Low carb for doctors: What about cholesterol?
Video taken from the channel: Diet Doctor
Dr. Paul Mason ‘Blood tests on a ketogenic diet what your cholesterol results mean’
Video taken from the channel: Low Carb Down Under
Does Keto Raise Cholesterol?
Video taken from the channel: Keto-Mojo
Dr. Sarah Hallberg on triglycerides, LDL and HDL cholesterol on a ketogenic diet
Video taken from the channel: Virta Health
Lower your LDL cholesterol on a low carb or keto diet
Video taken from the channel: Diet Doctor
Keto and Cholesterol
Video taken from the channel: RuledMe
Reason for LDL Increase for Some on a Low Carb Diet
Video taken from the channel: JumpstartMD
With a low-carb diet, the reduction of carb intake means that your body has to find alternative fuel sources, namely fat. This change in metabolism, known as ketosis, can affect the volume of lipids (fatty molecules) that doctors use to measure heart health, namely triglycerides and cholesterol.Several studies have suggested that the keto diet can affect cholesterol levels. When people consume low amounts of carbohydrates, the liver produces fewer triglycerides, which may be.
On a low-carb diet, HDL tends to go up and triglycerides down, while Total and LDL cholesterol tend to stay the same. LDL particle size tends to increase and LDL particle number tends to go.A rise in cholesterol during keto or low-carb eating may be related to losing weight.
Although cholesterol levels often drop during the first 2-3 months of losing large amounts of weight, there can be a later rise in cholesterol that persists until the weight stabilizes. Once weight loss ceases, cholesterol levels tend to come back down. 11.
Low Carb Diet, Cholesterol, & Weight Loss A low-carb diet turns you into a fat (triglyceride) burner instead of a sugar (carbohydrate) burners. Carbohydrates are the easiest fuel for your body to convert to energy. But, if you are not eating many carbs, then your body needs to run on the alternative fuel which is triglycerides.Myth: Low-carb diets raise cholesterol and cause heart disease. Again, this is the most common rumor about cholesterol regarding a ketogenic or low-carb diet—that the intake of saturated fat and dietary cholesterol will cause heart disease.
But throughout the two-year study, low-carbohydrate dieters had significantly increased HDL, or “good,” cholesterol levels compared to low-fat dieters. Heart Risk Factors Improved During the.Low carbohydrate diets are all the rage, though their medical benefits are unclear. One of the stated health benefits of a low carbohydrate diet is that it lowers blood cholesterol.
The results of the study reported here counter this potential benefit. The study found that although a low carbohydrate diet resulted in lower cholesterol levels, it lowered both the good ( HDL) and bad (LDL) cholesterol.Eating a low-carb, low-cholesterol diet that’s primarily plant-based is an effective way to reduce unhealthy, low-density lipoprotein cholesterol. Experiment with a variety of low-carb, low-cholesterol recipes to find your favorite healthy foods. Focus on Healthy Carbs Eating 150 grams of carbohydrates or less a day is considered a low-carb diet.
Triglycerides are a type of blood fat that alters LDL so it’s more damaging to your arteries. Lifestyle changes including exercising more, losing weight, eating fewer calories and limiting high-sugar foods and fatty foods may help improve your triglyceride and cholesterol levels.Well, yes and no, according to Web MD, triglycerides are a certain type of fat, found in a person’s blood. Much like cholesterol, a certain amount of triglycerides are needed in a person’s diet.
How The Ketogenic Diet Lowers Triglycerides When carbohydrates are restricted, insulin levels drop, which increases the activity of lipases like triacylglycerol lipase (ATGL) and hormone sensitive lipase (HSL). These lipases help break down triglycerides for energy usage.Factors affecting triglycerides and HDL. Several aspects of diet and lifestyle affect triglycerides and HDL-cholesterol in the blood. Weight loss of 5-10% results in a 20% fall in triglycerides and increases HDL-cholesterol.
Similar effects can be achieved with increased physical activity.Higher insulin levels produce higher blood triglyceride levels. Therefore, it is no surprise that reducing dietary carbohydrates and fructose effectively lowers blood triglycerides. The landmark DIRECT study showed that the Atkins-styled diet reduced triglycerides by 40%, compared to only an 11% reduction in the low fat group.Other review studies have examined how a generally low-carb diet may affect risk factors for heart disease.
While these diets had favorable effects on “good” (HDL) cholesterol, blood sugar and.
