Please Hack My Cholesterol Levels (blood test results inside)

by 55 · October 23, 2013 at 03:16 PM

Hi Folks,

My lipid panel just came in. The results do not look peachy. Here are the stats:

Total cholesterol 309

Triglyceride 21

HDL cholesterol 104

LDL (Calculated) 201

Cholesterol to HDL Ratio 3.0

Look at that LDL. It's sky-high, and my doctor is concerned. Should I be worried? Here's a sample of my daily menu:


4 eggs 1 tbsp of added fat (either butter, EVOO, or coconut oil) 1 roasted beet


6oz of a cooked protein (either chicken with skin or beef) 2 cups of melange of roasted cauliflower, carrots, and swiss chard. 1 tbsp of added fat (either butter, EVOO, or coconut oil)

Snacks during the day:

1 piece of fruit (e.g. one grapefruit, one apple, or one nectarine) 2 boiled eggs


Pretty much a variation on what I had for lunch.

Thank you very much for any and all input!!!

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9 Replies

70 · June 12, 2012 at 01:48 AM

Your body seems like it is very good at using the fat as energy. Hence the low triglyceride numbers. My numbers are in the 40's. I'm not a doctor but I can tell you that your LDL calculation is WAY off. The traditional formula(Friedewald) labs use to calculate LDL does not work when you have "low/normal" triglyceride levels. I had the same problem. You can use this website
to calculate your LDL using the Iranian formula. It works much better for lower triglyceride levels. I took the liberty of entering your numbers and your LDL dropped to 138.

1314 · June 12, 2012 at 02:17 AM

My recent lipid panel was almost identical to yours! All my ratios were ideal, and I have no other risk factors, so I'm not too worried about cardiac risk. However, Chris Kresser and Chris Masterjohn both believe that very high TC and LDL and very low HDL and triglycerides could indicate a metabolic, immune, or inflammatory issue. What that might mean for me, I have no idea.

I posted a question about my levels a few days ago and got some excellent answers. Here's the thread:

Yikes! Total cholesterol over 300?

11648 · June 12, 2012 at 12:52 AM

Have a read here: http://www.wheatbellyblog.com/2012/06/i-lost-weight-and-my-cholesterol-went-up/ According to this blog post by this doctor, when losing weight, fat's toxins are released in the bloodstream, so these blood numbers are to expected. Definitely keep a close tab on all your numbers though, it might be of concern.

14 · October 23, 2013 at 03:16 PM

Hey there,

There is nothing wrong with your numbers.I would suggest that you read a bit more on how to lower cholesterol and how to properly understand test results. Read here: http://loweringcholesterolguide.com/understanding-test-results/

Make sure your fasting does not cross border and starts working against you.Make sure you get enough vitamins,protein and fibers.

614 · August 22, 2013 at 01:31 AM

Total cholesterol 309

Triglyceride 21

HDL cholesterol 104

LDL (Calculated) 201

Cholesterol to HDL Ratio 3.0

Did you have any tests for markers of inflammation, etc. - Hemoglobin A1c, Lp-PLA2 (PLAC), Cardio CRP, Apolipoprotein A1, Apolipoprotein B, Apolipoprotein B/A1 Ratio, Homocysteine, Vitamin D, 25-Hydroxy, LC/MS/MS

Your TC/HDL ratio of 3.o indicates a LDL-P of <1000 BUT you should have a NMR test to verify this. It's also of value to know your small LDL-P number as well.

Was you HDL this high PRIOR to starting this type of diet?

10 · June 12, 2012 at 12:01 AM

Wow...those numbers are a little scary! Is this an increase since you started? Are you exercising? My inexperienced opinion would be to reduce your eggs to 2 or less per day, increase your dark, leafy greens (spinach, asparagus, broccoli, etc), take the skin off the chicken and limit beef to 1x per week. I also have had very positive experiences with increasing exercise and reducing cholesterol. I saw a 30 point drop with just an hour of daily, intense exercise.

14 · August 21, 2013 at 02:52 PM

Dental assistant ha? well that keeps you on your feet throughout the days so I will dare to say that you are "OK" with exercising ... However, do you have a schedule of what and when can you eat?

[spam link redacted]

Hope it helps!

12 · June 12, 2012 at 12:34 AM

Go on a plant based diet. All that animal product contains saturated fat and cholesterol. Plants don't have cholesterol and the fiber will help remove the cholesterol. Please check this book out. http://www.amazon.com/The-Engine-Diet-Firefighters-Save-Your-Life/dp/0446506699

You can always eat canned fish stuff with high Omega 3 like sardines and canned salmon. Pretty cheap. Ideal way would be for you to just eat plants legumes and whole grains. Those numbers are scary and very high. Goodluck and God bless you.

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