Paleo Diet and Paleolithic Diet Questions & Answers

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just got my results back from the lab Should I be concerned at how insanely high my Cholesterol up from Feb 2011

Total CHOLESTERAL 4.42 now 5.51 HDL CHOL = 1.02 now 1.06 LDL CHOL = 2.79 now 3.78 LDL/HDL RATIO = 2.7 now 3.36 Triglycerides = 1.34 now 1.08 Total Lipids 6.68

Any feedback would be greatly appreciated. No. You have improved. 5.5 is a good TC number. Keep lowering the trigs and raising HDL for optimal health

flag	asked May 19 2012 at 8:23 Richard 1

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looks like you have included an answer, did you mean to? – daz May 19 2012 at 10:23

daz · Answer 1 · 2012-05-19 22:41:32Z UTC

for those interested, Paul Jaminet's answer is here http://perfecthealthdiet.com/q-a/comment-page-22/#comment-78358

Hi Ricardo,
Your cholesterol seems to be in the process of normalizing, but you have some work to do.

Optimal TC is 200-240 mg/dl = 5.2 to 6.2 mmol/l. You’re there. In 2011 it was too low.

Your LDL at 3.78 mmol/l = 146 mmol/l is a bit high, but not worryingly so. It suggests an excess of oxidative damage to LDL and/or an impairment of LDL uptake, but only a slight problem which should not be treated with drugs.

Your HDL at 1.06 mmol/l = 41 mg/dl is low. It should be 60 or higher. Find our post “How to Raise HDL” and try some of the steps there.

High LDL could be due to several causes, including hypothyroidism, mineral deficiencies (iodine, zinc, copper are possibilities), or too few carbohydrates in the diet. I would try to be careful about diet and nutrition, and look carefully for any symptoms of hypothyroidism and ask your doctor what your TSH level is. You might read our LDL/HDL/cholesterol biomarkers category.

Best, Paul

peter · Answer 2 · 2012-05-19 10:56:28Z UTC

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Your levels are as follows
Chol 213
HDL 41
LDL 146
Trig 96

Your total levels are not high, however you HDL is low (bad), your LDL is high (bad), and your trigs are slightly high, your HDL/Trig ratio is important and yours is the wrong way, you want HDL to be hight than trigs. I'm no doctor, but I would want my HDL to be higher and my trigs/LDL to be lower.

Also, it is common practise on PaleoHacks to ask a question, then wait for an answer, not provide your own.

answered May 19 2012 at 10:56

peter
6,340●2●6●29

	Well we learned recently that HDL numbers don't mean what we thought they did. So at best we're left with HDL/Trig being a poor man's down n dirty signal for insulin resistance. The OP is insulin resistant by this imprecise measure. My suggestion - clean up the diet, although not all IR can be controlled or resolved by diet alone. For heart risk, it now looks like LDL-P concentration is the better marker. – GurlzLuvSteak May 19 2012 at 16:38
	Can you provide some links for the "HDL doesnt mean what we thought" and the "HDL/Trig IR link" quotes? – peter May 19 2012 at 19:15

Total CHOL count up on Paleo

2 Answers