List of related literature:
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| from Wheat Belly: Lose the Wheat, Lose the Weight, and Find Your Path Back to Health |
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| from Nutrition: Concepts and Controversies |
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| from The Anti-Anxiety Diet: A Whole Body Program to Stop Racing Thoughts, Banish Worry and Live Panic-Free |
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| from The 14-Day No Sugar Diet: Lose up to a pound a day-and sip your way to a flat belly! |
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| from Dr. Atkins’ Vita-nutrient Solution: Nature’s Answers to Drugs |
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| from Dietary Patterns and Whole Plant Foods in Aging and Disease |
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| from Primary Care E-Book: A Collaborative Practice |
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| from Clinical Nutrition in Practice |
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| from Kumar and Clark’s Clinical Medicine E-Book |
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| from Clinical Naturopathic Medicine |
78 comments
Dr my cholesterol went from 229 to 363 and my tryglicerites when up too they are still in normal range but the point went up. I was thinking they would of least went down even though ldl got higher. What do i do? I want to stop keto. Been on it for almost 2 months lost 5 pounds only need to lose 6 more and just started omad.
Thanks so much for this video. I’m on keto and I’ve lost 70lb in the past 4 months and I got a blood test which I found quite scary due to my doctor’s reaction to it. She wanted to put me on statins immediately. I wasn’t sure, but my instinct was that my weight loss might be the cause of my very high LDL result. Since then I’ve been super anxious about this. This video has helped me to calm down and see my result as a normal part of the process particularly because my HDL and Triglycerides are perfect: a Tri/HDL ratio of 1.0.
My HDL presently is 1.8 so according to this I’m in good shape. However my LP(a) is high (817 mg/L). Is there anyone here who knows if the high HDL is still protective in spite of the LP(a) level?
Thanks a million for uploading this video; I lost 50lbs over the last year and when I did my annual physical I was shocked to find my LDL was higher than it was last year (HDL was also higher, which is good, and triglycerides were lower), which threw me in for a loop! I was expecting better results after one year of eating a healthy diet (imo, anyway) and losing a ton of weight. Dr. Phinney’s explanation makes perfect sense and finally solved that puzzle for me; much appreciated!
Most people are simply throwing darts while blindfolded in any diet they choose if they don’t get blood tests.
I’d like to know if the same effect would be seen with prolonged (5 day) fasting? If so, it would explain why my doctor wants to put me on statins.
What if I’m high to begin with, starting Keto, but my cholesterol is 270, LDL is 191
By far one of the best videos I’ve watched on interpreting cholesterol blood test. Dr., my lipoprotein (a) is high @ 304 then 295, 2 weeks later. In your professional opinion, what are some natural options for me to try, to reduce this number? Additionally, what in your opinion would be an ideal diet for a 45yr male to reduce chances of cardiovascular disease. I’ve lost 50lbs, lowered my blood pressure to normal and cholesterol, raising HDL and lowering triglycerides. Prescription medication free. Thanks.
I disagree with him about the mechanism. Cholesterol efflux is facilitated by HDL particles through ApoA-1. On a high fat diet, you mobilize more ApoA-1 from the intestines via chylomicrons. This is why keto-adapted people typically have higher HDL. Part of the reason the cholesterol may accumulate in various tissues in the context of carbohydrate-based metabolism is that you’re actually restricting the mobilization of ApoA-1 from the gut. Effectively cutting down your HDL production by some margin. The mechanism Phinney mentions here is a little wrong. Fat does not leave your tissues in the form of triglyceride in a lipid droplet, and cholesterol doesn’t leave with the droplet. Your fat (triglyceride) is mobilized from your tissues as free fatty acids and is carried to the liver (and other tissues) by HSA (human serum albumin). Cholesterol is taken to the liver via HDL particles. From there, he is correct about what happens to it. Your liver dumps a massive amount of cholesterol into the biliary system to either be excreted or reabsorbed by the small intestine. But some of that cholesterol gets mobilized in VLDL, which can raise LDL cholesterol.
thanks so much for addressing this, it is indeed what most people get concerned when approaching keto. If in the future you can consider doing more science0y videos I’d love to get links to sources in the video description if possible? I know we can all reference each other but I get that from the outside-keto world hard unbiased data is ultimately the most valid, and thankfully there is plenty supporting the ketogenic lifestyle:)
My cholesterol rised…. but I lost 15lbs & I feel great. Should I be more concerned about my cholesterol????
Thank you! Dr. Mason, I hope many people can see this video and realize that the food they are eating especially high carbs and sugary food is not good for our health which we follow for decades. What a biased food pyramid.
This guy is a quack. LDL (P or C) goes up on low carb diets because saturated fat downregulates LDL receptors in the liver. Saying it goes up because of cholesterol released from fat cells is obviously wrong because people’s LDL (P or C) declines on low-fat weight-reducing diets like the Ornish diet.
