Higher LDL levels...

Everyonelies

So I went to do some bloodwork today just to make sure everything was ok with this new WOE.

I have lost weight and inches and in August I had some bloodwork done and my LDL levels were at 117. I just saw the results from todays drawings and my LDL is at 143!!!

My HDL is still at 39, my total cholesterol went from 184 to 199 and my chol/HDL from 3.8 to 5.1.

I am a bit worried/disappointed/confused.

Sunny_Bunny_

LDL doesn’t matter. What were your triglycerides? The HDL/trig ratio is more important.
Time to learn about cholesterol and ease you mind.
https://cholesterolcode.com

Everyonelies

@Sunny_Bunny_ That went down from 89 to 86!

nvmomketo

Cholesterol can go up on low carb, and while losing weight. That is not unusual. Inflammation, insulin and crp typically go down and those are very closely linked to cvd. LDL has not been shown to be a cause of cvd, or even to correlate in women.

I would give it time . If your LDL continues to worry you, you might want to check your particle size. Larger is usually better.

A calcium score can also show what your risk of cvd is. Apo b might correlate to cvd too. All correlate much much more than ldl.

Try not to worry on in. . Cholesterol clarity, cholesterol con and Cholesterol myth (might have Great in the title) are good books on the subject.

zanyterp

I may be able to comment on this later this week. I have an unexpected physical on Thursday that looks like it will have labs drawn

cathyL11

I put together this guide for assessing cardiovascular health for my family members. It’s a long post but I hope it helps.
❤️Assessing Cardiovascular Health ❤️

Along with the usual lipid panel and metabolic panel, and thyroid levels, and whatever else is routinely ordered, you should ask your doctor to order the following.


1. CACS - Coronary artery calcium scan this is a CAT scan (ideal score is zero). If calcium is detected you would need to be rechecked at intervals throughout the years to make sure it is not increasing over time). This test will not pick up soft plaque, only calcified plaque, so it may not be warranted in a really young person

2. Carotid artery intimal thickness scan this is an ultrasound to see if there is any build up of plaque in your carotid arteries. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3583351/

3. Fasting INSULIN. (Ideal is < 5 microunits per milliliter). Insulin is measured in “microunits per milliliter” (mcU/ml or mIU/ml).
https://emedicine.medscape.com/article/2089224-overview#1


4. Fasting GLUCOSE ( ideally less than 100 mg/dL) or in other countries besides USA less than 5.5 mmol/L

( the last two results will allow you to Calculate your HOMA-IR score ) The normal HOMA-IR value of a healthy human ranges from 0.5-1.4.
Less than 1.0 means you are insulin-sensitive which is optimal.
Above 1.9 indicates early insulin resistance.

This website has a HOMA-IR calculator and shows you how to convert your international glucose values to US values so that you can calculate your score
https://www.thebloodcode.com/homa-ir-calculator/

5. Hemoglobin A1C. (Preferably between 4% and 5.6% ) this measures your average glucose over the previous 3 months. https://www.webmd.com/diabetes/guide/glycated-hemoglobin-test-hba1c There is a theory that people on a ketogenic diet might have longer living red blood cells which might allow for more accumulation of glucose molecules leading to a slightly higher HbA1c than in the general populace.


6. Triglyceride/HDL ratio: Once you have your lab results back you can calculate your Triglyceride/HDL ratio. (Preferably less than 2). This is much more diagnostic than a raw cholesterol score. Trig/HDL ratio correlates well with insulin resistance
https://www.docsopinion.com/2014/07/17/triglyceride-hdl-ratio/

7. HSCRP. (High Sensitivity C Reactive protein) - a low score indicates absence of cardiovascular inflammation. A high score could also be from a random localised infection so if all of your other values are normal you would expect the HSCRP to be low at subsequent readings) MPO (myeloperoxidase) and Lp-PLA2 are more vascular specific markers of inflammation and useful in some scenarios
8. Calculate MESA score ( Multi Ethnic study of Atherosclerosis) age group 45 -85 https://www.mesa-nhlbi.org/MESACHDRisk/MesaRiskScore/RiskScore.aspx
9. You can calculate your own Waist to Height Ratio ( <.5 if under 50. and <.6 if over 50 ). http://www.healthyweightforum.org/eng/calculators/waist-height-ratio/

rnjenny8599

I am like you. My LDL is nearly 300 right now after a year on keto. I am a hyper responder. my trig are trending down, my A1C is down to normal and I am rolling with it till the weight is lost. Then I will see where I am.

nvmomketo

cathyL11 wrote: »

I put together this guide for assessing cardiovascular health for my family members. It’s a long post but I hope it helps.
❤️Assessing Cardiovascular Health ❤️

Along with the usual lipid panel and metabolic panel, and thyroid levels, and whatever else is routinely ordered, you should ask your doctor to order the following.


1. CACS - Coronary artery calcium scan this is a CAT scan (ideal score is zero). If calcium is detected you would need to be rechecked at intervals throughout the years to make sure it is not increasing over time). This test will not pick up soft plaque, only calcified plaque, so it may not be warranted in a really young person

2. Carotid artery intimal thickness scan this is an ultrasound to see if there is any build up of plaque in your carotid arteries. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3583351/

3. Fasting INSULIN. (Ideal is < 5 microunits per milliliter). Insulin is measured in “microunits per milliliter” (mcU/ml or mIU/ml).
https://emedicine.medscape.com/article/2089224-overview#1


4. Fasting GLUCOSE ( ideally less than 100 mg/dL) or in other countries besides USA less than 5.5 mmol/L

( the last two results will allow you to Calculate your HOMA-IR score ) The normal HOMA-IR value of a healthy human ranges from 0.5-1.4.
Less than 1.0 means you are insulin-sensitive which is optimal.
Above 1.9 indicates early insulin resistance.

This website has a HOMA-IR calculator and shows you how to convert your international glucose values to US values so that you can calculate your score
https://www.thebloodcode.com/homa-ir-calculator/

5. Hemoglobin A1C. (Preferably between 4% and 5.6% ) this measures your average glucose over the previous 3 months. https://www.webmd.com/diabetes/guide/glycated-hemoglobin-test-hba1c There is a theory that people on a ketogenic diet might have longer living red blood cells which might allow for more accumulation of glucose molecules leading to a slightly higher HbA1c than in the general populace.


6. Triglyceride/HDL ratio: Once you have your lab results back you can calculate your Triglyceride/HDL ratio. (Preferably less than 2). This is much more diagnostic than a raw cholesterol score. Trig/HDL ratio correlates well with insulin resistance
https://www.docsopinion.com/2014/07/17/triglyceride-hdl-ratio/

7. HSCRP. (High Sensitivity C Reactive protein) - a low score indicates absence of cardiovascular inflammation. A high score could also be from a random localised infection so if all of your other values are normal you would expect the HSCRP to be low at subsequent readings) MPO (myeloperoxidase) and Lp-PLA2 are more vascular specific markers of inflammation and useful in some scenarios

8. Calculate MESA score ( Multi Ethnic study of Atherosclerosis) age group 45 -85 https://www.mesa-nhlbi.org/MESACHDRisk/MesaRiskScore/RiskScore.aspx

9. You can calculate your own Waist to Height Ratio ( <.5 if under
52. and <.6 if over 50 ). http://www.healthyweightforum.org/eng/calculators/waist-height-ratio/

This is very well done!