0

votes

high ldl cholesterol

Answered on January 08, 2014
Created January 07, 2014 at 9:10 AM

I've just had my cholesterol checked (I'm in the UK)

Total 8.93 (345)

HDL 1.75 (67.7)

LDL 7.18 (277.7)

These numbers didn't look good to the doctor and don't look good to me. I've been primal - paleo + cheese, butter, cream - for over 3 years maintaining a steady weight. I'm female, 65, 5'4", 137lbs.

Should I be doing anything to change these numbers?

44e6b3d2c13ec8b5ed234f9637da4aec

(0)

on January 08, 2014
at 03:48 AM

Justify going by my intuition for what's right for my body? Yeah, I will. This is a community of people of all learning levels. We come here for different reasons & from different backgrounds of scholar, occupation, disease, and spirituality. Your time would be better put to use supplying all us mental minions with your scholarly research articles and proven debunked myths. Have a heart, show some empathy, and get some sleep.

3ce6a0d24be025e2f2af534545bdd1d7

(26217)

on January 08, 2014
at 03:43 AM

the large/small particle myth has been completed bunked. Triglycerides are a measure with high variance, and few people put a lot of stock into them if you have high ldl. Also, "Genetic Cholesterol Oxidation" is not a thing.

Justify all you want, just don't look up scholarly research, cause ignorance is bliss.

44e6b3d2c13ec8b5ed234f9637da4aec

(0)

on January 08, 2014
at 03:36 AM

@CDone Your sarcasm is just enlightening. What a gem!

3ce6a0d24be025e2f2af534545bdd1d7

(26217)

on January 08, 2014
at 01:16 AM

congrats?

Be157308a0438e382b88d9db4c12ab30

on January 07, 2014
at 10:18 PM

Layoff the milk and yogurt. And cut out the desserts.

7e36094a0f7a2fbad24290225405220b

(2064)

on January 07, 2014
at 06:44 PM

I didn't know that! We have a french press so I'd better start filtering and see what that does.

3ce6a0d24be025e2f2af534545bdd1d7

(26217)

on January 07, 2014
at 06:37 PM

how do you prepare your coffee? regular consumption of non-filtered coffee (i.e. espresso, cafe americano, french press, perc, etc) causes an increase in cholesteryl ester transfer protein which will increase your LDL (some estimates are as high as 15%). You might want to try paper filtered coffee for a while (and maybe not 9 servings of caffiene).

7e36094a0f7a2fbad24290225405220b

(2064)

on January 07, 2014
at 04:32 PM

I enjoy walking a do a lot of it so I don't think lack of exercise is a problem. I have suspected my love of dairy for a while - oh dear!!

3ce6a0d24be025e2f2af534545bdd1d7

(26217)

on January 07, 2014
at 03:53 PM

The evidence for this is sparse. Most of the studies show a statistically significant (but not practically significant) change in HDL (~ 2.5 mg/dL) and no change in LDL for people who expend over 900 kCal of energy in a week. Which is the equivalent of brisk walking for 5 hours.

That's a lot of effort for a 2.5 mg/dL increase in HDL. Certainly there are other health benefits of walking and moving that much -- but it is not to lower one's cholesterol.

Be157308a0438e382b88d9db4c12ab30

on January 07, 2014
at 03:49 PM

You either have to do low-carb, low-fat, or low-calorie. Something has to be low and restricted that's for sure. What you can't do is high-fat (specially dairy fat) with a lot of carbs. That is a deadly combination.

3ce6a0d24be025e2f2af534545bdd1d7

(26217)

on January 07, 2014
at 03:44 PM

it's all about N=1. Eliminate dairy. Instead of butter use olive oil in your salads and cook with extra light olive oil or coconut oil (I rarely use coconut oil). Give it a month and see if that helps. If not, then you have to try something else. Staying the course is not ideal.

Be157308a0438e382b88d9db4c12ab30

on January 07, 2014
at 03:41 PM

How are your triglycerides? And what do you usually eat on a daily basis?

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9 Answers

0
Medium avatar

on January 08, 2014
at 01:52 PM

I would not dare to contradict your MD; that said came across an interesting site that may be helpful...btw...having more Paleo experienced Medical Doc's would be helpful...

http://www.youtube.com/watch?v=jvl5UIGBEpo&hd=1

0
C2450eb7fa11b37473599caf93b461ef

on January 08, 2014
at 11:06 AM

Is your thyroid OK? I've been off my thyroid meds for a few years, and just got bloodwork after 3-4 months of very non-paleo eating. My cholesterol, especially LDL, is pretty bad, and my doc thinks it's because my TSH (thyroid number) is high. I'm back on my meds and hopefully the numbers will right themselves. Even though I've been diagnosed hypothyroid for over a decade, I never knew the heart connection. Here's a decent blog post about it: http://hypothyroidmom.com/is-your-thyroid-killing-you-heart-disease/

0
7e36094a0f7a2fbad24290225405220b

(2064)

on January 08, 2014
at 08:22 AM

I've ordered 'It Starts with Food' and have decided to do a Whole30 as a start, then get retested.

