My recent blood work...cholesterol rose significantly

Five years ago when I went through menopause my fasting blood glucose level, weight and cholesterol rose since the previous year. We’ve monitored it and I’ve been successful in losing weight and getting reading back in line. Yesterday I had a doctor’s appointment and my cholesterol level was 277 up from 203 in October yet my weight was down 6 pounds and my A1C was 5.4 from 5.8. I was shocked at the cholesterol level.
Has anyone else have the cholesterol number significantly up while losing weight and fixing insulin resistance?
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Replies

  • amyepdx
    amyepdx Posts: 750 Member
    Yes I’ve heard that during fat loss your cholesterol can increase but I don’t remember the reason. Mine has been increasing over the last 3 years as I have lost 97 lbs (although not that drastically). Maybe others can give us more information?
  • Daddy78230
    Daddy78230 Posts: 125 Member
    I've had a high cholesterol reading during weight loss and when I went to get retested a couple months later while maintaining my weight by reading came out a lot better. First reading was 205+ and the next one was 125. Im type 2 diabetic, controlled by diet (LCHF) and exercise.
  • Gingergal12
    Gingergal12 Posts: 64 Member
    Thank you for the responses. My doctor prescribed a low dose of Crestor 5mg, twice a weekbut otherwise approved of my diet. We will recheck it at my physical at the end of November.
  • mulecanter
    mulecanter Posts: 1,792 Member
    When I was losing >50lbs my bloodwork didn't show a magnificent improvement as I had hoped. I thought perhaps that as your body is consuming its fat stores it made sense that your bloodstream would be off loading stuff (fat by products) too. Of course menopause puts another complex variable into the mix.
  • mlinci
    mlinci Posts: 402 Member
    My cholesterol also increased from borderline high to high after I lost 50 lbs, going from a BMI of 30 to a BMI of under 23. I feel that’s very unfair! I’m about to see a specialist about it, so I don’t yet have recommendations on how to manage it.
  • CharlieBeansmomTracey
    CharlieBeansmomTracey Posts: 7,682 Member
    nowine4me wrote: »
    I eat 0 (literally) cholesterol on a plant -based diet. I think you should be able to get that down quickly and stay off meds with a few small changes. Meat (including chicken and fish), dairy and eggs are highest.

    I have a genetic cholesterol disorder and had it even when thin, I eat meat and dairy and was able to bring it down eating low fat,low cholesterol,high fiber and I have to take meds.so for some staying off meds is not always going to happen. mine was high even when taking other meds in the past and eating less meat and dairy.its going to vary per person,and it depends on if their high cholesterol is due to diet,meds, or certain health issues.thyroid issues can also cause high cholesterol and yes when losing weight it can go up. if it keeps going up then you need to be tested to see if its genetic or not. genetic cholesterol is nothing to fool with either and can cause severe health risks if not treated.
  • CharlieBeansmomTracey
    CharlieBeansmomTracey Posts: 7,682 Member
    apullum wrote: »
    Dietary cholesterol has very little effect on blood cholesterol levels, which may be why your doctor didn’t recommend any dietary changes. Weight loss and exercise have a much greater effect. Are you exercising regularly?

    depends on if its genetic or not. even with the above changes sometimes it doesnt make a difference and continues to raise.
  • GottaBurnEmAll
    GottaBurnEmAll Posts: 7,722 Member
    Cholesterol issues don't have one size fits all answers except to maintain a healthy weight, exercise, and eat plenty of veggies and fruits.

    Your situation with recent weight loss, your genetics, and other factors might have affected your results. What did your doctor say?
  • 2baninja
    2baninja Posts: 518 Member
    I found with me, that my overall cholesterol levels were best determined by whether I was exercising or not, if I'm exercising my levels were low, when I wasn't, they were high, with no change at all to my diet.
  • Gingergal12
    Gingergal12 Posts: 64 Member
    Well, I was shocked because my diet and exercise habits had been really good. My doctor contributed it to the loss of estrogen due to menopause and was pleased the A1C was in a healthy range and weight loss He has me on a low dose statin and will re-evaluate in November.
    The reason I am asking is to see if other people (or specifically 60 year old women) have experienced anything similar. Thank you for all of the helpful comments.
  • Fuzzipeg
    Fuzzipeg Posts: 2,301 Member
    I wonder if its more likely low progesterone, ovaries still produce oestrogen for a fair time after menopause. Progesterone should cut in to produce the luteal phase, but often doesn't this accounts for may extended cycles. It is also involved in many menopausal symptoms and postmenopausal weight gain.

