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DH got his blood work results back after 6 weeks on primal - thoughts?

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  • DH got his blood work results back after 6 weeks on primal - thoughts?

    DH was eating S.A.D. and had these cholesterol numbers back in March:

    HDL - 36
    LDL - 157
    Triglycerides - 227

    (Didn't get the VLDL or C-Reactive Protein)

    He agreed to go primal 100% six weeks ago and has stuck to it faithfully (he does snack on nuts and dried fruit as he pleases, but eats all home-cooked paleo/primal food, no more fast food, no more gluten/grain/refined sugars).

    Today he had his follow-up bloodwork results after 6 weeks of this changed diet.

    HDL - 42
    LDL - 174
    Triglycerides - 199

    I'm guessing that the LDL increased due to it converting to 'larger fluffier' particles, and the drop in Trig is excellent - though I'm not clear on how quickly cholesterol levels can change and how long it takes for them to approach healthy levels. I'm thinking that those numbers are pretty good, but his dr. told him he has to go on medication/it's probably genetic (those are so NOT 'genetic cholestrol levels' IMO) and when DH asked for some literature/research on different drugs the dr. read him the riot act about 'trusting the professionals'.
    Teacher and Homeschooler
    One husband of 9 years,
    Two kids (6 & 3)
    Pregnant with #3, due this summer

    Going primal resolved my anxiety symptoms!!!

  • #2
    Six weeks is really too short of a time to tell much. You need more like 6 months. But it is good to see trig. coming down.
    Using low lectin/nightshade free primal to control autoimmune arthritis. (And lost 50 lbs along the way )

    http://www.krispin.com/lectin.html

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    • #3
      Trigs are coming down. Don't change a thing. Test again in a month.
      Crohn's, doing SCD

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      • #4
        trigs have come down a lot in just 6 weeks. you need at least 6 months to make a big splash.

        also, there is zero proof "high cholesterol" causes heart attacks.
        As I ate the oysters with their strong taste of the sea and their faint metallic taste that the cold white wine washed away, leaving only the sea taste and the succulent texture, and as I drank their cold liquid from each shell and washed it down with the crisp taste of the wine, I lost the empty feeling and began to be happy and to make plans.

        Ernest Hemingway

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        • #5
          "Trigs have come down a lot"

          That's what I wasn't sure of - what constitutes a 'big drop' for such a short time frame? DH is committed to this long-term, so I told him that in 6 months he should get it redrawn and I'd ask for the additional c-reactive and VLDL measurements. He's super annoyed at his dr. right now for not dialoging about the issue and instead just pushing drugs.
          Teacher and Homeschooler
          One husband of 9 years,
          Two kids (6 & 3)
          Pregnant with #3, due this summer

          Going primal resolved my anxiety symptoms!!!

          Comment


          • #6
            Originally posted by FrankiG View Post
            "Trigs have come down a lot"

            That's what I wasn't sure of - what constitutes a 'big drop' for such a short time frame? DH is committed to this long-term, so I told him that in 6 months he should get it redrawn and I'd ask for the additional c-reactive and VLDL measurements. He's super annoyed at his dr. right now for not dialoging about the issue and instead just pushing drugs.
            Remind your husband that the doctor works for him and has no authority to make decisions regarding anyone's health - only suggestions.

            I would also suggest your review what is know as the "primary prevention" literature when it comes to statins and share the data with your physician. There is disagreement, even in mainstream medicine, as to whether statins provide any benefit for people who have not already experienced a heart attack.
            Using low lectin/nightshade free primal to control autoimmune arthritis. (And lost 50 lbs along the way )

            http://www.krispin.com/lectin.html

            Comment


            • #7
              This was a new dr. and I doubt DH will ever go back to him again - when someone insults his intelligence and pulls an 'authority trump card' it basically sends him fleeing for the hills .
              Teacher and Homeschooler
              One husband of 9 years,
              Two kids (6 & 3)
              Pregnant with #3, due this summer

              Going primal resolved my anxiety symptoms!!!

