Table of Contents:
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 |
185 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.
so basically LDL isn’t essentially bad until it’s paired with other things, such as elevated blood glucose. High LDL is fine without external factors (glucose, etc.), and low LDL is also fine…then, if anything lower is better, yes? The subtle problem with LDL (especially when it’s high) is as soon as you slip up on a diet and expose yourself to higher blood glucose (?), it gets damaged and the bad LDL forms. so why not limit LDL to low levels totally in order to avoid diet slip ups then?
My total cholesterol rose to 8.4 after 3 months of very low carb diet starting from 1Feb 2019, with improved triglyceride & HDL. Another 4.5 months later, my LDL came down to about 4. Triglyceride dropped further to 0.6 & HDL rose to 2.3 (best ever)….. good? All the while, my blood pressure had normalised from 15 years of hbp problem. BP medication has now been cut half.
Low carb does work!
Cholesterol is in LDL and HDL and really isn’t the culprit correct!? So is there a way to get around referencing cholesterol in the discussion about risk factors?
my cholesterol total went up from 208 to 253 and I have been on keto diet for most of the year. My doctor said to lower my fat intake… well, I can’t justify doing that. I consume healthy saturated fats, avoid dairy mostly except grass-fed butter with my coffee.
I happen to be employing this extraordinary cholesterol guide “Hοzantο Axy” (Google it) to help lower my negative cholesterol and increase my good cholesterol. For several months of having it, my cholesterol level has improved significantly. My vitality is improving and my positive mind is really much better at this moment..
Does the triglycerides test have to be done fasted? I’ve done my bloodwork unfasted and as my doctor said it does not matter, and results were not that great.
Triglyceride 2.61 mmol/L
HDL Cholesterol 1.33 mmol/L
LDL Cholesterol 6.5 mmol/L
Triglyceride / HDL Cholesterol ratio= 1.96
I’m 36, male, and have been doing keto for 1 month. Should I ask my doctor for another blood test but fasted this time? Can anything skew the triglycerides scores? Read coffee could affect Triglyceride readings? Thank you for great presentation.
Going to a doctor is kind of like taking your car to an unknown auto shop and saying “Can you find anything wrong”. Today’s medical system is so full of chit that I think in 50 years MDs will look back at this time as the “Dark Ages”…My triglycerides are just under 2000 and I am 62, had a full cardiac angiogram and its clean as a whistle. My Cholesterol are 300 plus, and neither has anything to do with cardiac issues.
I got my blood work back after 1 year on keto/IF. It was all within normal limits except iron, which is an eternal struggle. My tri/HDL=0.7 and remnant cholesterol was 13. Triglycerides went way down from 1 year ago and my HDL went from below normal to normal range.
I have probably watched over one hundred video lectures on this exact subject (including Dave Feldman interviews), and I must say that THIS one was the BEST! This was 26 minutes well-spent. I just had so many questions answered. A big shout-out to Dr. Paul Mason from south Florida, U.S.A!
PS. Just a crazy thought, but… Wouldn’t it make more sense (in terms of accuracy) if our lipids vs. glucose lab work was drawn on two discreetly, separate days? Meaning, shouldn’t our lipids panel be drawn in a NON-FASTED state on one day, and then our blood work for A1c and resting glucose, etc. be drawn in a FASTED state on another day?
I’m super scared. I just got my cholesterol results back and my levels increased in a few months. I think my doctor will say I have to stop keto. I don’t want to because I’ve been on it for like 5 months and lost about 40 pounds. Help!
Why should you lower your LDL? Oh my God…. come on doctor. Find more informations and talk to cardiologists before you make this video.
I’ve been on keto for the past two years. I lost 45lbs and have felt great. I’m 43 years old and haven’t had blood work in 11 years. I just had blood work done last week and everything was nearly perfect. My total cholesterol is 133. After two years of fatty meats, cheese, butter and green veggies it’s 133. So I’m convinced keto works. At least for me it does.