    Its also possible for someone to experience some endocrine issue which prompts greater production of cholesterol. Pardon me for simply thinking.
  • psuLemon
    psuLemon Posts: 38,427 MFP Moderator
    Well, I was shocked because my diet and exercise habits had been really good. My doctor contributed it to the loss of estrogen due to menopause and was pleased the A1C was in a healthy range and weight loss He has me on a low dose statin and will re-evaluate in November.
    The reason I am asking is to see if other people (or specifically 60 year old women) have experienced anything similar. Thank you for all of the helpful comments.

    What do your other numbers look like? Particularly, your triglycerides and Cholesterol/HDL ratio?
  • nvmomketo
    nvmomketo Posts: 12,019 Member
    psuLemon wrote: »
    nvmomketo wrote: »
    Total cholesterol indicates almost nothing. How were your triglycerides and HDL? You want a high HDL, which helps raise total cholesterol, and a lowish triglycerides. If you do include LDL, you need to look at particle size, otherwise it is fairly meaningless.... So many doctors don't seem to know this! :(

    One of the easiest ways to reduce triglycerides and raise HDL, is to exercise, and cut refined carbs and sugars, as well as other grains and sugary fruit. Diets high in meats, eggs, dairy, seafood, veggies and some fruit almost always result in better cholesterol and tri's, and improved blood glucose too - low carb intake results in low blood glucose. The only people who should not eat that way to correct cholesterol and BG are those with familial hypercholesterolemia, and that is a small minority.

    This is an interesting video on how to improve cholesterol within days.

    https://m.youtube.com/watch?v=jZu52duIqno

    Weight loss results in lower triglycerides alone and improved metabolic markers. And the only universally acknowledged nutrition thing is the fact that fruits and veggies improve metabolic markers and health. Suggesting to cut it out is a bit short sighted.

    I did not recommend that though... I said cut (not elimate) refined carbs and sugars, as well as other grains and sugary fruit. Those are universally thought to negatively affect metabolic markers and health for the typical person ( perhaps with sugary fruit being the exception for some).

    Carbs generaly raise triglycerides and lower HDL in most people. YMMV
  • nvmomketo
    nvmomketo Posts: 12,019 Member
    Well, I was shocked because my diet and exercise habits had been really good. My doctor contributed it to the loss of estrogen due to menopause and was pleased the A1C was in a healthy range and weight loss He has me on a low dose statin and will re-evaluate in November.
    The reason I am asking is to see if other people (or specifically 60 year old women) have experienced anything similar. Thank you for all of the helpful comments.

    Statins are not preventative of health problems in most post menopausal women. There are some really good cholesterol and station books out there that say pretty much the same thing.

    If you were a middle aged man who had already had a heart attack, statins could be helpful. In older women, lower cholesterol is associated with increased mortality, from what I have read.

    I would do your own research and talk with your doctor about it.

    ... And get you triglycerides and HDL tested.
  • nvmomketo
    nvmomketo Posts: 12,019 Member
    psuLemon wrote: »
    nvmomketo wrote: »
    psuLemon wrote: »
    nvmomketo wrote: »
    Total cholesterol indicates almost nothing. How were your triglycerides and HDL? You want a high HDL, which helps raise total cholesterol, and a lowish triglycerides. If you do include LDL, you need to look at particle size, otherwise it is fairly meaningless.... So many doctors don't seem to know this! :(

    One of the easiest ways to reduce triglycerides and raise HDL, is to exercise, and cut refined carbs and sugars, as well as other grains and sugary fruit. Diets high in meats, eggs, dairy, seafood, veggies and some fruit almost always result in better cholesterol and tri's, and improved blood glucose too - low carb intake results in low blood glucose. The only people who should not eat that way to correct cholesterol and BG are those with familial hypercholesterolemia, and that is a small minority.

    This is an interesting video on how to improve cholesterol within days.

    https://m.youtube.com/watch?v=jZu52duIqno

    Weight loss results in lower triglycerides alone and improved metabolic markers. And the only universally acknowledged nutrition thing is the fact that fruits and veggies improve metabolic markers and health. Suggesting to cut it out is a bit short sighted.

    I did not recommend that though... I said cut (not elimate) refined carbs and sugars, as well as other grains and sugary fruit. Those are universally thought to negatively affect metabolic markers and health for the typical person ( perhaps with sugary fruit being the exception for some).

