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First Bloodwork Since LCHF

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  • First Bloodwork Since LCHF

    Hot off the press. Here are the results of my first blood work since going LCHF. I just listed the tests which changed a lot and/or are out of the reference range. For comparison, I am showing previous results from Nov 2011. I have been pretty hardcore LCHF for 6-8 months and weight has been steady during that period. I eat 90-95 grams of protein per day, 50 or less grams of carbs and the rest of my 2400 cals come from mostly mono and saturated fats such as pastured eggs, avocados, grass fed beef and bison, EVOO, 90% dark chocolate and LOTS of coconut and coconut oil.

    Total Cholesterol 398 up from 242

    HDL-C 130 up from 51

    LDL-C 253 up from 163

    Trigs 74 down from 140

    Creatinine 1.34 up from .92

    Alkaline Phosphatase 27 down from 52

    My A1C is 5.1. I thought it would be a little lower but I did have a few nasty spikes during the last month, one of which exceeded 200.

    My doc is freaking out. He wants to see me immediately to discuss these results and I know he is frustrated with me as I have been refusing his advice to take statins for almost 20 years.

    Happy with the A1C but thought trigs would be lower and LDL-C is kind of scary. I know I have a great trig/HDL-C ratio but....Guess I better lay-off the coconut or at least scale it way back?

    I would appreciate any and all comments. Thanks.

  • #2
    Do you drink French Pressed coffee?
    The Champagne of Beards

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    • #3
      Originally posted by RichMahogany View Post
      Do you drink French Pressed coffee?
      No, but I wonder if the VLCHF diet is messin' with my thyroid? I am guessing dietary fat, especially coconut, is driving up my LDL-C.

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      • #4
        Originally posted by RichMahogany View Post
        Do you drink French Pressed coffee?
        That, and there seems to be a subset of people that are hypersensitive to dairy in how greatly it affects LDL.

        Have you been loosing a lot of weight?

        Have you been moving frequently at a slow pace?

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        • #5
          Originally posted by Neckhammer View Post
          That, and there seems to be a subset of people that are hypersensitive to dairy in how greatly it affects LDL.

          Have you been loosing a lot of weight?

          Have you been moving frequently at a slow pace?
          Yes, I eat a lot of dairy. Weight has been rock steady for over 6 months. Lost about 20 pounds in the year prior. Yes, I lift weights, walk 2-4 miles every day up/down hills with my dog and do a lot of DIY stuff around the house. I am pretty fit and active for an old man (just turned 64). I am 5' 8" , 142 lbs. I drink Caribou decaf - no french press here.

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          • #6
            Your LDL is not broken down into fluffy and dense. Your trigs and HDL seem to be about right for LCHF. Which number is he ticked about?
            Most people don't realize how much energy it takes for me to pretend to be normal.

            If I wanted to listen to an asshole, I'd fart.

            Twibble's Twibbly Wibbly

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            • #7
              Originally posted by Twibble View Post
              Your LDL is not broken down into fluffy and dense. Your trigs and HDL seem to be about right for LCHF. Which number is he ticked about?
              He is and has always been singularly focused on LDL-C. In his opinion it can never be too low. He has an interesting history. Did his residency at Bryn Mawr cardiology unit. When I first started going to him about 20 years ago, he was a very fit cyclist (still is) with no family history of heart disease and low LDL-C. HOWEVER, he still took Lipitor to get his LDL-C even lower. One day about 7-8 years ago, he had an almost fatal heart attack while cycling. He told me he would have died had he not been a doctor knowing what to do. He continues to take statins and has not had any more cardiac events. On one hand, because of his training and personal history, I would like to think he knows more about lipids and CVD/CHD risk factors than most. On the other hand, he is a one-trick pony when it comes to statins.

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              • #8
                I would avoid a doctor who was doing to himself what he is doing.