Get this… I eat a dozen eggs every day. 2 lbs of bacon a week. Steamed vegetables every day. I eat 10 bananas a day. I drink 1 gallon of water a day. I eat all of my calories in a 4 hour window. What I do not eat is sugar or processed foods. I take 1 ml of lugos iodine in the morning. I take 1/2 gram of boron, 1600mg of magnesium. 200mg of zinc and 50 mg of DHEA with dinner. I’m 49. Get told I look 30 ish. I’m 6ft 3in. 195 lbs. I have a body fat percentage of 18%. I lift weights 4 days a week. Oh and I’m a nurse.
I just got my 1 year Keto Lipid Panel. I am a little freaked out. Total Cholesterol 244 HDL 71 Triglycerides 54 and LDL 158 CHOL/HDLC ratio 3.4 is this bad?
Before Keto my total was 190’s-200’s
What happened to Bob Harper? Another keto guy who had a heart attack.
I am diabetic.on intermittent fasting, play tennis 4 hours a week, walk one hour every day, not taking any meds for diabetes as I am maintaining A1_C 6 by diet. My triglycerides have risen 200 points in the past 3 months 299-507. Taking 4000 units omega’s COQ10 200 mg/day
A1C from 6.2 to 4.1… ldl from 163 to 90…weight from 218 to 174. I also have chronic congestive heat failure and irregular heatbeat complicated by unstable angina. My cardiologist is “astounded”, (his word), by the improvement in my heart function.
All in less than one year on strict Keto lifestyle.
I’m one of those few people with continually rising LDL on Keto. It’s now up to 388 and total cholesterol 499. I’ve resisted my PCPs request to go on a statin, but now I have a cardiologist telling me he thinks it’s genetic and is pushing for a statin. I’ve stopped Keto to increase fiber with healthy carbs, and have repeat labs this week. So much conflicting information makes it very distressing. ��
What diet do you suggest? I need to lose about 20lbs. I’m thrilled that I saw you! Thank you
Doctor prescribed Statins in under a minute….dont want pills. pills kill.
On keto for 2 months went from constant headaches, mood swings and general lack of energy, and 800+ triglycerides:::::: to 124 triglycerides (mgdl) and a much elevated well being in general. I thought keto was a ridiculous nonsense trend. I was so wrong.
Wow! That is a subtle delta! so unless the doctor botter testing the long way! An evaluation is almost useless since it does not show glaciations
Great video, very informative and to the point…I had just watched Dave FeldmanNew ‘Data on Energy, Exercise, and Cholesterol’ the science does indeed agree with you…It’s a new day:)
What do you mean by healthy carbs, and what do you regard as keto. I’m asking because many of the popular keto diets are not at all ketogenic due to way too much recommended plant food. True ketosis is attained via meat and water; it’s really quite simple and you won’t have any ill effects. Read Kevin Stock’s take on blood labs, and watch Dr. Nadir Ali (cardialogist; he covers all you are concerned about).
Very interesting to see that TG, HDL, and TG/HDL seem to be surrogates for Patterns A & B. The graphs are 20 years old.
Bit left field but I’ve heard the theory that as my CAC score is 850 and as statins are now thought to have an anti inflammatory effect then I should continue Keto but still take a low dose Statin.Any ideas,folks?
I was on statins for 15 years,I’m 63 and have only the past 6 months been on Keto.Obviously should have gone Keto 15 years ago.My cardiologist has no interest in Keto.
Keto for three years, low triglycerides, high HDL, but went from a pattern A at the time of of heart attack to pattern B six months later, and High LPa. It’s got to be the Omega 3’s. I’m trying to eliminate store bought salad dressings. This is so frustrating!
One of the best discussions on the whole cholesterol/LDL subject. Thank you greatly for posting. Subscribed!
How to lower cholesterol: eat chicken, don’t eat too much fried foods and crisps. Worked for me when i had 246 ldl, i got down to 215 after 6 months and the doctor says to continue doing the diet.
I started IF, KETO, HIIT, and Aerobics exercise about 6 months ago after watching your video, and my hair started to fall drastically. It is horrifying and scary.
Nice. My TG:HDL is 0.79. To add to it, my LP(a) is 37 nmol/L. Solid Pattern A. Keto for 4 years! I’m screwed when I need to get life insurance though. Will have to use the Feldman protocol to hack the test.
