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  1. #1
    JonnyH's Avatar
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    Cholesterol help-again!

    Primal Fuel
    So Iíve just got back from my appt with a senior pathology specialist about my high cholesterol.

    Here are my Jan 2013 numbers:

    Total 10.26(396)
    HDL 2.35(90.8)
    LDL 7.59(293)
    TRIGS 0.70(62)
    APO A 2.28
    APO B 2.14

    Cpr <1
    Vit D 59(148)

    My numbers have been around these numbers since I went high fat, low carb a few years ago.
    Previously my numbers were a lot lower, though trigs were slightly higher and HDL a bit lower.

    This is the first time Iíve had the Apoliprotein A & B tested, the specialist said heís concerned about the high LDL, and the Apo B numbers.

    Can anyone look at these numbers and determine if I should be worried or not.

    Iím male, 46, 5í9Ē, 138lbs, very active, run, cycle or weights most days.

    I eat a fair amount of fish a week, salmon, mackerel, cod.
    Lamb and Beef once a week.
    A small amount of lambs liver twice a week.
    8-10 eggs a week.
    Little dairy,a bit of greek yoghurt and raw cream.
    Lots of veg with lots of butter and EVOO.
    Avocadoes, 1 piece of fruit a day
    Coconut ouil and milk regularly.
    Macadamia nuts(50g a day) and 1 or 2 brazil nuts a day.
    1 small sweet potatoe a day.
    A couple of glasses of red wine a week.
    Small amount of dark chocolate.
    No caffeine at all, just herbal teas and water.

    Thatís about it for my diet, the doc said to have 1 egg a week, no liver, no lamb(too fatty!) a small amount of EVOO, no butter, no avocadoes.
    He said to eat lots of fish, chicken, veg and fruit, and not a lot else!
    Now, as I said, I work out most days, and generally aim for 2,500-3000 cals a day. Thatís an awful lot of fish, fruit and veg with no fats to get to 3000 cals!

    All my other labs were excellent, he said the Vit D and B were very high, he couldnít believe I donít take Vit B supplements, guess itís the liver.
    He checked me over for cholesterol deposits, none anywhere. He ruled out FH.
    He listened to my arteries and heart, all excellent.
    He was desperate to put me on statins, but has given me 4 months to sort via diet.
    Heís sending me for a scan to check for any furring in the arteries.

    Any feedback.advice would be greatly appreciated.

  2. #2
    RichMahogany's Avatar
    RichMahogany is offline Senior Member
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    Quote Originally Posted by JonnyH View Post
    Can anyone look at these numbers and determine if I should be worried or not.
    Short answer: No. Nobody can do that and anybody who claims he/she can is a charlatan.

    Long answer: The Straight Dope on Cholesterol: 10 Things You Need to Know – Part 1 | Mark&#039;s Daily Apple

    Really long answer: http://www.google.com/url?sa=t&rct=j...41642243,d.eWU

  3. #3
    tiva's Avatar
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    Quote Originally Posted by JonnyH View Post
    So Iíve just got back from my appt with a senior pathology specialist about my high cholesterol.

    Here are my Jan 2013 numbers:

    APO A 2.28
    APO B 2.14

    This is the first time Iíve had the Apoliprotein A & B tested, the specialist said heís concerned about the high LDL, and the Apo B numbers.
    My understanding is that it's the apoB/apoA RATIO that's predictive, not the absolute numbers. Your ratio is 0.91, which puts you exactly smack dab in the middle of American men tested in the AMORIS study. Not a perfect place to be, but not a place to panic. Here's the abstract for the big research study:
    Stroke mortality and the apoB/apoA-I ratio: res... [J Intern Med. 2006] - PubMed - NCBI

    Google apoB/apoA ratio for more information. In particular, there's a ppt show online aimed at cardiologists that explains the research well: http://cardiolipid.com/cardiolipid%2...010/012001.pdf

  4. #4
    JonnyH's Avatar
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    Quote Originally Posted by tiva View Post
    My understanding is that it's the apoB/apoA RATIO that's predictive, not the absolute numbers. Your ratio is 0.91, which puts you exactly smack dab in the middle of American men tested in the AMORIS study. Not a perfect place to be, but not a place to panic. Here's the abstract for the big research study:
    Stroke mortality and the apoB/apoA-I ratio: res... [J Intern Med. 2006] - PubMed - NCBI

    Google apoB/apoA ratio for more information. In particular, there's a ppt show online aimed at cardiologists that explains the research well: http://cardiolipid.com/cardiolipid%2...010/012001.pdf
    Thanks for reply, bit worrying the ppt show, on pg 30 it shows I'm right at the upper end of medium risk, merging into high risk!

    Will do some googling later.
    Last edited by JonnyH; 01-31-2013 at 06:06 AM.

  5. #5
    JonnyH's Avatar
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    Quote Originally Posted by RichMahogany View Post
    Short answer: No. Nobody can do that and anybody who claims he/she can is a charlatan.

    Long answer: The Straight Dope on Cholesterol: 10 Things You Need to Know – Part 1 | Mark's Daily Apple

    Really long answer: http://www.google.com/url?sa=t&rct=j...41642243,d.eWU
    Thanks for reply, have looked at Peter Attia's site before, gets a wee bit technical for me!
    I'll try and sit quietly later and try and understand some of it!
    Last edited by JonnyH; 01-31-2013 at 06:06 AM.

  6. #6
    sbhikes's Avatar
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    Maybe next time you plan to get a test you should follow his advice for a few months and see if it actually changes anything. I didn't eat any meat for a decade except for occasional fish and my cholesterol numbers were terrible.
    Female, 5'3", 49, Starting weight: 163lbs. Current weight: 135 (more or less).
    Starting squat: 45lbs. Current squat: 170 x 3. Current Deadlift: 220 x 3

  7. #7
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    Have you had your thyroid checked? I don't have the article, but I read a relatively long piece recently on how some people get very high cholesterol numbers on paleo diets, caused by abnormal thyroid function, or in rare cases infection.

  8. #8
    JonnyH's Avatar
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    Quote Originally Posted by quikky View Post
    Have you had your thyroid checked? I don't have the article, but I read a relatively long piece recently on how some people get very high cholesterol numbers on paleo diets, caused by abnormal thyroid function, or in rare cases infection.
    Hi, I cant be 100% certain, but I'm sure he said my thyroid function was good.
    I will check with him though, as I want to ring him about something else.

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