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Thread: Latest blood panel numbers - yikes!!

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  1. #1
    Join Date
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    Latest blood panel numbers - yikes!!

    So I'm not one to freak out over a single blood panel test, as numbers can certainly fluctuate from day to day. But I had my quarterly blood screening at work today and my trigs (which were already "high") have more than doubled!!

    I've been primal for almost a year now and feel great. I am 6'0" 175 lb. I move slowly and work out 2-3 times a week. Granted, I haven't been as good at doing those things over the winter, but now that spring has arrived I have worked out over the past couple weeks.

    Check these numbers. Any ideas or thoughts on what I should do next?

    Test October '12 April '13
    Total Cholesterol 213 221
    HDL-C 33 26
    LDL-C 150 126
    Triglycerides 153 341
    Fasting Glucose 87 94
    Systolic Pressure 120 118
    Diastolic Pressure 76 82

    This test was at 8:00 AM and I fasted since dinner the night before (8:00 PM). Whats with the trigs?? The only thing I can think is my meal the night before: homemade crock-pot chili (ground beef), of which I ate copious amounts. Maybe since insulin in my blood is low, all those fatty acids are still floating around in my blood from the night before? I still think it looks high.

    Maybe my LDL receptors are down regulated for some reason.

    Any other thoughts or recommendations?
    Thanks,
    Rob

  2. #2
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    What's your typical carb intake like? How about fructose? And, are you losing weight? And if so, how fast?

  3. #3
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    When your body burns body fat, your triglycerides go up. People who are losing weight or fasting (especially if their blood sugar is low) will present higher trigs than when they are regularly meeting their kcal requirements.

    Even with that factored-in, your trigs ARE a bit high, but I see no reason for concern until you've had a non-fasted test or until another test has shown you are having problems related to trigs. One symptom doesn't an illness make.
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  4. #4
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    I don't know. That does seem pretty odd that trigs are so high. I would not think it is LDL receptor downregulation since your LDL is in a good range. Your HDL also seems reallllly low. What is your typical day of eating like? Are you still losing weight?

  5. #5
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    I am not losing weight (I don't think!). I have fluctuated between 175-178 for the past 9 months or so.

    My carb intake is low. Example meals past few days:

    Breakfast: none
    Lunch: Salad w/ roasted chicken and roasted veggies
    Dinner: Taco salad (lettuce, steak, cheese, sour cream, salsa, guac)

    Breakfast: Smoothie (apple, banana, spinach, pear, greek yogurt)
    Lunch: Leftover taco salad
    Snack: Smoked oysters in olive oil
    Dinner: Almond-crust pizza (cheese, pepperoni, roasted red pepper)

    Breakfast: none
    Lunch: Leftover pizza
    Dinner: Crock-pot chili (beef, tomatoes, spices)

    My HDL has always been low. I know exercise is the best way to get this up, but I also want to avoid the "30 minutes of cardio every day" that my doctor recommends.

  6. #6
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    Quote Originally Posted by rmbrich View Post
    I am not losing weight (I don't think!). I have fluctuated between 175-178 for the past 9 months or so.

    My carb intake is low. Example meals past few days:

    Breakfast: none
    Lunch: Salad w/ roasted chicken and roasted veggies
    Dinner: Taco salad (lettuce, steak, cheese, sour cream, salsa, guac)

    Breakfast: Smoothie (apple, banana, spinach, pear, greek yogurt)
    Lunch: Leftover taco salad
    Snack: Smoked oysters in olive oil
    Dinner: Almond-crust pizza (cheese, pepperoni, roasted red pepper)

    Breakfast: none
    Lunch: Leftover pizza
    Dinner: Crock-pot chili (beef, tomatoes, spices)

    My HDL has always been low. I know exercise is the best way to get this up, but I also want to avoid the "30 minutes of cardio every day" that my doctor recommends.
    Your carbohydrate intake is basically zero. That's probably why your blood numbers aren't good.

    The thing that strikes me is the fasting blood glucose of 94. Your fasting BG should be around 75. You are likely very insulin resistant from your lack of carbohydrate. If I were you, I'd do a huge diet overall.

    1.) You eat A LOT of unsaturated fat. I see chicken, olive oil, shellfish and almonds (baked almond meal is toxic). If you eat lots of eggs, fish, poultry, pork and liquid vegetable oils like olive oil and nuts, your saturated:unsaturated ratio is probably pretty bad. I would limit poultry and pork and get my fat from ruminants (beef, lamb) and only cook with butter, ghee or coconut oil. Dairy is still fine thanks to the wonderful fatty acid profile. I'd definitely ditch the almond meal. Throw that nasty garbage away.