I’ve been on keto for about 4 weeks now, I had my blood work done and my cholesterol came back as 321 total, 244 ldl and 63 hdl. My doctor wants to prescribe statin as well but I will not allow it. Statin’s do some very bad things to the body. I have gone back and forth about why my ldl is high, This video makes sense though because I have lost about 35 lbs of fat, and have gained about 8 lbs of muscle in the last 8-9 weeks. My ketone levels are always 30-50. I think my body is just cleaning up all the crappy fast foods I was packing away for years. I think the only way to tell is to do the keto or lc diet for a year, after your body gets done burning fat and see what your markers are then. It takes time to undo years of a jacked up diet. In the interim I think I will focus more on unsaturated fats, and whole foods. This should help the natural process of cleansing the LDL from the fat cells and shrinking them. I read there was also a difference between dense LDL and fluffy LDL (which conveniently doesn’t show up on a regular cholesterol test). Fluffy is supposed to be good, and maybe what this video is referring to that the LDL is just in transit to the liver for processing, not gunked up overflow from the fat cells. It might be interesting to know if at some point our fat cells cant contain anymore ldl and as it is moving around our body it solidifies and turns dense in arteries causing heart disease? I can’t see how if it is just moving through the blood stream and the liver is actively filtering it that it is a bad thing. I had my thyroid checked as well, interested to see what theses results show comparatively.
To all you who had increase LDL and decrease of HDL on keto… I have to wonder what are the quality of the foods that you’re eating? �� I feel like a lot of people are jumping on keto bc they think you can just eat all kinds of greasy food Which ain’t what this is.
You just consolidated the last few months of my learning in 30 minutes. Great job
See Dave Feldman’s work on LDL and ‘Lean Mass Hyper Responders’.
Also Cardiologist/researcher Dr. Nadir Ali great lecture on LDL/keto and why we shouldn’t be concerned.
Where can I do a LDL-P test???? I’ve checked with many clinics and nobody is doing it? A search online doesn’t give me any answers either. Any suggestions?
The only problem I see and this is their meta-analysis which are I’ve in nature. I keep waiting to see a really good ketogenic blood work study. Instead of meta analysis.
For my high cholesterol, I`ve been using this particular cholesterol manual “Hοzantο Axy” (Google it). For two months have passed already, I have continuously using this guidebook to drop my cholesterol. I cannot have Stalin due to sight effects. I look forward to the next blood test..
I was on keto. Both cholesterols now went higher than accepted norm. Is it good or bad?
I would like to see a study of reversal of coronary calcium using keto. Thus far, there are only studies, done by Ornish, et. al., of reversal using plant diet, excluding all animal, fat and dairy. When will we see such reversal using the opposite?
Well, they say that (as in my case) that HDL will go up, but your LDL will go down, which indicates that the particles in your blood become fluffy and will bounce of the artery walls, whereas if you have high cholesterol and eat a normal diet they will mostly be small and sticky, and could clog up.Hoping this is true, I have read this a few times. Maybe this doctor could address this in another vlog.
Okay so why would triglycerides rise to 206 and my total cholesterol to 288 on a keto diet, because that is what happened and I’m very scared, I’m 20.
Summary
Lipoprotein are proteins used to transport triglycerides to the tissues (for use as energy).
Lipoprotein come in different sizes: when they left the liver, they are largest (with a lot of “cargo” (triglycerides). When they are retrieved by the liver, they are the smallest.
Lipoprotein are classified into (according to their sizes): Chylomicron (largest), VLDL, IDL, LDL, HDL (smallest).These Lipoprotein are the same proteins, except for the among of “cargo” that they carry.
As lipoprotein circular around the blood stream, they gradually offload their “cargo”, and reduce in sizes.
A high-carb diet will cause high glucose constantly presents in the blood stream. This will cause the LDL to be “glycated” (LDL coated with glucose).
Glycated-LDL are extremely vulnerable to oxidation, especially with the present of high omega-6 (or more accurately, low omega-3 to omega-6 ratio).
Once oxidized, glycated-LDL become oxidized-LDL. The latter can cause inflamation and deposition onto vascular inner walls (blocked arteries).
As oxidized-LDL are damaged during the oxidation process, they are no longer being recognized and bind by the liver’s receptors. As a result, they cannot be retrieved and recycled by the liver.
These oxidized-LDL have no where to go and will increase in numbers. Eventually, they will end up being bind with the scavenger receptors of microphage in the artery linings.
When these microphage absorbs large number of oxidized-LDL, they become so “fatten” and inflamed; they form the basis of blockages in the blood linings.
HBa1c is a good biomarker for predicting CVD. LDL level is not.