              Comment


              • #8
                The doctor sounds like a major jerk and your husband's results sound quite promising which is much more important. Did he get the VAP cholesterol test, that breaks down the results into more detail about the different components? Perhaps the new doctor will do that - apparently it gives a lot more information.
                My Primal Journal: http://www.marksdailyapple.com/forum/thread57034.html

                "...since our orthodox theories have not saved us we may have to readjust them to bring them into harmony with Nature's laws. Nature must be obeyed, not orthodoxy." Weston A. Price

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                • #9
                  Originally posted by Wrenwood View Post
                  The doctor sounds like a major jerk and your husband's results sound quite promising which is much more important. Did he get the VAP cholesterol test, that breaks down the results into more detail about the different components? Perhaps the new doctor will do that - apparently it gives a lot more information.
                  When he goes (somewhere...yet to be determined as we need a new dr.) for follow-up bloodwork in 6 months I plan to request whatever detailed tests can be done - this was far more basic and the LDL was calculated, not direct (among other things lacking).
                  Teacher and Homeschooler
                  One husband of 9 years,
                  Two kids (6 & 3)
                  Pregnant with #3, due this summer

                  Going primal resolved my anxiety symptoms!!!

                  Comment


                  • #10
                    Trigs will drop very fast if you low carb, your husband is still eating too many carbs I would bet.
                    Primal/Paleo is not for everyone, it's for those who have committed to understand.
                    READ THE BOOK! ...as Robb Wolf says: "Trying to convince people to save their own ass will burn you out."

                    Vegetarians are the enemy of everything good and decent in the human spirit, and an affront to all I stand for -- the pure enjoyment of food. Anthony Bourdain

                    and yes, calories DO count my little piggies

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                    • #11
                      I hate to go against the current here but I'm gonna assume that you wanna hear the truth about the blood test. There is no real improvement: the drop in triglycerides is only 12% and is within a margin of error in calculating cholesterol components. And since your trigs are this high, there is no basis to conclude that your LDL is of the "large, bouncy" variety that's considered less harmful. In fact, they seem to be mostly of the smaller variety that's potentially atherogenic. There is not need to even do NMR or VAP tests since LDL particle size is highly correlated with triglycerides. Save your money and wait at least until the trigs fall to aroudn 100. So based on the blood test, it's totally understandable your doctor reacted as he did, as there is no real improvement and your TC and LDL in fact increased, while your HDL increase is also paltry and not meaningful.

                      This may not apply if you didn't fast before the test, as it could have increased the trig number. But if he didn't, he should stop snacking on dried fruits. Upon retesting, if he still has trigs at such levels, he may have pre-existing liver derangements which may bring along metabolic improvements from a Paleo diet ever slowly. However, 6 weeks is usually quick enough to reflect at least the change in the trig for most people, assuming carbs are restricted: that he failed to do that points to 2 things -- 1) his snacking is uncontrollable and is a problem and/or 2) he may be recovering from fatty liver.
                      Last edited by choppedliver; 06-25-2012, 08:48 PM.

                      Comment


                      • #12
                        Originally posted by choppedliver View Post
                        I hate to go against the current here but I'm gonna assume that you wanna hear the truth about the blood test. There is no real improvement: the drop in triglycerides is only 12% and is within a margin of error in calculating cholesterol components. And since your trigs are this high, there is no basis to conclude that your LDL is of the "large, bouncy" variety that's considered less harmful. In fact, they seem to be mostly of the smaller variety that's potentially atherogenic. There is not need to even do NMR or VAP tests since LDL particle size is highly correlated with triglycerides. Save your money and wait at least until the trigs fall to aroudn 100. So based on the blood test, it's totally understandable your doctor reacted as he did, as there is no real improvement and your TC and LDL in fact increased, while your HDL increase is also paltry and not meaningful.

                        This may not apply if you didn't fast before the test, as it could have increased the trig number. But if he didn't, he should stop snacking on dried fruits. Upon retesting, if he still has trigs at such levels, he may have pre-existing liver derangements which may bring along metabolic improvements from a Paleo diet ever slowly. However, 6 weeks is usually quick enough to reflect at least the change in the trig for most people, assuming carbs are restricted: that he failed to do that points to 2 things -- 1) his snacking is uncontrollable and is a problem and/or 2) he may be recovering from fatty liver.
                        This is very helpful - thank you for your response! I should mention that he takes a medication that has a potential side effect of raising cholesterol, which is partly why we believe his is as high as it is. He did have liver numbers tested and those were well within a healthy/normal range. I can mention the not snacking on dried fruit to him.
                        Teacher and Homeschooler
                        One husband of 9 years,
                        Two kids (6 & 3)
                        Pregnant with #3, due this summer

                        Going primal resolved my anxiety symptoms!!!

                        Comment


                        • #13
                          +1 choppedliver

                          I was thinking the same thing regarding the high trigs and saving your money and skip the VAP.

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