I've been on a ketogenic diet for the last 2 months and my blood report seems just as bad, if no worse.
I've had good blood reports all my life. Then, 8 months ago, I decided to gain a lot of weight and work out a lot. I gained 60 pounds in 6 months eating about 4,000-6,000 calories daily consisting of whole foods: steak, a gallon of whole milk, oatmeal, protein shakes, lentils, sometimes cookies. Because of that, I got my first bad blood report. This was in May.
So I cut that stuff out and started a ketogenic diet, eating at a caloric deficit, about 1k calories/day. On days after I lift, I will eat chili with 40g of carbs so that is a cheat day for me. I've also eaten 3 apples in the last 2 months as well. These are the only sources of carbs I can think of eating. Otherwise, I eat less than 10g of carbs per day. I've lost about 25-30 pounds. My diet consists of: cheddar cheese, whey/casein shakes, bratwursts, chicken, cashews, fish oil, peppers, alfredo sauce. Now, two months later, my blood report seems actually worse than before.
EAT EVERYTHING DIET (May 2011) ---> KETO DIET of 1,000 calories (July 2011)
weight : 195lb/170lb
total cholesterol: 230/201
triglycerides : 78/82
LDL (calculated): 159/152
HDL : 55/33
I know LDL is more informative when having figured out the VLDL/non-VLDL numbers directly. However, I don't have that. My HDL, having cut carbs out almost totally, is actually lower by a lot! Could someone please help me figure out what's going on here? I have another blood test scheduled in 3 weeks (I got this blood test free so I said "what the hay"). I'm terribly annoyed, frustrated, and even scared about this. I need a low-carb diet because I respond terribly to carbs (so happy I have been able to pinpoint this), and yet it seems that the low-carb ketogenic diet is killing me. I'm lost here. I'd love to hear from you. Why am I at such a dismal state?
asked byFrenlaven (5)
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on July 17, 2011
at 12:25 AM
I know we like to say cholesterol doesn't matter because it is certainly overemphasized, but your HDL was already low at 55. If I had these results, I'd most certainly get off the diet you are on. It looks like you are still eating a lot of processed foods (protein shakes, bratwurst, fish oil, alfredo sauce if it's not home-made, chicken can go either way) and while processed foods aren't necessarily horrible, if you're not eating any fresh food it could be contributing to the problem. I could give a lot of suggestions about food but I don't want to assume that you're approaching it from an uneducated angle. Some veggies might be a good idea though.
Remember that ketogenic diets (like any diet.. or any anything) don't work for everyone. Caloric restriction might be doing you harm, causing your body stress. And I wouldn't even pay any attention to your LDL, I don't think it's much of a concern unless you find out something startling with particle size information.
And your triglycerides are at a decent level, no worries there.
on July 17, 2011
at 02:27 AM
First off.... why are the heck are you only eating 1000 calories? That is a recipe for disaster. I am betting your Testorterone and thyroid suck right now. I suggest either eating way more in your keto diet or changing up your macros a bit. Thyroid and testosterone hormones are positively correlated with HDL... when T is high, so is HDL and when T is low, so is HDL. Maybe more HDL = more T or visa versa, either way, such extreme calorie restriction is harmful for both so you need to quit that now. How are you surviving on just 1000 calories? Please tell me I am reading this wrong. You are 6ft and 25! I am 22 and only 5'8 and I can tell you right now at 1,000 calories I would be dying after a few days... much less a month!
I am not a fan of keto but there is no way to pin this on keto when you eat such a poor, undivirse, low calorie pretty much starvation diet. Fix that, then test your HDL. Eat REAL FOOD. Ditch the cheese, alfredo, whey, brats, cashews.... add in lots of red meat, heart, liver, wild fish, whole eggs and raw egg yolks (lots), dark greens, tomatoes, avocados, more veggies, etc etc... perhaps try some yams for a tiny bit of starch. You can do low carb without doing keto.
Sorry to be harsh but your nuts doing such a restrictive diet dude. Did you loose alot of your muscle and strength?
on July 17, 2011
at 12:46 AM
Did you say you were eating a keto diet with 1000 daily calories?
I'd say that's probably more (much more) stressful than ketosis.
If you were in the "eat everything" camp you were probably never hungry, never stressed (over food), and felt great...
Now you are in the "eat like a bird" camp, hungry, grumpy, on top of carb depleted... no wonder.
Eat moar. Really.
on July 17, 2011
at 02:34 AM
Your high LDL/HDL ratio is worrisome. Are you still exercising much? I'd suggest adding 700 calories to your diet, along with a matching low intensity burn like biking or walking. High miles was the only thing I found that boosted my HDL. I took it from 35 up to 65-70 doing that.