1c67bc28f4e44bbb8770b86df0463df3
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Hack my RIDICULOUS blood work - 450 LDL? (updated)

by (6709)
Updated about 3 hours ago
Created December 28, 2011 at 6:47 PM

35 Years old, male, Paleo for 1 year+, no health problems. 185 LBS at 5'9", aprox 10-11% bodyfat.

Had Gall Bladder removed in 2005.

Current medications: Ambien5-10mg

Other Medical Issues: Seborrheic Dermatitis (controlled with Selson Blue). Low Vit D test/Calcium in Feb 2011 (taking supplemental Vit D and Calcium usually).

Diet:Low salt, low carb - Coffee w heavy cream daily. Green Salads w olive\vinegar most days, Eggs 6\day(local farm fresh), Beef and Chicken most days(grain fed), Whey\Casein protein most days, bacon every other day, coconut milk some days, carrots\peas\ zucchini\peppers\sweet potatoes\onions\garlic\broccoli most days. Honey 1/week if that. Blueberries/Strawberry/Black Berries very occasionally. Almond butter sometimes, mixed nuts sometimes (neither around the test).

Activity: Low, Strength Training 3x week (Squats,Deadlifts,Bench,weighted Pullups).

Supplements: MultiVit, Vit D 2000iu/day, Fish Oil most days, Creatine Monohydrate.

Most likely in Keto state during test and previous week. Fasted aprox 20 hrs(nothing but water) and then this:

CHOLESTEROL 506 High mg/dL
CHOLESTEROL.IN HDL 30 Low mg/dL
CHOLESTEROL.IN LDL 450 High
TRIGLYCERIDE 131 mg/dL
THYROTROPIN 1.070 uIU/mL
Free Test 318.5

This is a bit extreme no?

Full Results below:

ALANINE AMINOTRANSFERASE 38 U/L 0-40
ALBUMIN 4.7 g/dL 3.5-5.0 ALKALINE PHOSPHATASE 41 U/L 0-125
ASPARTATE AMINOTRANSFERASE 21 U/L 0-45
BILIRUBIN 0.6 mg/dL 0.0-1.3 CALCIUM 9.4 mg/dL 8.4-10.5
CARBON DIOXIDE 30 mmol/L 23-32
CHLORIDE 98 mmol/L 98-108
CHOLESTEROL 506 High mg/dL 0-199
CHOLESTEROL.IN HDL 30 Low mg/dL >40 CHOLESTEROL.IN LDL 450 High mg/dL <129 CREATININE 1.1 mg/dL 0.5-1.2 GLOMERULAR FILTRATION RATE.PREDICTED 81 mL/min
GLUCOSE 91 mg/dL 65-99
POTASSIUM 4.4 mmol/L 3.5-5.0 PROTEIN 7.6 g/dL 6.0-8.2 SODIUM 136 mmol/L 135-145 HYROTROPIN 1.070 uIU/mL 0.27-4.2
TRIGLYCERIDE 131 mg/dL 0-149
UREA NITROGEN 19 mg/dL 9-20

H

E

R

E

is the rest of it.

BASOPHILS 0.04 k/cmm 0.0-0.2 Details

BASOPHILS/100 LEUKOCYTES 0.7 % 0-2 Details

EOSINOPHILS 0.24 k/cmm 0.0-0.3 Details

EOSINOPHILS/100 LEUKOCYTES 4.0 High % 0-3 Details

ERYTHROCYTE DISTRIBUTION WIDTH 47.4 fL 39.0-52.2 Details

ERYTHROCYTE DISTRIBUTION WIDTH 14.3 % 11.5-14.5 Details

ERYTHROCYTE MEAN CORPUSCULAR HEMOGLOBIN 31.9 pg 27-33.3 Details

ERYTHROCYTE MEAN CORPUSCULAR HEMOGLOBIN CONCENTRATION 35.2 g/dL 31.8-37.1 Details

ERYTHROCYTES 5.18 M/cmm 4.44-6.1 Details

GRANULOCYTES.IMMATURE/100 LEUKOCYTES 0.00 % 0.00-2.00 Details

HEMATOCRIT 46.9 % 41-52 Details

HEMOGLOBIN 16.5 g/dL 13.9-18 Details

IMMATURE GRANULOCYTE # 0.00 k/cmm 0.00-0.2 Details

LEUKOCYTES 5.97 k/cmm 4.6-10.8 Details

LYMPHOCYTES 2.90 k/cmm 1.2-3.6 Details

LYMPHOCYTES/100 LEUKOCYTES 48.6 High % 25-33 Details

MEAN CORPUSCULAR VOLUME 90.5 um3 80-98 Details

MONOCYTES 0.48 k/cmm 0.14-0.76 Details

MONOCYTES/100 LEUKOCYTES 8.0 High % 3-7 Details

NEUTROPHILS 2.31 k/cmm 1.8-7.8 Details

NEUTROPHILS/100 LEUKOCYTES 38.7 Low % 54-65 Details

PLATELET MEAN VOLUME 11.4 High um3 7.4-10.5 Details

PLATELETS 222 k/cmm 130-440

**OTHER BLOOD WORK BELOW****

MAY 2007:

ALANINE AMINOTRANSFERASE    18  U/L 7.0-52  Details
ALKALINE PHOSPHATASE    65  U/L 40-150
ASPARTATE AMINOTRANSFERASE  17  U/L 5-34
BILIRUBIN   0.73    mg/dL   0.2-1.2
BILIRUBIN.GLUCURONIDATED+BILIRUBIN.ALBUMIN BOUND    0.32    mg/dL   0-0.5
CARBON DIOXIDE  30  mmol/L  20-30
CHLORIDE    105     mmol/L  100-110
CREATININE  1.3     mg/dL   0.5-1.5
GLOMERULAR FILTRATION RATE.PREDICTED    68.4    mL/min  
GLUCOSE 56  mg/dL   <199
POTASSIUM   3.5     mmol/L  3.5-5.0
SODIUM  142     mmol/L  135-145
THYROTROPIN 1.01    uIU/mL  0.35-5.5
THYROXINE.FREE  1.15    ng/dL   0.6-1.6
UREA NITROGEN   17  mg/dL   7-25

BASOPHILS/100 LEUKOCYTES 0.6 % 0-2 Details

EOSINOPHILS/100 LEUKOCYTES  4.1     %   0-7 Details
ERYTHROCYTE DISTRIBUTION WIDTH  13.9    %   11.5-14.5   Details
ERYTHROCYTE MEAN CORPUSCULAR HEMOGLOBIN 32.4    pg  27-34   Details
ERYTHROCYTE MEAN CORPUSCULAR HEMOGLOBIN CONCENTRATION   34.9    g/dL    32-37   Details
ERYTHROCYTES    5.34    M/cmm   4.7-6.1 Details
HEMATOCRIT  49.6    %   40-52   Details
HEMOGLOBIN  17.3    g/dL    14-18   Details
LEUKOCYTES  6.7     K/cmm   4.5-11.0    Details
LYMPHOCYTES 1.9     K/cmm   1-4 Details
LYMPHOCYTES/100 LEUKOCYTES  27.9    %   10-55   Details
MEAN CORPUSCULAR VOLUME 92.9    fL  80-98   Details
MONOCYTES/100 LEUKOCYTES    8.1     %   2-12    Details
NEUTROPHILS 4.0     K/cmm   1.8-6.5 Details
NEUTROPHILS/100 LEUKOCYTES  59.3    %   40-75   Details
PLATELET MEAN VOLUME    9.6     fL  7.4-10.4    Details
PLATELETS   226     K/cmm   130-450 

