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  • Scary lipid panel?

    I've been eating about 80/20 primal for the past three months--definitely leaning towards 80-90% primal all the time.

    I just had my lipid panel run, and I'm not happy with my results. My HDL:triglyceride ratio is good, but everything else looks pretty crappy to me. My father does have high cholesterol, but mine's only ever been on the "higher side of normal". This is the highest it's ever been. I'm 28 years old, female, non-smoker, I do take hormonal birth control pills, and I weigh about 180lbs. I take a daily 1000mg (salmon) fish oil supplement.

    Any feedback would be appreciated.

    Total Cholesterol 261 (100 - 200) mg/dL
    Triglycerides 80 (25 - 150) mg/dL
    HDL Cholesterol 60 (40 - 59) mg/dL
    LDL Cholesterol 185 (0 - 129) mg/dL
    ~Kai

    Visit me at Primal Cauldron for recipes and progress updates.

  • #2
    No scary at all.

    Did you know that up until a few years ago "normal" total cholesterol was 240? Do you know that there is NO evidence that high TC is bad for women? Quite the opposite, some studies seem to indicate that "high" TC in elderly women is protective of all causes mortality.

    Do you know that TC under 170 is associated with a higher risk of cancer, stroke, depression, and suicide? Do you know that half the people with heart disease have "low" cholesterol?

    Your Triglycerides are under 100 and your HDL is at 60. While your HDL could be higher, you're in a good range. With those numbers, your LDL is not only wrong (the calculation they use does not work with Tris under 100), but is sure to be large and fluffy. TC does not matter, at all.

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    • #3
      Originally posted by Chasintrail View Post
      No scary at all.

      Did you know that up until a few years ago "normal" total cholesterol was 240? Do you know that there is NO evidence that high TC is bad for women? Quite the opposite, some studies seem to indicate that "high" TC in elderly women is protective of all causes mortality.

      Do you know that TC under 170 is associated with a higher risk of cancer, stroke, depression, and suicide? Do you know that half the people with heart disease have "low" cholesterol?

      Your Triglycerides are under 100 and your HDL is at 60. While your HDL could be higher, you're in a good range. With those numbers, your LDL is not only wrong (the calculation they use does not work with Tris under 100), but is sure to be large and fluffy. TC does not matter, at all.
      *whew* Awesome. I've been digging around like mad in cardiac journals online, and I've calculated out all my ratios. I'm going to try lean towards doing more 90/10 with my primal, and really watch my Omega 6's, and see if that boosts my HDL at all... I also need to check at home what my levels were last two times (before primal, and then before primal but with red yeast rice--a natural statin, because my old GP was freaking out). I have a new GP now, he knows I'm doing primal but he said the dreaded "just make sure it's lean protein" line, so we'll see how much convincing I have to do to keep him from talking statins at me.
      ~Kai

      Visit me at Primal Cauldron for recipes and progress updates.

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      • #4
        ehhh, let him talk. Either say no, or nod and smile and throw the script out.

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        • #5
          I'd get a test done to determine if you're LDL are fluffy, billowy or small and dense. Your triglycerides being over 70 it could be either, or.

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          • #6
            Originally posted by Issabeau View Post
            I'd get a test done to determine if you're LDL are fluffy, billowy or small and dense. Your triglycerides being over 70 it could be either, or.
            Do you know what the test is called?
            ~Kai

            Visit me at Primal Cauldron for recipes and progress updates.

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            • #7
              Originally posted by Witchy View Post
              Do you know what the test is called?
              Its called a VAP test if I remember correctly. Gives you more info about particle size. Fluffy=good, dense=bad

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              • #8
                You don't say how tall you are, but I would get your weight down by going more primal and getting exercise on a regular basis. If you haven't exercised, start a walking program and build up to where you are able to do some more strenuous exercise in addition to your walking. This should get your HDL up.

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                • #9
                  Originally posted by Witchy View Post

                  Total Cholesterol 261 (100 - 200) mg/dL
                  Triglycerides 80 (25 - 150) mg/dL
                  HDL Cholesterol 60 (40 - 59) mg/dL
                  LDL Cholesterol 185 (0 - 129) mg/dL
                  Take a look at this trig chart:

                  Adult Males Upper level: 130 mg/dL + age; Maximum: 200 mg/dL, or 2.3 mmol/L
                  Adult Females Lower level: 80 mg/dL + age; Maximum: 165 mg/dL, or 1.9 mmol/L
                  Adult Males and Females Lower level: Your age
                  Adult Males and Females Below 100 mg/dL, or 1.1 mmol/L: Ideal level

                  So a doctor would say, ok, 80+28 (your age) = 108, that would be ok for you. Notice that your trigs are *at the baseline*, just 80. You have excellent trigs. What's "crappy" about that? But wait, the news gets better - they can still be lower - as you continue, you'll lose more weight, and you should see the trigs continue to drop.

