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  • Total Cholesterol & LDL On The Rise

    I just got another lipid panel and it seems that my total cholesterol and LDL are on the rise. (last 3 test results below) I went primal in 2011 (between the 1st and 2nd test results).

    3/22/2008
    Cholesterol 169
    HDL 48
    LDL 106
    Triglyceride 77

    2/21/2012
    Cholesterol 243
    HDL 78
    LDL 156
    Triglyceride 44

    8/7/2012
    Cholesterol 278
    HDL 72
    LDL 197
    Triglyceride 43

    age:29
    height: 5'9"
    weight: 178
    waistline: 32"
    Body fat %: Not sure. scales indicates 17% body fat. Abs are slightly visable and I've read that this happens around 10% body fat.


    My understanding is that total cholesterol and LDL figures in a standard lipid panel aren't an indication of anything. So they are pretty much useless.

    I believe that the only metric that really matters when examining a standard lipid panel is Triglyceride/HDL. (I'm basing this off of Dr. Peter Attia post: How a low carb diet reduced my risk of heart disease (Part 3) - The Eating Academy | Peter Attia, M.D.) If this is the case, then I have a tri/HDL of .60, which is considered very good.

    However, I am still concerned that there might be something wrong if my total cholesterol and standard LDL readings are so high.

    Am I reading this correctly? Does anyone have any insight into whether or not I should be concerend?
    Last edited by ASC; 08-08-2012, 01:30 PM.

  • #2
    Yea, I mean, I would be gravely concerned. Shit just ain't right.

    Comment


    • #3
      I would also start to be concerned. Greater than about 250 total is out of the range of what you see in modern-day hunter gatherers from what Chris Masterjohn tells me. My numbers look really similar to yours last time I checked. It'd be smart to get a full thyroid panel (T4, T3, reverse T3, TSH) and probably testosterone too.

      Comment


      • #4
        Yup, what yodiewan sad.

        ASC you're fucked, dude! Fucked!!!

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        • #5
          Forgive Dado. He's tipsy again.

          Yes, your TC is a little high, but not terribly so. Some simple adjustments could easily bring it down. There are plenty of good exercises and foods that easily reduce total cholesterol - not that I fully advocate them. I won't personally be worried about my TC unless it tops 400 or so.
          Crohn's, doing SCD

          Comment


          • #6
            Originally posted by Knifegill View Post
            Forgive Dado. He's tipsy again.

            Yes, your TC is a little high, but not terribly so. Some simple adjustments could easily bring it down. There are plenty of good exercises and foods that easily reduce total cholesterol - not that I fully advocate them. I won't personally be worried about my TC unless it tops 400 or so.
            LOL! YOU SON OF A GUN!

            ASC, real talk: I would get some more tests done. The way things stand now, you're looking at an early grave.

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            • #7
              Any articles out there that address this type of high cholesterol? (I'm hoping to find some information in the context of primal eating.)

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              • #8
                Yea, search the forum for Griff's 'Cholesterol Primer'

                Comment


                • #9
                  Originally posted by Knifegill View Post
                  Forgive Dado. He's tipsy again.

                  Yes, your TC is a little high, but not terribly so. Some simple adjustments could easily bring it down. There are plenty of good exercises and foods that easily reduce total cholesterol - not that I fully advocate them. I won't personally be worried about my TC unless it tops 400 or so.
                  Knifegill, why would you be worried about TC above 400? Do you have any articles or studies that say this would be an issue?

                  Comment


                  • #10
                    Hey, if you're too lazy to read Griff's threads, then I hope your LDL goes to 500 and you fall off your chair on the spot.

                    Comment


                    • #11
                      Originally posted by The Return of Dado View Post
                      Hey, if you're too lazy to read Griff's threads, then I hope your LDL goes to 500 and you fall off your chair on the spot.
                      I read through Griff's threads and one of them pointed to this article: Better Know Your Triglyceride/HDL Ratio if You Want to Prevent a Heart Attack

                      The article indicates that the most important indications for heart desease are HDL/TC and tri/HDL. My numbers are .26 and .60 respectively. These are considered ideal.

                      So how is my health at risk?

                      Comment


                      • #12
                        Originally posted by ASC View Post
                        I read through Griff's threads and one of them pointed to this article: Better Know Your Triglyceride/HDL Ratio if You Want to Prevent a Heart Attack

                        The article indicates that the most important indications for heart desease are HDL/TC and tri/HDL. My numbers are .26 and .60 respectively. These are considered ideal.

                        So how is my health at risk?
                        So you're good, what's the problem?

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                        • #13
                          Originally posted by The Return of Dado View Post
                          So you're good, what's the problem?
                          I already understood that ratios are "more" important than TC . This is stated in various articles. However, I'm concerned that even though TC is perhaps "less" important, that it could still be a risk factor if it gets too high. As I see my TC creeping closer to 300, I'm concerned. Kniffgill said that above 400 could be a risk factor, but I cannot confirm this.

                          I'm trying to figure out if TC, by itself, provides any meaningful information at all. At what point, if any, is high TC a concern?

                          Comment


                          • #14
                            Originally posted by ASC View Post
                            I already understood that ratios are "more" important than TC . This is stated in various articles. However, I'm concerned that even though TC is perhaps "less" important, that it could still be a risk factor if it gets too high. As I see my TC creeping closer to 300, I'm concerned. Kniffgill said that above 400 could be a risk factor, but I cannot confirm this.

                            I'm trying to figure out if TC, by itself, provides any meaningful information at all. At what point, if any, is high TC a concern?
                            In all honesty, I have no idea.

                            I mean, it all comes down to how you feel. Do you strength train? If you don't lift heavy shit, your life sucks anyawy.

                            Comment


                            • #15
                              Originally posted by ASC View Post
                              I read through Griff's threads and one of them pointed to this article: Better Know Your Triglyceride/HDL Ratio if You Want to Prevent a Heart Attack

                              The article indicates that the most important indications for heart desease are HDL/TC and tri/HDL. My numbers are .26 and .60 respectively. These are considered ideal.

                              So how is my health at risk?
                              That's what I'm trying to figure out. Your ratios are fantastic. Get a more detailed test (I think it's called a VAP test?). Get a direct measurement of your LDL, because low trigs can throw off the calculation. And find out whether your LDL is Pattern A or B. I'm guessing with your HDL and trigs where they are, that your LDL is the fluffy, bouyant type (I'm pretty sure that's Pattern A), which is benign.

                              It does look like a pattern of rising TC, but there's some debate as to whether that is as important as the other factors. There are parts of your diet you can dial in to bring it back down, which have been posted by people who know more about it than I do.

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