*FEB 2008****

ALANINE AMINOTRANSFERASE 91 High U/L 7.0-52 Details

ALBUMIN 4.0     g/dL    3.2-5.0
ALKALINE PHOSPHATASE    59  U/L 40-150
ASPARTATE AMINOTRANSFERASE  41 High U/L 5-40
BILIRUBIN   0.31    mg/dL   0.2-1.2
BILIRUBIN.GLUCURONIDATED+BILIRUBIN.ALBUMIN BOUND    0.14    mg/dL   0-0.5
CALCIUM 9.6     mg/dL   8.5-10.5
CARBON DIOXIDE  26  mmol/L  20-30
CHLORIDE    108     mmol/L  100-110
CHOLESTEROL 186     mg/dL   0-199
CHOLESTEROL.IN HDL  31 Low  mg/dL   >40
CHOLESTEROL.IN LDL  116.6   mg/dL   <130
CREATININE  1.3     mg/dL   0.5-1.5
GLOMERULAR FILTRATION RATE.PREDICTED    68.4    mL/min  
GLUCOSE 86  mg/dL   <199
MAGNESIUM   2.5 High    mg/dL   1.8-2.4
PHOSPHATE   4.0     mg/dL   2.5-5.0
POTASSIUM   4.0     mmol/L  3.5-5.0
PROTEIN 7.0     g/dL    6.0-8.5
SODIUM  144     mmol/L  135-145
THYROTROPIN 1.53    uIU/mL  0.35-5.5
TRIGLYCERIDE    192     mg/dL   0-199
UREA NITROGEN   14  mg/dL   7-25

BASOPHILS/100 LEUKOCYTES 0.4 % 0-2 Details

EOSINOPHILS/100 LEUKOCYTES  6.2     %   0-7
ERYTHROCYTE DISTRIBUTION WIDTH  13.6    %   11.5-14.5
ERYTHROCYTE MEAN CORPUSCULAR HEMOGLOBIN 33.1    pg  27-34
ERYTHROCYTE MEAN CORPUSCULAR HEMOGLOBIN CONCENTRATION   35.1    g/dL    32-37
ERYTHROCYTES    4.97    M/cmm   4.7-6.1
HEMATOCRIT  46.9    %   40-52
HEMOGLOBIN  16.5    g/dL    14-18
LEUKOCYTES  8.6     K/cmm   4.5-11.0
LYMPHOCYTES 3.0     K/cmm   1-4
LYMPHOCYTES/100 LEUKOCYTES  34.5    %   10-55
MEAN CORPUSCULAR VOLUME 94.4    fL  80-98
MONOCYTES/100 LEUKOCYTES    8.2     %   2-12
NEUTROPHILS 4.4     K/cmm   1.8-6.5
NEUTROPHILS/100 LEUKOCYTES  50.7    %   40-75
PLATELET MEAN VOLUME    9.2     fL  7.4-10.4
PLATELETS   282     K/cmm   130-450

*MAY 2008*

THYROTROPIN 0.937 uIU/mL 0.27-4.2 HEMOGLOBIN A1C/HEMOGLOBIN.TOTAL 5.4 %

BASOPHILS 0.05 k/cmm 0.0-0.2 Details

BASOPHILS/100 LEUKOCYTES    0.7     %   0-2
EOSINOPHILS 0.42 High   k/cmm   0.0-0.3
EOSINOPHILS/100 LEUKOCYTES  6.3 High    %   0-3
ERYTHROCYTE DISTRIBUTION WIDTH  41.9    fL  39.0-52.2
ERYTHROCYTE DISTRIBUTION WIDTH  13.4    %   11.5-14.5
ERYTHROCYTE MEAN CORPUSCULAR HEMOGLOBIN 32.2    pg  27-33.3
ERYTHROCYTE MEAN CORPUSCULAR HEMOGLOBIN CONCENTRATION   35.7    g/dL    31.8-37.1
ERYTHROCYTES    5.18    M/cmm   4.44-6.1
HEMATOCRIT  46.8    %   41-52
HEMOGLOBIN  16.7    g/dL    13.9-18
LEUKOCYTES  6.68    k/cmm   4.6-10.8
LYMPHOCYTES 1.86    k/cmm   1.2-3.6
LYMPHOCYTES/100 LEUKOCYTES  27.8    %   25-33
MEAN CORPUSCULAR VOLUME 90.3    um3 80-98
MONOCYTES   0.45    k/cmm   0.14-0.76
MONOCYTES/100 LEUKOCYTES    6.7     %   3-7
NEUTROPHILS 3.90    k/cmm   1.8-7.8
NEUTROPHILS/100 LEUKOCYTES  58.5    %   54-65
PLATELET MEAN VOLUME    12.1 High   um3 7.4-10.5
PLATELETS   174     k/cmm   130-440

**MAY 2009*****

ALANINE AMINOTRANSFERASE 53 High U/L 7.0-52 Details

ALKALINE PHOSPHATASE    54  U/L 40-150
ASPARTATE AMINOTRANSFERASE  25  U/L 5-40
BILIRUBIN   0.54    mg/dL   0.2-1.2
BILIRUBIN.GLUCURONIDATED+BILIRUBIN.ALBUMIN BOUND    0.23    mg/dL   0-0.5
CARBON DIOXIDE  27  mmol/L  20-30
CHLORIDE    103     mmol/L  100-110
CREATININE  1.2     mg/dL   0.5-1.5
GLOMERULAR FILTRATION RATE.PREDICTED    74.1    mL/min  
GLUCOSE 61  mg/dL   <199
POTASSIUM   4.3     mmol/L  3.5-5.0
SODIUM  142     mmol/L  135-145
THYROTROPIN 1.36    uIU/mL  0.35-5.5
UREA NITROGEN   16  mg/dL   7-25

BASOPHILS/100 LEUKOCYTES 0.4 % 0-2 Details

EOSINOPHILS/100 LEUKOCYTES  5.3     %   0-7
ERYTHROCYTE DISTRIBUTION WIDTH  13.0    %   11.5-14.5
ERYTHROCYTE MEAN CORPUSCULAR HEMOGLOBIN 31.2    pg  27-34
ERYTHROCYTE MEAN CORPUSCULAR HEMOGLOBIN CONCENTRATION   34.1    g/dL    32-37
ERYTHROCYTES    5.25    M/cmm   4.7-6.1
HEMATOCRIT  48.2    %   40-52
HEMOGLOBIN  16.4    g/dL    14-18
LEUKOCYTES  5.8     K/cmm   4.5-11.0
LYMPHOCYTES 1.6     K/cmm   1-4
LYMPHOCYTES/100 LEUKOCYTES  28.0    %   10-55
MEAN CORPUSCULAR VOLUME 91.7    fL  80-98
MONOCYTES/100 LEUKOCYTES    6.9     %   2-12
NEUTROPHILS 3.4     K/cmm   1.8-6.5
NEUTROPHILS/100 LEUKOCYTES  59.4    %   40-75
PLATELET MEAN VOLUME    10.2    fL  7.4-10.4
PLATELETS   207     K/cmm   130-450

MARCH 2010****

BASOPHILS 0.06 k/cmm 0.0-0.2 Details

BASOPHILS/100 LEUKOCYTES    0.7     %   0-2
EOSINOPHILS 0.65 High   k/cmm   0.0-0.3
EOSINOPHILS/100 LEUKOCYTES  7.1 High    %   0-3
ERYTHROCYTE DISTRIBUTION WIDTH  13.1    %   11.5-14.5
ERYTHROCYTE DISTRIBUTION WIDTH  41.9    fL  39.0-52.2
ERYTHROCYTE MEAN CORPUSCULAR HEMOGLOBIN 31.0    pg  27-33.3
ERYTHROCYTE MEAN CORPUSCULAR HEMOGLOBIN CONCENTRATION   35.3    g/dL    31.8-37.1
ERYTHROCYTES    5.39    M/cmm   4.44-6.1
GRANULOCYTES.IMMATURE/100 LEUKOCYTES    0.10    %   0.00-2.00
HEMATOCRIT  47.3    %   41-52
HEMOGLOBIN  16.7    g/dL    13.9-18
IMMATURE GRANULOCYTE #  0.01    k/cmm   0.00-0.2
LEUKOCYTES  9.11    k/cmm   4.6-10.8
LYMPHOCYTES 2.44    k/cmm   1.2-3.6
LYMPHOCYTES/100 LEUKOCYTES  26.8    %   25-33
MEAN CORPUSCULAR VOLUME 87.8    um3 80-98
MONOCYTES   0.45    k/cmm   0.14-0.76
MONOCYTES/100 LEUKOCYTES    4.9     %   3-7
NEUTROPHILS 5.50    k/cmm   1.8-7.8
NEUTROPHILS/100 LEUKOCYTES  60.4    %   54-65
PLATELET MEAN VOLUME    12.0 High   um3 7.4-10.5
PLATELETS   237     k/cmm   130-440

