1

votes

how to lower my LDL

Answered on August 19, 2014
Created September 08, 2011 at 10:07 PM

What are the best ways too lower LDL?

Medium avatar

(10611)

on September 09, 2011
at 06:12 PM

Framingham doesn't take LDL size into account, though mine is Type A large particle. I'll bet that gender is the big factor on the risk.

649698ae0a7ac90af80c860b32ad0e7f

on September 09, 2011
at 05:31 PM

Impressive HDL. Is the problem pattern B LDL? Or gender? Weird.

Medium avatar

(10611)

on September 09, 2011
at 04:57 PM

The Framingham calculator puts your 10 year risk at 3% - but this would change if my assumptions of nonsmoker and 120 systolic BP are incorrect. I'm male, 10 years younger, same TC as yours with 85 HDL, and my risk factor is 6%. This is still low, but double your risk. Go figure.

649698ae0a7ac90af80c860b32ad0e7f

on September 09, 2011
at 03:43 PM

I'm out of town with no blood test in front of me. My LDL was in the high 120's (strongly A) HDL is 60ish, total is high 220ish. My diet is LC, but adding the "safe starches", which makes me uptight. I guess the key is to keep the sat fats and carbs separate. (I fear weight gain, worsening of lipid numbers.) I'm a 69 year old female. Too many martinis, too many desserts and treats this summer. Thinning bones. I probably shouldn't have written this question with no specific lipid info. Sorry. You people are scary smart.

44348571d9bc70c02ac2975cc500f154

(5853)

on September 09, 2011
at 04:30 AM

Depends how high your TC is. Is it something like normal 250ish, it is propably ok. But some of us have 320-460. I dont believe this is good. 200-250 is low and more in line with what i understand should a healty hunter gather diet have.

3b0b95dfc6dc5c18e535945f4aab0866

(2392)

on September 09, 2011
at 03:42 AM

I am well up to date on the current cholesterol research in the paleo blogosphere, thank you. You seem to not be aware, that high total cholesterol is strongly and positively correlated with low mortality from infectious diseases, in other words, very protective. Similarly, they are strongly correlated with survival if one arrives at the emergency department of a hospital. Check out the perfect health diet blog for the relevant articles. Or the books by Ravnskov and Kendrick. Obviously, to have the appropriate total cholesterol, one needs enough LDL above and beyond a high HDL. Preferably A

C2ad96801ec1e22d2bf62475b6e52751

(1416)

on September 09, 2011
at 02:33 AM

The people you mention also decided that they didn't have to answer the OP's question.

Medium avatar

(39831)

on September 08, 2011
at 10:25 PM

Post what food you typically eat in a day and what your lipid panel results were.

Medium avatar

(39831)

on September 08, 2011
at 10:24 PM

Post what diet you food you typically eat in a day and what your lipid panel results were.

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9 Answers

best answer

2
B3e5a9a5b38b17f5286f4f1b868ac766

on September 09, 2011
at 01:03 AM

No offense, but where in the world do some of you guys get the idea that high LDL is irrelevant if it's mostly pattern A? I'm not trying to upset anyone or be a jerk, but that's simply not supported by the greater weight of the credible evidence.

http://chriskresser.com/episode-16-chris-masterjohn-on-cholesterol-heart-disease-part-2

C2ad96801ec1e22d2bf62475b6e52751

(1416)

on September 09, 2011
at 02:33 AM

The people you mention also decided that they didn't have to answer the OP's question.

3b0b95dfc6dc5c18e535945f4aab0866

(2392)

on September 09, 2011
at 03:42 AM

I am well up to date on the current cholesterol research in the paleo blogosphere, thank you. You seem to not be aware, that high total cholesterol is strongly and positively correlated with low mortality from infectious diseases, in other words, very protective. Similarly, they are strongly correlated with survival if one arrives at the emergency department of a hospital. Check out the perfect health diet blog for the relevant articles. Or the books by Ravnskov and Kendrick. Obviously, to have the appropriate total cholesterol, one needs enough LDL above and beyond a high HDL. Preferably A

best answer

1
44348571d9bc70c02ac2975cc500f154

(5853)

on September 09, 2011
at 10:14 AM

As long TC is under 250 and trigs low and hdl high, i wouldnt worry about it.

1
64433a05384cd9717c1aa6bf7e98b661

(15236)

on September 09, 2011
at 04:55 AM

Proper thyroid function is also very important to having a good LDL. Did you get any tests done on TSH, T3, T4, etc?

1
1f96ce108240f19345c05704c7709dad

(1061)

on September 09, 2011
at 12:43 AM

Taking niacin will usually decrease LDL.

Start with 500 mg a day for a few days and slowly increase by 500 mg until you are taking up to 5,000 mg per day. Stay at 5,000 mg per day for a week or two/three. Have your LDL checked again, and it should lower.

If 500 mg per day gives you a flush, back off a bit; then slowly increase again.

I have done this a few times and it ALWAYS lowers my LDL.

1
9e975c86f483555ed19e59c5628488ca

(823)

on September 09, 2011
at 12:25 AM

I think you need to worry more about the particle size and oxidization than count. Also when you're worrying about count make sure it's measured and not calculated.

1
3b0b95dfc6dc5c18e535945f4aab0866

on September 08, 2011
at 11:32 PM

Don't lower it. Focus on making it pattern A. High total cholesterol is healthy if you have high HDL and sufficient pattern A ldl.

44348571d9bc70c02ac2975cc500f154

(5853)

on September 09, 2011
at 04:30 AM

Depends how high your TC is. Is it something like normal 250ish, it is propably ok. But some of us have 320-460. I dont believe this is good. 200-250 is low and more in line with what i understand should a healty hunter gather diet have.

0
Medium avatar

(10611)

on September 09, 2011
at 02:14 AM

Statins will hammer LDL down but it's hard to say whether the benefit outweighs the risk. In my experience lowering butter consumption helps lower LDL. Eating more fiber did nothing for me at all - LDL went up instead of down.

I just used the Framingham model (google it) to predict my cardiovascular risk in response to cholesterol. If I were to lower my TC from 220 to 200 at constant HDL, I don't have any reduction in CV risk. So reducing my LDL by 20 points is not going to reduce my risk. On the other hand a similar change in HDL has a large effect on risk.

0
9846ee79687cfcdb8f67da838f295e0c

(209)

on September 09, 2011
at 02:06 AM

Worry about particle size not just LDL in general. If you have the bad kind(B) then do something, eating more saturated fat may help. I recommend this video: http://chriskresser.com/i-have-high-cholesterol-and-i-dont-care

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