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Just got my blood work back - Good news and Bad news

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  • Just got my blood work back - Good news and Bad news

    I am in the process of reading Good Calories Bad Calories, so I know intellectually that Total cholesterol for a person over 50, particularly a woman, is not particularly meaningful. I also know that when you have lost 30+ pounds in a short period of time your total cholesterol can be elevated. Stilll, I am rather surprised that my numbers went up. I had expected them to be the same or lower. Here's my comparison from 2007 (the last blood work I had done) to this week's results. I have been on Primal Blueprint since the beginning of January and have lost somewhere between 40-45 pounds.

    2007 Cholesterol 256 Now 334
    2007 Calc LDL 157 Now 259
    2007 HDL 41 Now 51
    Triglycerides 294 Now 122

    So, my HDL is up marginally, which is good, but it's not up as much as I would have thought. The biggest plus is that my triglycerides which were scary high before are now under 150 which is pretty good, although I've heard of some people having trigs under 100 oreven under 75!

    Naturally, the doctor was concerned about my over 300 cholesterol and I explained that I was not alarmed because I have read that this is a common phenomenon with significant weight loss. I said I was much more interested in the HDL and Triglycerides which are good. He wanted me to "take something to bring down my numbers while I am working on diet and exercise!" I replied that I was not currently concerned due to my weight loss and the improvement in HDL and Trigs and that I would have another blood test done in 3 - 6 months to see where the numbers stood, and if they were still high at that time. . . . well, I don't expect they will be, but even if I still have total cholesterol over 300 I would never take statins. My willingness to monitor the situation seemed to satisfy the doctor, but he is only a "nurse practitioner" and I'm not sure if the blood work will be handed over to my M.D and perhaps he will be more concerned and more insistent that I "do something."

    Could someone please remind me what the ratio of HDL to Trigs is supposed to be? I know that's supposed to be a better indicator of good heart health than LDL or total cholesterol. Any other comments and observations on these numbers are also much appreciated.

  • #2
    Your numbers are moving in the right direction. IMHO it looks like you are donig the right thing but it will take time to get to your normal levels once you have lost the weight you want to loose.

    Ideally you want your HDL higher than your trigs.
    This http://www.marksdailyapple.com/forum/thread4723.html and this http://www.marksdailyapple.com/forum...tml#post963197
    Last edited by Dirlot; 09-28-2012, 10:35 AM.
    Eating primal is not a diet, it is a way of life.
    PS
    Don't forget to play!

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    • #3
      Thanks for the links. The cholesterol primer is a great resource. Even though I know total cholesterol doesn't mean that much it's hard not to be a bit disturbed, especially since I was expecting a decrease. The dive in triglycerides is the most important and reassuring number.

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      • #4
        Mine's been going up slightly, too. TC was 265 or something last time. But HDL was 93 and LDL was an almost unchanged 135-ish. I'll worry if my trigs are ever high, or if my TC breaks, like 350 or something.
        Crohn's, doing SCD

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        • #5
          I got my results back in the mail from the doctor along with the lab order sheet to get a second blood test. They had the form dated for early December. That's only two months. I had said I would do a retest in 3-6 months when I had finished losing weight and my weight had stabilized. I'm not sure what happens if I just ignore the paperwork and wait till Spring for the second test.

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          • #6
            Originally posted by Miss Understood View Post
            Thanks for the links. The cholesterol primer is a great resource. Even though I know total cholesterol doesn't mean that much it's hard not to be a bit disturbed, especially since I was expecting a decrease. The dive in triglycerides is the most important and reassuring number.
            Absolutely.
            Disclaimer: I eat 'meat and vegetables' ala Primal, although I don't agree with the carb curve. I like Perfect Health Diet and WAPF Lactofermentation a lot.

            Griff's cholesterol primer
            5,000 Cal Fat <> 5,000 Cal Carbs
            Winterbike: What I eat every day is what other people eat to treat themselves.
            TQP: I find for me that nutrition is much more important than what I do in the gym.
            bloodorchid is always right

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            • #7
              Originally posted by Miss Understood View Post
              I got my results back in the mail from the doctor along with the lab order sheet to get a second blood test. They had the form dated for early December. That's only two months. I had said I would do a retest in 3-6 months when I had finished losing weight and my weight had stabilized. I'm not sure what happens if I just ignore the paperwork and wait till Spring for the second test.
              I mean what can they do really? My doctor was quite unhappy when I went off my anti-depressants, but that was my choice. It was a rough withdrawl period, but I feel great now. She's just pissed that she's not doing the only things she is good at to me anymore... being a pill pusher. My goal has been to get as healthy as is humanly possible so I don't have to go to the doctor's office anymore. Yes, its a bit naive, but that's what I'm shooting for! You go in and get your numbers checked when YOU want to!