I feel much better now. After I did low carb diet (Keto diet wanna be) and intermittent fasting for 6 months and I did my last blood blood test and learned that my LDL was 20 points higher than the blood test prior to that test. My triglycerides is still low. After watching this video, I am more confident in keep going on my keto (or low carb journey)
When are doctors gonna be trained to not put people on cholesterol medication but to promote going on a Keto diet??? Will the people forever lose to Pharma lobbying?
Mine is 2.3 mg ratio, triglycerides to HDL. I had gotten if of keto for about a month, had my sugar crash one day to 68mg/dl. Had to eat dextrose to spike sugar. Said enough of that. Back on keto for me and want to stick with it.
My husband has a LDL-P IS over 1800. His triglycerides are good and his small ldl isn’t terrible. I have been keto since April 2018, my cholesterol went up 100 pts but I had fasted 48 hours which I found out would give me much higher numbers. I am hesitant to encourage him to go keto because his LDL-P is high already.
Game changing info. Doc wanted me on Statins and my levels were similar to the patient in this example! Now to find a doc that understands this stuff…
Consumption of sugars fructose, glucose, sucrose, grains, etc drives heart disease, not consumption of fat. The amount of sugars consumed is what has changed radically, from 3 lbs/person/year to 75 lbs. It is THAT shift that is behind epidemic obesity, diabetes, and heart disease.
what’s the bottom line to all this bullshit??? that you have high cholesterol readings with keto?
Thank you this is what happen to me lost 26 lbs. and my doctor put me on a statin to lower my cholesterol he said it was to high and my husband made me stop the keto now I have gained all the weight back. I am going back on Keto at this weight I am very unhealthy
Thanks for the great info. I’m so hoping I can get an answer from someone on this. Little background. I’m a 55 year old female. I workout at least 30 min everyday (mixed routines cardio, resistance, yoga, circuit, HIIT, etc.). I have been on a low carb (non-complex carbs), high fat (although lean meat), very low sugar, etc. I recently received my lipid panel results. I had also asked for an NMR test. Here are my results: LDL-C 159 VLDL 9 HDL 46 (mom’s HDL has always been low as well), TRIs 46. Total Cholesterol is 211. Although many docs would say I’m ‘borderline,’ I’m guessing these #s show that I eat more healthy fats. That’s true. HOWEVER… this is the confusing part. My NMR results who LDL-P is 2116 and my small particles are at 776!!!! WTH? If my Tris and VLDL are low, how are these numbers showing extreme risk. I did the MESA calculation and it’s 1.4% (using my CAC # in this formula). Thoughts? Thank you so much.
It is my own objective to lessen my bad cholesterol level and increase the good ones. I achieved my mission due to this extraordinary cholesterol procedure “Hοzantο Axy” (Google it). I have used it for couple of weeks now and my cholesterol has increased. My strength is continually increasing and also my thinking is so much improved at this moment..
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Doctor, my cholesterol went from 253 to 179 in six weeks because I started taking Simvastatin, I am wondering if they made a mistake on me is this really possible?
Who are you? Haven’t you been listening to any of the people you interview? All of those suggestions are unhealthy. At best LDL risk doesn’t apply to anyone on a low-carb diet. It’s risk would be strictly for people eating the standard American diet. One of the people you interviewed must have pointed out a study that showed people with high LDL live longer? And another that showed that LDL doesn’t correlate with heart disease.
I thought maybe you had some harmless suggestions that we could use to appease our doctors. Not suggestions that are bad for our health. Are you trying to make your followers sick?
Plant oils and fiber? You’ve got to be kidding. Are there any studies that show fish oil lowers LDL? I thought the studies showed fish oil increasing LDL.
If time restricted eating doesn’t come naturally with your low carb diet it can’t be good. In that instance it would be no different than any other low-fat diet. If you haven’t naturally cut back to one or two meals a day you probably aren’t getting enough fat and protein in your diet.
Great how you give the USA and International numbers. The USA guys never do this and its very annoying. They assume their only audience is local?
