Paleo Diet and Paleolithic Diet Questions & Answers

Question

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I started Paleo January 2011. This is a comparison of my lipids panel from Sep 2010 (pre-paleo) and Sep 2011 (9 months paleo).

I told my doctor that I've switched to Paleo and am eating more fats and requested a VAP test since I knew my cholesterol was probably going to be higher. Unfortunately he didn't think my insurance was going to cover it so no VAP test was performed.

On a side note, I've been supplementing with 5g creatine monohydrate Mon-Fri during my strength training sessions since starting paleo and it appears my creatinine levels are high. The doctor wants to discuss the elevated creatinine levels with me.

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edited Sep 14 2011 at 21:06

asked Sep 14 2011 at 17:45

Mike Shyu
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	Do blood panels generally always have creatinine levels? I thought that was a special request. – ben61820 Sep 14 2011 at 17:48
	The 2nd half of the chart was an excerpt from the comprehensive metabolic panel the doctor ordered as part of my annual checkup. I should have stated that the results above were from blood drawn as part of my annual checkup. I don't know if your doctor normally orders it, but it appears mine does. – Mike Shyu Sep 14 2011 at 17:56
	I have mine tested as part of my liver & kidney function tests fir my diabetes check ups (UK, NHS) – Efaitch Sep 14 2011 at 22:59
	Pshhhtttt!!! That's nothing to worry about. TC is not particularly high, HDL is great, HDL/TG ratio is great ... from which we can assume that your LDL patter is a strong type A (large and fluffy). I wish my numbers were as good as yours. – Mike Gruber Sep 14 2011 at 23:32
	I know nothing about the subject but I take creatine every day and my creatinine levels were not high at all. Just a note. – peter Sep 15 2011 at 3:03

cliff · Answer 1 · 2011-09-14 22:04:30Z UTC

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Without 5 tests averaged out before n after paleo your numbers are meaningless because of natural fluctuation. Check out CMaster's new podcast on chriskesser.com for more details.

answered Sep 14 2011 at 22:04

cliff
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Jack Kronk · Answer 2 · 2011-09-14 19:03:47Z UTC

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Looks great Mike. As Travis notes, 214 is right in line with what is currently observed as a good place to be. Your HDL is very strong at half your TC. Trigs are Low.

For the VAP, you really don't need it. It's obvious what it would be. But just so you know, VAP test is only $22 plus $10 blood draw fee. So for $32 you can check it outside your insurance coverage if you really want to.

answered Sep 14 2011 at 19:03

Jack Kronk
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Jack, Where are you getting a VAP for $32? – Dextery Sep 14 2011 at 19:24

LabCorp . – Jack Kronk Sep 14 2011 at 19:32

Got ahold of Lab Corp Arizona and tests have to be ordered by a Physician or an on line company. Cost of VAP $246 Cost of NMR $167 What site did you find the $32 on? – Dextery Sep 14 2011 at 19:54

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Not a site. In person with a Doctor approval. My insurance said they wouldn't cover it, so I walked into LabCorp and said "Hi. My insurance won't cover a VAP. How much does it cost for me to pay out of pocket?" $22 plus $10 was their answer at 2 different LabCorps in San Diego. – Jack Kronk Sep 14 2011 at 20:45

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Also, check this pout. I just found a comment from 5 days ago that Jeff left under this question. He says $22 as well. paleohacks.com/questions/63858/… – Jack Kronk Sep 14 2011 at 20:57

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Dave S. · Answer 3 · 2011-09-14 18:47:31Z UTC

First of all, I don't buy into any version of the lipid hypothesis. Increased HDL tells me your eating more saturated fat. Lower triglycerides tell me that your sugar/carb consumption has been cut back. The LDL number is really useless as they do not actually measure it. It's calculated based on equation that doesn't work very well if your trigs are below 100.

Your panel tells me that you are eating pretty paleo!

Travis Culp · Answer 4 · 2011-09-14 18:45:37Z UTC

Looks like you eat a low fructose, high coconut oil diet. Your HDL was quite good before paleo and your TGs weren't that bad. I would say that your current panel is ideal and that you should continue to do what you're doing. If we take stock in epidemiology, all-cause mortality is lowest in the range of 200-240 mg/dL.

charles · Answer 5 · 2011-09-14 18:25:20Z UTC

I'm encouraged by the drop in triglycerides and glucose, as well as the increase in HDL. It appears that more recent research shows that there is really no link between cholesterol and heart disease.

http://www.huffingtonpost.com/dr-mercola/the-cholesterol-myth-that_b_676817.html

http://www.naturalnews.com/022960_medical_myths_cholesterol.html

Compare my before/after Paleo cholesterol (lipids) lab work?

5 Answers