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i got my lab results back but i dont understand them my total cholesterol was 145. LDL 103 HDL 30 Trig 93 am i still at risk of heart disease?

Answered on November 01, 2013
Created November 01, 2013 at 2:36 PM

i got my lab results back but i dont understand them my total cholesterol was 145. LDL 103 HDL 30 Trig 93 am i still at risk of heart disease?

00cd3b6f51530a6832fcda1712edbec3

(2411)

on November 01, 2013
at 07:29 PM

BMI is a population-level statistic and is virtually useless to assess any one individual's health.

Medium avatar

(238)

on November 01, 2013
at 03:36 PM

Why more cardio? It goes against the Paleo spirit of short bursts of energy, ala sprints or high intensity short duration workouts. Cutting out the sugar and carbs will bring your Trig numbers down. As to the total cholest number that is really low, similar to my wife pre-paleo eating. Hers ticked up somewhat after a year of Paleo eating. I am a firm believer in higher cholesterol as being a good thing, but I also think that everyone is different and comparing my numbers to your numbers ultimately is meaningless. Many good books on the subject, hit the library.

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6 Answers

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00cd3b6f51530a6832fcda1712edbec3

(2411)

on November 01, 2013
at 07:55 PM

Don't worry about losing weight per se, just fat mass. If you have a tape measure, you can use this online body fat % calculator. Then, calculate your ideal body weight.

There is some debate in the paleo community about how to interpret lipid test results. A common view is that the Trig/HDL ratio is a good predictor of heart attack, with a ratio of 1.2 or lower indicating no risk. Chris Masterjohn, a lipid researcher, believes that HDL/total cholesterol is a good measure of risk, but I'm not sure what his guidelines are. Some people believe that it doesn't matter what the LDL number is per se as long as the particles themselves are the large, fluffy type, but the test for that is prone to error, and different labs can produce very different results (see Kresser's reply to a commenter) from the same blood sample. There are those, like Chris Kresser, who believe that its essential to get a test to know the LDL particle number (LDL-P). Even The American Academy of Lipidologists state that when the LDL measurement disagrees with the LDL-P measurement, you should pay attention to the LDL-P measurement. And yet, a prominent low-carb celebrity, Jimmy Moore, has a terrible LDL-P number, indicating imminent heart attack, but all his other lab test numbers are excellent, and he's extremely fit.

It's regrettable that the state of science in 2013 leads to such divergent views, but in some ways, the medical arts are still in the dark ages.

0
Ea289e628a316ee089274d7d15784d0d

on November 01, 2013
at 04:08 PM

I agree on loosing some weight but I have a lot of muscle from weight training and indoor handball but i still dont understand the ratio on my labs that much. I get how it works its just I work out constantly and descent 6 days out of the week. My blood presure is great and I feel fit.

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32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on November 01, 2013
at 04:02 PM

Do more cardio means lose some weight. At 5'6 and 178, your BMI is nearly 29 (obese starts at 30, overweight at 25), so you could stand to lose 20 pounds.

As for your lipid numbers, they're ok. A little higher HDL numbers would be even better. As @janknitz pointed out, total cholesterol doesn't correlate well with CVD, but HDL and HDL/trig ratios do.

00cd3b6f51530a6832fcda1712edbec3

(2411)

on November 01, 2013
at 07:29 PM

BMI is a population-level statistic and is virtually useless to assess any one individual's health.

0
Ea289e628a316ee089274d7d15784d0d

on November 01, 2013
at 03:23 PM

I am a male age 33 weight 178lbs height 5' 6 and work out 3 to 4 times a week and some what healthy. My doctor did tell me not to worry and did not prescribe any medication. All he said was do more cardio.

Medium avatar

(238)

on November 01, 2013
at 03:36 PM

Why more cardio? It goes against the Paleo spirit of short bursts of energy, ala sprints or high intensity short duration workouts. Cutting out the sugar and carbs will bring your Trig numbers down. As to the total cholest number that is really low, similar to my wife pre-paleo eating. Hers ticked up somewhat after a year of Paleo eating. I am a firm believer in higher cholesterol as being a good thing, but I also think that everyone is different and comparing my numbers to your numbers ultimately is meaningless. Many good books on the subject, hit the library.

0
Medium avatar

(238)

on November 01, 2013
at 03:08 PM

Eat a Paleo diet if you aren't doing that and don't worry about the numbers. Your doc should have explained them and then after that give us the story he/she gave you so we can hack it apart. Are you male or female, what age, weight, etc. ?

0
3491e51730101b18724dc57c86601173

(8395)

on November 01, 2013
at 03:02 PM

I don't know the answer to that. Your doctor may tell you this is great, by looking at your total cholesterol and LDL. But statistically, 50% of individuals who have heart attacks have low total cholesterol and low LDL. And older people who have low LDL have higher all cause mortality rates, much higher risk of Alzheimer's disease, cancer, and infectuous diseases. And your ratios--without considering the actual levels--predict higher cardiovascular risk, particularly trigs to HDL.

OTOH, if you are young, active, and generally healthy, your overall risk of anything is extremely low ... for now.

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