My HDL is 100mg/dL, triglycerides is 60 and LDL is 350. Is this such high LDL is ok? I am on keto diet
I did keto for 6 weeks focusing on healthy fats (nuts, avocados, salmon, nut/olive oils, etc) and at the end got my blood work done. Not only is my total cholesterol extremely high now (275), but it’s also very high LDL (223) very low HDL (31), and on top of that, my triglyceride levels are also high, 105. Why is this happening? If keto is supposed to lower triglycerides and increase HDL, why has the opposite happened to me (plus a huge increase in total cholesterol and LDL cholesterol)? Bloodwork from a while prior to keto my total cholesterol was literally in the lower 100s.
My lipid profile pattern was similar to the example patient was a bit worried about how high my total cholesterol was. But I looked at my TH:HDL ratio and it’s 0.24. Loving keto!
Very interesting! I have a question. Does glucose lead to harmful LDL in itself? Or is it all about context, like together with a high fat intake?
Let’s say one does not have a low carb diet, but enjoys a lot of sugar, would it then be wiser to decrease fat in your diet?
My doctor would probably prescribe a statin to lower cholesterol since the Low-Carb diet raises it, LoL. You just cant win on any diet! They have their agenda about high cholesterol since the LowFat diet.
First of all, I was under the impression that high insulin levels were very bad for you. And yet here he is saying that high insulin causes the liver to make LDL receptors and take up LDL. So we want high insulin levels? I dont get it?
That’s what being a Good Doctor is all about.. Choice, a good doctor will lay all possibilities, say his/her concerns proposes a Solution then let the patient
make a decision. I’m not looking to lower my LDL but it’s good to know
In case I change my mind.
Thank you for being a wonderful Doctor.
This happened to me for a while before my weight stabilised. It can also happen when you reverse a fatty liver. My total cholesterol jumped from 5.1 to 6.5 after being on a low carb diet for 6 months, but after 9 months it dropped to 4.5, which is lower than what it is was before I started the diet.
What happens when you don’t have a gallbladder any more? Does it just dump into the intestines?
Swartzeneger had three heart surgeries due to high cholesterol. Tell me again how looking lean and muscular on the outside is an indicator of arterial health. FFS, you guys are killing people!! ��
This unique cholesterol tutorial “Hοzantο Axy” (Google it) is not only top quality answer yet cost-effective too. I started to employ this following my personal doctor`s ideas to lower my blood cholesterol level. I took it for more than Fourteen days. NO doubt, this helps a whole lot! I sensed less pain and became much more dynamic daily! The final results of my labs revealed that I am getting better..
Actually 1 of the thumbs down is probably from my doctor. He think that lo carb is not sustainable for more than 4 months.
Seriously Dr. Sher? Cut out the butter and eat more fiber? This sounds like the same misguided dietary nonsense that caused the problems in the first place.
I just sent this link to my cardiologist. I will be seeing him next week. It should be interesting since he already knows that my father worked for Pfizer when Lipitor was developed. My doctor knows I know the inside scoop and will not try to push statins on me. He is still amazed by my ability to water fast for 30 days with no problems. I told him fasting and OMAD were key to my 105 weight loss. I only go to see him for a CAC test.
My Cholesterol over all 12.77 and LDL + 10 mmol/L, have been on high fat diet organic for over 6 months and my doctor want’s me to go on pill to lower Cholesterol. I fill great, but doctor scare me a lot, He thinks that I could end up with stroke or even dead. How can I know if, maybe eating too much high fat food. Thanks
Triglycerides 163
Cholesterol 376
HdL 49
LdL 294
VLdL 163
Cholesterol Hdl/cholesterol retio 7.7
Is keto for me my age is 42, weight is 105 and height is 5.7
my trig/hdl ratio is 0.28.. trig 49, hdl = 1.78, ldl = 2.63 (mmol/l), that looks healthy, but why i don’t feel healthy. Btw, i can’t lower may fbs to 90, it doesn’t add up.
This unique cholesterol tutorial “Hοzantο Axy” (Google it) is an innovative remedy I lately began to make use of. This primarily thanks to an advice created by my personal medical professional therefore I can get my cholesterol reduced. I had taken one caplet each and every day for two months before I got my labs. It has lowered my cholesterol level to 30 points. I will certainly proceed applying this solution and in addition advise it to my loved ones..
Thank you for an excellent presentation on the lipid profile.