When a blood sample is spinned and measured using centrifuging machine, we can measure the spectra peaks of VLDL, IDL, LDL, glycated-LDL, oxidized-LDL, HDL.
Pattern A: no glycated-LDL nor oxidized-LDL peak is present (healthy individuals).
Pattern B: with glycated-LDL and oxidized-LDL peaks present (not healthy individuals).
Individuals with low triglycerides are more likely to be pattern A.
Individuals with high HDL are more likely to be pattern A.
Triglycerides to HDL ratio:
Triglycerides-to-HDL ratio < 0.8 means the individuals are very healthy
Triglycerides-to-HDL ratio > 1.8 means the individuals are very unhealthy
Also, fasting longer then 12 hours lowers the insulin level, which is needed to up-regulate the production of LDL-receptors at the liver, will temporally spike the LDL-level. But this is just a temporally phenomenal.
People on high-fat diet for three days or so should see their LDL level will drop drastically.
Conclusions:
When on a ketogenic diet, target low triglycerides and high HDL.
My total cholesterol went from 144 to 247 from October 2018 to October 2019, did keto from april to October 2019. I had to stop this way of eating and am actually having to take meds for now as my LDL is extremely high and HDL is low:( Not saying that this happens to everyone, one of my good friends actually had her cholesterol go down on keto, but I do think people should keep an eye on their levels just in case.
Hi guys — I wanted to emphasize to many in the comments that Bret says early in the video to the open question, “is this a concern?” that it is a topic he’ll get into in another video. In other words, this guide is for those seeking ways to lower LDL if they themselves are uncomfortable with their levels. I don’t take this video as an urging by Diet Doctor for everyone with higher LDL to lower it, but rather, a means of helping those who wish to do so.
It’s my firm opinion that we should respect that everyone is on their own health journey and I’d want to help everyone with whatever knowledge I have to offer and am glad Diet Doctor is as well. Moreover, while I like to say I’m “cautiously optimistic” with regard to high LDL in the context of metabolic fat-adaptation, I’m also quick to point out that this is by no means a claim of certainty, which is why I’m seeking further research to help us find out more. (See CitizenScienceFoundation.org)
Right now I’m comfortable with my higher LDL given everything I’ve come to learn and understand to this point, but my opinion will change with the data, of course. In the mean time, I’m more than happy to share advice for others on how to lower their LDL if that’s what they seek to do — particularly if it helps them at least keep closer to a middle ground on diet rather than abandon it altogether (as many have done in the face of high LDL).
I hope this helps clarify the position I have and why I believe it is very close to that of Diet Doctor anyway.:)
I had 2 issues with Keto which yeah conveniently I kinda forgot when I asked on college after a depresive episode (Both I do remember were recieved with negativity from teachers), one is adressed on this video about HDL found on unhealthy and often recomended food for Keto and the other is that the body produces toxins when burning fat for energy compared to the one carbohydrates process, this causes inflamation and can be really bad long term
Wow. This is by far the best video I have seen on this subject. Explained so clearly and with a touch of humour. Well done and thanks for uploading it!
Meat has a direct link to diabetes, as well as other issues. To me, health is more than a cholesterol number, but you do you
https://health.clevelandclinic.org/how-to-reduce-your-risk-of-diabetes-cut-back-on-meat/
https://nutritionfacts.org/video/why-is-meat-a-risk-factor-for-diabetes/
https://www.diabetesdaily.com/blog/is-animal-or-plant-protein-better-for-people-with-diabetes-361652/
https://www.cancer.org/latest-news/world-health-organization-says-processed-meat-causes-cancer.html
https://www.cancercouncil.com.au/21639/cancer-prevention/diet-exercise/nutrition-diet/fruit-vegetables/meat-and-cancer/
https://scienceblog.cancerresearchuk.org/2015/10/26/processed-meat-and-cancer-what-you-need-to-know/
https://www.pcrm.org/news/health-nutrition/milk-and-cheese-increase-risk-breast-cancer
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3988204/
I was doing Keto then carnivore mix, fasting from 8pm to12 noon before eating anything. I just had bloodwork done and was always prediabetic but my a1c went down which was great. But my cholesterol went up pretty much. My doctor increased my cholesterol medicine and I have to get it checked again in 2 months. My bad cholesterol was up quite a bit so am concerned about staying on this diet.
Dr Paul Mason! Could I ask you what you make of my cholesterol? I recently had the Lipid Subfractions test done (paid out of my own pocket) when I heard you and some others talking about it. My total cholesterol has been higher for the past few years but I have also been pregnant and breastfeeding for the last 5 years (I’ve had 3 babies and c-sections in that time also). I ended up with gestational diabetes with my 3rd. I wasn’t tested during my second pregnancy but suspect I may have been prediabetic as in this postpartum period (now 6 months postpartum) I haven’t really been able to reintroduce many carbs (sticking with low carb) because it seems to spike my blood sugar more than what looks good. I did a follow up GTT and had okay results for the fasting and 2h but spiked to 12.1mmol at the one hour. I had my first HbA1c a few weeks ago but because I have been eating low carb, I suspect it too would be higher if I had resumed my usual diet. The result was 5.3%.
