Another lipid panel :(

JedsMom63
JedsMom63 Posts: 32 Member
Went in to have my calcium level checked (other issue) while I was there was told it was time for my lipid panel. Got the results and of course the doctor did NOT do the particle test. :( so. His is what I have.

316. Total
89. Triglycerides
55. HDL
18. VLDL
243. LDL

I have lost 39.8 lbs (since February) and I'm still losing. Staying under my 20 total carbs per day. Feeling great and doing fine. Know the doctor is going to call or message me today and tell me AGAIN that I need statins *eyeroll*.

My thinking is things look fine? Thought?
Thanks

Replies

  • tcunbeliever
    tcunbeliever Posts: 8,219 Member
    "Weight loss, however, releases fatty acids into the bloodstream and can cause a spike in LDL cholesterol levels, among other blood changes. A spike in blood cholesterol due to weight loss is usually only temporary. While medication can be helpful for lowering chronically high blood cholesterol, it is usually not effective for high cholesterol linked to weight loss."

    canadadrugpharmacy.com/blog/why-weight-loss-can-make-your-cholesterol-levels-go-up/
  • MissMaggieElizabeth
    MissMaggieElizabeth Posts: 71 Member
    Jeds Mom I hope this link to my post will work and help. I was facing some of the same and will add my numbers in here too to compare with yours.
    community.myfitnesspal.com/en/discussion/10574994/cholesterol-levels-going-sky-high-need-ammunition-against-statin-use-for-doc#latest

    OOPS finish later friends are here.
  • MissMaggieElizabeth
    MissMaggieElizabeth Posts: 71 Member
    Sorry my numbers were:

    319. Total
    112. Triglycerides
    83. HDL
    22.4. VLDL
    211. LDL

    Not sure if this matters but for comparison. I had lost 80 pounds by 2016 when this test was taken because I had gained 10 of the 90 I originally lost. My bad. I am 68 Female.
  • JedsMom63
    JedsMom63 Posts: 32 Member
    I am 53 female. Our numbers are fairly similar. Congratulations on the 90 lb loss!!! Way to go!!! I am looking to lose about another 40 ish lbs. how long ago was your panel listed done? Have you seen improvements since then?
  • MissMaggieElizabeth
    MissMaggieElizabeth Posts: 71 Member
    The lipid test was done May 31st so no other testing since. I have not even seen the doc since. I will see him Early September for my yearly.

    I lost the solid 80 pounds by August 2016 then dropped another 10 when my hubby died. I saw doc late August 2016 :'( But I gained it back. When I went to the doc in May he was miffed at me for gaining the 10 back so I lost it again.

    There has been HUGE changes in my blood work over the years from 2014 when I started back LCHF I have had four years or tests because it is only 3 years. I do not have time right now so just copying from my list. Sorry it is a bit to wade through. But it is good to see the improvement over the years as my weight went down and I actually became mostly meatavor or zero carb . Of course that is impossible eating cheese and eggs but close. The dates of the tests are at the top of the list and results listed in order of dates. That first test I was 230 pounds. So scary.

    > Standard Range
    > 8/6/14 7/28/15 8/9/16 5/31/17
    > CHOL/HDL RATIO
    > <=5
    > 7.1 5.7 5.0 4
    > CHOLESTEROL
    > <=200 mg/dL
    > 254 283 358 319
    > DIRECT LDL CHOLESTEROL
    > <100 mg/dL
    > 157 191 208 211
    > HDL CHOLESTEROL
    > >=60 mg/dL
    > 36 50 71 83
    > TRIGLYCERIDES
    > <=150 mg/dL
    > 417 258 177 112
    > VLDL CHOLESTEROL
    > 0 - 40 mg/dL
    > CALCULATION NOT VALID DUE TO TRIGLYCERIDE OF >400 MG/DL. 52 35 22.4
    > Name
    > Standard Range
    > CHOL/HDL RATIO
    > <=5
    > CHOLESTEROL
    > <=200 mg/dL
    > DIRECT LDL CHOLESTEROL
    > <100 mg/dL
    > HDL CHOLESTEROL
    > >=60 mg/dL
    > TRIGLYCERIDES
    > <=150 mg/dL
    > VLDL CHOLESTEROL
    > 0 - 40 mg/dL
    >
    > COMPREHENSIVE METABOLIC PANEL - Past Results
    > Printer friendly page--New window will open
    >
    > About This Test
    >
    > Details
    > Past Results
    > Graph of Past Results
    >
    > Select a date range or total number of readings to graph.
    > Starting date
    > Ending date
    > Total number of readings to graph.
    > From Calendar - Use to Select a Date to Calendar - Use to Select a Date - or - latest values
    d
  • RalfLott
    RalfLott Posts: 5,036 Member
    @Jedsmom, here's a short discussion of why you may have elevated LDLs when you're in weight-loss mode.

