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Latest blood panel numbers - yikes!!

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  • Latest blood panel numbers - yikes!!

    So I'm not one to freak out over a single blood panel test, as numbers can certainly fluctuate from day to day. But I had my quarterly blood screening at work today and my trigs (which were already "high") have more than doubled!!

    I've been primal for almost a year now and feel great. I am 6'0" 175 lb. I move slowly and work out 2-3 times a week. Granted, I haven't been as good at doing those things over the winter, but now that spring has arrived I have worked out over the past couple weeks.

    Check these numbers. Any ideas or thoughts on what I should do next?

    Test October '12 April '13
    Total Cholesterol 213 221
    HDL-C 33 26
    LDL-C 150 126
    Triglycerides 153 341
    Fasting Glucose 87 94
    Systolic Pressure 120 118
    Diastolic Pressure 76 82
    This test was at 8:00 AM and I fasted since dinner the night before (8:00 PM). Whats with the trigs?? The only thing I can think is my meal the night before: homemade crock-pot chili (ground beef), of which I ate copious amounts. Maybe since insulin in my blood is low, all those fatty acids are still floating around in my blood from the night before? I still think it looks high.

    Maybe my LDL receptors are down regulated for some reason.

    Any other thoughts or recommendations?
    Thanks,
    Rob

  • #2
    What's your typical carb intake like? How about fructose? And, are you losing weight? And if so, how fast?

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    • #3
      I don't know. That does seem pretty odd that trigs are so high. I would not think it is LDL receptor downregulation since your LDL is in a good range. Your HDL also seems reallllly low. What is your typical day of eating like? Are you still losing weight?

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      • #4
        When your body burns body fat, your triglycerides go up. People who are losing weight or fasting (especially if their blood sugar is low) will present higher trigs than when they are regularly meeting their kcal requirements.

        Even with that factored-in, your trigs ARE a bit high, but I see no reason for concern until you've had a non-fasted test or until another test has shown you are having problems related to trigs. One symptom doesn't an illness make.
        --
        Perfection is entirely individual. Any philosophy or pursuit that encourages individuality has merit in that it frees people. Any that encourages shackles only has merit in that it shows you how wrong and desperate the human mind can get in its pursuit of truth.

        --
        I get blunter and more narcissistic by the day.
        I'd apologize, but...

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        • #5
          I am not losing weight (I don't think!). I have fluctuated between 175-178 for the past 9 months or so.

          My carb intake is low. Example meals past few days:

          Breakfast: none
          Lunch: Salad w/ roasted chicken and roasted veggies
          Dinner: Taco salad (lettuce, steak, cheese, sour cream, salsa, guac)

          Breakfast: Smoothie (apple, banana, spinach, pear, greek yogurt)
          Lunch: Leftover taco salad
          Snack: Smoked oysters in olive oil
          Dinner: Almond-crust pizza (cheese, pepperoni, roasted red pepper)

          Breakfast: none
          Lunch: Leftover pizza
          Dinner: Crock-pot chili (beef, tomatoes, spices)

          My HDL has always been low. I know exercise is the best way to get this up, but I also want to avoid the "30 minutes of cardio every day" that my doctor recommends.

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          • #6
            I forgot to add - I take a fish oil omega-3 supplement every night and have 1-2 glasses of wine or beer most nights.

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            • #7
              How often do you have fruit smoothies? If you have a whole apple, banana, and pear plus Greek yogurt, that's a good amount of carbs (and fructose) first thing in the morning (studies suggest that it's better to partition carbs later in the day). Do you have any signs of liver problems?

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              • #8
                Not every day on the smoothies. And it's not whole piece of each of those fruits. My wife makes them in the Vita-mix and we split them. So probably 1/2 pear, 1/2 banana, 1/2 cup greek yogurt, handful spinach, coconut milk. Sometimes she makes green smoothies featuring mostly kale and spinach with 1/2 an apple for taste. On days I don't have a smoothie in the morning, i'll usually have nothing, or sometimes either an apple or a banana with a handful of assorted nuts.

                No signs of liver problems.

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                • #9
                  Originally posted by rmbrich View Post
                  Not every day on the smoothies. And it's not whole piece of each of those fruits. My wife makes them in the Vita-mix and we split them. So probably 1/2 pear, 1/2 banana, 1/2 cup greek yogurt, handful spinach, coconut milk. Sometimes she makes green smoothies featuring mostly kale and spinach with 1/2 an apple for taste. On days I don't have a smoothie in the morning, i'll usually have nothing, or sometimes either an apple or a banana with a handful of assorted nuts.

                  No signs of liver problems.
                  Sounds like the smoothies are not the culprit then. I am stumped.

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                  • #10
                    Me too. I've been googling all morning and haven't found anything helpful either.

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                    • #11
                      I'm calling for a do over. Re-test just to be sure its accurate.

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                      • #12
                        This was from an instant-read machine (~5 minutes to results), which they say are comparable to the labs. Not sure if I believe that, and I'll be getting a physical soon at my doctor so I'll wait for that bloodwork to come back. He's going to freak when he sees that trigs number though ...

