Gary Wu has posted a couple questions about high HDL, and Elaine shares how she had 127 and usually floats at around 110. HDL is not talked about nearly as much as LDL, because it seems to be highly agreed upon, both within the Paleo community, and even outside the Paleo community (miraculous, i know) that high HDL is good. So what's there to talk about, right?
That's why I am delighted to see Paul Jaminet of Perfect Health Diet dive into the topic of high HDL. He wrote 2 articles on HDL, back to back, and I believe there's a 3rd article coming soon.
At the root, he defines what HDL is/does.
HDL gathers anti-pathogenic immune molecules and acts as a “Trojan horse” to attach those molecules to pathogens, helping white blood cells find and kill them.
Toxin clearance. The primary lipoprotein in HDL, apolipoprotein A-I, not only binds to immune proteins, it also can pick up an assortment of toxins, including oxidized LDL.
These articles contain a bevy of seemingly fresh thought on the subject and address some critical questions and ideas.
A standout among these:
"In concrete terms: Is Richard Nikoley’s coconut oil-induced HDL of 133 mg/dl too high? It’s a fair question!"
Basically, Paul ends with a pretty open assessment that striving for a high HDL like Richard Nikoley is great. Some heavyweights chime in on the comments, including Emily Dean with her razor sharp wit, and Chris Kresser.
My question: If we are to strive for high HDL, because of the host of protective benefits it brings, while simultaneously knowing that actually HAVING a high HDL could imply warning signs of inflammation and/or infection, how can we carefully balance determining when we see a high HDL on our VAP tests that everything is all good in the hood.