    https://youtu.be/MNfjkTyBUdQ
  • RalfLott
    RalfLott Posts: 5,036 Member
    edited July 2017
    @JedsMom63, I don't believe one can confidently draw much in the way of conclusions on the basis of your lipid panel results.

    It would be great to have good information - both for now and for comparison down the road. So... I would urge you to heed @aquawave's advice and get a CAC scan and an advanced lipoprotein profile, then reevaluate. Possible?
  • JedsMom63
    JedsMom63 Posts: 32 Member
    RalfLott- Will have to inquire about the CAC If insurance doesn't pay it prob won't happen right now. I have seen that video. Was wondering if anyone else was were I'm at. Thank you!!

    MissMaggieElizabeth- I started out at 222.2. :o I look forward to seeing our results after our weight stabilizes. I'm thinking it will be great!!! Thank you for sharing b
  • KnitOrMiss
    KnitOrMiss Posts: 10,103 Member
    Remember, also, that standard calculations are almost completely invalidated if your trigs are below 100. You have to use an alternate formula. Since this is very rare, labs don't use the alternate variant. But the rest of this info is good, too.
  • RalfLott
    RalfLott Posts: 5,036 Member
    JedsMom63 wrote: »
    @RalfLott- Will have to inquire about the CAC If insurance doesn't pay it prob won't happen right now. I have seen that video. Was wondering if anyone else was were I'm at. Thank you!!

    @MissMaggieElizabeth- I started out at 222.2. :o I look forward to seeing our results after our weight stabilizes. I'm thinking it will be great!!! Thank you for sharing b

    Hmm. After price-checking around, I got my CAC for just $99 (insurance covered the radiologist's fee).... Just sayin'!
  • KnitOrMiss
    KnitOrMiss Posts: 10,103 Member
    Is the CAC the same as the Calcium Score? If so, all y'all need to come visit me. My hospital system does it, out of pocket, no referral needed, no insurance, for $35.
  • RalfLott
    RalfLott Posts: 5,036 Member
    KnitOrMiss wrote: »
    Is the CAC the same as the Calcium Score? If so, all y'all need to come visit me. My hospital system does it, out of pocket, no referral needed, no insurance, for $35.

    Yes, same beast.

    That's a deal! A lot cheaper than a lifetime of statin co-pays.
  • JedsMom63
    JedsMom63 Posts: 32 Member
    Where do you live? That would be great!!
  • GaleHawkins
    GaleHawkins Posts: 8,159 Member
    Private pay was $100 including report in Paris Tennessee. If ordered by doctor cost is $249. I guess they use this to find new patients. Nashville had $50 specials but the drive is two hours. Since arterial calcium levels can be lowered it seems it is a good number to know in my view.
  • RAC56
    RAC56 Posts: 432 Member
    Excellent video. Thanks for reposting. I don't always catch a video or link the first time it is posted so I would encourage folks to repost good info like this fairly often for those of us who miss it the first time.
  • EggToni
    EggToni Posts: 190 Member
    KnitOrMiss wrote: »
    Is the CAC the same as the Calcium Score? If so, all y'all need to come visit me. My hospital system does it, out of pocket, no referral needed, no insurance, for $35.

    $35 - wow! $125 in L.A.
  • KnitOrMiss
    KnitOrMiss Posts: 10,103 Member
    This is in Norman, Oklahoma. I asked three times to be sure. No insurance, no referral, no doctor order, no local address required. Call and schedule. Even Saturday appointments available.

    I'm going to go do this as a birthday gift to myself... I will report my results so we can see if it is actually as comprehensive as the more expensive versions!

    Not necessarily the best place to vacation, but we're about 2 hours from Tulsa, 20-45 minutes from Oklahoma City (depending on which part), and about the same to Lawton... SO, if you need a destination to save funds, Norman Regional Hospital has website that includes certain free tests/education, and other things...but this is the best one I've found...