Re-watching this once again. Wonderful information, well presented for all to understand. Excellent video, one of the best!! Confirmed my numbers are still on track.
Very confusing information.
I’ll bet Dr. Eric Berg and/or Dr. Berry can put a more clear understanding of what to do
Great stuff! From the states. Now if I could get my doctor to watch this… and learn!
I’ve been doing keto more than one year. I lost 20kg of my weight, but my LDL is increasing and my HDL is decreasing. I’m not thinking about quitting keto right now, but I’m worried about my health.
That’s a bad ratio TC/HDL is 340/66 = 5.1 In this case it doesn’t matter that his triglycerides are lowish he is at high risk. The famous example is Jim Fixx a runner who at age 54 had 3 occluded arteries his TC was 254, HDL: 73. TG/HDL is confounded. You can have an ideal value and still have extensive disease. Refer to the Cleveland clinic studies and Honalulu Heart study https://www.ncbi.nlm.nih.gov/pubmed/11993305
You briefly mentioned that unglycated LDL can be taken up by peripheral cells. What do the peripheral cells do with the LDL?
This is an excellent video. Amalgamates much of what Ivor Cummings talks about together with David Feldman, plus Dr Ford Brewer and really does enhance understanding. Thanks Dr Mason!
Hi I have just gone through the “math” illustrated in your presentation and all my recent bloods come in as an “A”. But my doctor is worried about my LDL’s being 4.5 and suggested statins which I won’t do! My Tri’s are 0.8 and my HDL is 2.39. Should I be worried about my LDL’s. I am just starting on a keto diet, as promised GP I would address my cholesterol via diet. Thoughts? Many thanks
Absolutely excellent! Great description of so many processes I have been trying to understand, but which have not been explained by many so called ‘experts’ and it now all makes sense to a layman like me.
My HBA1C decreased from 10.2 to 7.5 with keto low carb and Fasting but my triglycerides increased from 92 to 240 after one month. What is the problem?
This is exactly the same situation for my recent blood test lipid result, after practicing 3 months of keto diet cum intermittent fasting.
Ironically my physical stamina never been so good in my life!
I began eating a HFLC ketogenic diet on August 23rd 2018 where my total cholesterol was 156 months earlier. The reason for going on keto was not so much to lose weight but inflammation where I’ve had a history of diabetes with a kidney/pancreas transplant x 2. A few months after going strict “ketovore”, eating 50-70% of my TDEE ub fat I had another lipid test on December 13th revealing a total of 770 where LDL was 658!
I’m 52 years old and in pretty good shape with a BMI of 23. I work out with resistance training 5-6 days per week. I’ve not heard anyone yet who has had their numbers go this high after going on a HFLC diet?
could i continue with Lipitor whilst being on a ketogenic diet?
and how low do u think I shuld go Brett follow the guidelines? What about increasing TG and BP if increasing carbs? At age 60 with 2 y keto and high LDL I decided to wait at Dave Feldman´s study and take the result as a guide. I guess that 3 years with high LDL and HDL, low BP TG and waist size and feeling much better than high carb low LDL will do no harm. Only eating real food a la Atkins, no grains, sugar oils
I started Keto at 45yrs old I’m now 47 been a diabetic for 20yrs. I can
tell you for years i had extremely high Cholesterol and Triglycerides.
My total Cholesterol avg 320 and Triglycerides avg 600-800 3 times a
year being tested, I had many medications and diet plans but nothing
worked. keto 6 months later my Cholesterol dropped to 124 and
Triglycerides to 115. HDL and LDL are all now A+. I went from
150units of insulin a day to around 40. I have maintained these numbers
in my blood tests every 4-6 months. I can actually workout and feel
good, no more meds or pain pills, all of my inflammation is 98%
eliminated. BP is normal stopped all my BP meds 1 year ago still doing
great. My doctor asked me what i did, I said Doc. remember the diabetic
diets you had me go on and the training for those well i stopped that
and went on Keto. He looked at me in a daze he said i never recommended
it because its bad for you, i said show me where its bad on all of my
tests. He said I can’t and I have to study this diet more, I said i
told you I was getting off the poisons your trying to push to treat the
symptoms not the problem, he shook my hand and said awesome job.