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                        • #13
                          I second the redo. Something is very strange. I eat like you descibed everyday and have for years now. I'm 40, male, 167 lbs. My trigs are in the low 50s (multiple tests over time and all fasted) and my HDL is more than double yours. I would have bet money that it was a fructose or very rapid weight loss issue. If not that nor a liver issue, I smell a bad test.

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                          • #14
                            Wow, I would venture to say many of us LCHF folks have these types of bizarre conversations with docs over panels. Thanks for the story; gives me some ideas for when I discuss with my doc.

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                            • #15
                              Originally posted by rmbrich View Post
                              I am not losing weight (I don't think!). I have fluctuated between 175-178 for the past 9 months or so.

                              My carb intake is low. Example meals past few days:

                              Breakfast: none
                              Lunch: Salad w/ roasted chicken and roasted veggies
                              Dinner: Taco salad (lettuce, steak, cheese, sour cream, salsa, guac)

                              Breakfast: Smoothie (apple, banana, spinach, pear, greek yogurt)
                              Lunch: Leftover taco salad
                              Snack: Smoked oysters in olive oil
                              Dinner: Almond-crust pizza (cheese, pepperoni, roasted red pepper)

                              Breakfast: none
                              Lunch: Leftover pizza
                              Dinner: Crock-pot chili (beef, tomatoes, spices)

                              My HDL has always been low. I know exercise is the best way to get this up, but I also want to avoid the "30 minutes of cardio every day" that my doctor recommends.
                              Your carbohydrate intake is basically zero. That's probably why your blood numbers aren't good.

                              The thing that strikes me is the fasting blood glucose of 94. Your fasting BG should be around 75. You are likely very insulin resistant from your lack of carbohydrate. If I were you, I'd do a huge diet overall.

                              1.) You eat A LOT of unsaturated fat. I see chicken, olive oil, shellfish and almonds (baked almond meal is toxic). If you eat lots of eggs, fish, poultry, pork and liquid vegetable oils like olive oil and nuts, your saturated:unsaturated ratio is probably pretty bad. I would limit poultry and pork and get my fat from ruminants (beef, lamb) and only cook with butter, ghee or coconut oil. Dairy is still fine thanks to the wonderful fatty acid profile. I'd definitely ditch the almond meal. Throw that nasty garbage away.

                              2.) I eat more carbohydrate than fat. I suggest you do as well. Carbohydrate (specifically sugar) stores in tissues as mostly as saturated fat with the remainder as omega-9 monounsaturated fat. Fat stores as whatever you consume for the most part, so if you eat lots of nuts, poultry, eggs, fish and liquid vegetable oils, you probably have unsaturated fatty tissues. That's not a good thing, and it's another reason why I do not support high fat/low carb diets in general. For your height and weight, I can almost guarantee you're doing a lot more harm than good. Your body is likely catabolizing lean tissue constantly to get the 200g of glucose you need to survive daily. Get it through food, not skeletal tissue. A lower to moderate fat diet that is moderate to high in carbohydrate and protein would almost certainly suit you better. I like 30% fat, 30% protein, 40% carbohydrate for your height/weight. If you lift weights often, 20% fat, 40% protein, 40% carbohydrate may see the best results on body composition but if you're not a lifter that may be too little fat for you.

                              3.) You're insulin resistant because you never eat carbohydrate. Sugar and starch make you insulin sensitive, fat makes you resistant (specifically polyunsaturated fat, which you eat lots of). My starchy and sugary diet loaded with 5 lbs of potatoes, 3 large plantains, 3 lbs of apples and various other fruits a week with leaner red meats and eggs has me sitting pretty in the 74-79 range all day every day while fasting. My blood glucose has improved substantially after removing fats for sugars and starches (I used to sit in the mid 80's, now I'm mid 70's).

                              I would remove the poultry, pork and fish for leaner red meats. I'd replace the fat with lots of fruit if you're sedentary and half fruit half starch if you're active. I do starch post-workout and fruit at pretty much all other times. I rarely consume nuts and all the fats I use to cook with are solid at room temperature. I really only stock coconut oil, ghee (that I render myself from unsalted Kerrygold) and unrefined cocoa butter at my house. The only other oil you'll find is extra virgin olive oil, which I always "fridge test" and use sparingly.

                              I have this nagging suspicion you take fish oil. If you do - STOP. I hope I'm wrong. You should get a thyroid test done - T3, T4, TSH, rT3. NOT JUST TSH. I have a feeling you're borderline hypothyroid from your cholesterol, blood glucose numbers and diet low in carbs and high in unsaturates.

                              EDIT - I am not anti-egg, poultry, pork or fish. However, for you, I'd limit them until the numbers correct. The biggest exception I see are eggs. I wouldn't tell you to stop buying eggs, but I'd quit the poultry, pork and fish for awhile.
                              Last edited by ChocoTaco369; 04-12-2013, 08:23 AM.
                              Don't put your trust in anyone on this forum, including me. You are the key to your own success.

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