NOVEMBER 2010****

ALANINE AMINOTRANSFERASE 86 High U/L 0-40 Details

ALBUMIN 4.3     g/dL    3.5-5.0
ALKALINE PHOSPHATASE    70  U/L 0-125
ASPARTATE AMINOTRANSFERASE  35  U/L 0-45
BILIRUBIN   0.5     mg/dL   0.0-1.3
CALCIUM 9.1     mg/dL   8.4-10.5
CARBON DIOXIDE  24  mmol/L  23-32
CHLORIDE    104     mmol/L  98-108
CHOLESTEROL 202 High    mg/dL   0-199
CHOLESTEROL.IN HDL  22 Low  mg/dL   >40
CHOLESTEROL.IN LDL  116     mg/dL   <129
CREATININE  1.0     mg/dL   0.5-1.2
GLOMERULAR FILTRATION RATE.PREDICTED    91  mL/min  
GLUCOSE 94  mg/dL   65-99
POTASSIUM   4.2     mmol/L  3.5-5.0
PROSTATE SPECIFIC AG    0.822   ng/mL   0-4
PROTEIN 7.2     g/dL    6.0-8.2
SODIUM  139     mmol/L  135-145
TRIGLYCERIDE    321 High    mg/dL   0-149
UREA NITROGEN   15  mg/dL   9-20

BASOPHILS 0.05 k/cmm 0.0-0.2 Details

BASOPHILS/100 LEUKOCYTES    0.5     %   0-2
EOSINOPHILS 0.22    k/cmm   0.0-0.3
EOSINOPHILS/100 LEUKOCYTES  2.3     %   0-3
ERYTHROCYTE DISTRIBUTION WIDTH  44.0    fL  39.0-52.2
ERYTHROCYTE DISTRIBUTION WIDTH  13.4    %   11.5-14.5
ERYTHROCYTE MEAN CORPUSCULAR HEMOGLOBIN 31.3    pg  27-33.3
ERYTHROCYTE MEAN CORPUSCULAR HEMOGLOBIN CONCENTRATION   34.5    g/dL    31.8-37.1
ERYTHROCYTES    5.17    M/cmm   4.44-6.1
GRANULOCYTES.IMMATURE/100 LEUKOCYTES    0.20    %   0.00-2.00
HEMATOCRIT  47.0    %   41-52
HEMOGLOBIN  16.2    g/dL    13.9-18
IMMATURE GRANULOCYTE #  0.02    k/cmm   0.00-0.2
LEUKOCYTES  9.48    k/cmm   4.6-10.8
LYMPHOCYTES 1.31    k/cmm   1.2-3.6
LYMPHOCYTES/100 LEUKOCYTES  13.8 Low    %   25-33
MEAN CORPUSCULAR VOLUME 90.9    um3 80-98
MONOCYTES   1.12 High   k/cmm   0.14-0.76
MONOCYTES/100 LEUKOCYTES    11.8 High   %   3-7
NEUTROPHILS 6.76    k/cmm   1.8-7.8
NEUTROPHILS/100 LEUKOCYTES  71.4 High   %   54-65
PLATELET MEAN VOLUME    12.0 High   um3 7.4-10.5
PLATELETS   171     k/cmm   130-440

**FEB 2011***

ALANINE AMINOTRANSFERASE 72 High U/L 17-63 Details

ALBUMIN 4.1     g/dL    3.5-4.8
ALKALINE PHOSPHATASE    46  U/L 32-91
ANION GAP   5   mEq/L   4-13
ASPARTATE AMINOTRANSFERASE  38  U/L 12-50
BILIRUBIN   0.8     mg/dL   0.2-1.3
CALCIUM 9.2     mg/dL   8.9-10.3
CARBON DIOXIDE  30  mEq/L   22-32
CHLORIDE    101     mEq/L   101-111
CREATININE  1.02    mg/dL   .64-1.27
GLOMERULAR FILTRATION RATE.PREDICTED    84  mL/min  >60
GLUCOSE 86  mg/dL   74-118
POTASSIUM   4.2     mEq/L   3.6-5.1
PROTEIN 7.4     g/dL    6.3-8.2
SODIUM  136     mEq/L   136-144
UREA NITROGEN   18  mg/dL   8.0-20.0

Calcidiol 25

DECEMBER 2011 is at the very top.

Medium avatar
39841 · September 07, 2013 at 1:28 AM

Yeah I don't really go nuts with SAFAs, but in this case if he had put lard in his coffee and on his potatoes in equicaloric amounts, his TC would be half of what it is. The leanness would typically affect TGs, so that's puzzling, but the same thing happened to Jack Kronk and his dipped when he cut out coconut oil. I think fructose, coconut oil and ethanol consumed alongside a high fat diet all have the potential to derange TGs simply because they are so liver-oriented. Not sure what's occurring with Bill here, but the LDL is a more pressing concern, in my opinion.

1c67bc28f4e44bbb8770b86df0463df3
6709 · September 07, 2013 at 1:28 AM

None, very little activity prior to test (planned gym time after blood test). Other than VLDL #'s what is missing from my panel?

1c67bc28f4e44bbb8770b86df0463df3
6709 · January 17, 2012 at 1:09 AM

there will be no thyroid panel, as the VA will only test for 'T4' and nothing else

3c6b4eed18dc57f746755b698426e7c8
5132 · December 30, 2011 at 8:28 PM

Bill, Cordain was never big into eggs. Plus, he was anti-dairy from the very beginning and still believes in lean meats.

1c67bc28f4e44bbb8770b86df0463df3
6709 · December 30, 2011 at 8:16 PM

I would say that my weight was perfectly normal for the situation(s) I was involved in. Right now, I am at the heaviest but leanest I have ever been in my life. btw, thanks for all your replies NambyPamby

1c67bc28f4e44bbb8770b86df0463df3
6709 · December 30, 2011 at 8:14 PM

Back before I got sick <2004 I was always around 165-170, I have no blood tests from then. Then I got sick, and my weight before GB surgery was 139, I remember it well. Post GB surgery, I ate like a maniac and got to 18X, deployed, weight fluctuated, deployed, weight fluctuated. I was 170 or so in 2006/07. Then I sat around with knee injury and depression and ate pizzas until I was 240lbs. Then I slow carbed it(in two months lost 40+lbs), etc etc. My point is that I always had to gorge myself on crap to gain fat, and 'diet' to lose weight.

3c6b4eed18dc57f746755b698426e7c8
5132 · December 30, 2011 at 8:01 PM

There's gotta be more story to this. Under 140 then 240 then 165 then 185? Ur not a very big guy so these weight changes may not seem large but in fact they are.

1c67bc28f4e44bbb8770b86df0463df3
6709 · December 30, 2011 at 6:50 PM

" 2005 as well, when you had surgery?", I was very sick, and <140 lbs.

Af1d286f0fd5c3949f59b4edf4d892f5
18412 · December 30, 2011 at 4:38 PM

Dean - I know Creatine is safe. I researched exactly what Creatine is and what it does before taking it myself for quite some time, but I am off it for now. Thanks for the info.

2870a69b9c0c0a19a919e54cb3a62137
1515 · December 30, 2011 at 10:15 AM

Cholesterol gets converted to pregneolene/steroids via T3 and Vitamin A. This seems a more likely connection to whacky lipid labs in bodybuilders taking steroids than creatine. Creatine is natural and pretty safe. Steroid use, possibly coupled with Vitamin A deficiency or low T3, isn't.