Why doesn´t anything happens?
Posted on 02/12/2020 by Uffe Ravnskov
If LDL-cholesterol is bad, as we have been told for many years, those with the highest values should of course have a shorter life than those with low values because, as we have been told as well, high LDL-cholesterol is the main cause of all kinds of cardiovascular diseases, and cardiovascular disease is the commonest cause of death in most countries. But as I have told in a previous newsletter, we have found that elderly people with high LDL-cholesterol live the longest.
Our paper was published in BMJ and hitherto no one has been able to point at a study documenting the opposite. On the contrary, after the publication of our paper similar findings have been found in six studies including about 750 000 individuals in all ages from eleven countries.
In a 10-year Slovakian follow-up study of almost 500 elderly people with high blood pressure, those with high total cholesterol and those with high LDL-cholesterol lived just as long as those with low values.
In a British study of almost 100,000 people above the age of eighty followed for 15 years, those with the highest total cholesterol lived the longest; both among those on statin treatment and those without.
In an Australian study of almost 1300 men about the age of seventy followed for about six years, those with the highest cholesterol and without statin treatment lived the longest, and those with the lowest levels suffered more often from cardiovascular disease.
In a five-year American follow-up study of more than 2600 healthy people above the age of 75, those with the highest LDL-cholesterol did not suffer more often from cardiovascular disease than those with the lowest values.
In two Korean studies of more than half a million young and middle-age people without statin treatment followed for about five years, mortality was highest among those with the lowest LDL-cholesterol.
In a review of five studies from Latin America including almost 28 000 people of all ages followed for 5-12 years; none of the studies showed strong associations between individual lipid biomarkers and all-cause or cardiovascular mortality
In a Chinese study including almost 70 000 elderly people followed for 3-4 years, those with high LDL-cholesterol lived just as long as those with low values.
Probably you wonder why many previous studies of young and middle-aged people have shown that high cholesterol is a risk factor for cardiovascular disease. Most likely, stress is a more common phenomenon among young and middle-aged people than among senior citizens, and stress is able to raise cholesterol by up to 50 per cent and may cause heart disease by other mechanisms than by raising cholesterol.
However, a few months ago, European Society of Cardiology and European Atherosclerosis Society published revisions of their guidelines for the management of chronic heart disease, blood lipids and diabetes repeating and repeating all the well-known general advices. Together, the three papers with the new guidelines written by 69 authors and 119 reviewers fill 218 complicated pages and had more than 1700 references to the medical literature. However, none of the studies mentioned above were mentioned.
In the guidelines there were links to the authors´ and the reviewers´ conflicts of interest. They were difficult to find but here they come:
The 23 authors of the Diabetes guidelines (72 pages)
The 25 authors of the guidelines for the chronic coronary syndromes (63 pages)
The 20 authors of the dyslipidaemia guidelines (66 pages)
A relevant question is, why we should lower cholesterol if high cholesterol is harmless or beneficial, but as far as I know, the mentioned studies have made no impact on the cholesterol authorities in any country.
Today, millions of healthy people are treated with a drug with minimal benefit, if any at all, and with many serious side effects. According to the drug industry, side effects from statin treatment are rare. If you believe in that, read the following papers:
How Statistical Deception Created the Appearance That Statins Are Safe and Effective in Primary and Secondary Prevention of Cardiovascular Disease
The Statin-Low Cholesterol-Cancer Conundrum
Prevalence and Management of Symptoms Associated with Statin Therapy in Community Practice: Insights from the Patient and Provider Assessment of Lipid Management (PALM) Registry
Obviously, the politicians responsible for health care do not know about these facts. Or are they paid by Big Pharma to keep silent? Read for instance a recent report from The Center for Responsive Politics. You can read about this organization on Wikipedia
In 2018 we therefore published a review of all the falsifications of the cholesterol hypothesis in the journal Expert Review of Clinical Pharmacology. According to Taylor & Francis who publish more than a hundred scientific journals, more than 10,000 open access papers were published during the year 2018 and our paper was placed on the top of their list of the most–downloaded papers. But nothing happens.
