There's a diterpene molecule called cafestol in coffee that's not filtered through paper which can bind to LDL receptors and (if my understanding of the mechanism is correct) prevent/slow the clearing of LDL particles from the bloodstream.
Originally Posted by Urban Forager
Thanks Rich, my husband drinks a couple cups of french pressed a day and that may be effecting his LDL.
Sounds like he may have to switch to a different method for his caffeine fix.
Ah, I am a French press person and yes, I have high LDL, for who knows what reasons. I am learning.... And yes, I eat a lot of dairy.
Originally Posted by RichMahogany
Last edited by anna5; 04-11-2013 at 08:32 AM.
Aeropress is the answer. Paper filter diterpene reduction with better flavor than a French Press.
I reviewed bloodwork results with my doc yesterday. I was pretty upset as it was a bizarre Alice in Wonderland conversation. He opened with "This is the most atherogenic lipid panel I have ever seen." Here is a rough paraphrase of the key points:
Me: Isn't the high (130) HDL-C good?
Doc: Maybe, depends on the type of HDL.
Me: Shouldn't we run an NMR profile to find out?
Doc: Maybe a VAP test would be helpful.
Me: I thought VAP tests were not standardized and perhaps unreliable.
Me: Maybe I over corrected in my attempt to control blood glucose. I think I am eating too much saturated fat, especially coconut which I have been eating as a staple.
Doc: Why are you worried about blood glucose, your A1c is great at 5.1.
Me: It is great because I worked so hard to control it with my VLCHF diet. Actually, I thought it would have been a little lower.
Doc: WHAT? No one ever has an A1c lower than 5.1! I see you have never taken statins, why not?
Me: I am concerned about side-effects and I am not convinced that lowering LDL-C using statins will actually reduce my risk of a heart attack or stroke. Do you think other markers may be more predictive, eg trigs/HDL-C?
Doc: Maybe, they are doing that study now. New thinking is LDL-C does not cause CHD. The real problem is inflammation.
Me: Yes, that is what I believe. That is why I work so hard to avoid postprandial spikes in blood sugar.
Doc: Postprandial spikes are meaningingless unless you are going over 210. Your A1c is great so you do not have to worry about postprandial spikes.
Me: If LDL-C does not cause CHD, why should I take statins?
Doc: Statins may help reduce inflammation.
Me: Back to the VAP test, will it tell me anything about HDL? Will it tell me if my high HDL-C is good or bad?
Doc: No, the VAP test will not tell you anything about your HDL.
Me: Do you believe large fluffy LDL-C is less harmful than small dense LDL-C?
Doc: We do not know. Maybe.
So, he opens by telling me I have the most atherogenic lipid panel he has ever seen and proceeds to tell me that current thinking is serum cholesterol does not cause CHD/CVD. And, he tells me postprandial blood sugar spikes to 210 are ok.
So, a while back, someone posted this link to a discussion of hypothyroidism by the Perfect Health Diet People. Hypothyroidism Archives - Perfect Health Diet | Perfect Health Diet On this page, they discuss one theory of why people who eat paleo sometimes have high cholesterol. The theory is that VLC leads to hypothyroidism, which, in turn, leads to high cholesterol. I only skimmed the stuff, but it may be worth your while to read through it.
I plan on getting blood work done in the near future. The last time I had it done was years ago (2009, I believe). I'm curious to see what my lipid panel looks like. My 2009 numbers were any conventional doctor's dream.
Last edited by diene; 04-12-2013 at 10:38 AM.
Reason: cosmetic/grammatical correction
I also asked my Doc about this. He said I could not possibly be hypothyroid because I did not present any symptoms. He would not even agree to run a thyroid panel. I may get it done myself through Direct Labs, just to eliminate that possibility. I do take iodine and selenium supplements which may or may not be helping.
Originally Posted by serenity
I have never heard of any 'bad type' of HDL. Both my endo and cardiologist agree that my super high HDL ( regularly 95-110) is spectacular. It's the 'type' of LDL that's important.
I had a VAP test that showed my LDL was 100% Pattern A (the large, fluffly kind), and at the time my doctor mentioned that he has noticed that his patients who have a high HDL and low trigs tend to also have Pattern A LDL.
Personally, if my doctor 'refused' to order I lab I requested, he would be my former doctor.
Emmie, there are two types of HDL-C which are determined by a VAP test (my doc was wrong about that point too). Here is the VAP test performed by Atherotech. Quest Diagnostics uses Atherotech for their VAP test. Large, buoyant HDL -C particles are considered more protective.
Originally Posted by emmie