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              • #8
                Originally posted by Jena View Post
                I mean what can they do really? My doctor was quite unhappy when I went off my anti-depressants, but that was my choice. It was a rough withdrawl period, but I feel great now. She's just pissed that she's not doing the only things she is good at to me anymore... being a pill pusher. My goal has been to get as healthy as is humanly possible so I don't have to go to the doctor's office anymore. Yes, its a bit naive, but that's what I'm shooting for! You go in and get your numbers checked when YOU want to!
                It's not naive in my opinion

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                • #9
                  First of all, cholesterol is critical in so many ways to the body. It's the foundation for vitamin D (the innate immune system? hello??), for a cascade of hormones, is heavily found in the brain .... I could go on. I want mine nice and "high" by current CW. Also, with solid respect to Griff for compiling the data, new research has shown some interesting new things. If you are concerned, I strongly recommend going to Peter Attia's blog and reading his 9-part series (part 10 coming one of these days) on cholesterol. It's highly educational.

                  The straight dope on cholesterol

                  My $0.02 (US) - watch Alzheimer's explode as the statin crowd ages a little more.

                  Comment


                  • #10
                    Originally posted by Jena View Post
                    I mean what can they do really? My doctor was quite unhappy when I went off my anti-depressants, but that was my choice. It was a rough withdrawl period, but I feel great now. She's just pissed that she's not doing the only things she is good at to me anymore... being a pill pusher. My goal has been to get as healthy as is humanly possible so I don't have to go to the doctor's office anymore. Yes, its a bit naive, but that's what I'm shooting for! You go in and get your numbers checked when YOU want to!
                    I don't think that's naive at all. It's a good goal. If I still had a thyroid gland (removed 5 years ago) and didn't have to get my blood tested all the time, I would never see my doctor.

                    Has anyone seen those commercials that have been running lately about not doing your doctor's job? Ugh, they make me so angry. It's not your doctor's job to care for your health. It's YOURS.

                    Comment


                    • #11
                      Originally posted by Danielle5690 View Post
                      I don't think that's naive at all. It's a good goal. If I still had a thyroid gland (removed 5 years ago) and didn't have to get my blood tested all the time, I would never see my doctor.

                      Has anyone seen those commercials that have been running lately about not doing your doctor's job? Ugh, they make me so angry. It's not your doctor's job to care for your health. It's YOURS.
                      I have not seen any commercials like that. Wow. Must be people are finally arming themselves with information and not being railroaded into a life of endless pill bottles. If we shouldn't be giving our doctors any input, then the commercials should all be banned that tell you to "ask your doctor if XYZ medicine is right for you." I've always hated those commercials. I figure if your doctor is worth his fees he'll know what meds you need without you prompting him.

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                      • #12
                        Originally posted by Miss Understood View Post
                        I'm not sure what happens if I just ignore the paperwork and wait till Spring for the second test.
                        Very little. I do that sort of thing all the time. It's important to rememebr that your doctor is hired to be your advisor, not your boss. If s/he gets uppity, it's perfectly fine to fire him or her and find a doctor who thinks like you do. I did it a lot for many years until I *finally* found an excellent doctor who, like me, is more interested in getting to the bottom of the health issues and solving them, rather than endlessly treating them with pills and potions. It's wonderful to work with someone who sees excellent health as a reasonabel goal!
                        Misti
                        ***
                        Grain Free since 2009, WP from 2005
                        ~100% primal (because anything less makes me very sick)
                        Goal: hike across Sweden with my grandchildren when I retire in a few years

                        Comment


                        • #13
                          Originally posted by Danielle5690 View Post
                          I don't think that's naive at all. It's a good goal. If I still had a thyroid gland (removed 5 years ago) and didn't have to get my blood tested all the time, I would never see my doctor.