    Carbs generaly raise triglycerides and lower HDL in most people. YMMV

    That is fairly ludicrous. You know how many plant based studies suggest otherwise? There are direct links to fruits, veggies and whole grains improving metabolic markers. Even Kevin Halls studies comparing Keto to LF/high sugar saw improvements in triglycerides, insulin, total cholesterol and pretty much every other markers. Don't confuse transient changes for long term effects. There is a reason why high carb societies are the healthiest on this planet. High sugar fruits like pineapple, bananas, apples and more aren't effecting you. Whole grains aren't either. What is is obesity and inactivity. No N=1 observation can ever disprove that. Because if we want, I can throw in my N=1 where my triglycerides went from 220 to 40.
    psuLemon wrote: »
    nvmomketo wrote: »
    psuLemon wrote: »
    nvmomketo wrote: »
    Total cholesterol indicates almost nothing. How were your triglycerides and HDL? You want a high HDL, which helps raise total cholesterol, and a lowish triglycerides. If you do include LDL, you need to look at particle size, otherwise it is fairly meaningless.... So many doctors don't seem to know this! :(

    One of the easiest ways to reduce triglycerides and raise HDL, is to exercise, and cut refined carbs and sugars, as well as other grains and sugary fruit. Diets high in meats, eggs, dairy, seafood, veggies and some fruit almost always result in better cholesterol and tri's, and improved blood glucose too - low carb intake results in low blood glucose. The only people who should not eat that way to correct cholesterol and BG are those with familial hypercholesterolemia, and that is a small minority.

    This is an interesting video on how to improve cholesterol within days.

    https://m.youtube.com/watch?v=jZu52duIqno

    Weight loss results in lower triglycerides alone and improved metabolic markers. And the only universally acknowledged nutrition thing is the fact that fruits and veggies improve metabolic markers and health. Suggesting to cut it out is a bit short sighted.

    I did not recommend that though... I said cut (not elimate) refined carbs and sugars, as well as other grains and sugary fruit. Those are universally thought to negatively affect metabolic markers and health for the typical person ( perhaps with sugary fruit being the exception for some).

    Carbs generaly raise triglycerides and lower HDL in most people. YMMV

    That is fairly ludicrous. You know how many plant based studies suggest otherwise? There are direct links to fruits, veggies and whole grains improving metabolic markers. Even Kevin Halls studies comparing Keto to LF/high sugar saw improvements in triglycerides, insulin, total cholesterol and pretty much every other markers. Don't confuse transient changes for long term effects. There is a reason why high carb societies are the healthiest on this planet. High sugar fruits like pineapple, bananas, apples and more aren't effecting you. Whole grains aren't either. What is is obesity and inactivity. No N=1 observation can ever disprove that. Because if we want, I can throw in my N=1 where my triglycerides went from 220 to 40.

    I was referring the carbs I already mentioned - mainly refined carbs and sugars. I thought I had made it clear which carbs I was talking about.

    And I know that LFHC diets like Ornish can improve markers, but those diets are usually low in refined carbs too. Both LCHF and HCLF seem to work well. Higher fat and higher carb, usually refined carbs, seems like the least healthful choice.
  • Gingergal12
    Gingergal12 Posts: 64 Member
    psuLemon wrote: »
    Well, I was shocked because my diet and exercise habits had been really good. My doctor contributed it to the loss of estrogen due to menopause and was pleased the A1C was in a healthy range and weight loss He has me on a low dose statin and will re-evaluate in November.
    The reason I am asking is to see if other people (or specifically 60 year old women) have experienced anything similar. Thank you for all of the helpful comments.

    What do your other numbers look like? Particularly, your triglycerides and Cholesterol/HDL ratio?

  • Gingergal12
    Gingergal12 Posts: 64 Member
    Triglycerides were high and ratio was not good, don’t have numbers because I’m traveling
  • psuLemon
    psuLemon Posts: 38,427 MFP Moderator
    nvmomketo wrote: »
    psuLemon wrote: »
    nvmomketo wrote: »
    psuLemon wrote: »
    nvmomketo wrote: »
    Total cholesterol indicates almost nothing. How were your triglycerides and HDL? You want a high HDL, which helps raise total cholesterol, and a lowish triglycerides. If you do include LDL, you need to look at particle size, otherwise it is fairly meaningless.... So many doctors don't seem to know this! :(

    One of the easiest ways to reduce triglycerides and raise HDL, is to exercise, and cut refined carbs and sugars, as well as other grains and sugary fruit. Diets high in meats, eggs, dairy, seafood, veggies and some fruit almost always result in better cholesterol and tri's, and improved blood glucose too - low carb intake results in low blood glucose. The only people who should not eat that way to correct cholesterol and BG are those with familial hypercholesterolemia, and that is a small minority.