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                • #9
                  Originally posted by Artbuc View Post
                  No, but I wonder if the VLCHF diet is messin' with my thyroid? I am guessing dietary fat, especially coconut, is driving up my LDL-C.
                  Yep, on both counts. I no longer go VLC, and am actively eating some safe starches for thyroid health, as well as supplementing with selenium and iodine.
                  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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                  • #10
                    Originally posted by Artbuc View Post
                    He is and has always been singularly focused on LDL-C. In his opinion it can never be too low. He has an interesting history. Did his residency at Bryn Mawr cardiology unit. When I first started going to him about 20 years ago, he was a very fit cyclist (still is) with no family history of heart disease and low LDL-C. HOWEVER, he still took Lipitor to get his LDL-C even lower. One day about 7-8 years ago, he had an almost fatal heart attack while cycling. He told me he would have died had he not been a doctor knowing what to do. He continues to take statins and has not had any more cardiac events. On one hand, because of his training and personal history, I would like to think he knows more about lipids and CVD/CHD risk factors than most. On the other hand, he is a one-trick pony when it comes to statins.
                    It seems to me that you're doing the equivalent of trusting a mechanic who had the engine on his car fall out while driving and still doesn't realize that he should attach it differently.
                    Most people don't realize how much energy it takes for me to pretend to be normal.

                    If I wanted to listen to an asshole, I'd fart.

                    Twibble's Twibbly Wibbly

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                    • #11
                      Originally posted by magicmerl View Post
                      Yep, on both counts. I no longer go VLC, and am actively eating some safe starches for thyroid health, as well as supplementing with selenium and iodine.
                      Yes, I already supplement with iodine and selenium as recommended by Kresser and Masterjohn. I would like to eat more carbs, but it spikes my BG so much. I gave up eating fruit, oatmeal and sweet potatoes because I had to limit my portions so much, eg 1/4 apple or 50 grams sweet potato. I think I will work hard to replace some saturated fat with some good carbs and see if I can find a happy medium.

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                      • #12
                        You have to admire a man who follows his own advice. Unless he's one who doesn't think for himself. I'd ask him if he's looked at any of the studies done on LC lately. Different people will certainly have different responses to his answer. But if he answers "no", I would look for a different doctor.
                        "When the search for truth is confused with political advocacy, the pursuit of knowledge is reduced to the quest for power." - Alston Chase

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                        • #13
                          Are these basically common results from LCHF?

                          It seems like a lot of people report HDL up, Trig down (good). Improved ratios. LDL up (but it depends on something about dense particles or whatever, can someone explain this please?). And then total chol -- who cares.

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                          • #14
                            Originally posted by Artbuc View Post
                            Yes, I already supplement with iodine and selenium as recommended by Kresser and Masterjohn. I would like to eat more carbs, but it spikes my BG so much. I gave up eating fruit, oatmeal and sweet potatoes because I had to limit my portions so much, eg 1/4 apple or 50 grams sweet potato. I think I will work hard to replace some saturated fat with some good carbs and see if I can find a happy medium.
                            Atbuc, for what it's worth: I was VLC for about six months, and when I first started eating pototoes and rice again I would crash if I ate even a bit too much. But gradually my response to them improved, and now I can eat big plates of both and just feel good afterwards.

                            I believe the crashing was due to impaired insulin sensitivity.

                            Do you actually have symptoms of hypothyroidism or are you just going by your LDL numbers?
                            "I think the basic anti-aging diet is also the best diet for prevention and treatment of diabetes, scleroderma, and the various "connective tissue diseases." This would emphasize high protein, low unsaturated fats, low iron, and high antioxidant consumption, with a moderate or low starch consumption.

                            In practice, this means that a major part of the diet should be milk, cheese, eggs, shellfish, fruits and coconut oil, with vitamin E and salt as the safest supplements."

                            - Ray Peat

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                            • #15
                              Originally posted by YogaBare View Post
                              Do you actually have symptoms of hypothyroidism or are you just going by your LDL numbers?
                              No obvious symptoms....just speculating about a possible explanation for the dramatic increase in LDL-C.

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