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Should I let the diet do the trick or take the statins?

Answered on November 15, 2013
Created November 14, 2013 at 8:06 PM

52 year old male

160 lbs

5???9???

Yoga daily

NO hyptertension

Coronary calcium score ??? 0 (2006)

Good health

I have finally figured out I need to change my lifestyle or I won???t be around to play with my grandchildren.I used to eat tons of carbs and sugar and I am attempting to go paleo. I???m taking babysteps knowing if I go too strict, I will fall off the wagon very quickly.

I???m off all grains and starches. I have increased my fruits and veggies. I have dramatically cut down on the sugar ??? only use it in marinades. I haven???t ditched the salt, but I try to limit it.

My original goal was to try the paleo route before trying statins, but my cholesterol numbers are so bad, I don???t think I should wait (see the numbers below). How long before my numbers improve with diet alone? When should I throw in the towel?

On the other hand, I have seen research saying statins aren???t good for Small, Dense LDL A/B Large Buoyant LDL.

Your thoughts?

TOTAL LDL-C DIRECT 212 mg/dL TOTAL HDL-C DIRECT 52 mg/dL TOTAL VLDL-C DIRECT 19 mg/dL SUM TOTAL CHOLESTEROL 283 mg/dL

TRIGLYCERIDES-DIRECT 78 mg/dL TOTAL NON-HDL-C(LDL+VLDL) 231 mg/dL TOTAL APOB100 CALC 145 mg/dL LP(a) CHOLESTEROL 5.0 mg/dL IDL-C 28 mg/dL REAL-LDL-C 179 mg/dL SUM TOTAL LDL-C 212 mg/dL REAL-LDL SIZE PATTERN A A F [______________________][_______][______*_______________] Pattern B Pattern Pattern A Small, Dense LDL A/B Large Buoyant LDL REMNANT LIPO (IDL+VLDL3) 40 mg/dL 10270SBX= - VAP(TM) CHOLESTEROL TEST HDL-2 (LARGE,BUOYANT) 12 mg/dL HDL-3 (SMALL,DENSE) 41 mg/dL VLDL-3 (REMNANT LIPO) 12 mg/dL

10124SB= - CARDIO CRP(R) CARDIO CRP(R) 0 mg/L F Verified by repeat analysis. 10231SB= - COMPREHENSIVE METABOLIC PANEL GLUCOSE 97 mg/dL Fasting reference interval UREA NITROGEN (BUN) 11 mg/dL CREATININE 0.91 mg/dL eGFR NON-AFR. AMERICAN 97 mL/min eGFR AFRICAN AMERICAN 112 mL/min BUN/CREATININE RATIO NOT APPLICABLE (calc) 6-22 F SODIUM 145 mmol/L POTASSIUM 4.3 mmol/L CHLORIDE 106 mmol/L CARBON DIOXIDE 21 mmol/L CALCIUM 10.0 mg/dL PROTEIN, TOTAL 7.2 g/dL ALBUMIN 4.9 g/dL GLOBULIN 2.3 g/dL (calc) ALBUMIN/GLOBULIN RATIO 2.1 (calc) BILIRUBIN, TOTAL 0.7 mg/dL ALKALINE PHOSPHATASE 63 U/L AST 15 U/L 1 ALT 14 U/L HEMOGLOBIN A1c 5.5 % of total MEAN PLASMA GLUCOSE 119 mg/dL (calc) F 17306RSLI= - VITAMIN D, 25-HYDROXY, LC/MS/MS VITAMIN D, 25-OH, TOTAL 47 ng/mL

36127SB= - TSH W/REFLEX TO FT4 TSH W/REFLEX TO FT4 1.38 mIU/L 19894RQEZ= - DHEA, LC/MS/MS DHEA, LC/MS/MS 532 ng/dL 6399SB= - CBC (INCLUDES DIFF/PLT) WHITE BLOOD CELL COUNT 4.1 Thousand/uL RED BLOOD CELL COUNT 4.73 Million/uL HEMOGLOBIN 14.3 g/dL HEMATOCRIT 42.5 % MCV 89.9 fL MCH 30.3 pg MCHC 33.7 g/dL RDW 14.6 % PLATELET COUNT 288 Thousand/uL ABSOLUTE NEUTROPHILS 2312 cells/uL ABSOLUTE LYMPHOCYTES 1382 cells/uL ABSOLUTE MONOCYTES 271 cells/uL ABSOLUTE EOSINOPHILS 115 cells/uL ABSOLUTE BASOPHILS 21 cells/uL NEUTROPHILS 56.4 % LYMPHOCYTES 33.7 % MONOCYTES 6.6 % EOSINOPHILS 2.8 % BASOPHILS 0.5 % FERRITIN 24 ng/mL 36170RSLI= - TESTOSTERONE, FREE AND TOTAL, LC/MS/MS TESTOSTERONE, TOTAL, LC/MS/MS 452 ng/dL FREE TESTOSTERONE 56.4 pg/mL

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5 Answers

0
F291857fa12a0291688ea994343156dc

(720)

on November 15, 2013
at 05:10 AM

What's your waist measurement?

check this out http://home.fuse.net/clymer/bmi/

read the info, run your numbers.

5'9" & 160...unless you;re pear shaped (huge waist) those are pretty decent numbers.

I refused statins about 5 years ago... I've lost weigh & my internist seems happy, I know I am. :)

0
56c28e3654d4dd8a8abdb2c1f525202e

(1822)

on November 15, 2013
at 01:46 AM

I do take statins, they are in the oyster and shiitake mushrooms I produce in my backyard. I cannot comment on LDL, although I can see it is a myth, but a) I strongly resist attempts by my doctor to put me on statins for 200-230 total cholesterol levels, which are correlated to the lowest possible mortality (and 283 is not too bad either), b) now I have convinced her to test for inflammation factors so I can convince her to leave me alone. She has agreed that if inflammation factors are low she will in fact leave me alone.

0
Medium avatar

on November 14, 2013
at 08:49 PM

If you're really serious about your diet and do all the research regarding your current conditions and how to affect them - I think diet can not only be more effective than statins in reducing your risk but great for your whole body all around.

Concentrate on certain aspects of your diet. I'm not well versed in those particular concerns but off the top of my head I'd be looking for a particularly anti-inflamatory diet which is relatively low in total PUFA but with an excellent, approaching 1:1, omega 6:3 ratio. It should include plenty of greens, fruits in moderation, and only about 75-120 grams of carbs, mostly from safe starches. Don't take my recommendation though it's just a guess. Seriously research is your best friend. Asking questions on paleohacks could be considered a part of your research of course.

The more seriously you tackle your diet (and don't forget exercise) the more quickly and completely it will turn things around for you.

0
Medium avatar

(238)

on November 14, 2013
at 08:33 PM

Do the research, read all the books on Cholesterol myths, etc. Really depends on your situation and from what I've read the Statins actually work sometimes due to lowering inflammation as opposed to unnaturally stopping production of Cholesterol in your body.

If it was me, taking a drug is a last resort after all else has failed, meaning I've had a heart attack or other catastrophic event that makes Statins seem like the thing to do.

Consult a medical professional who is not biased towards the pharma industry.

0
Medium avatar

on November 14, 2013
at 08:23 PM

The guidelines for cholesterol were just updated, did you see? Google for it.

In short: if your statins are only intended to lower LDL, maybe the diet should do the trick,

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