Just had a blood test done and my results came back with a total cholesterol of 267. Of course the doc called and said he was a bit concerned as high cholesterol runs in the family. He gave me the typical "watch your cholesterol-rich and high-fat foods" speech and told me to come back in a year to have it checked again. But, he didn't mention anything about the breakdown of total cholesterol, which looks like this:
Triglycerides: 59 HDL: 111 LDL: 144 VLDL: 12
I've been eating pretty clean Paleo since January (about 90% of the time). Typical day consists of two eggs with salsa, two slices of bacon and a glass of coconut milk for breakfast, a big salad with grilled chicken, olive oil and balsamic for lunch, and grilled veggies and a protein (typically beef or pork) for dinner. Supplementing with 5,000 IU of Vitamin D, 3,600 mg of fish oil and a multivitamin. Lift heavy for 20 minutes 3-4 times a week, spring once a week and walk for 30+ minutes almost every day.
I'm 6'1", 156 lbs with a body fat percentage around 10.
I don't think I have any reason to be concerned, but of course the doc and my parents think I should cut the eggs and bacon and eat more whole grains (which ain't gonna happen).
If the doctor didn't say, "first off, you have excellent TGs and HDL..." then you should stop listening to him.
Sounds like you have a pretty good diet that should keep you healthy for a long time.
It's only "high" because of your high HDL - which is a good thing.
This is a great example of how total cholesterol can be misleading (even meaningless). If your doctor was only looking at the total (which seems unlikely, yet possible) a person with this breakdown would have received a thumbs up:
HDL: 10 TRG: 300 LDL: 120
Which I would argue is a cause for concern. I'm surprised he didn't say anything about the low TRG and high HDL.
As I understand, LDL is frequently calculated rather than directly measured. There are different equations for calculating it too.
I'd suggest searching around on Archevore/PaNu and on Dr. Davis's Heartscan blog for more info on that.
These blogs would also have good info re the composition of LDL and percentage of it being VLDL.
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