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hack my cholesterol

by (278)
Updated about 5 hours ago
Created February 16, 2012 at 12:35 AM

I am a member of the high cholesterol club, apparently.

My numbers:

Total cholesterol 243 HDL 71 LDL 159

About me: Athletic all my life. 5'9" 130 lbs, 55yrs. I rode a bicycle over 6,000 miles last year. Probably going to do less this year but not a lot less. Way low body fat, maybe 10%.

I lowered my carbs about 1 year ago before I new what Paleo was. pretty seriously Paleo compliant since about Sept. 2011. Really really compliant since about Dec. 2011.

My doctor wants me to go on meds. I'm pretty frustrated by this do to the fact that I've already been doing the things most often mentioned to keep cholesterol under control--proper diet and exercise. My blood pressure is "fantastic" (I didn't even ask him what, exactly, it is.

any ideas would be greatly appreciated.

461ab9dd60f3c07b5153c6a699e6155f
40 · February 16, 2012 at 8:32 PM

Also, great graphic here that shows that total cholesterol of between 200-240 leads to the lowest all-cause mortality rate. http://renegadewellness.files.wordpress.com/2011/02/cholesterol-mortality-chart.pdf

461ab9dd60f3c07b5153c6a699e6155f
40 · February 16, 2012 at 8:20 PM

Other way around. Trig/HDL, so 66/71 = 0.93 -- so you are good to go according to Lalonde, Mercola, Sears, etc.

6120c989fd5b69f42a0834b69b87955b
24538 · February 16, 2012 at 3:57 AM

Your doc is just going by the ldl over 100 = high cholesterol general mantra because most people can't get hdl as high as you have gotten it the literature doesn't address the what to do. You are doing everything right, you just have a lazy doc.

Dcf355a2a13a1cdac6b8932a145fbd9d
278 · February 16, 2012 at 3:49 AM

So trigs were 66. That would be HDL divided by trigs? 71 divided by 66 = 1.07. Could that be correct?

Dcf355a2a13a1cdac6b8932a145fbd9d
278 · February 16, 2012 at 3:43 AM

And thanks for your responses, I really appreciate your taking the time.

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18635 · February 16, 2012 at 2:20 AM

I'd go as far as a congrats on your numbers and lifestyle! Don't mind your doc he's just following some out of date algorithms :)....if he gives you a script just throw it in the can on your way out to your bike.

3846a3b61bc9051e4baebdef62e58c52
18635 · February 16, 2012 at 2:16 AM

this...your in fine shape. Knowing your trigs might help ease your mind even more, but cholesterol in a vacuum looks good.

Dcf355a2a13a1cdac6b8932a145fbd9d
278 · February 16, 2012 at 12:46 AM

By the book Paleo. Eggs in the morning with, say, kale and other veg. with a bit of fruit. Lunch might be a big-ass salad (everything and anything), dinner, beef, chx or fish with vegetables. Virtually no snacking. I'll go off and hit Chipotle or do Tex-Mex once every other week, Maayyybeee, every ten days.

Ceda025d1f349bc43be115a5f9199fb1
501 · February 16, 2012 at 12:41 AM

What does your diet look like? I'm guessing you enjoy a good amount of saturated fat. Your HDL looks great. You're lean and active. I wouldn't lose any sleep.

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4 Answers

461ab9dd60f3c07b5153c6a699e6155f
2
40 · February 16, 2012 at 1:53 AM

Looks fine. You definitely don't need meds.

Your total/HDL is about 3.4, which is OK, but you should try to get your HDL up -- lift weights and consume saturated fat. Getting that ratio below 3 would be good.

Would like to see triglycerides too. You want your trig/HDL to be less than 2. Less than 1 is ideal.

Chris Kresser has a good video on this: http://www.youtube.com/watch?v=0_7u7aPkUQ0&feature=youtube_gdata_player If that link doesn't work, it is called "I Have High Cholesterol and I Don't Care."

461ab9dd60f3c07b5153c6a699e6155f
40 · February 16, 2012 at 8:32 PM

Also, great graphic here that shows that total cholesterol of between 200-240 leads to the lowest all-cause mortality rate. http://renegadewellness.files.wordpress.com/2011/02/cholesterol-mortality-chart.pdf

461ab9dd60f3c07b5153c6a699e6155f
40 · February 16, 2012 at 8:20 PM

Other way around. Trig/HDL, so 66/71 = 0.93 -- so you are good to go according to Lalonde, Mercola, Sears, etc.

Dcf355a2a13a1cdac6b8932a145fbd9d
278 · February 16, 2012 at 3:49 AM

So trigs were 66. That would be HDL divided by trigs? 71 divided by 66 = 1.07. Could that be correct?

6120c989fd5b69f42a0834b69b87955b
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24538 · February 16, 2012 at 1:14 AM

According to web MD, the ideal cholesterol ratio is about 3.5:1

Your ratio is: 2.23943:1

Chillax, even by CW standards, you are doing better than average.

6120c989fd5b69f42a0834b69b87955b
24538 · February 16, 2012 at 3:57 AM

Your doc is just going by the ldl over 100 = high cholesterol general mantra because most people can't get hdl as high as you have gotten it the literature doesn't address the what to do. You are doing everything right, you just have a lazy doc.

3846a3b61bc9051e4baebdef62e58c52
18635 · February 16, 2012 at 2:20 AM

I'd go as far as a congrats on your numbers and lifestyle! Don't mind your doc he's just following some out of date algorithms :)....if he gives you a script just throw it in the can on your way out to your bike.

3846a3b61bc9051e4baebdef62e58c52
18635 · February 16, 2012 at 2:16 AM

this...your in fine shape. Knowing your trigs might help ease your mind even more, but cholesterol in a vacuum looks good.

Dcf355a2a13a1cdac6b8932a145fbd9d
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278 · February 16, 2012 at 3:42 AM

Duh. I forgot to post the trigs which came in at 66.

Dcf355a2a13a1cdac6b8932a145fbd9d
278 · February 16, 2012 at 3:43 AM

And thanks for your responses, I really appreciate your taking the time.

3bad4b0b105bf44d7650e7fdfbe15cbd
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860 · February 16, 2012 at 1:04 AM

That's "high cholesterol" according to medical guidelines, but realistically it's not unhealthy. Your HDL is great. Try talking to your doctor about getting a VAP test (to measure LDL particle size) as well as a test to measure triglycerides. Apolipoprotein B is another indicator of atherosclerotic risk that can be measured. I'm sure others will chime in with other useful tests.

In summary, if I were you, I would push your doctor to get more tests before he throws you on a bunch of meds.

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