Anyway, back to my cholesterol: Total 8.43 mmol /L; Triglycerides 0.7 mmol/L; HDL 2.80 mmol. The Trigs/ HDL were looking pretty good despite the total, but then the subfractions: Total LDL 5.24 mmol/L LDL 1 2.06 mmol; LDL 2 1.35 mmol and LDL 3 0.31mmol and LDL 4 0.05 mmol. Both LDL 3 and 4 are over the recommended levels of 0.15 and 0.01 respectively. What should I do in this case? Stick with low carb eating for the rest of my life so I don’t allow this sdLDL to increase or my blood sugar to become T2 diabetic? Will that just keep me in a safe zone with a bit of sdLDL? I also had a C-Reactive Protein test which came back a bit elevated 5.4 mg/L (not sure though if it’s related to the sdLDL or whether I was at the tail end of a virus and it picked that up.) Should I just test everything again in another year or sooner? I’ve been offered statins from before I took the lipid subfractions test but my current GP wasn’t sure what to make of the lipid subfraction results and I wasn’t keen on quitting breastfeeding to take a statin… Can low carb help rid the body of sdLDL or does it just help prevent more LDL from being oxidised?
Eddie, that was funny! Do you do stand-up in your spare time?
so fasting screw the result? Nope, I think it is something else! orgasm make those level rise! When we orgasm the brain start yelling, MORE SUGAR, MORE SUGAR, MORE SUGAR! So foi goes into converting fat to sugar! The foi usually would not botter and just convert only what is needed but when the brain start yelling more sugar it take a huge amount of fat to convert it all to sugar! Would be interesting for a doctor to ask their patient to keep going what they re doing but ask them to not orgasm for say 4 month! I suspect the fat level would go back down because the brain at one point would stop yelling more sugar
I reviewed my last blood test (2 years ago) (euro unites)
Tot chol: 4.1
LDL: 2.5
HDL: 1.45
Trig 0.5
Tot chol/HDL = 2.8
Trig/HDL=0.35
Going to keep eatning what I’m eating.
What blood glucose level will cause a significant formation of damaged ldl?
In an effort to raise the existence of my “good” cholesterol and also reduce the “bad” cholesterol I possess, I tested applying this extraordinary cholesterol procedure “Hοzantο Axy” (Google it). I am not certain if it is executed like this way. Ever since I have not used it and so I don’t have any idea if this will work. I cannot delay to have my cholesterol check again in one or two months. Based on everything I`ve read through, this will work well..
We need more training for our gp’s I love my family doctor but she’s convinced I’m going to drop dead because it looks like I’m in the hyper responder category, I think I’m going to do the Feldman protocol and see what she makes of those results after only having my tests last week ��♀️
Why do insurance companies not fund research like this? It would be much more profitable for them if this is true
Paleo for 10 years (carbs about 500 ccal), yearly blood test TC 5,5-6,5 LDL 3,2-4,5 TG 0,6-1,4 HDL 1,3-1,5. 50 yo. All was fine until I started getting high BP. In the long term it might cause CV disease.
Ive been on keto for 6 months eating mainly grass fed meats and fish and just got blood results back. Im also pretty active and weightlift as well. I was fit before keto and didnt lose weight. My total cholesterol is 227, ldl is 190, hdl is 25 and trigs are 61. My HDL trig ratio is 2.44 which i think is pretty bad. What could I be doing wrong and how should i improve this?
I increased my fat intake (saturated and unsaturated) and my ldl went from 188mg/dL to 121mg/dL. So it’s not the fat. What I did was a lifestyle change. I cut out refined carbs, processed foods and exercised regularly. I dropped 26lbs in the process.
