My Lab Results page

[john_e_turner_ii]

I put this new thread in case the old one didn't come up.

Thanks to Soniayak for reminding me to call my doctor today to get my results:

Here are my past tests and my results from my physical:

39 years old
Height: 5'9"
Weight: 157 (current weight)
I have been about the same weight for the past few years, at maximum 175.

My readings from July 2009 which were pretty consistent on my CW diet:

Total Cholesterol: 145
Triglycerides: 45
HDL: 59
LDL: 77
Chol/HDLC Ratio: 2.5

All of these are well within the "good" ranges.

This is from April 2010, about 6 weeks into Primal Blueprint:

Total Cholesterol: 217 "Now Bad"
Triglycerides: 47
HDL: 65
LDL: 143 "Now Bad"
Chol/HDLC Ratio: 3

Here are my results from a few weeks ago at end of August 2010, almost 6 months into PB:

Total Cholesterol: 228 - "Still Bad", but not really changed much since April.
Triglycerides: 46 - relatively unchanged and still "good".
HDL: 61 - a little lower, but still "good"
LDL: 158 - Even higher, and "bad"
Chol/HDLC Ratio: 3.7 - "good"

All my other panel numbers were normal as far as glucose, liver, etc.

Now, my primary doctor wants me to come in to discuss what we need to do about this. I am thinking it's the saturated fat more than anything, but not sure. I don't eat quite as many eggs on a daily basis as I did early on. I was consuming about 4-5 per day, but now maybe 1-2 per day, and maybe 4-5 for breakfast on the weekends. I wonder about the coconut oil. I know several people have cut it out and have found their lipid panels to even out. Anyway, there is no way I am going to get on any medication. I will adjust my diet before I do that.

The concerning factor for my primary physician and my cardiologist is the fact that in 2003, I had my aortic valve replaced with an artificial, mechanical valve. I take blood thinners (Coumadin) now because of that. So, in one way, I have a reduced risk of heart attack and stroke because I take blood thinners for my valve anyway. At the same time, my doctors want me to be extra careful of my heart.

So, any thoughts? I know Griff thought my numbers looked great last time, but of course he's not my doctor. :-)

[Jason VT]

Well, you could bring some research in to show that total cholesterol below 170 (pubmed low cholesterol risk or something like that) is strongly associated with increased risk of cancer, alzheimers, heart disease, etc.
Have you ever had your pattern type viewed? You could also bring that up to your cardiologist.

[john_e_turner_ii]

Well, you could bring some research in to show that total cholesterol below 170 (pubmed low cholesterol risk or something like that) is strongly associated with increased risk of cancer, alzheimers, heart disease, etc.
Have you ever had your pattern type viewed? You could also bring that up to your cardiologist.

My primary doctor did say he would consider performing an NMR. Maybe we will discuss that when I go in.

[cillakat]

Total Cholesterol: 228 - "Still Bad", but not really changed much since April.
Triglycerides: 46 - relatively unchanged and still "good".
HDL: 61 - a little lower, but still "good"
LDL: 158 - Even higher, and "bad"
Chol/HDLC Ratio: 3.7 - "good"

Just figure out the ratios here:
Total/HDL ____ (optimal is ≤3...average is 4.5)
HDL/Total ____ (optimal ≥ .24, under .24 is low, less than .1 is high risk)
Trig/HDL ____ (optimal is ≤2)
LDL/HDL ____ (optimal is ≤ 4.3)
HDL/LDL ____ (optimal is ≥ .4)


What are your dietary fat/protein/carb ratios?
Were you fasting before the test?
What is your 25(OH)D level?
How much D are you taking daily?
LpA? CRP? both incredibly important for you to know.
Pattern A or B would also be huge to know.


Eggs do not appear to have a negative effect on cholesterol.

[john_e_turner_ii]

What are your dietary fat/protein/carb ratios? About 55/30/15
Were you fasting before the test? Yes.
What is your 25(OH)D level? I don't know what this is?
How much D are you taking daily? I take about 1.5g
LpA? CRP? both incredibly important for you to know. I don't know what these are on my test if they were even done. All my other numbers were normal.
Pattern A or B would also be huge to know. Pattern A or B what?

[john_e_turner_ii]

I guess my other question is, what is it I am doing or not doing compared to others that seem to be able to have perfect cholesterol results on PB?

[emmie]

Your LDL is not 'bad' unless it tests as 'small, dense' in terms of particle size. Tell you doctor that you want particle size tested.

My own LDL is listed as 'high' on all lab reports (c. 130), but my VAP test showed that it is 100% Pattern A--the large, fluffy 'good' kind that's actually heart protective. Even with these test results, my doctors all have a 'knee-jerk' reaction to my LDL number--they've been so completely brainwashed by Big Pharma!

[john_e_turner_ii]

Yeah, I plan on talking to him about that. He was not familiar with the VAP test, but he does know and utilize NMR's.

[marcadav]

Do you take fish oil? And if so, do you take it right up to the test?

I seem to remember reading, on about.com's thyroid board, something about stopping supplementation a few days (3) before having a lipid panel done.

[john_e_turner_ii]

Yes, I take about 3.6g of fish oil per day, and I did right up to the test except for the fasting I did before the test. Now, it may not be the brand the people recommend here. It's Nature Made. I plan on switching to the one Cilikat recommends, the NOW DHA 500.