    This is an interesting video on how to improve cholesterol within days.

    https://m.youtube.com/watch?v=jZu52duIqno

    Weight loss results in lower triglycerides alone and improved metabolic markers. And the only universally acknowledged nutrition thing is the fact that fruits and veggies improve metabolic markers and health. Suggesting to cut it out is a bit short sighted.

    I did not recommend that though... I said cut (not elimate) refined carbs and sugars, as well as other grains and sugary fruit. Those are universally thought to negatively affect metabolic markers and health for the typical person ( perhaps with sugary fruit being the exception for some).

    Carbs generaly raise triglycerides and lower HDL in most people. YMMV

    That is fairly ludicrous. You know how many plant based studies suggest otherwise? There are direct links to fruits, veggies and whole grains improving metabolic markers. Even Kevin Halls studies comparing Keto to LF/high sugar saw improvements in triglycerides, insulin, total cholesterol and pretty much every other markers. Don't confuse transient changes for long term effects. There is a reason why high carb societies are the healthiest on this planet. High sugar fruits like pineapple, bananas, apples and more aren't effecting you. Whole grains aren't either. What is is obesity and inactivity. No N=1 observation can ever disprove that. Because if we want, I can throw in my N=1 where my triglycerides went from 220 to 40.
    psuLemon wrote: »
    nvmomketo wrote: »
    psuLemon wrote: »
    nvmomketo wrote: »
    Total cholesterol indicates almost nothing. How were your triglycerides and HDL? You want a high HDL, which helps raise total cholesterol, and a lowish triglycerides. If you do include LDL, you need to look at particle size, otherwise it is fairly meaningless.... So many doctors don't seem to know this! :(

    One of the easiest ways to reduce triglycerides and raise HDL, is to exercise, and cut refined carbs and sugars, as well as other grains and sugary fruit. Diets high in meats, eggs, dairy, seafood, veggies and some fruit almost always result in better cholesterol and tri's, and improved blood glucose too - low carb intake results in low blood glucose. The only people who should not eat that way to correct cholesterol and BG are those with familial hypercholesterolemia, and that is a small minority.

    This is an interesting video on how to improve cholesterol within days.

    https://m.youtube.com/watch?v=jZu52duIqno

    Weight loss results in lower triglycerides alone and improved metabolic markers. And the only universally acknowledged nutrition thing is the fact that fruits and veggies improve metabolic markers and health. Suggesting to cut it out is a bit short sighted.

    I did not recommend that though... I said cut (not elimate) refined carbs and sugars, as well as other grains and sugary fruit. Those are universally thought to negatively affect metabolic markers and health for the typical person ( perhaps with sugary fruit being the exception for some).

    Carbs generaly raise triglycerides and lower HDL in most people. YMMV

    That is fairly ludicrous. You know how many plant based studies suggest otherwise? There are direct links to fruits, veggies and whole grains improving metabolic markers. Even Kevin Halls studies comparing Keto to LF/high sugar saw improvements in triglycerides, insulin, total cholesterol and pretty much every other markers. Don't confuse transient changes for long term effects. There is a reason why high carb societies are the healthiest on this planet. High sugar fruits like pineapple, bananas, apples and more aren't effecting you. Whole grains aren't either. What is is obesity and inactivity. No N=1 observation can ever disprove that. Because if we want, I can throw in my N=1 where my triglycerides went from 220 to 40.

    I was referring the carbs I already mentioned - mainly refined carbs and sugars. I thought I had made it clear which carbs I was talking about.

    And I know that LFHC diets like Ornish can improve markers, but those diets are usually low in refined carbs too. Both LCHF and HCLF seem to work well. Higher fat and higher carb, usually refined carbs, seems like the least healthful choice.

    Even those don't have impacts unless you are gaining weight. They probably arent doing you favors, but its no different than fried fats and baked goods. Singling the carbs is a bit ahort sighted.

    Ultimately, a person should eat a well balanced diet that enables fat loss, followee by exercise. Unsaturated fats, lean proteins and fibrous carbs will have the most improvements.