40 Years old male, 8 months strict Paleo.
Got today the blood test results - my cholesterol got much higher, especialy the LDL.
I do eat lots of eggs (5-6 a day) and do not eat only lean meat. But is it so bad ? I know I'm gonna get hear from my doctor...
Usually I feel OK, lately been feeling a little weak and my knees started to ache again (which prevents me from cycling).
And I'm not fat... 5'8, 120lbs.
CHOLESTEROL 296.00 MG/DL ( 120.00- 200.00) (.........)*
HDL-CHOLEST. 86.70 MG/DL ( 35.00- 85.00) (.........)*
LDL-CHOLEST. 197.30 MG/DL ( 60.00- 130.00) (.........)*
TRIGLYCERIDES 60.00 MG/DL ( 35.00- 170.00) (.*.......)
CHOLESTEROL 213.00 MG/DL ( 120.00- 200.00) (.........)*
HDL-CHOLEST. 68.36 MG/DL ( 35.00- 85.00) (........)
LDL-CHOLEST. 133.50 MG/DL ( 60.00- 130.00) (.........)
TRIGLYCERIDES 55.90 MG/DL ( 35.00- 170.00) (*........)
So, will much appreciate it if anyone can shed a light of what's going on.
asked byIzzy_1 (45)
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on May 29, 2012
at 08:07 PM
You LDL cholesterol is a calculated value. Read this article that explains how low fasting triglycerides can seriously distort calculated LDL: http://healthcorrelator.blogspot.com/2010/04/friedewald-and-iranian-equations.html
And then plug your numbers into this calculator. http://homepages.slingshot.co.nz/~geoff36/LDL_mg.htm Using the Iranian formula, your LDL number would be 163.5.
Having said that, a TC of 296 and LDL around 163, are a bit high (in my non-doctory opinion). I believe lowest all cause mortality is associated with TC in the 200-240 range. Chris Masterjohn has an excellent 3 part series on Chris Kresser's website where he discusses why someone may have high cholesterol on a Paleo diet (impaired thyroid function for example) and some steps you can take: http://chriskresser.com/chris-masterjohn-on-cholesterol-and-heart-disease-part-3 (That is a link to the third podcast, which has links to the first 2.)
I would not advocate trying to lower your cholesterol simply to lower a lab value. However, your cholesterol levels are biomarkers that may be indicative of an underlying problem.
on May 29, 2012
at 07:52 PM
I personally don't like the idea of basing decisions on cholesterol measurements. I think we don't understand the underlying mechanisms well enough to do that effectively. This book is a really good read on the topic:
That said, I've heard that if your body is converting from the small dense LDL (supposedly dangerous) to the big puffy LDL (supposedly safer), then the LDL measurement will go up even if particle count stays the same.
And most importantly, don't give in if your doc pushes statins! I am not a doctor though.
on June 01, 2012
at 08:01 PM
A VAP test, which is mentioned in the post linked by Todd, will get you more reliable numbers and particle size information.
You should also consider doing a 5-minute intima-media thickness test:
Cholesterol levels are nearly always used as a proxy of CVD progression. The intima-media thickness test allows you to assess CVD progression much more reliably.