Well my cholesterol was pretty normal a few months ago, but I decided I wanted to lose 15 lbs of fat quickly with keto from 185 to my goal of 170lbs. Losing 2 lbs per week now. Been on keto for 6 weeks. Doing 70% fat 25% protein and 5% carbs. NO SUGAR. Take a look at these disconcerting lipid test results:
*Blood test 1 (non-NMR)* 4 weeks into keto
* Cholesterol total: 238 mg/dL
* Triglycerides: 236 mg/dL
* HDL Cholesterol: 38 mg/dL
* VLDL Cholesterol: 47 mg/dL
* LDL Cholesterol: 153 mg/dL
*Blood test 2 (NMR) almost 2 weeks later*
* Cholesterol total: 234 mg/dL (minuscule decrease)
* Triglycerides: 155 mg/dL (decrease of 81 mg/dL)
* HDL-C: 40 mg/dL (increase of 2 mg/dL)
* HDL-P Total: 26.4 umol/L
* Small LDL-P: 1538 nmol/L
* LDL Size: 20 nm (pattern b)
* LDL-P: 2244 nmol/L
* LDL-C: 164 mg/dL (increase of 11 mg/dL)
I suspect it’s because I’m losing weight quickly. Thoughts?
Just went to the doctor today my bad LDL cholesterol was up higher than before I went on the Keto diet, I was so excited to get my blood work readings but now I’m confused. It’s 5 points higher and she wanted to start me on cholesterol medicine �� I said no I’ll work it out myself so I get blood work again in 6 months. Everything else in my blood work looked OK my total cholesterol was down two points, triglycerides were great and my good cholesterol was fine it hadn’t changed very much from the last time. But yeah like I said I’m confused the only thing I did different starting the keto diet is that I added fatty beef back into my diet which I haven’t been eating for like 20 years. I had to do something to help get my protein up higher…… maybe that wasn’t such a good idea��
My husband and I are carnivore dieters, formerly strict keto dieters. We love Dr. Mason’s talks, we are thrilled to witness a young and enthusiastic physician in the vanguard, sharing this vital information. My sole issue is that we’ll get about two minutes into one of Dr Mason’s talks, and my husband falls soundly asleep. He confesses the Dr’s voice is very soothing and it lulls him into unconsciousness. Every. Single. Time. This breaks my heart, because I truly want my husband to hear this information. It’s very specific to him because he’s had a silent heart attack, received four stents, and we went keto intentionally to bring his lipids under control, which worked for our two years on keto. However, as a carnivore, his cholesterol has risen 100 points in the last seven months. We are working through this with his GP and cardiologist after his recent blood work. His cardiologist wants him to go on an all-plant diet. That’s not going to happen. Meanwhile, we started monitoring his carb/protein/fat macros at 0/25/75. We’re hoping more fat will bring down his cholesterol ratio.
The best about anything Cholesterol and Triglyceride I have seen! Thanks
Been Keto for 2 months<20g carbs, 19:5 IF, a few 48-72hr fasts and one 7 day fast. I bought a glucose/ketone monitor(fasting glucose 3.9mmol/l) and now I've bought tonight a cholesterol/triglycerides one because at the age of 51 I have never had a cholesterol test here in the UK... If I go to the docs now to get tested and get a high total cholesterol readout, yet low triglycerides and a high HDL element due to Keto they will just look at the LDL and freak out...and I'm now on to almost zero carb/ "ketovore". Never felt better in my entire life and already 14kg lost yet no muscle lost in the process..... I want to test myself first and try and make sense of the results as I have so far with glucose/ketones and the GKI (INDEX)...
You need to look at Dave Feldman’s work. Adding large amounts of fat decreases overall and LDL cholesterol. Cutting out fat raises them.
Idk what to think. I only have lost 15lbs. LDL gone up to 375 and HDL up to 75, triglycerides 120. Been on diet for 5 months. Currently, Weight starts up and down between three lbs on weekly basis. Not really losing weights… I wonder if the LDLs will get flash out or I have a condition that my body cannot get rid of LDLs…
Thank you. But I thought that most fats in animal products were Saturated Fatty Acids, and these are said to be bad for the blood vessels, as they foster the formation of atheromes. Is that right? So when I see a piece of beef, i wonder… is that good? really?
I been on strict 20 grams per day total carbs for nine months. Just took a Boston heart and my trigs are way higher
Hdl is lower and total cholesterol and ldl and small dense ldl are way higher
So I am miffed going back to the drawing board to see what I need to tweak
Not bashing keto at all just my experience
This is too hard to explain to a gp. They look at you as if to say I have more college than you. Yes but Ive done more research.
What would be recommended Glucose levels for various ranges of LDL?
How do I get my Apo B checked? Does it have to be part of an NMR LipoProfile? Or can it be done through a simple blood test? I’m asking because NMR lipid profiles are impossible to do where I live ����
LDL cholesterol isn’t bad, it’s the SUGAR that damages LDL cholesterol and makes it bad.
Far too many of my LDL particles are the harmful small particles which often get trapped in the walls of the arteries. Experience tells me that saturated fats should be ditched in favor of monounsaturated fats and omega 3s. Coconut oil is very very bad. High fat dairy is also very bad. The fats of beef, pork, and other red meat are also bad.
