- This topic has 10 replies, 4 voices, and was last updated 8 years, 12 months ago by Alki Anastassiou.
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November 26, 2015 at 12:05 pm #450795
Alki AnastassiouParticipantI am 16 y/o and had a blood test for cholesterol. I have been doing keto earlier this year and then CBL. I eat a lot of saturated and animal fats…
My cholesterol test was not fasted (I ate eggs and butter just before test). Doc said it came back saying cholesterol was high.
I am going for a fasted test soon. Please help. Did the test only show cholesterol or HDL and LDL etc
Could it just have been HDL that was high
Should I worry?
thank youNovember 26, 2015 at 1:43 pm #450801
Penny DannerParticipantYou need to call the dr office and get a breakdown of your numbers. A lot of times they go by only the total cholestrol…and yes, it SHOULD be fasted.
HDL being higher is good. You also want to know your triglycerides and ratio of HDL to LDL. Don’t freak out just yet. Wait for your fasted test and see how it goes.
November 26, 2015 at 1:46 pm #450802
Alki AnastassiouParticipantThank you for the reply. I will go on Saturday
November 26, 2015 at 7:28 pm #450878
Brandon D ChristParticipantI would wait until the fasted test. I never heard of a cholesterol test not done fasted and that could certainly affect the results because eating butter and eggs would increase the amount of triglycerides in the blood. Usually LDL is not measured directly, but rather calculated from a formula.
There is a pretty good chance you will have high estimated LDL because most people on low carb diets have low triglycerides which is good. The problem is, the formula they use to calculate LDL (the Friedwald equation) was developed based on people who are on a standard Western diet and those people usually have triglycerides levels between 100 and 150. The Friedwald equation usually overestimates the amount of LDL.
There is another formula called the Iranian formula that tends to be a bit better than the Friedwald equation for those with lower Triglyceride levels, but that formula has it’s limitations too because it was developed with people with very high triglyceride levels. Currently, there is not a formula that was developed with healthy low carb dieters. There is a blood test that measures LDL directly, but most likely your doctor won’t approve because it is very expensive and it is usually reserved for people with really bad cholesterol issues. That being said, you can pay for the test out of pocket, but you will need your parents permission since you are under 18.
Keep in mind total cholesterol and LDL are not the end-all-be-all off blood work (despite your doctor believing so). If your blood pressure, HDL/LDL ratio, triglycerides, and especially, fasted glucose levels, are all good, I wouldn’t be worried. I am not one of those people that think high cholesterol doesn’t matter, but it is just one of several health metrics.
If you do wish to lower it, just replace saturated fats with monounsaturated fats. Or reduce total fat consumption.
November 26, 2015 at 9:36 pm #450904
Alki AnastassiouParticipantVery informative. I appreciate it, thank you. I am doing for a lipogram (so I think all parameters within cholesterol will be accurately measured)
November 27, 2015 at 12:17 pm #451007
Robert HaasParticipantDo more research. The dogma is everywhere.
The eyes can't see what the mind doesn't understand.
November 27, 2015 at 1:01 pm #451008
Robert HaasParticipantRead this: http://www.healthafter50.com/reports/heart_health/1886-1.html
Your 16. Your hormone levels are supposed to be high, hormones are made from cholesterol.
Good book referenced in this article: http://www.huffingtonpost.com/dr-jonny-bowden/cholesterol-health_b_2035487.html
The eyes can't see what the mind doesn't understand.
November 27, 2015 at 2:31 pm #451010
Alki AnastassiouParticipantRead this: http://www.healthafter50.com/reports/heart_health/1886-1.html
Your 16. Your hormone levels are supposed to be high, hormones are made from cholesterol.
Good book referenced in this article: http://www.huffingtonpost.com/dr-jonny-bowden/cholesterol-health_b_2035487.html
Thanks for the sources and info.
I am an advocate of high saturated diet etc but I am just not sure about my LDL level being high as I thought this was a bad thing… Anyway I hope doctor will be happy with results after the full lipogram tomorrowNovember 27, 2015 at 3:28 pm #451011
Robert HaasParticipantHigh LDL is only bad if the particle size is small and dense from oxidation: http://www.ncbi.nlm.nih.gov/pubmed/15942115
http://atvb.ahajournals.org/content/24/3/558.full
Causes of oxidized LDL: Hypertriglyceridemia is mentioned in articles above. “Hypertriglyceridemia is a common disorder in the United States. It is made worse by uncontrolled diabetes mellitus, obesity, cirrhosis of the liver and sedentary habits, all of which are more common in industrialized countries than in developing nations. The condition generally occurs in people who have low protein and high carbohydrate diets, but also has genetic causes, not very well-defined.” Source: http://www.diet.com/g/hypertriglyceridemia
The eyes can't see what the mind doesn't understand.
November 27, 2015 at 3:32 pm #451013
Robert HaasParticipantIMO: If you resistance train, keep a good macro profile and maintain a healthy BF%, don’t worry about cholesterol.
Family history: Those with a family history of heart disease need to look at the complete history ie lifestyle, diet…etc for all of the risk factors.
- This reply was modified 8 years, 12 months ago by Robert Haas.
The eyes can't see what the mind doesn't understand.
November 28, 2015 at 10:12 am #451271
Alki AnastassiouParticipantThank you again Rob 🙂
IMO: If you resistance train, keep a good macro profile and maintain a healthy BF%, don’t worry about cholesterol.
Family history: Those with a family history of heart disease need to look at the complete history ie lifestyle, diet…etc for all of the risk factors.
High LDL is only bad if the particle size is small and dense from oxidation: http://www.ncbi.nlm.nih.gov/pubmed/15942115
http://atvb.ahajournals.org/content/24/3/558.full
Causes of oxidized LDL: Hypertriglyceridemia is mentioned in articles above. “Hypertriglyceridemia is a common disorder in the United States. It is made worse by uncontrolled diabetes mellitus, obesity, cirrhosis of the liver and sedentary habits, all of which are more common in industrialized countries than in developing nations. The condition generally occurs in people who have low protein and high carbohydrate diets, but also has genetic causes, not very well-defined.” Source: http://www.diet.com/g/hypertriglyceridemia
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