B0fe7b5a9a197cd293978150cbd9055f
8933 · December 30, 2011 at 8:23 AM

I'm using acne as a way to make a point, you douche. How else could I make that point? My doctor avoids blood tests at all cost. I also don't see what's wrong with using anecdotes : this whole website is based on anecdotes. But hey, if you don't wanna eat liver or walk around, then I guess it's bad advice.

3c6b4eed18dc57f746755b698426e7c8
5132 · December 30, 2011 at 4:18 AM

That and a tsp of Truvia or stevia, plus some cinnamon and I never went back to filtered coffee or cream/dairy in my coffee. http://truvia.com/about/ingredients/

3c6b4eed18dc57f746755b698426e7c8
5132 · December 30, 2011 at 4:14 AM

a tsp of instant espresso (Megalia D'Oro or Ferrara) for that mocha and strong coffee flavor. http://www.amazon.com/Medaglia-DOro-Instant-Espresso-Coffee/dp/B002BTI9B0 http://www.amazon.com/FERRARA-Ferrara-Espresso-Instant-Coffee/dp/B000NL514Q/ref=sr_1_cc_2?s=home-garden&ie=UTF8&qid=1325218448&sr=1-2-catcorr

3c6b4eed18dc57f746755b698426e7c8
5132 · December 30, 2011 at 4:13 AM

The article sez the effect should be only 6-8%. I'd still do away with the French-press & espresso, especially if I'm on Ambien. Try instant coffee, which has much less cafestol. Better yet, since u seem to have insomnia, drink instant decaf (e.g., Sanka). I honestly can't tell the difference. I also pour 2 tsps unsweetened cocoa and http://www.hersheys.com/pure-products/hersheys-cocoa/natural-unsweetened.aspx

Af1d286f0fd5c3949f59b4edf4d892f5
18412 · December 30, 2011 at 2:46 AM

conciliator - it might not. but I know that some bodybuilders, especially those that take steroids, have been known to test for unbelievably whacked out lipid numbers. i'm not suggesting that creatine does what steroids do in any way, but it very well could play enough of a role that it's better to cut it out in Bill's case.

Cf32992bfa1907147c7cdc451bba9c63
2890 · December 30, 2011 at 2:30 AM

Absolute statements tend to be wrong.

Da3d4a6835c0f5256b2ef829b3ba3393
6418 · December 30, 2011 at 1:49 AM

Check this: http://www.sciencedaily.com/releases/2007/06/070614162223.htm

1c67bc28f4e44bbb8770b86df0463df3
6709 · December 30, 2011 at 1:28 AM

Thanks Heather! Im cutting out the dairy, cream, including yogurt/sour cream/cottage cheese,etc and taking the bacon out too just to see what happens and lower my total fat intake.

1c67bc28f4e44bbb8770b86df0463df3
6709 · December 30, 2011 at 1:23 AM

Thanks Jack K!!

1c67bc28f4e44bbb8770b86df0463df3
6709 · December 30, 2011 at 1:22 AM

added..............

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6709 · December 30, 2011 at 1:22 AM

Dean and Travis, ok, I see your point(s).

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222 · December 30, 2011 at 1:03 AM

@Jack French press retains more of the oils in the coffee. Since the coffee has been roasted, it seems like those oils are probably mostly oxidized. That might cause problems? Maybe? Just throwing out an idea.

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6709 · December 30, 2011 at 12:28 AM

240 in Nov 2008 to 165 in Aug 2009, doing 'slow carb', (only carbs were beans)+paleo (no dairy,cheese,cream), adding more data to OP.

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526 · December 29, 2011 at 11:51 PM

I dunno, he could always stop worrying about his cholesterol because cholesterol does not cause heart disease.

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2890 · December 29, 2011 at 11:49 PM

@Dean, it's not good advice. For christ's sake he recommends gelatin shakes. He makes anecdotally biased claims that whey is bad, when that has never been supported by research. Not to mention **nobody is asking about your acne**, maybe if whey screwed your lipids that would be one thing, but it did not.

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2890 · December 29, 2011 at 11:47 PM

Didn't know creatine could lead to someone having the blood lipids of a 50 year old obese man.

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2890 · December 29, 2011 at 11:45 PM

6-8 large cups... that's not excessive or anything.

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18412 · December 29, 2011 at 10:18 PM

what does french press coffee have to do with anything?

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18412 · December 29, 2011 at 10:14 PM

I agree with Travis.

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5132 · December 29, 2011 at 9:50 PM

Wait a minnit, u went from 240 in 2008 to 165 in 2009? How? Doing low fat?

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5132 · December 29, 2011 at 9:44 PM

Also, check & see if your WBC (Leuco/Mono/Neutro, etc.) components are out of wack (high-low) in prior tests; if they're, it's probably due to your missing gallbladder.

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5132 · December 29, 2011 at 9:40 PM

Your liv enzymes don't make sense. Ur saying u had it taken out in 2005 but u still have very high AST in 2009 and 11/2010: what were your ALTs? Let me guess: they were 100+. What were ur cholesterol components in _/2009 (AST=91) and 5/2008 (AST=38)? U say this is all pre-Paleo. So what happened bet. 2008 & 2009, when u wen't doing Paleo? Did u gain wt? When did u lose weight and was it doing VLC Paleo? U said 1Y ago. Bill, edit your post and list your height, also any other surgery/procedure u may have had, allergies, and any prescription/OTC/supplement medications ur currently taking.

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39841 · December 29, 2011 at 8:44 PM

Did you add anything to that coffee, croc?

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39841 · December 29, 2011 at 8:43 PM

Eggs aren't a problem, but heavy cream and butter are absolutely not the same saturated fats found in beef.

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1515 · December 29, 2011 at 8:04 PM

Go out in nature and try to find a year round supply of six eggs daily. You can't do it now and you couldn't have done it during the ice age. Heavy cream does have lactose and protein, but even if it hadn't it still would have a different fat composition than lard, tallow, marrow or brain. Same for CO, which is also a neolithic food.

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6709 · December 29, 2011 at 3:51 PM

My liver still produces the same amount of bile its just not being 'stored' for a fatty meal right?

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6709 · December 29, 2011 at 3:49 PM

2 years before any of the testing information I have available.

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6709 · December 29, 2011 at 3:48 PM

Since when did eggs become 'pseudo paleo'? Isn't heavy cream, the same sat fat found in beef and since it has 0 lactose, wouldn't that make it like a liquid burger minus the protein? And how is coconut also a 'pseudo paleo?'. Those three things are one of the primary reasons I started eating on paleo.

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6709 · December 29, 2011 at 3:46 PM

Thats it, just no gallbladder, I never had any problem digesting anything since it was taken out 5-6 years ago, blood tests were more normal up until recently.

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5132 · December 29, 2011 at 3:09 PM

If u don't have a gallbladder, that could affect your fat digestion. What other organ are you missing or what othe procedure have you had. This is the problem of someone posting their results and not telling relevant history. Then we go on a wild goose chase.

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5132 · December 29, 2011 at 2:57 PM

When did you get your gallbladder removed? That's important info: it gives clue on your liver enzymes, WBC, and high cholesterol.

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6709 · December 29, 2011 at 2:56 PM

lol, its french press, and expresso

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25467 · December 29, 2011 at 2:10 PM

you need to read the Jack Kronk thread. You too have the same problem.

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6709 · December 29, 2011 at 2:08 PM

My AST was 86 when I had the 321 Tri in NOV 2010, it was 38 in MAY 2008, 91 in 2009

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1515 · December 29, 2011 at 11:50 AM

Also his TC was 202 on ZC. Maybe genetics play a role (ApoE4, ...) but that doesn't support FH, does it?

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1515 · December 29, 2011 at 11:47 AM

I think retinol is more likely to help than copper if he doesn't eat liver or CLO.

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1515 · December 29, 2011 at 11:44 AM

Why do you even ask if you reject good advice?

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1515 · December 29, 2011 at 11:43 AM

I'm pretty sure eliminating the pseudo-paleo foods from your diet would improve your labs. And by that I mean all dairy, most eggs and coconut products. Maybe even some veggies (blasphemy!). People can bitch all they want about foods being natural or harmless, but their consumption is probably excessive compared to what would have been available. Less saturated, more monounsaturated fats (non-dairy animal fats). And walk more.