                  As for your HDL, you can improve that also with weight loss, exercise, and eating more fish or taking some fish oil for a sustained time period. Check out this chart:

                  U.S. and some other countries Canada and most of Europe
                  Below 40 mg/dL (men) Below 50 mg/dL (women) Below 1 mmol/L (men) Poor
                  Below 1.3 mmol/L (women) 50-59 mg/d 1.3-1.5mmol/L Better
                  60 mg/dL and above Above 1.5 mmol/L Best

                  Your HDL is already in the best category. I'm really unclear what more anyone could want - you're exceptionally healthy here and have ample opportunity to easily get to optimal, elite health.

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                  • #10
                    Using the Iranian method instead of the Friedwald (which is more accurate when Trigs are under 100), your LDL is closer to 169, not 185.

                    Also, check out this study which shows that (for women) there is a direct correlation between higher cholesterol and lower risk of mortality (and vice versa). For men, it's more of a U-shaped curve with a sweet spot in the middle.

                    From the PubMed abstract:

                    Conclusion  Our study provides an updated epidemiological indication of possible errors in the CVD risk algorithms of many clinical guidelines. If our findings are generalizable, clinical and public health recommendations regarding the 'dangers' of cholesterol should be revised. This is especially true for women, for whom moderately elevated cholesterol (by current standards) may prove to be not only harmless but even beneficial.
                    Last edited by RitaRose; 12-13-2011, 05:33 PM.
                    Durp.

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                    • #11
                      Originally posted by XGrains View Post
                      You don't say how tall you are, but I would get your weight down by going more primal and getting exercise on a regular basis. If you haven't exercised, start a walking program and build up to where you are able to do some more strenuous exercise in addition to your walking. This should get your HDL up.
                      Yeah, getting my weight down is definitely a goal. I actually have "exceptionally dense bone" per a doc I saw a few years ago, so I'm always going to be on the higher end of [the eternally useless] BMI scale, but right now I'm at 183 and 5'6" (but at least pear-shaped, so no dangerous visceral fat) and I'd like to be around 150, which I think will get me to a very healthy size and a healthy muscle density. I've been doing intensive power yoga twice a week since the summer, which I love; I walk all day at work, I don't have a sedentary job, and I know I could exercise even more. I think right now, though, my key is to get my weight down through diet as much as possible, and to stick with the yoga, and maybe add in some weights or sprints when it warms up...
                      ~Kai

                      Visit me at Primal Cauldron for recipes and progress updates.

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                      • #12
                        Originally posted by greensleeves View Post
                        Your HDL is already in the best category. I'm really unclear what more anyone could want - you're exceptionally healthy here and have ample opportunity to easily get to optimal, elite health.
                        I do take a fish oil supplement daily, but with all the awesome info here I think there are other things I can tweak with my supplements to get more out of it. Weight loss is definitely the goal for me; I'd like to lose around 30 lbs. I almost hit 200 last year (that was my wake-up call, seeing 198 on the scale) and I've steadily, slowly, painfully lost close to 20 already. A hypoactive thyroid (under control at this point) doesn't help. I just cut out the dairy altogether last month, and severely cut back on fruit, and that seems to be helping slightly. Down 3 lbs from two weeks ago, which is huge for me. Exercise is tough; I run around all day in a busy cancer ward, so all I want to do at home is flop face-down on the couch (bad, I know). Doing power yoga twice a week feels good, I need to get some weights and start with some strength training to boost my confidence.
                        ~Kai

                        Visit me at Primal Cauldron for recipes and progress updates.

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                        • #13
                          Also, to all the folks on this thread, thank you so much for your input. This place is so supportive, informative, and downright awesome. <3
                          ~Kai

                          Visit me at Primal Cauldron for recipes and progress updates.

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                          • #14
                            Originally posted by RitaRose View Post
                            Using the Iranian method instead of the Friedwald (which is more accurate when Trigs are under 100), your LDL is closer to 169, not 185.

                            Also, check out this study which shows that (for women) there is a direct correlation between higher cholesterol and lower risk of mortality (and vice versa). For men, it's more of a U-shaped curve with a sweet spot in the middle.

                            From the PubMed abstract:
                            Nice! I need to get my hands on this article; I have full access to journals at work.
                            ~Kai

                            Visit me at Primal Cauldron for recipes and progress updates.

                            Comment

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