Thanks for the Video! Forgive me for the intrusion, I would appreciate your thoughts. Have you heard about Riddleagan Surviving Death Remedy (should be on google have a look)? It is an awesome one of a kind product for reducing your cholesterol level without the hard work. Ive heard some super things about it and my close friend Aubrey finally got astronomical results with it.
What benefit is there to lowering LDL? My understanding of the topic is that seniors with higher LDL have lower all-cause mortality.
This cholesterol procedure “Hοzantο Axy” (Google it) is an exciting new guide I simply began to try out. Specifically, I commenced employing it to reduce my cholesterol at the recommendations of my DOCTOR. Everyday, I have to take a caplet. This really should be done for two months. My cholesterol lowered Thirty points. I will unquestionably go on utilizing this item and as well recommend it to my family..
Thank you for this reassurance.
However, it is no working LDL (and apoLipoprotein B100) has gone up and stayed up outside the acceptable range.
What could cause this please?
Regards
I’m a Lean Mass Hyper Responder, with LDL ABOVE 350, total cholesterol 455, and my CAC score is Zero, which gave me the leverage to tell my doctor NO to statins or going off of Keto. Thanks, Dr. Unwin!
Fiber is NOT needed in the human diet as with any carbohydrates!
Why fiber is NOT needed in the human diet
https://www.diagnosisdiet.com/food/fiber/
Dr. Zoë Harcombe what about the fiber April 6, 2019-references
https://zoeHarcombe.com/LCD19
https://youtu.be/4KrmpK_Lckg
What about Fiber? Dr Zöe Harcombe-October 23,2019
https://youtu.be/tRQ2ciJ1ncQ
The Fiber fraud
https://www.carniway.nyc/fiber
Why fiber is not needed in the diet.Dr Paul Mason: Low carb gut health
https://youtu.be/xqUO4P9ADI0
Chronic Constipation: An Evidence-Based Review
Lawrence Leung, Taylor Riutta, Jyoti Kotecha and Walter Rosser
The Journal of the American Board of Family Medicine July 2011, 24 (4) 436-451; DOI: https://doi.org/10.3122/jabfm.2011.04.100272
Stopping or reducing dietary fiber intake reduces constipation and associated symptoms
World J Gastroenterol. 2012 Sep 7; 18(33): 4593–4596.
Published online 2012 Sep 7. doi: 10.3748/wjg.v18.i33.4593
PMCID: PMC3435786
PMID: 22969234
Kok-Sun Ho, Charmaine You Mei Tan, Muhd Ashik Mohd Daud, and Francis Seow-Choen
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3435786/
2015 US Dietary Guidelines Critique
http://www.diagnosisdiet.com/2015-dietary-guidelines-critique/
The DGAC apparently wasn’t aware that the FDA published a report announcing:
“…evidence is strong that there is not a relationship between dietary fiber and colorectal cancer.”1)
You can’t blame the DGAC for not having seen this report yet; after all it was only issued FIFTEEN YEARS AGO.2)
The committee also doesn’t mention the excellent studies conducted in recent years demonstrating that fiber is not helpful for digestive problems, and can even worsen digestive problems. A 2007 review of fiber and overall digestive health concluded:
“A strong case cannot be made for a protective effect of dietary fiber against colorectal polyp or cancer. Neither has fiber been found to be useful in chronic constipation and irritable bowel syndrome. It is also not useful in the treatment of perianal conditions. The fiber deficit-diverticulosis theory should also be challenged.” 3)
A clinical study conducted in 2012 found:
“Idiopathic constipation and its associated symptoms can be effectively reduced by stopping or even lowering the intake of dietary fiber.”4)
A 2013 review stated:
“Even when used judiciously, fiber can exacerbate abdominal distension, flatulence, constipation, and diarrhea.” 5)
Gastroenterology Published by Blackwell Publishing
Doi: 10.11115.1572-0241.2004.40885
https://sites.ualberta.ca/loewen/Medicine/GIM%20Residents%20Core%20Reading/DIARRHEA,%20CONSTIPATION%20ETC/Myths%20and%20constipation.pdf
Myths and Misconceptions About chronic constipation
Stefan A. Müller-Lissner, M.D., Michael A. Kamm, M.D., FR.C.P Carmelo Scarpignato, M.D., D.Sc., F.A.C.G., Arnold Wald, M.D., F.A.C.G Park-Klinik Weissensee, Berlin, Germany; St. Marks Hospital, London, UK, Laboratory of Clinical Pharmacology, Department of Human Anatomy, Pharmacology and Forensic Sciences, University of Parma Parma, Italy: and University of Pittsburgh Medical Center, Pittsburgh, USA
23 Studies on Low-Carb and Low-Fat Diets — Time to Retire The Fad
Written by Kris Gunnars, BSc on June 22, 2017
https://www.healthline.com/nutrition/23-studies-on-low-carb-and-low-fat-diets
This drives me nuts. You have to believe 2 things to get concerned about LDL. First, LDLc is a negative marker for health and our bodies are not smart enough to quit producing cholesterol that drives LDL. I don’t believe either and my N of 1 is showing that getting off of statins with an LDL of 90 and going to over 300 is not harmful on a LCHF diet.
