on how to lower the LDL
asked bychessguy (38)
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on June 01, 2012
at 10:44 AM
I don't understand this, you claim to be eating both a low-carb and low-fat diet. That's just not possible unless you're either severly restricting your calories, or you are significantly overdosing on protein (which is also rather difficult to do and inadvisable for a number of reasons).
You must be getting your energy from somewhere.
It's all pretty irrelevant though (unless you're eating more carbs than you think). On a low-carb diet the fat in your diet is completely unrelated to the fat in your blood: http://rdfeinman.wordpress.com/2012/02/22/saturated-fat-on-your-plate-or-in-your-blood/
Your HDL and trig numbers reflect this I think. Having said that your LDL number is pretty whack.
Jaminet has this to say: "So, for instance, when you're eating very low-carb, one thing your body does to conserve glucose and protein is lower the level of T3 and thyroid hormones. So, that reduces glucose utilization by cells. That's good. It's conserving the glucose so that it can be used for the most important functions, but now you have lower thyroid hormone levels. Thyroid hormone also activates the fat metabolism. It activates LDL receptors, and some other things."
"It's possible, if you're eating too low-carb, to get elevations of blood lipids. I have to say this is an issue we're still exploring. We did a lot of work on my blog this year trying to track down why some low-carb dieters have high blood lipids. Usually it's either a thyroid hormone response to too little glucose in the diet, or various micronutrient deficiencies. Copper deficiency is a common one ??? selenium, magnesium can affect it. "
on June 01, 2012
at 01:32 PM
Absolutely correct my fat is now restricted I lowered fat intake 6 months ago ,(my calories are now somewhat restricted) when I noticed my ldl soaring, and increased protein.
I am sure my carb intake is on the low side , but I do this to keep my sugar levels stable, as I am diabetic type 2 controlling with diet only, no meds for it.Hoping keto style would help.
I reduced my carbs hoping it would get rid of the LDl.
imho it has to be diet or micronutrient related as I do not seem to have inflamation markers in my blood results
My bloods [posted above look fine , also my FBC full blood count looks textbook, no signs of inflamation, this leads me to conclude it is a diet issue,
I was thinking oft taking chelated copper , chelated zinc, iodine, and selenium,
not to sure how much to take, or if the chelated minerals can be taken together ?? any opinions on this
I expect as they are chelated forms they should not compete but I am not sure ..
My selenium and magnesium are good , Magnesium seen in my bloods looks fine , and selenium I eat Brazil nuts fairly often,
This leaves copper and Iodine. I will take supplements for this , not sure how long to wait for results and I will up my safe starches like sweet potatoe , and "normal" potatoes
on June 01, 2012
at 09:26 AM
I do exercise minimum 30 mins a day minimum ,
I also do free standing squats no weights a few mins a day till my thighs burn, I expect this is adequate
on May 31, 2012
at 10:07 PM
I was eating the fat on lamb chops , but stopped that 6 months ago , no other fats in my meal except the fresh mix nuts about a handful a day ,
NO hidden fats what so ever. I am particular with my diet.
my triglycerides reflect my low sugar/carb diet
And the hdl is quite good too.
My hypothyroidism is being treated well now that I started the T3, before that the T3 was just below the minimum range.
High cholesterol does not run in my family.
I get fibre from flax and nuts and seeds, but I can always increase this .
Bowel movements are fine min twice daily. as I also have a good table spoon of greek yoghurt daily , it is high in fat % but I eat max 2 spoons daily ,frozen with berries.
The fat is definitely not from food, not in the last 6 months anyway , even before that I did not eat much fat or butter only the fat on a couple of lamb chops.Or a spoon of butter on scrambld eggs.
And I do not eat processed products meat or otherwise.
Regarding visceral fat , no pot belly here , I am fairly slim now my BMI body mass index is 25 which is fine .
At most I am 1 kilo overweight.
You mention interstitial fat being dumped, but my weight loss was not drastic, and it has been stable for about 5 months.So in theory this is quite possible but seems unlikely imho. but its one to watch ...
Have you ever had an abdominal ultrasound or MRI?
to find out if you are packing fat in the viscera.?
No I do have a little fat on my stomach but very little no six pack here .
looks like i need to add my comments in 2 sections #
Have you had your liver enzymes tested yes,
renal and liver all tests come back in middle of lab ranges or just below, had these done a few times to check , nothing suspect here,unless there is something particular to check that would indicate increased cholesterol production.?
liver tests show
total proteins 76g/l range 60 -80
albumin 48 range 35-50 TOTAL BILRUBIN 14 G/L range 0 -17 alt(GPT) 14 range 7 -35
alkaline photophatase 50 range 40 -129
gamma GT 17 range 0-60
does anyone know if chelated minerals can be taken at once like copper /zinc /magnesium/chelated. Or do they compete ?
any ideas ?
on May 31, 2012
at 09:13 PM
did you get your LDL parsed out??? do you know what kind of elevated LDL you have? You may have an abundance of large puffy LDL, which even when elevated don't harm you. You want to have a low count of small dense LDL. During your next lipid profile you should as them if they can parse out that ldl for you.
on May 31, 2012
at 06:33 PM
It is not a coincidence that your LDL has dropped since starting the T3. It accelerates metabolism (big time!) including lipid metabolism.
Assuming there isn't something in your diet you haven't told us about (lots of coconut milk? Super fatty cuts of meat, maybe?)...
Your hypothyroidism (if it's real -- those lab numbers look fine, but then you are treating it. The trick is to figure what is causing it) may be contributing to the high LDL. It is also possible that your liver is dumping interstitial fat, now that you have corrected your diet. That would elevate your LDL until the fat has completely cleared. If you are a type 2 diabetic, it sure doesn't look like it!
Have you had your liver enzymes tested? Have you ever had an abdominal ultrasound or MRI?
Does high cholesterol run in your family? How are your bowel movements? How much soluble fibre (e.g. apples, vegetables) do you eat?
These results do suggest something is screwy.
The fat has to be coming from somewhere. If it's really not coming from your food, it would have to be from tissue. I'd check liver function and then ask for an abdominal ultrasound to find out if you are packing fat in the viscera.
EDIT: I can't believe I forgot this.
Are you exercising? How much physical activity do you get? People with hypothyroidism, even if controlled, often don't move very much. Vigorous activity will also bring your LDL down.