In our view, the only way to stop the cholesterol campaign, the greatest medical scandal in modern time, is to inform the general public. Together with some of my colleagues I have tried to publish many critical articles about the cholesterol campaign for many years in the media, but in most cases in vain. Therefore, I ask you to spread this information to your family members, to all of your friends and colleagues and to all kinds of organizations.
I got all the benefits from Keto, as you mentioned. Except my LDL went up. Trying to figure it out what went wrong
Excellent Podcast ����. #Yes2Meat. #MeatHeals. #EatMeatSaveThePlanet. ����������������������������. ��������
Paul Mason Rocks!!!!!
“But in fact, nothing could be further from the truth.” That’s because we have been lied to for years.
Thank you for providing a framework to understand the standard TG HDL LDL data!
IMHO, sugar is the main culprit in all of humanities ailments.
So either be on Whole Foods Plant Based diet.. or be on high fat low carbs diet… Question is what is sustainable in long time
great video.. yup that’s me. I’m apoe3/4 and my ldl went to 200… yikes.
All my other markers improved, Trigs/ HDL.
i’m trying to cut out most sat fats (cheese and yogurt are the hardest)
I need to convince my doc to check the other ldl markers for size and particle number.
thanks!
I have a very good friend with the same body type, who works out 4 times a week. Great physical shape. He just had his 4 stent placed in his heart vessels after his second heart attack. So this lecture points out why LDL levels is only part of the story.
Brilliant presentation. Thank you so much for posting. It explains the high LDL level, and its significance vis a vis CVD risk or lack there of, esp. in LMHR’s and IM fasters in a most satisfactory manner.
IOW there are too many variables to allow us to find accurate conclusions.
Can anyone please clarify if LLDL deposits in arteries can be cleared or reversed? With a ketogenic no sugar /glucose diet?
You can let this guy tell you what you want to hear or you can read some peer reviewed scientific articles:
“Low-density lipoproteins cause atherosclerotic cardiovascular disease. 1. Evidence from genetic, epidemiologic, and clinical studies. A consensus statement from the European Atherosclerosis Society Consensus Panel”
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5837225/
“Optimal low-density lipoprotein is 50 to 70 mg/dl: Lower is better and physiologically normal”
https://www.sciencedirect.com/science/article/pii/S0735109704007168
Relation between LDL and atherosclerosis
https://ars.els-cdn.com/content/image/1-s2.0-S0735109717412320-fx1_lrg.jpg
(Picture is from this study):
https://www.sciencedirect.com/science/article/pii/S0735109717412320?via%3Dihub
If you are able to strictly control blood sugars all the time then cholesterol doesn’t become an issue. But in any case my last Trigs were 31 my HDL 77
But how to talk to a doctor? I’m more afraid of damage docs do than triage docs after an accident?
I’ve been on keto for 8 months. On a recent lipids panel, my HDL increased from 81 to 103! My doctor says he’s never had a patient with HDL of 81, let alone 103. Total cholesterol 208 (103 of which are HDL) and triglycerides went from 143 to 52. Can HDL be too high?? And if so, what is too high for a women? I tried Googling and get conflicting views on this subject.
Thank you for this video. It has helped me put meaning to my results. My doctor had advised that my cholesterol level was ‘elevated’ and suggested that statins were in order. I resisted and he sent me to see the lipids consultant who suggested I try the teeniest dose of statins to bring my LDL down. I had worked out my ratios before, but I did not know how to evaluate the figures. I know now and I am impressed with my figures, thanks to you.
I started intermittent fasting at the beginning of 2019 to lose a few pounds after Christmas, however, I was still eating carbs. 3 weeks later I went to have a wellness check-up and everything came back fine except cholesterol, which was ‘elevated’. The results were: 25 Jan 2019: Total Cholesterol 7.8, Triglycerides 0.88, LDL 5.6
Trig/HDL ratio: 0.4889
I continued intermittent fasting and by June when I took another blood test, I was eating 1.5 meals within a 6-8-hour window. I was still eating carbs. My results frightened my doctor, who called me in for a chat. The results were: 19 Jun 2019: Total Cholesterol 8.4, Triglycerides 0.87, LDL 5.9
Trig/HDL ratio: 0.4143
A few days before I saw the Lipids Consultant in September, I came across the Ketogenic diet and began it. I gave myself just over 4 weeks before I took another blood test. The results came back as follows: 18 Oct 2019: Total CHolesterol 8.09, Triglycerides 0.77, LDL 5.86
Trig/HDL ratio: 0.4096
From what you explained, and from the calculations, I can safely say that my LDL is healthy. I have to go back in January to see the Lipids consultant, who had given me 4 months to bring my LDL down 1 point. It doesn’t look like that’s going to happen and I hope by that time, he will have found this information about cholesterol and rethink his ideas about prescribing statins to healthy people.