                          Has anyone seen those commercials that have been running lately about not doing your doctor's job? Ugh, they make me so angry. It's not your doctor's job to care for your health. It's YOURS.
                          Oh great! I can't wait until I see those commercials. I have television rage issues to begin with. I've been known to throw remotes at the wall. It is absolutely ones own job to care for ones own health! I have gone to the same doctor's office for over 15 years and during this time I have, for the most part, seen the same physician (there are three in the practice). In fifteen years my doctor still cannot say my name right or remember anything about me. She calls me "Gina" and thinks I have kids. Wtf...? THIS is who I am supposed to trust my health to? Not anymore lady, not anymore. Oh and another funny thing is that one of my best friends is a pharmacist and she told me, "switch doctors... trust me on this".

                          I am sorry you had to have your thyroid removed... it sucks to be dependent on a doctor. I am worried about that too since there is a family history of thyroid problems in my case.

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                          • #14
                            Originally posted by Miss Understood View Post
                            I have not seen any commercials like that. Wow. Must be people are finally arming themselves with information and not being railroaded into a life of endless pill bottles. If we shouldn't be giving our doctors any input, then the commercials should all be banned that tell you to "ask your doctor if XYZ medicine is right for you." I've always hated those commercials. I figure if your doctor is worth his fees he'll know what meds you need without you prompting him.
                            Yeah I hate those commercials also. Of course my doctor was already to throw the next pill at me every time I went there. At one point I was on 5 prescriptions! The sad part was that I was in my 20's at the time and nothing was wrong with me. I am on ZERO prescriptions now

                            Comment


                            • #15
                              Originally posted by Annlee View Post
                              First of all, cholesterol is critical in so many ways to the body. It's the foundation for vitamin D (the innate immune system? hello??), for a cascade of hormones, is heavily found in the brain .... I could go on. I want mine nice and "high" by current CW. Also, with solid respect to Griff for compiling the data, new research has shown some interesting new things. If you are concerned, I strongly recommend going to Peter Attia's blog and reading his 9-part series (part 10 coming one of these days) on cholesterol. It's highly educational.

                              The straight dope on cholesterol

                              My $0.02 (US) - watch Alzheimer's explode as the statin crowd ages a little more.
                              EVERYONE INTERESTED IN THIS CHOLESTEROL TOPIC, PLEASE CHECKOUT THIS PODCAST WHICH IS ON TONIGHT!!!!

                              LIVE weekly health radio show on Thursday nights at 7PM Eastern Time!! | Jimmy Moore Presents: Ask The Low-Carb Experts


                              29: Dr. Thomas Dayspring | Cholesterol Testing: What Matters Most?

                              Posted on 10/01/2012 by Jimmy Moore • 0 Comments


                              AIR DATE: October 4, 2012 at 7PM ET
                              FEATURED EXPERT: Dr. Thomas Dayspring
                              FEATURED TOPIC: “Cholesterol Testing: What Matters Most?”

                              This week we’re very excited to bring to you one of the world’s leading lipidologists and experts on just about everything you could ever want to know about cholesterol numbers named Dr. Thomas Dayspring from LecturePad.org. He’s the Director of Cardiovascular Education at the Foundation for Health Improvement and Technology in Richmond, Virginia and is one of the most requested speakers in the United States with expertise on atherothrombosis, lipoprotein and vascular biology, advanced lipoprotein testing and more. Dr. Dayspring has given over 4000 lectures in all 50 states educating medical professionals and the lay public alike.

                              Many of you first heard him in Episode 585 of “The Livin’ La Vida Low-Carb Show” podcast and afterwards had lots of questions for Dr. Dayspring about cholesterol. That’s why we decided to bring him back on ATLCX to take on the topic “Cholesterol Testing: What Matters Most?” so you can speak directly with him about your burning questions on your cholesterol concerns. This is a golden opportunity to get clarification on any issues regarding cholesterol testing that concern you.


                              * * *

                              Annlee, thanks for the link to The Eating Academy and his series on cholesterol. Very detailed, complex, but very informative. I have been wading through this info for the last two days, and then I discovered that one of the four expert doctors that Peter referrenced, is the Doctor Dayspring who is on tonight's podcast. PERFECT TIMING! I submitted a question, but I'm not sure if it will be used on tonight's show.

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