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5132 · December 29, 2011 at 8:00 AM

If ur 185, shouldn't u be taking about 2g per day?

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5132 · December 29, 2011 at 7:57 AM

Check AST/ALT levels, it should be there. Also see if platelets and WBCs are elevated like here.

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6709 · December 29, 2011 at 7:26 AM

How do I check my prior labs for NASH??

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2890 · December 29, 2011 at 7:22 AM

I don't have one either! Twinsies.

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6709 · December 29, 2011 at 7:22 AM

CM 5 grams/day, had only been taking it a week or two before the test. No, I didnt have fatty liver before Paleo, that I know of. I used to be 240lbs(2008), got down to about 165lbs(2009), and built up to 185lbs(current). I dont have a gallbladder if that means anything. Ill have to look at ast/alt from 2010. I wasn't sick, not with the flu, no sore throat, nothing. I see the WBC counts too.. and platelets. I actually went to the gym AFTER the blood draw and in a fasted state hit PR's on Squat and Deadlift, and then ate after.

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6709 · December 29, 2011 at 7:02 AM

I don't have a gallbladder either folks. Don't know if that has anything to do with this, haven't had it for about 5 years.

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39841 · December 29, 2011 at 3:39 AM

Well, there's the liver fat purging theory, which does make sense actually considering that most who come from the SAD have substantial liver fat stores that are released when they begin to eat real food. As for your TGs now, I don't think they are the result of SAFAs. Were I you, I would cut out all dairy and coconut fat and replace it with other fats if you must. Because your results are so out of range, pretty much any doctor won't balk at a re-test in 4 weeks.

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6709 · December 29, 2011 at 3:35 AM

thanks Dex, scheduling thyroid panel

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1054 · December 29, 2011 at 3:12 AM

A good resource is the site. Http://Stopthethyroidmadness.com

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1054 · December 29, 2011 at 3:09 AM

TRH and TSH are virtally worthless in evaluating thyroid function. And one depends on the other. Some people will have a "normal" TSH but very high Rt3 and very low T3. Get the thyroid hormones tested.

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1054 · December 29, 2011 at 3:02 AM

TSH is virtually worthless in evaluating thyroid function.

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3521 · December 29, 2011 at 2:57 AM

Wait so your trigs were 321 on a zero carb diet. This shoots in the face of those who claim carbs cause high trigs. More knowledgeable hackers, any idea why his trigs would be so high on ZC diet?

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215 · December 29, 2011 at 2:46 AM

Could still be thyroid - there are other factors to consider other than TSH which actually isn't in your panel

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6709 · December 29, 2011 at 2:19 AM

Could this be even with my TSH perfectly normal? at THYROTROPIN 1.070 uIU/mL 0.27-4.2?

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6709 · December 29, 2011 at 2:04 AM

I used to consume a lot of coconut milk/oil, but stopped 6 mo ago and upped the heavy cream/butter/bacon. Add back in coconut milk or no? And i found NOV 2010 test results: TC - 202, HDL - 22, LDL - 116, Tri - 321 (BUT this was when I was doing a ZC meat only diet!)

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6709 · December 29, 2011 at 2:00 AM

I wish it was JUST high ldl, but its high ldl, low hdl, high TG's. Maybe, the LDL is high from the sat fat in diet, the TG's high from the same? or from FFA release from fat stores? and HDL is low bc of? I have no idea.

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2890 · December 29, 2011 at 1:31 AM

You could very well be right, but he *is* lean. It really could go either way. I agree he should lower the sat fat intake in any case.

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39841 · December 29, 2011 at 1:18 AM

The low HDL is the result of the high TGs, which are an unrelated issue that will have to be addressed after this.

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39841 · December 29, 2011 at 1:17 AM

It's not the bacon, it's the cream and butter. http://paleohacks.com/questions/36855/i-think-i-may-have-figured-out-why-some-of-us-have-really-high-ldl#axzz1hnkBJbBN

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2890 · December 29, 2011 at 1:14 AM

@Bill, I don't it's the cream/bacon/butter. But sure, try it and report back. I would cut them back anyway but that's just cause I'm not as huge a fan of saturated fats as everyone else seems to be.

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2890 · December 29, 2011 at 1:12 AM

How would cream account for the low HDL?

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6709 · December 29, 2011 at 1:07 AM

So, the 5-10TBSP of heavy cream, 2-5 strips of bacon, and butter on potatoes might be the reason for this? great

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39841 · December 29, 2011 at 1:02 AM

I think that might be enough cream to account for this, to be honest. Consider replacing that with milk and re-testing in a few months.

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6709 · December 29, 2011 at 12:43 AM

Its about 2-4 TBSP per cup x 2-3 cups

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15226 · December 29, 2011 at 12:38 AM

could this be an Apo E4 allele?

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39841 · December 28, 2011 at 11:48 PM

How much cream are you actually going through per day? Is it just a little bit in 1 cup or pots of it?

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39841 · December 28, 2011 at 11:46 PM

There's no indication that it's genetic. "I havent lost any weight, but have lost some fat % and gained some LBM. I do have some before labs, they were within 'normal' range per the test.(Over 1 year old)"

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78417 · December 28, 2011 at 10:29 PM

Just thought it helps to explain more about cholesterol levels and such.

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2890 · December 28, 2011 at 10:17 PM

And 10% bodyfat and active...

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2890 · December 28, 2011 at 10:15 PM

Not helpful? If it's familial he can stop worrying about butter vs coconut oil vs olive oil vs lard vs ... or other less significant details. I did not mean it in a rude way, just a reminder and to counterbalance most of the other comments which put too much faith in dietary interventions. His diet sounds pretty close balanced and ideal.

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6709 · December 28, 2011 at 9:42 PM

I +1d this, im sure ill be getting tested for it. hoping its diet related as oppose to genetics

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56606 · December 28, 2011 at 9:24 PM

Not helpful, but a valid point. have you had yourself tested for familial hypercholesterolemia?

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6709 · December 28, 2011 at 8:32 PM

Having re-read this article 3 times, I do not see how it relates to my situation other than to prompt me to get further blood work done. Anyone care to explain their take on this article and how it applies to me????

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6709 · December 28, 2011 at 8:18 PM

Working on getting that.

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6709 · December 28, 2011 at 8:17 PM

Replace whey\casein with even more meat and therefore more fat? I fail to see how that makes any sense. I eat more veggies than anyone else that I know. And I do not eat liver because i find it absolutely disgusting(smell, texture and taste) and there is absolutely nothing in it that I do not get someplace else. Your right I should walk more, but how much will adding walking effect a 450! LDL level?

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6709 · December 28, 2011 at 8:06 PM

Updated.........

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6709 · December 28, 2011 at 8:01 PM

Yes I read it, and these numbers are still horrible unless I missed something.

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6709 · December 28, 2011 at 7:55 PM

I updated the question with more data, RE butter - very little (only on sweet potato).

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39841 · December 28, 2011 at 7:52 PM

Yeah, we're gonna need more detailed info of what you've been eating. I'd be really surprised if it weren't tons of butter. Sounds like you don't have familial hypercholesterolemia, so this is completely diet-related. Don't let anyone tell you to ignore this and keep doing what you're doing. You simply can't keep an LDL pool that large from becoming oxidized.

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1026 · December 28, 2011 at 7:36 PM

What's your diet and activity level like, Bill? I'm thinking it could be a copper deficiency. Do you eat liver?

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1026 · December 28, 2011 at 7:34 PM

What's your diet and activity level like, Bill?

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1026 · December 28, 2011 at 7:33 PM

What's your diet like, Bill?

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6709 · December 28, 2011 at 6:58 PM

I havent lost any weight, but have lost some fat % and gained some LBM. I do have some before labs, they were within 'normal' range per the test.(Over 1 year old)

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18671 · December 28, 2011 at 6:52 PM

That does look a little insane. Have you lost a lot of weight? Do you have results from before?

