The standout from those numbers for me is the Trigs at 135. This doesn't accord with the VLC diet that you reported. My Trigs are always below 80 and I'm eating quite a bit of starchy vegetables and having a glass of wine per day.
Your HDL is excellent. Total LDL is irrelevant. If you can afford it, get a VAP test done to determine your lipid profile (a or b) which is what really matters.
Only thing I can think of is that your VLC diet is resulting in significant gluconeogenisis. You might be better off introducing some starchy vegetables and reducing the protein.
I don't think you need extra fat. After all, you're stable on this diet. You would only need extra fat if you were hungry and fatigued
Four years Primal with influences from Jaminet & Shanahan and a focus on being anti-inflammatory. Using Primal to treat CVD and prevent stents from blocking free of drugs.
Eat creatures nose-to-tail (animal, fowl, fish, crustacea, molluscs), a large variety of vegetables (raw, cooked and fermented, including safe starches), dairy (cheese & yoghurt), occasional fruit, cocoa, turmeric & red wine