The mind boggles!
Thank you so much for all you do.
I’ve had never had a high cholesterol or a1c (5.2 a1c last year) at that was even at my heaviest at 278lbs. Last year my total cholesterol was under 180 and all my levels were fine, but now that I’ve been on Keto for 8 months and lost 81lbs (cw 197lbs, 5’11” female, 35yo) **HOWEVER** I just had a new blood test and my a1c went up to a 5.4 (still not bad, but why did it go up when I eat no sugar at all?). Also my total cholesterol is now 297! My triglycerides are 81, HDL is 61, VLDL is 16, LDL is 220!, Chol/HDL 4.9%. My Glyco Hbg panel was fine and so was my comprehensive metabolic panel liver and kidney function are optimal. My blood pressure was 100/52, bpm was 65.
I also test my blood sugar/ketone every day before lunch (I do 18:6 fasting) and my blood sugar is consistently 70-80. My ketones are usually 0.6 1.6.
I am just concerned now about my A1C going up 0.2 points and worried about my LDL being so dang high….uggg! I’m losing so much weight still and want to get to 175lbs and now my doctor is very concerned and says I need to stop keto asap
my cholesterol rised a little since I’ve started keto, should I quit? I don’t want to because I want the benefits from keto, what should I do?
The bible says we were assigned to live on grains and seeds. What is the matter with people?
Great info doctor! I tend to have very high LDL so just to be safe, I will probably implement your suggestions.
i try to follow a low-carbohydrate diet, yet my HDLs are low, while my triglycerides are high
Very detailed information in this video! Thank you for helping others to easily understand & grasp what’s really going on with cholesterol. Have a beautiful day. ��������������������
Nice balanced video. I’m a hyper responder.
Mine jumped up a lot but the ratios are really good and my LDL is very much pattern A and I have low TG and VLDL. So I’m gonna roll with it. A total cholesterol of 327 doesn’t sound bad when it’s broken down like this:
HDL:138, LDL:176, Triglycerides:40, VLDL:12
Just watched this with my blood work print out. Triglycerides. 0.7, HDL 2.9, LDL 3.8, tri to HDL ratio 0.2.
My doc seemed happy. LCHF for the win.
My lipid profile scares my doctor, but not me. Cholesterol 326, HDL 70, LDL 235, CAC score 0 (ZERO). Definitely follow Dave Feldman, plug your numbers in and know your calcium score. Do your research and don’t be fearful of being your own health care advocate.
I’m posting here after much consideration… I’m a 57-year-old female who hasn’t been to a doctor in 19 years until recently. I’m usually on a 16-hour fast, but not in keto; I had my first bloodwork done and got a frantic call from my doctor & he wanted to put me on statin, but I asked for 3 months to “fix” it myself. These were my results after some 15-hour fast with just a cup of tea: total cholesterol 335; triglycerides 51; HDL 104; VLDL 10; LDL 221; A1c 5.4; glucose 83; urinalysis for glucose was negative; my BMI is 20.1
The doctor said I can get a heart attack. I don’t think so. At the same time, I’m a bit concerned since I haven’t been to a doctor in so long, and I don’t have my own “base” to compare to. I enjoy my current eating plan of healthy fats, veges, grass-fed meat, and at least 2 free-range eggs a day. I do yoga/Pilates 6x/week. Your thoughts?
I am one of these hyper-responders. Had “normal” lipoprofile before low carb diet. Now it looks like I have FH. Low insulin, low inflammatory markers, & feel better now. Almost 4yrs into this and I guess only time will tell if it will be detrimental or not.