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14 Answers

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18412 · December 29, 2011 at 11:04 PM

Bill,

You are producing LDL at too high of a rate and not clearing them. I would get off creatine, reduce dairy fat, and add low to medium resistance exercise to your weight training regimen. Personally, I added 3x per week jogging and still maintain weight lifting 4x per week. Usually I jog on my rest days, and I almost always jog in a totally fasted state (like on a weekend mornings before breakfast or before dinner on weekdays).

Also, I would consider your thyroid as others here have mentioned. You may need to get a full thyroid test. Poor thyroid function can easily mess up your LDL, which brings us to our next point. I am almost certain that you have very very low LDL receptor activity. This is why your HDL is on the floor and your LDL is in the clouds. It is a vicious circle. Your diet and workout routine is strikingly similar to mine. And while I've never had LDL that high (mine is always about 160-180), we have a similar issue with the bad ratios.

Here is what I would do first if I were you:

  • No Creatine

  • Very little dairy (perhaps for a time)

  • Add cardio and preferably in a fasted state to specifically target and burn FFAs

  • Add some turmeric to your diet somehow. This has been shown to increase LDL receptor activity.

  • Reduce the strain by reducing the weight in your weight lifting. (For example... I was doing 5 reps of 285 twice on the bench, and using EVERY ounce of muscle and girth within me to do so. But I switched to 8-10 reps of 250 for the first set, and 8-10 reps of 200 for the second set). This is just an example for me. But I think you get the idea. To repeat my first sentence here, what I am saying is... reduce the strain by reducing the weight in your weight lifting. I am not sure if this helps with lipid numbers, but I just know that after a full year of nearly maxed out workouts, my numbers were not good at all. I posted a question about it here a while back: http://paleohacks.com/questions/75513/could-lifting-weights-to-failure-regularly-be-problematic-for-blood-lipids-due-to .

Hopefully some of this helps. Keep us posted.

-JK

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18412 · December 30, 2011 at 4:38 PM

Dean - I know Creatine is safe. I researched exactly what Creatine is and what it does before taking it myself for quite some time, but I am off it for now. Thanks for the info.

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1515 · December 30, 2011 at 10:15 AM

Cholesterol gets converted to pregneolene/steroids via T3 and Vitamin A. This seems a more likely connection to whacky lipid labs in bodybuilders taking steroids than creatine. Creatine is natural and pretty safe. Steroid use, possibly coupled with Vitamin A deficiency or low T3, isn't.

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18412 · December 30, 2011 at 2:46 AM

conciliator - it might not. but I know that some bodybuilders, especially those that take steroids, have been known to test for unbelievably whacked out lipid numbers. i'm not suggesting that creatine does what steroids do in any way, but it very well could play enough of a role that it's better to cut it out in Bill's case.

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6709 · December 30, 2011 at 1:23 AM

Thanks Jack K!!

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2890 · December 29, 2011 at 11:47 PM

Didn't know creatine could lead to someone having the blood lipids of a 50 year old obese man.

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78417 · December 28, 2011 at 7:16 PM

I'm not qualified to hack this, but have you taken a look at this? http://www.marksdailyapple.com/how-to-interpret-cholesterol-test-results/#axzz1hrHmi35m

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78417 · December 28, 2011 at 10:29 PM

Just thought it helps to explain more about cholesterol levels and such.

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6709 · December 28, 2011 at 8:32 PM

Having re-read this article 3 times, I do not see how it relates to my situation other than to prompt me to get further blood work done. Anyone care to explain their take on this article and how it applies to me????

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6709 · December 28, 2011 at 8:01 PM

Yes I read it, and these numbers are still horrible unless I missed something.

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3162 · December 30, 2011 at 1:16 AM

My personal experience:

I had a ton of problems on low carb paleo including low thyroid and skyhigh cholesterol (350 ldl) I was eating full fat cheese and yogurt, a couple servings a day. My doc ordered me off all dairy to help balance my hormones and my cholesterol fell back to normal before my thyroid improved at all (that was a few months of starches that eventually did the trick). So my thyroid may have made it worse but it wasn't the major cause.

I never cut back on meat fat and kept eating plenty of beef and bacon and even cooking in coconut oil. So it was absolutely the dairy fat that caused the up and downs in my cholesterol. Some people just shouldn't eat it, like how others just can't eat gluten, nuts, eggs, shellfish, etc. because of reactions.

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6709 · December 30, 2011 at 1:28 AM

Thanks Heather! Im cutting out the dairy, cream, including yogurt/sour cream/cottage cheese,etc and taking the bacon out too just to see what happens and lower my total fat intake.

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5132 · December 29, 2011 at 7:03 AM

How much Creatine Monohydrate are you taking? That is throwing some #s off, especially your creatine and GFR. Your cholesterol #s shouldn't be affected too much by this, although your LDL could increase by as much as 10% just by taking CM. RU a bodybuilder? How long have you been on it?

Did you have fatty liver before starting Paleo? How much weight have you lost? Or how much LBM did you gain through Paleo, exercise and CM supplementation AFTER 11/2010. Your blood test in 11/2010 shows liver-related metabolic derangement. What were your ALT and AST, then (~50 or higher)? Your current liver enzymes should be much lower but your ALT is 2x your AST, common in recovering fatty liver sufferers. It should fall to about the same level as your AST.

Second, were you sick (had a flu or infection / allergies) when you took the test? Your WBCs are jiggered all over. Retest to make sure the WBCs are within range, and rule out something more serious.

Third, you have a normal platelet count but high mean platelet volume. This could again be inflammation/infection but I'd retest when you recover from a flu or infection.

Now, when you combine all these with your LDL, they do increase the risk of CVD (incl. stroke). I'd try to see if you have additional, independent risk factors of CVD (hypertension, high platelet vol, Lpa) along with inflammation markers (CRP, IL-6, Ferritin, Fibrinogen, etc.). If you have the same #s as before (incl. your WBCs, platelets) plus high CRP, ESR, Lpa, etc., I'd be very concerned.

First order of bidness: (-1) Check your prior labs for liver enzymes to see if you had NASH. (0) Quit CM ASAP. (1) Retest lipids and CBC but after you're cleared of a flu or whatever you're suffering from. Add CRP, ESR, and inflammation markers as items. (2) Take particle size test (VAP) to assess your Lpa and ApoB. (3) If LDL is still high, have your genes mapped with 23andme and confirm your ApoE4 status. Take the result to a cardiologist along w/your new CBC / inflammation result. (4) If CBC items r abnormal and confirmed by inflammation markers, you need to be referred to a specialist for further screening.

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6709 · December 30, 2011 at 1:22 AM

added..............

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6709 · December 30, 2011 at 12:28 AM

240 in Nov 2008 to 165 in Aug 2009, doing 'slow carb', (only carbs were beans)+paleo (no dairy,cheese,cream), adding more data to OP.

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5132 · December 29, 2011 at 9:50 PM

Wait a minnit, u went from 240 in 2008 to 165 in 2009? How? Doing low fat?

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5132 · December 29, 2011 at 9:44 PM

Also, check & see if your WBC (Leuco/Mono/Neutro, etc.) components are out of wack (high-low) in prior tests; if they're, it's probably due to your missing gallbladder.

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5132 · December 29, 2011 at 9:40 PM

Your liv enzymes don't make sense. Ur saying u had it taken out in 2005 but u still have very high AST in 2009 and 11/2010: what were your ALTs? Let me guess: they were 100+. What were ur cholesterol components in _/2009 (AST=91) and 5/2008 (AST=38)? U say this is all pre-Paleo. So what happened bet. 2008 & 2009, when u wen't doing Paleo? Did u gain wt? When did u lose weight and was it doing VLC Paleo? U said 1Y ago. Bill, edit your post and list your height, also any other surgery/procedure u may have had, allergies, and any prescription/OTC/supplement medications ur currently taking.

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6709 · December 29, 2011 at 3:51 PM

My liver still produces the same amount of bile its just not being 'stored' for a fatty meal right?

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6709 · December 29, 2011 at 3:49 PM

2 years before any of the testing information I have available.