    2.) I eat more carbohydrate than fat. I suggest you do as well. Carbohydrate (specifically sugar) stores in tissues as mostly as saturated fat with the remainder as omega-9 monounsaturated fat. Fat stores as whatever you consume for the most part, so if you eat lots of nuts, poultry, eggs, fish and liquid vegetable oils, you probably have unsaturated fatty tissues. That's not a good thing, and it's another reason why I do not support high fat/low carb diets in general. For your height and weight, I can almost guarantee you're doing a lot more harm than good. Your body is likely catabolizing lean tissue constantly to get the 200g of glucose you need to survive daily. Get it through food, not skeletal tissue. A lower to moderate fat diet that is moderate to high in carbohydrate and protein would almost certainly suit you better. I like 30% fat, 30% protein, 40% carbohydrate for your height/weight. If you lift weights often, 20% fat, 40% protein, 40% carbohydrate may see the best results on body composition but if you're not a lifter that may be too little fat for you.

    3.) You're insulin resistant because you never eat carbohydrate. Sugar and starch make you insulin sensitive, fat makes you resistant (specifically polyunsaturated fat, which you eat lots of). My starchy and sugary diet loaded with 5 lbs of potatoes, 3 large plantains, 3 lbs of apples and various other fruits a week with leaner red meats and eggs has me sitting pretty in the 74-79 range all day every day while fasting. My blood glucose has improved substantially after removing fats for sugars and starches (I used to sit in the mid 80's, now I'm mid 70's).

    I would remove the poultry, pork and fish for leaner red meats. I'd replace the fat with lots of fruit if you're sedentary and half fruit half starch if you're active. I do starch post-workout and fruit at pretty much all other times. I rarely consume nuts and all the fats I use to cook with are solid at room temperature. I really only stock coconut oil, ghee (that I render myself from unsalted Kerrygold) and unrefined cocoa butter at my house. The only other oil you'll find is extra virgin olive oil, which I always "fridge test" and use sparingly.

    I have this nagging suspicion you take fish oil. If you do - STOP. I hope I'm wrong. You should get a thyroid test done - T3, T4, TSH, rT3. NOT JUST TSH. I have a feeling you're borderline hypothyroid from your cholesterol, blood glucose numbers and diet low in carbs and high in unsaturates.

    EDIT - I am not anti-egg, poultry, pork or fish. However, for you, I'd limit them until the numbers correct. The biggest exception I see are eggs. I wouldn't tell you to stop buying eggs, but I'd quit the poultry, pork and fish for awhile.
    Last edited by ChocoTaco369; 04-12-2013 at 08:23 AM.
    Don't put your trust in anyone on this forum, including me. You are the key to your own success.

  7. #7
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    Quote Originally Posted by ChocoTaco369 View Post
    You're insulin resistant because you never eat carbohydrate. Sugar and starch make you insulin sensitive...
    T2D just need to eat more carbs?

    I find the idea of insulin sensitivity being directly correlated to carbohydrate consumption a specious assertion.

  8. #8
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    Quote Originally Posted by Finnegans Wake View Post
    T2D just need to eat more carbs?

    I find the idea of insulin sensitivity being directly correlated to carbohydrate consumption a specious assertion.
    Yes, and a lot less fat. Especially oxidized, rancid fat from heated nut meals.

    Your body is going to burn the fuel you give it in the greatest quantity. How do you expect his body to metabolize glucose efficiently when he never consumes carbohydrate? It's stuck in an endless loop of fat oxidation. He probably has terrible CO2 numbers because his mitochondria are so tired from burning such an inefficient source of fuel all the time. Fat isn't a good energy source compared to glucose. Fat's most efficient function is sticking to your ribcage.

    The OP is at a solid weight because his calories are under control, but blood numbers show a clear problem. In my opinion, he is clearly insulin resistant with that terrible fasting BG number and since his body is working overtime trying to desperately get the glucose his brain needs to function, it is dumping huge quantities of fat into his bloodstream to fuel the rest of his body. Because fat is so inefficient, it is dumping A LOT of fat just to get his body to function and because his brain is so glucose starved, there is none left to fuel his muscles, so fat has to compensate.

    I smell high levels of lactate in the bloodstream!
    Don't put your trust in anyone on this forum, including me. You are the key to your own success.

  9. #9
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    I'm not saying we should not avoid PUFAs and oxidized fats. I'm just saying that the assertion that one fixes insulin resistance by eating more carbs is inherntly flawed.

    How do you expect his body to metabolize glucose efficiently when he never consumes carbohydrate?
    Insulin resistance involves a bit more than the efficient metabolism of glucose. It's not all about shuttling energy to cells, it also comprises fat storage and cell damage (esp. to the endothelium).

    You can't have it both ways, Choco. Someone with insulin resistance needs to lose weight and to fix their insulin metabolism. You say that the only way to lose weight is via caloric deficit; so, fine. But if one achieves that through a HF macro, and loses weight, then insulin sensitivity returns. You cannot choose when to promote certain macros. The oft-used metaphor of the key and lock has the lock mechanism (cell) distorted and unreceptive to the key (insulin) because of overweight; when the weight is lost, the receptivity returns.

    In the meantime, if a person has a messed up insulin sensitivity, shoveling carbs in will just exacerbate the problem because the insulin will be trying to send that to the cells, and the cells will refuse delivery; where to go? To adipose tissue, and on the cycle continues.

  10. #10
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    I forgot to add - I take a fish oil omega-3 supplement every night and have 1-2 glasses of wine or beer most nights.

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