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Please hack my cholesterol results

by (938)
Updated about 15 hours ago
Created May 02, 2012 at 2:22 PM

Sorry to ask what others are always asking, but I'm seeing my doctor on Friday and want to be able to give him my perspective on these results. This is my first cholesterol panel since I began eating strict Paleo eight months ago, including no dairy. Here they are now:

FASTING YES

CHOLESTEROL 219

HDL CHOLESTEROL 54

LDL CHOLESTEROL CALCULATION 147

TOTAL CHOLESTEROL:HDL RATIO 4.1

TRIGLYCERIDE 91

NON-HDL CHOLESTEROL 165

They flagged my cholesterol, as too high, my LDL as too high, my total cholesterol as too high, my total cholesterol:HDH ratio as too high (although just by .1), and my non-HDL cholesterol as too high.

Oh, and My CRP test was lower than it's ever been at 1.4.

I would greatly appreciate any analysis from the group! Thanks so much.

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468 · September 15, 2012 at 12:27 AM

I forgot to mention that he's lost 30+ lbs while eating more than he ever ate before.

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12677 · September 14, 2012 at 9:01 PM

This question got on the NPR website: http://www.npr.org/blogs/health/2012/09/07/160774233/hows-your-cholesterol-the-crowd-wants-to-know

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938 · May 02, 2012 at 8:03 PM

Thanks for your input DThoris.

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459 · May 02, 2012 at 5:13 PM

Your HDL has gone up, your Trigs have gone down. Those are are, from what I've read, the largest indicators of heart disease. There are some things I've seen that indicate that Lower trigs indicate the LDL are the fluffier type. Do some research on that. Also, if your CRP is low, that means your systemic swelling is down, and you're less likely to have any stickiness in your arteries/brain. The usual - I'm not a doctor. Do your research, and work with your doctor for actual advice.

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938 · May 02, 2012 at 4:58 PM

Sam: Here are my numbers from exactly a year ago (so four months before I started eating Paleo): Cholesterol: 168 HDL: 34 [it was flagged as too low...so that's improved] LDL: 106 Total Cholesterol Ratio: 4.9 [so it's gone down even tho it's still flagged at too high] Triglyceride: 141 Non-HDL Cholesterol: 134 Thanks for any input you can give me!

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938 · May 02, 2012 at 4:54 PM

Oops. I meant to say they flagged my LDL as too high. I've edited it. Unfortunately, due to chronic illness I'm quite sedentary. I'm only able to do a bit of Qigong -- similar to Tai Chi -- even light interval training is impossible. Thanks for your help.

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1304 · May 02, 2012 at 3:15 PM

Do you remember your cholesterol numbers from before you were paleo?

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9 Answers

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851 · May 02, 2012 at 3:40 PM

I would watch these videos posted by Chris Kresser to understand more about cholesterol, what it means, and the true risk factors to be worried about: http://chriskresser.com/i-have-high-cholesterol-and-i-dont-care IMO everything about your panel is decent but your HDL/LDL ratio can be better by introducing some intensity interval training if you do not incorporate that already. This will raise your HDL (which is what you meant I think by you saying your LDL is too low) and lower your LDL. Evidence that you are already on the right path is that your overall inflammation is lower than before (lower CRP) and your TG are at a great range.

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938 · May 02, 2012 at 4:54 PM

Oops. I meant to say they flagged my LDL as too high. I've edited it. Unfortunately, due to chronic illness I'm quite sedentary. I'm only able to do a bit of Qigong -- similar to Tai Chi -- even light interval training is impossible. Thanks for your help.

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1299 · May 03, 2012 at 12:22 AM

Your numbers are quite decent, and not high at all. Epidemiologically, mortality is lowest in the 220-230 range (although total cholesterol alone is a rather weak predictor). Your total-to-HDL is pretty good but could still be improved. You don't know particle size, which might be worth having checked next time with a test like Berkeley, NMR LipoProfile, or VAP.

You really have very little to worry about based on those numbers, although you may try reducing dairy fat or fructose if you are concerned.

In fact, other than slightly lower numbers, you and I have very similar results. My TC is about 30 points higher, but the ratios are all the same. I personally am exploring whether mild hypothyroid might be happening in my case, but that's due to some other symptoms and family history so it probably doesn't apply to you.

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14 · October 23, 2013 at 3:15 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.

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14 · August 21, 2013 at 2:15 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.

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0 · September 29, 2012 at 10:57 PM

Nothing wrong with your numbers at all. You have an ideal hdl value, your HDL to total cholesterol ratio is ideal as well. I would not adjust your fats, but focus on cutting the processed carbs, added sugar etc. Check out this article: http://suite101.com/article/how-to-lower-cholesterol-naturally---cut-carbs-a152875 it's really interesting. Research shows that intake of good fats, such as the Paleo diet, and the reduction of bad carbs puts you in a more ideal state than reducing cholesterol intake and fat alone.

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468 · September 15, 2012 at 12:26 AM

I've been paleo for about 2 years, and last year my boyfriend went paleo because he found he felt better eating my food. His cholesterol was out of whack when I met him...a worry since his father died young. He was afraid to get his results after he had been eating so much meat and fat (and no "healthy" grains). Imagine his surprise when every level improved. He's been monitoring his levels over the past year and just got back his last set today. (Note that we are very strict paleo.) Check it out:

Vegetarian Diet (April 6, 2011) Total Cholesterol - 218 (HIGH); HDL Cholesterol - 45 (Normal); Tryglicerides - 187 (HIGH); LDL Cholesterol - 136 (HIGH); CHOL/HDLC - 4.8 (Normal);

After Starting to Change to Paleo Diet (December 22, 2011) Total Cholesterol - 196 (Normal); HDL Cholesterol - 49 (Normal); Tryglicerides - 103 (Normal); LDL Cholesterol - 126 (Normal); CHOL/HDLC - 4.0 (Normal)

After More Strict Following of Paleo Diet (February 10, 2012) Total Cholesterol - 182 (Normal); HDL Cholesterol - 48 (Normal); Tryglicerides - 82 (Normal); LDL Cholesterol - 118 (Normal); CHOL/HDLC - 3.8 (Normal)

After More Strict Following of Paleo Diet (February 10, 2012) Total Cholesterol - 199 (Normal); HDL Cholesterol - 55 (Normal); Tryglicerides - 82 (Normal); LDL Cholesterol - 128 (Normal); CHOL/HDLC - 3.6 (Normal)

After Continued Following of Paleo Diet (Sept. 14, 2012) Total Cholesterol - 189 (Normal); HDL Cholesterol - 55 (Normal); Tryglicerides - 62 (Normal); LDL Cholesterol - 122 (Normal); CHOL/HDLC - 3.4 (Normal)

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468 · September 15, 2012 at 12:27 AM

I forgot to mention that he's lost 30+ lbs while eating more than he ever ate before.

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25 · May 02, 2012 at 11:03 PM

Umm, I'd kill for those numbers. Tit396, HDL58.4, LDL317.8, Tr99.2.

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2873 · May 02, 2012 at 3:51 PM

If you eat lots o'butter, I'd say cut back. I've read several cases on this site where decreasing butter consumption coincided with lower LDL #'s.

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3509 · May 02, 2012 at 2:42 PM

Your total cholesterol is fine, though your LDL numbers aren't that good. I would try to reduce the ldl to less than 100, plus raise a little bit the hdl

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