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5132 · December 29, 2011 at 2:57 PM

When did you get your gallbladder removed? That's important info: it gives clue on your liver enzymes, WBC, and high cholesterol.

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6709 · December 29, 2011 at 2:08 PM

My AST was 86 when I had the 321 Tri in NOV 2010, it was 38 in MAY 2008, 91 in 2009

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5132 · December 29, 2011 at 8:00 AM

If ur 185, shouldn't u be taking about 2g per day?

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5132 · December 29, 2011 at 7:57 AM

Check AST/ALT levels, it should be there. Also see if platelets and WBCs are elevated like here.

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6709 · December 29, 2011 at 7:26 AM

How do I check my prior labs for NASH??

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6709 · December 29, 2011 at 7:22 AM

CM 5 grams/day, had only been taking it a week or two before the test. No, I didnt have fatty liver before Paleo, that I know of. I used to be 240lbs(2008), got down to about 165lbs(2009), and built up to 185lbs(current). I dont have a gallbladder if that means anything. Ill have to look at ast/alt from 2010. I wasn't sick, not with the flu, no sore throat, nothing. I see the WBC counts too.. and platelets. I actually went to the gym AFTER the blood draw and in a fasted state hit PR's on Squat and Deadlift, and then ate after.

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4306 · December 28, 2011 at 8:08 PM

Just some things that I do which raised my hdl a lot and lowered ldl and trigs. Lots of Coconut oil (cold pressed, organic, etc). Grass fed animals... saturated fat from aforementioned animals, canned sardines, salads, eggs... Herbs like olive leaves, green tea, hibiscus, hawthorne berry, camomille, cayenne pepper, rose hips comfrey

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20 · December 28, 2011 at 7:49 PM

You need to get a complete lipid panel with the apolipoproteins & particle numbers plus genetic markers. Also you should always do your follow-up checks with the full breakdown as well. Just getting a standard profile like this leaves a lot of missing information. You have a form of hyperlipidemia that will be difficult to follow with a standard lipid profile.

Based on the remaining information, it does not appear that the 20 hour fast created any artifacts in your results, so you can assume the results are accurate unless there is more info you have not shared such as intense exercise, etc. prior to the test.

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6709 · September 07, 2013 at 1:28 AM

None, very little activity prior to test (planned gym time after blood test). Other than VLDL #'s what is missing from my panel?

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6709 · December 28, 2011 at 8:18 PM

Working on getting that.

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5132 · December 30, 2011 at 11:12 AM

Let's say u had your gallbladder taken out in 2005. That would make sense as your liv enzymes fell to the teens in 5/2007. However, they rose to fatty liver levels in 2/2008, when you supposedly became overweight at 240 lbs. Were you overweight/obese in 2007 and in 2005 as well, when you had surgery?

If so, that's probably fatty liver due to SAD: processed carbs as shown by 192 trigs -- it's not bad but this was prior to your weight loss in 2009 via "slow carbs" (beans but no dairy), when your liv enzymes were halved. No cholesterol #s here but I trust they were normal at this time.

Your #s went bonkers in 11/2010 when you hit 320 trigs w/high liver enzymes. This was your zero-carb, meat only diet; you weren't doing dairy and non-meat SAFA like u are doing now. But your LDL wasn't bad (116). U must have had episodes of running to the bathroom, eating that much fat without the gallbladder.

In short, it seems to be Apo E4. You hit FH territory (TC>=350) with SAFA. I'd try taking out all non-meat SAFA as posted above and see how you fare. U can quickly confirm your Apo status through 23andme for $200. Also take out coffee and CM. I'd increase carbs to about 150-200g using yams, sweet potatoes, peas, and lentils, if they don't bother u. That should reduce your TC and at least turn your LDL to type A. For that to happen, though, your HDL has to go up and trigs have to go down.

If not, the only option I see is increasing carbs more. That's because you have additional issues:

Your creatinine is chronically elevated and this is not due to CM. Seems like your BP was not under control back in 2007-8: GFR of 68 when you were only 30, very similar with another poster here, Berger. U have hypertension? Your doc must've talked to you about low kidney function? Hypertension is a separate risk factor for CVD.

You have a consistently high mean platelet volume, another risk factor of CVD that affects blood clotting. I'd get tested for Lpa and Fibrinogen: they could be similarly elevated.

WBC abnormalities could just be noise but keep an eye on them, since they're more often out of the range than not when you're supposedly healthy. Ask for inflammation markers like Ferritin, CRP, IGF-1 and ANA to rule out autoimmunity and other conditions, since u r complaining of unexplained fatigue. Watch out for increased risk of colorectal cancer for those with no gallbaldder.

Very low HDL throughout, even when exercising. Like above, more cardio vs. weights, more reps vs. heavy weights. For u, trigs may not serve as a marker of insulin as it does in most people. No blood sugar issue but u seem to become hypoglycemic when fasting (back in 2007-08).

Your doc will recommend a low-fat diet, citing your missing gallbladder. If your #s don't improve, I'd opt for a lower fat (i.e., higher carb) diet with lean meats, no dairy & eggs, given your risk factors that do require attention.

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6709 · December 30, 2011 at 8:16 PM

I would say that my weight was perfectly normal for the situation(s) I was involved in. Right now, I am at the heaviest but leanest I have ever been in my life. btw, thanks for all your replies NambyPamby

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6709 · December 30, 2011 at 8:14 PM

Back before I got sick <2004 I was always around 165-170, I have no blood tests from then. Then I got sick, and my weight before GB surgery was 139, I remember it well. Post GB surgery, I ate like a maniac and got to 18X, deployed, weight fluctuated, deployed, weight fluctuated. I was 170 or so in 2006/07. Then I sat around with knee injury and depression and ate pizzas until I was 240lbs. Then I slow carbed it(in two months lost 40+lbs), etc etc. My point is that I always had to gorge myself on crap to gain fat, and 'diet' to lose weight.

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5132 · December 30, 2011 at 8:01 PM

There's gotta be more story to this. Under 140 then 240 then 165 then 185? Ur not a very big guy so these weight changes may not seem large but in fact they are.

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6709 · December 30, 2011 at 6:50 PM

" 2005 as well, when you had surgery?", I was very sick, and <140 lbs.

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240 · December 29, 2011 at 1:25 PM

Try this; ditch that coffee; especially if its french press or expresso.

4 years ago, when 50 pounds heavier, my TC was 220. October this year (2 years primal) TC=530! (tested twice due doctor disbelief)

Dropped my daily 6-8 large cups expresso/french press. (I knew this addiction was not 'ancestral'! but it helped my daily 16 hr 'IF').

Last week: TC 230.

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5132 · December 30, 2011 at 4:18 AM

That and a tsp of Truvia or stevia, plus some cinnamon and I never went back to filtered coffee or cream/dairy in my coffee. http://truvia.com/about/ingredients/

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5132 · December 30, 2011 at 4:14 AM

a tsp of instant espresso (Megalia D'Oro or Ferrara) for that mocha and strong coffee flavor. http://www.amazon.com/Medaglia-DOro-Instant-Espresso-Coffee/dp/B002BTI9B0 http://www.amazon.com/FERRARA-Ferrara-Espresso-Instant-Coffee/dp/B000NL514Q/ref=sr_1_cc_2?s=home-garden&ie=UTF8&qid=1325218448&sr=1-2-catcorr

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5132 · December 30, 2011 at 4:13 AM

The article sez the effect should be only 6-8%. I'd still do away with the French-press & espresso, especially if I'm on Ambien. Try instant coffee, which has much less cafestol. Better yet, since u seem to have insomnia, drink instant decaf (e.g., Sanka). I honestly can't tell the difference. I also pour 2 tsps unsweetened cocoa and http://www.hersheys.com/pure-products/hersheys-cocoa/natural-unsweetened.aspx

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6418 · December 30, 2011 at 1:49 AM

Check this: http://www.sciencedaily.com/releases/2007/06/070614162223.htm

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222 · December 30, 2011 at 1:03 AM

@Jack French press retains more of the oils in the coffee. Since the coffee has been roasted, it seems like those oils are probably mostly oxidized. That might cause problems? Maybe? Just throwing out an idea.

