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After having given Jack's seemingly inexplicable lipid panel some thought, I think I may have figured out what occurred. Because Jack has very little body fat, he is broadcasting a fairly weak leptin signal to his hypothalamus. Under normal circumstances, this wouldn't be a problem and no red flags would be raised. However, with the introduction of a relatively small amount of fructose, I believe that Jack spiked his VLDL and thus serum triglycerides via de novo lipogenesis in the liver. Because of how little circulating leptin there is, it didn't take much in the way of triglycerides to block leptin's passage across the blood-brain barrier. Suddenly, the hypothalamus thinks that Jack's body fat has somehow plummeted and he's starving to death. The hypothalamus then upregulates de novo lipogenesis and triglycerides rise further. These triglycerides then further cement the simulated starvation as viewed by the hypothalamus. Only with an intervention like the one I described in the aforementioned post can this cycle be interrupted and VLDL/TGs be cleared from circulation.

It would seem that with regard to lowering serum triglycerides, people with more fat mass actually have an advantage due to the greater strength of their leptin signalling. It's a novel theory, anyway.

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Nice theory but my experience tells me this is not likely. Those with low leptin levels have very low TGs. The fact jack does not is a sign to look for other causes – The Quilt Sep 16 2011 at 14:12
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I think dairy has to go 100% and he needs free and total T optimized with his T3 and vitamin a and D. He also needs focus about his low HDL forget everything else. I bet he has a taste of FH with a leaky gut. I have suspected it long ago and why I been banging the drum for testing and eliminated all dairy in his case. He needs to make coconut oil or ghee his diesel. – The Quilt Sep 16 2011 at 14:41
Why ghee, wouldnt it better to have only coconut? and perhaps marrow fat ;) I have these unoptimal lipids too, i ditched all dairy stuff, and doing coconut only. I propably have leaky gut. I like coconut for my vegs but perhaps i will reorder a large batch of some duck fat. I use beef marrow fat too. I get free marrow bones. And tomorrow i will recieve a lambs head which i will roast. Will be wild thing to prepare in kitchen. Next month reindeer from Lapland... Little steep for my income tho, :( – Jan Sep 16 2011 at 15:00
Quilt - regarding your first comment, you may be correct about your experience, but I've never been in your office. What Travis is saying could be plausible. I reduced my fructose, by I did not eliminate it. I still eat berries and consumed about 8oz of honey over a 2 month period (I know that's not much at all but still, it is some fructose). Also, I did have several Kombucha drinks during this time period. The label says 4-8 g of sugar, but it tastes sweeter than that. I am suspicious that the fermentation process is not eating the sugars as much as GT's believes. lol. – Jack Kronk Sep 16 2011 at 15:05
Regarding your second comment, I am seriously considering quitting cream and butter. Why do you say ghee is ok? Is it because you are thinking at that point it isn't dairy since it's just the fat oil? One possible concern with ghee is that it's still palmitic acid, and it could be so that a diet high in palmitic acid is causing my lab numbers. See? So many different avenues I could take. It's hard to figure out what direction I should go. – Jack Kronk Sep 16 2011 at 15:06
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WOAH, steak determines your entire body process of eating and balance? appetite is a process, a BIG and LONG process, not a feeling post steak gorging. it is lots of signals, lots of hormones, lots of everything and a lot we do not know. your hypothalamus is more centric on what your thinking and feeling in relation to your life, your sleep etc.

you can 'tell' yourself a lot. for example, i can eat 16 oz of steak and not eat again for 2-3 days just because i can tell myself to disregard hunger(which is a feeling i dont feel anyways) but that doesnt mean my hypothalamus isnt acting in opposition to that or that there are 100 other detrimental things going on elsewhere in my mind and body when i dont eat for 2-3 days.

i need some clarification where your coming from on this... please, cuz youre a lot smarter than I haha

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You make some good points, but it's unlikely that you have the ability to force your body temperature lower. The steak thing was, as I said, an unscientific way that I personally gauge changes in appetite. If you eat the same thing every day while losing fat and appetite trends upward, it stands to reason that the hypothalamus may be involved, right? – Travis Culp Sep 16 2011 at 16:12
true, i have the highest temp readings on days i sleep until i naturally wake up. i carb cycled for a while and every day of 'high carb' resulted in low morning temps...FWIW b/c many claim carbs will help up temp, i am opposite. butter, liver, eggs, avocados, meat all make my temps soar up – Mallory Sep 16 2011 at 17:03

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