My LDL went up dramatically on keto but I stayed on the diet going on about 2 years. Just had a CT and calcium score done came back zero. However, the high LDL still worries me so I’ll try adding some fiber and cutting saturated fats thanks for the advice.
On a separate note, Dr. Greger just put out a video stating unequivocally that saturated fat, not carbs, causes diabetes. He even specifically says a keto diet will cause type 2 diabetes. I don’t think that’s correct based on my own blood work (my blood sugar levels are consistently low on keto fasted or non-fasted) but a response video from one of the doctors at Diet Doctor would be much appreciated.
Can we get a response video or debate between this guy and someone in opposition?
I’m a hyper-responder too LDL high, but all my other lipid markers are very good. Couldn’t get my doctor to approve a CAC, but we did get a carotid ultrasound which was fine, and all my inflammation blood markers are good or within normal limits. I’m hoping in 2018 they learn more about hyper-responders and what the heck is going on, but in the meantime I’m sticking with the LCHF diet because it’s very good for hubby’s health and (except for missing pizza) we enjoy it.
Interesting but doesn’t explain why everyone admitted to Cleveland Clinic for bypass operation had bad TC/HDL ratio and/or moderately high triglycerides.
People are so afraid of carbs, yet some of the healthy foods contain carbs like sweet potatoes fruit and veggies
How can this information be so freely available and well presented, and 99.9% of American doctors are clueless?
Most likely, if your LDL rises, it’s due to high energy expenditure vs energy intake (not eating enough). I’ve found it easy to maintain calorie restriction with low carb/keto. Increase calories and recheck LDL.
One thing bothers me which i tihnk you did not answer at all. When oxidated LDL goes to the endothelium. What happens to it then if you correct your lifestyle and there wont be coming more oxidated damaged LDL to make blockage and make yo die? I mean, what is the metabolism of the oxidated LDL that ends up in endothelium. Does it ever get out of there by anymeans?
Excellent, I have just received my blood test results. ( panic attack), have been strict keto for months and can exercise relentlessly with lots of energy, I now have High total cholesterol but my tricycerides and Hdl ratio are good, I feel /look better than ever, my doctor wanted to put me on Statins,,no way. This video has eased my anxiety, thank you
Im in the US.This time last year I was on the high end of my ideal weight (140 lbs and 5’5″) and my cholesterol levels were borderline high. Since January, I’ve been doing a fairly loose keto diet, mainly cutting sugar completely and keeping carbs to 20 to 40 per day with moderate fat and protein plus green vegetables. At this time now, I’ve dropped 23 lbs and all of my cholesterol levels are optimal. Total cholesterol at 181, triglycerides at 127, LDL at 88, and HDL at 68!
My Dr. is having fits because my total cholesterol is 248and the ldl is 134. He’s prescribed statins, I refuse to take them. I am diabetic, and got off all meds. But for some strange reason my blood glucose levels are rising. I believe it to be stress level, not diet induced. And also wants to add some new diabetic med back into my lifestyle. I’m so discouraged. I have worked so hard for two years. All because I moved across country? Is there much science about stress and blood glucose? Ideas?
SADLY what I’ve SEEN by reading a lot of comments about KETO is that MOST people who said KETO did not work for them is that they were NOT doing ‘KETO” they were doing THEIR WAY of keto.
There are two primary types of LDL cholesterol proteins. Type A: lb-LDL-p (large buoyant low-density lipoprotein particle) and Type B: sd-LDL-p (small dense low-density lipoprotein particle) Type A helps transport cholesterol around the body to various tissues as needed. Type B, the potentially damaging LDL protein particle, can get trapped in tissues, cause inflammation and arterial plaquing. Type A is supported by a diet that is high in saturated animal fats and Type B, the one you don’t want too much of, is associated with a high-carb, high fructose diet. If your doctor is not testing you for these subtypes, along with your triglyceride, HDL and total cholesterol levels, then you are not getting the entire picture.
for people who still have high triglycerides and low HDL you must be still using canola oil and bads oil, only use coconut oil and real butter not margarine real butter and it will work.
So not true, my HDL dropped big time and LDL increased big time.