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2890 · December 29, 2011 at 11:45 PM

6-8 large cups... that's not excessive or anything.

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18412 · December 29, 2011 at 10:18 PM

what does french press coffee have to do with anything?

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39841 · December 29, 2011 at 8:44 PM

Did you add anything to that coffee, croc?

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6709 · December 29, 2011 at 2:56 PM

lol, its french press, and expresso

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2890 · December 28, 2011 at 7:56 PM

Genetics are a bitch.

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2890 · December 30, 2011 at 2:30 AM

Absolute statements tend to be wrong.

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526 · December 29, 2011 at 11:51 PM

I dunno, he could always stop worrying about his cholesterol because cholesterol does not cause heart disease.

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18412 · December 29, 2011 at 10:14 PM

I agree with Travis.

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1515 · December 29, 2011 at 11:50 AM

Also his TC was 202 on ZC. Maybe genetics play a role (ApoE4, ...) but that doesn't support FH, does it?

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39841 · December 28, 2011 at 11:46 PM

There's no indication that it's genetic. "I havent lost any weight, but have lost some fat % and gained some LBM. I do have some before labs, they were within 'normal' range per the test.(Over 1 year old)"

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2890 · December 28, 2011 at 10:17 PM

And 10% bodyfat and active...

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2890 · December 28, 2011 at 10:15 PM

Not helpful? If it's familial he can stop worrying about butter vs coconut oil vs olive oil vs lard vs ... or other less significant details. I did not mean it in a rude way, just a reminder and to counterbalance most of the other comments which put too much faith in dietary interventions. His diet sounds pretty close balanced and ideal.

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6709 · December 28, 2011 at 9:42 PM

I +1d this, im sure ill be getting tested for it. hoping its diet related as oppose to genetics

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56606 · December 28, 2011 at 9:24 PM

Not helpful, but a valid point. have you had yourself tested for familial hypercholesterolemia?

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1054 · December 29, 2011 at 2:01 AM

In addition to getting a VAP or NMR lipid profile, I would get a complete thyroid panel done to include total T4, T4 free, T3 total, T3 free, reverse T3, TSH

I would not be surprised that you are hypothroid. Cholesterol levels are higher than normal because the body's inability to produce T4 that breaks down cholesterol when hypothroid You also need a 4x salivary cortisol test done as cortisol levels during the day give hints as to how to treat hypothroidism.

There is really nothing you can do diet wise if you are hypothroid. Get your thyroid issues straightened out and your lipid profile will be better. Many folks find they cannot do any dairy to include whey. Some fortunate ones can do all the dairy they want with no ill effects. Low carb diets seem to reveal hypothroid problems that were masked by the previously eaten SAD diet. This is why many people feel so sh@ty when discovering paleo and going low carb. They add back in a couple hundred grams of carbs and all is well...except for the relationship of hypothroidism and Cardio Vascular Disease.

There is a dearth of physicians that really understand how to treat thyroid problems.

You can also do Dr Kruse's Leptin Reset Protocol. He says than many thyroid problems are corrected by becoming leptin sensitive...but if the thyroid has shut down then the reset will only mildly help.

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6709 · January 17, 2012 at 1:09 AM

there will be no thyroid panel, as the VA will only test for 'T4' and nothing else

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6709 · December 29, 2011 at 3:35 AM

thanks Dex, scheduling thyroid panel

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1054 · December 29, 2011 at 3:12 AM

A good resource is the site. Http://Stopthethyroidmadness.com

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1054 · December 29, 2011 at 3:09 AM

TRH and TSH are virtally worthless in evaluating thyroid function. And one depends on the other. Some people will have a "normal" TSH but very high Rt3 and very low T3. Get the thyroid hormones tested.

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1054 · December 29, 2011 at 3:02 AM

TSH is virtually worthless in evaluating thyroid function.

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215 · December 29, 2011 at 2:46 AM

Could still be thyroid - there are other factors to consider other than TSH which actually isn't in your panel

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6709 · December 29, 2011 at 2:19 AM

Could this be even with my TSH perfectly normal? at THYROTROPIN 1.070 uIU/mL 0.27-4.2?

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1966 · December 28, 2011 at 11:11 PM

Get a genetic test to see if you have familial hypercholesterolemia, high total and ldl cholesterol points towards this.

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8933 · December 28, 2011 at 8:07 PM

I'm afraid your diet isn't very airtight, Bill. Lots of omega-6 in there. Do you take any supplements?

I would definitely cut out the whey and the casein. As an anecdote : there is nothing that gives me more acne than whey and casein (especially whey). I don't see why people always take it : what's the point, really? Just eat a good steak and you'll have all the protein you need... Use gelatin if you really want a shake. You'll spend less and you'll be healthier. WIN-WIN

That being said, if you've been paleo for more than a year and haven't eaten liver or loads of vegetables, there's a good chance you got a copper deficiency. While butter might be a plausible explanation for this, I believe such a deficiency is even more plausible.

Another thing you should absolutely consider is lack of activity. My father has bad cholesterol, since he started walking a lot it has improved a lot. And his diet sucks, believe me (loads of bread, he eats constantly, ... the only thing that is good is his 5 portions of fruit).

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8933 · December 30, 2011 at 8:23 AM

I'm using acne as a way to make a point, you douche. How else could I make that point? My doctor avoids blood tests at all cost. I also don't see what's wrong with using anecdotes : this whole website is based on anecdotes. But hey, if you don't wanna eat liver or walk around, then I guess it's bad advice.

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2890 · December 29, 2011 at 11:49 PM

@Dean, it's not good advice. For christ's sake he recommends gelatin shakes. He makes anecdotally biased claims that whey is bad, when that has never been supported by research. Not to mention **nobody is asking about your acne**, maybe if whey screwed your lipids that would be one thing, but it did not.

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1515 · December 29, 2011 at 11:47 AM

I think retinol is more likely to help than copper if he doesn't eat liver or CLO.

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1515 · December 29, 2011 at 11:44 AM

Why do you even ask if you reject good advice?

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6709 · December 28, 2011 at 8:17 PM

Replace whey\casein with even more meat and therefore more fat? I fail to see how that makes any sense. I eat more veggies than anyone else that I know. And I do not eat liver because i find it absolutely disgusting(smell, texture and taste) and there is absolutely nothing in it that I do not get someplace else. Your right I should walk more, but how much will adding walking effect a 450! LDL level?

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20353 · December 28, 2011 at 7:48 PM

I think the test is wrong. My friend had a similar problem after fasting for three days. Maybe the doc will let you retake? Then fast for just 12 hour and drink water...

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78417 · December 29, 2011 at 3:47 AM

1.) THERE IS LITTLE EVIDENCE THAT ELEVATED TOTAL CHOLESTEROL IS ASSOCIATED WITH ATHEROSCLEROTIC DISEASE. 2.) A LOW HDL HAS BEEN SHOWN TO BE ASSOCIATED WITH A POORER PRGNOSIS ONLY IN INDIVIDUALS WITH PREVIOUSLH DIAGNOSED CAD. 3.) THERE IS ONLY MARGINAL EVIDENCE THAT DIETARY INTAKE OF CHOLESTEROL IS RELATED TO TOTAL OR HDL. 4.) I DONT KNOW HOW KNOWING YOUR VLDL, OR LDL WOULD PROVIDE USEFULL INFORMATION, BUT I AM LISTENING!? 5.) IF YOU ARE ANXIOUS ABOUT CHOLESTEROL DOGMA, THEN THERE IS LITTLE MAGIC HERE, DOGMA STILL SAYS LIPITOR, LOW CHOLESTEROL DIET, AND MAYBE HIGH DOSE NIACIN.

I AM GUESSING THYROTROPIN IS TSH. IF SO IT IS STONE COLD NORMAL. KNOWING T3, T4, etc WILL ADD ONLY CONFUSION.

I HOPE THIS HELPS.

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