October 2011 (about 2 weeks into Paleo):
HDL cholesterol: 106 mg/dL
LDL cholesterol: 153 mg/dL
Triglycerides: 58 mg/dL
Total cholesterol: 271 mg/dL
HDL cholesterol: 108 mg/dL
LDL cholesterol: 253 mg/dL (!!!!!!)
Triglycerides: 57 mg/dL
Total cholesterol: 372 mg/dL (!!!!!!)
Apolipoprotein B: 169 mg/dL (!!!!!!)
Okay, my HDL went up a little and my trigs went down a little but oh my good golly gosh look how much my LDL and total went up. And my apoB levels are kinda scaring me too. I eat very strict Paleo but with dairy (full-fat Greek yogurt and grass-fed butter/ghee). I'm not low carb at all.
Cholesterol ratios may be a better predictor for CVD, but her results are still WAAAY outside normal range, and we do not have the evidence to say that her results are not problematic!
We have data that suggest that long-lived, healthy populations tend to have total cholesterol in the range of 200-240 mg/dl. I am not aware of any data that says the same thing about 300+.
April, I would recommend talking to someone with more experience in the field, not a bunch of people on the internet. Kurt Harris doesn't give medical advice over the internet, but he may know someone in your area, or make suggestions about how to find someone in your area. Chris Kresser does do consultations. Stephan Guyenet, Chris Masterjohn, Paul Jaminet: I would be much, much more confident about their advice than a random paleohacker.
The only thing I can write is that it appears that some people experience a rise in TC after going Paleo. I personally have experienced a decrease in LDL and a rise in HDL.
As well, I have yet to read a satisfactory explanation as to why this occurs except for the fact that people are different and have different reactions to how they handle specific foods. Maybe you could begin to slowly remove certain foods from your diet and see the practical results in a lipid test.
I couldn't notice that you are mentioning CVD a few times. I believe that good exercise can fix your HDL and eating healthy should affect your LDL but sometimes things are just not working out. Regarding CVD, A higher intake of cholesterol and saturated fat and a low P:S were related to increased CVD risk among women with type 2 diabetes. Among diabetic persons, replacement of saturated fat with monounsaturated fat may be more effective in lowering CVD risk than is replacement with carbohydrates.
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