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Thread: LDL at 357 ng/dl, young, lean athlete on Paleo 7 years

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  1. #1
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    LDL at 357 ng/dl, young, lean athlete on Paleo 7 years

    Hey guys this is my first post here but I've been on the Paleo diet since my teens and before this site. Maybe before Marc, no idea. I'm 25 years old.

    Anyway I suffered from a bout of acute pancreatitis recently and I got some bloodwork done when I got to my home country and my doctor found that I have very high LDL cholesterol.

    I look fairly fit, with a six pack and a low bodyfat percentage at a high weight, I've been fighting professional Muay Thai and college Judo, although I understand fitness and health are not the same thing.

    However it really irks me that I have tried to do everything right since my teens, and now I have to go on statins or suffer a heart attack by my 30's. Just so you know, I just came back from seeing my doctor so I feel some injustice about that.

    My doctor also said it is imperative I start the statins immediately or I'm at risk for another bout of pancreatitis, which is life threatening. He said I won't have a cardiac event right away but I should begin statins for the pancreatitis. I certainly don't want acute pancreatitis again since it was some of the worst pain I've gone through, however I'm not convinced that hypercholesterolemia is linked to it. My doctor says that was the definite cause of my pancreatitis though. (FYI, I had the attack in Korea while traveling and only got partial tests done, a couple months later, now, in Canada, I got my cholesterol done).

    My doctor believes I probably have familial hypercholesterolemia. I am not getting genetic testing for FH; I am in Canada and there is the issue of using the government's resources so my doctor did not refer me.

    Anyone else out there who had cholesterol levels similar to mine, or who has FH? Anyone have any advice on statin drugs and which ones have the least side effects?

    PS: I am getting the LDL subfractions tested soon.

  2. #2
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    I am not an expert but it is about more than LDL numbers. What are the rest of your numbers like HDL, Trigs?
    Eating primal is not a diet, it is a way of life.
    PS
    Don't forget to play!

  3. #3
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    What is the "it" that you are referring to? Familial hypercholesterolemia is basically strictly about LDL numbers. I suppose you're referring to atherosclerosis? Certainly acute pancreatitis has a lot of relation to triglyceride levels, since high triglycerides are a known cause.

  4. #4
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    Chingu, you might want to check out this thread: Griff's Cholesterol Primer

  5. #5
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    Quote Originally Posted by Goldie View Post
    Chingu, you might want to check out this thread: Griff's Cholesterol Primer
    Thanks. That does not seem to mention the genetic disorder called familial hypercholesterolemia. Nor does it answer any questions relating to acute pancreatitis.

    Does anyone think it is possible that I do not have FH yet have 357ng/dl LDL?

    I would like to get the genetic testing done by 23andme.

  6. #6
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    You can have a scan done to check if you have narrowing/inflammation/plaque build-up. If that's clear, tell your doctor to take a hike. I have a friend who has FH and so do her 2 children. None of them are on statins.

  7. #7
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    Quote Originally Posted by bionicsamm View Post
    You can have a scan done to check if you have narrowing/inflammation/plaque build-up. If that's clear, tell your doctor to take a hike. I have a friend who has FH and so do her 2 children. None of them are on statins.
    I would like to do this, however there is healthcare rationing in my country (Canada). I'll try to press my doctor on it further.

    Note that my doctor suggested I go on statins to reduce my chances of a recurrent attack of acute pancreatitis though. So if I had healthy arteries I wouldn't exactly tell my doctor to "take a hike."

    Did your friend do genetic testing for FH? Have any idea what her numbers were like? Are you saying she got a heart scan done and looked fine?
    Last edited by chingu; 07-18-2012 at 09:01 PM.

  8. #8
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    I would like to make an update to this thread about how my doctor is wrong for saying I need to go on statins immediately to prevent another attack of acute pancreatitis.

    Issues in Hyperlipidemic Pancreatitis : Journal of Clinical Gastroenterology The research here shows that cholesterol has no relation to acute pancreatitis. I always had this feeling because I had researched acute pancreatitis thoroughly and had seen no case related to high cholesterol levels (only hypertriglyceridemia) but this research says so outright and has been cited almost 400 times.

    Take your doctor's advice with a grain of salt and always research for yourself.

    Now I'm going to further investigate the atherosclerotic issue, which I was less worried about because it is a longer time horizon issue. Still, I'm left wondering why I had that nearly fatal attack of pancreatitis.

  9. #9
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    For those who recommended the coronary calcium scan, I don't think I can do it, I think there are no machines for it in my province. As of 2011 anyway. They might be doing it now, since there is so much published research on it. However the government did not believe it was worth the resources to get the 64-ct ccta scanners or whatever they use, last year.

    I might do it next year in Korea or Thailand. I might go to Mexico for only a week this fall and I can see if they have it there, but I feel better about Thailands prices and service.

  10. #10
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    Hyperlipid

    The above blog is written by a vet in the uk. He has written in the pat about FH and statins. You may find answers there.

    Mommymd

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