TC of 249 is right about perfect. As (almost) always, the nurse is misguided.

I just had my labs done for this quarter. Summer is when i go carb crazy. My TC was 319. My HDL was 89 and my LDL was close to 240..... My hs crp was .001. And calcium index score zero. The remainder of my labs were great outside of my pregnenolone and testosterone. But this is a seasonal issue for me when i eat a ton of carbs they always fall. dHEA however stayed high this time.....at 405. No wonder i sleep like a rockstar. This has been the case for six yrs now. The constant testing taught me what to expect. The only change I make going into the winter is I up protein and fat decrease fruit and dairy and increase weight lifting in cold temps. Vitamin D was 96. Igf was 299. TSH 1.31. T3 3.5 and reverse T3 20. Ferritin and the rest of iron testing awesome. Osteocalcin perfect. Metametrix on gut, neurotransmitters solid. Nothing wrong with urine.

vo2 max up 1% due to some training gains. In six weeks i will redo some aspects of the testing to see how the dietary changes effect me and compare to previous blood draws.

My lipids dont scare anyone unless they are clueless.

Many people in the healthcare field are starting to promote higher ranges of total cholesterol as ideal - like around 250-270. I believe Ron Rosedale, Ray Peat and Stephanie Seneff are all on the same page about this. While I am not qualified to address whether your numbers look good or not, I am in favor of promoting my new found appreciation for cholesterol - both the so called "good" and "bad" kinds.

Here are some notes I took from Stephanie Seneff's interview on Jimmy Moore's podcast. She has looked at the damage done by statin drugs which lower cholesterol. She postulates that it is this lowering of cholesterol that causes many varied health problems.

"CHOLESTEROL DEFICIENCY IS THE #1 PROBLEM IN AMERICA TODAY. She says the foods that are richest in cholesterol are the very ones we need to be eating more of. She is a huge proponent of a low carb, high cholesterol/fat diet.
Eggs, shellfish organs are all very good sources of cholesterol. She makes a distinction that it's not just fat that is good, it's the cholesterol as well. She says that her research has led her to believe that cholesterol is the reason why the traditional people in Weston Price's book were so healthy. The statin industry is to blame for our belief that cholesterol is damaging.

She says that statins are involved in causing Alzheimer's, heart failure, kidney failure and sepsis. These conditions are found in people who have very low LDL. People with high LDL do much better in recovering from these conditions. Low LDL is not necessarily beneficial. SHe does not think ANYONE should EVER take a statin. She collected data on statin drug reviews compared to other drugs and they looked at word frequencies to uncover correlations. As a result she correlates ALS, parkinson's, mobility problems, heart failure, memory problems and muscle problems with statins.

And from her blog

"To optimize the quality of your life, increase your life expectancy, and avoid heart disease, my advice is simple: spend significant time outdoors; eat healthy, cholesterol-enriched, animal-based foods like eggs, liver, and oysters; eat fermented foods like yogurt and sour cream; eat foods rich in sulfur like onions and garlic. And finally, say "no, thank-you" to your doctor when he recommends statin therapy.

Glucose is little big tho... that is considered hyperglicemic now. Did you eat anything sweet the night before ? If not, repeat the test.

Other then that, whats HDL/LDL ?

Wow! This is happening to so many people all over the paleo blogs the last few weeks. It seems we are now getting our regular lipid profile done at work and are having to justify those numbers. I got mine last week. My HDL has stayed at 71 or so for many years, and my glucose stays close to 92. However my LDL shot up to 164 when it has always been below 100 My husband's numbers have gone up too. The doctor's primary concern though, for now, is my high TSH (8.08). It has run for years at the top of normal, but this is a huge jump. I had the Thyroid Panel run this week as well as checking for Hashimoto's. By the way, my ratios look great on the cholesterol, trigs, etc. So I can stave off the hysteria over the LDL after I look at the thyroid. Interesting article on this phenomenon at Perfect Health Diet (low carb, high LDL, hypothyroid). I was ready to stand my ground defending fluffy particle A's, but it does seem that our tests are "different" now doesn't it? By the way I am a 64 yr. old woman who has lost 40 lbs. on paleo and feels great!

BP of 99/62 is good, if a bit low for the diastolic.

Fasting BG of 110 is not good when you've been Paleoing for 6 months. However, it could be due to a liver dump or something you ate the night or afternoon before. Measure your fasting BG for a week or 2, then use the average as your representative BG. If it's still 110, then you're becoming insulin resistant, if not already. Better yet, compare that to your HbA1c.

Your Total Cholesterol of 249 may or may not be good: it depends entire on the components and what's revealed in a follow-up VAP test. TC is a meaningless number that can only be interpreted when looking at the components, along with other inflammation measures and metabolic markers.