I'm not sure that I can get a particle size test on the NHS but I'll ask. I suspect my doctor won'teven know why I'm asking! That's why I'm here.

Thanks for all the comments. You're a great bunch!

0
44e6b3d2c13ec8b5ed234f9637da4aec

on January 08, 2014
at 12:21 AM

I would ask for a more detailed cholesterol panel before you make any major dietary changes. My LDL is a bit higher than yours, but my small-particle LDL is in the healthy range. My HDL is 113 and Triglycerides at 60. RHR 49 bpm, BP 96/68. I realize my cholesterol is alarming to majority of the medical community, but I eat incredibly clean, keep stress low, and exercise 6 days a week. It may also be useful to ask your doctor about genetic cholesterol oxidation since we are all different :)

I justify my daily grass-fed butter, yolks and MCT oil by using other metrics besides just basic LDL to determine my "heart-health". Maybe I'm stubborn. I'm just going with what feels right for me.

3ce6a0d24be025e2f2af534545bdd1d7

(26217)

on January 08, 2014
at 01:16 AM

congrats?

44e6b3d2c13ec8b5ed234f9637da4aec

(0)

on January 08, 2014
at 03:36 AM

@CDone Your sarcasm is just enlightening. What a gem!

44e6b3d2c13ec8b5ed234f9637da4aec

(0)

on January 08, 2014
at 03:48 AM

Justify going by my intuition for what's right for my body? Yeah, I will. This is a community of people of all learning levels. We come here for different reasons & from different backgrounds of scholar, occupation, disease, and spirituality. Your time would be better put to use supplying all us mental minions with your scholarly research articles and proven debunked myths. Have a heart, show some empathy, and get some sleep.

0
7e36094a0f7a2fbad24290225405220b

(2064)

on January 07, 2014
at 06:25 PM

3 coffees with cream, 6 teas with milk, butter - not every day, cheese - small piece most evenings and sometimes in an omelet, Greek yogurt for dessert 2 or 3 days a week. If I can't sleep (quite often) I will have a glass of whole milk.

I do sometimes crave milk which I believe can be a sign that you are intolerant.

7e36094a0f7a2fbad24290225405220b

(2064)

on January 07, 2014
at 06:44 PM

I didn't know that! We have a french press so I'd better start filtering and see what that does.

3ce6a0d24be025e2f2af534545bdd1d7

(26217)

on January 07, 2014
at 06:37 PM

how do you prepare your coffee? regular consumption of non-filtered coffee (i.e. espresso, cafe americano, french press, perc, etc) causes an increase in cholesteryl ester transfer protein which will increase your LDL (some estimates are as high as 15%). You might want to try paper filtered coffee for a while (and maybe not 9 servings of caffiene).

Be157308a0438e382b88d9db4c12ab30

on January 07, 2014
at 10:18 PM

Layoff the milk and yogurt. And cut out the desserts.

0
Af679502f1e31c0c59c79bd08f324b35

on January 07, 2014
at 06:15 PM

How much dairy do you eat daily? Cream, butter, milk etc

0
06e61cb9f328b73e7949855269057b71

on January 07, 2014
at 03:44 PM

@Jean 1 are you exercising at all? Exercise like light walking a few days a week can help raise your HDL and lower your LDL. I also agree with cutting back on the dairy.

3ce6a0d24be025e2f2af534545bdd1d7

(26217)

on January 07, 2014
at 03:53 PM

The evidence for this is sparse. Most of the studies show a statistically significant (but not practically significant) change in HDL (~ 2.5 mg/dL) and no change in LDL for people who expend over 900 kCal of energy in a week. Which is the equivalent of brisk walking for 5 hours.

That's a lot of effort for a 2.5 mg/dL increase in HDL. Certainly there are other health benefits of walking and moving that much -- but it is not to lower one's cholesterol.

7e36094a0f7a2fbad24290225405220b

(2064)

on January 07, 2014
at 04:32 PM

I enjoy walking a do a lot of it so I don't think lack of exercise is a problem. I have suspected my love of dairy for a while - oh dear!!

0
7e36094a0f7a2fbad24290225405220b

(2064)

on January 07, 2014
at 03:24 PM

That sounds like a plan. I don't want to do low fat although my doctor would like me to, of course, but I could stick with coconut oil or olive oil.

Thanks

Be157308a0438e382b88d9db4c12ab30

on January 07, 2014
at 03:49 PM

You either have to do low-carb, low-fat, or low-calorie. Something has to be low and restricted that's for sure. What you can't do is high-fat (specially dairy fat) with a lot of carbs. That is a deadly combination.

3ce6a0d24be025e2f2af534545bdd1d7

(26217)

on January 07, 2014
at 03:44 PM

it's all about N=1. Eliminate dairy. Instead of butter use olive oil in your salads and cook with extra light olive oil or coconut oil (I rarely use coconut oil). Give it a month and see if that helps. If not, then you have to try something else. Staying the course is not ideal.

0
3ce6a0d24be025e2f2af534545bdd1d7

(26217)

on January 07, 2014
at 02:29 PM

Dairy and butter can cause high LDL in some people. Given that you also have high Trigs (I;m guessing around 165), I would recommend cutting that out for 4 weeks and getting retested.

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