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Cholesterol
Replies
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No matter my weight, my LDL is largely unchanged. At 220lbs , it was 120. At 173 lbs, it was 99. Both of my parents have high LDLs. But heart disease doesn't run in my family. But what did happen when I lost weight and start exercising (while eating 250 -300g of carbs a day) was my tryglicerides went from 220 to 40, my HDL's double, and my non LDL cholesterol ratio was in good range. Additionally, my A1C is 4.3 and no inflammation.
Sometimes genetics > everything else. In generally, exercising and weight loss will provide the biggest impact.
Although, I am experimenting this year with increasing seafood consumption to see if that has any impact.6 -
Roadie2000 wrote: »My most recent blood work revealed my LDL was high, my Triglycerides were high, and my LDL/HDL ratio was 5.1. My doctor told me I should cut down on high cholesterol foods like red meat. I did that for a while and wanted to lose some weight, so I thought I'd try the keto diet for a while. Shortly into that I realized that most of the foods I was eating had a lot of cholesterol, so maybe the keto diet wasn't for me.
After doing a little research I realized there is an overwhelming amount of information on cholesterol, and some of it contradicts what I've always been lead to believe.
Some say the keto diet is actually good for your cholesterol. Some studies say there's actually no connection to heart disease. Some say it's mainly genetic and has little to do with what you eat.
Can anyone "explain it like I'm 5" how to be healthy with my cholesterol? I already exercise plenty, don't smoke, rarely drink, try to avoid red meat, fried foods, and trans fats, and I'm losing weight but my levels are still bad. I don't plan on doing keto ever again, it wasn't for me, but are eggs okay? I get a lot of mixed messages. And what should I try to eat more of to lower it? Does it matter?
Moderation and variety is the answer. If your cholesterol is really that high, for sure your Dr prescribed you some statin drugs. How long were you in keto diet? Probably your fats has build up and you need time to get rid of it.
Eat variety of food and don't shy away from carbs. Do a day without meat like meatless Monday. If you eay meat, choose lean meat, chicken breast, pork loin and fish. Eat beef only maybe once a month. If you can help it, don't fry, use oven on your meat.
I'm not a big believer of keto. I think it's a fad diet. First of all our body needs carbs, protein, and a lil bit of fat. Actually, brain like to function using energy from carbs and starches. Keto diet makes body do extra work to convert fat into something so the brain can absorb it. Although, for some reason Keto diet is benificial to people with epilepsy. Keto would only work if you get your fats from good fat sources like avocado and fish.8 -
In addition, maybe you should ask your Dr to refer you to a legit dietician. They will for sure help you with some meal plans.0
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Daisy_Girl2019 wrote: »Roadie2000 wrote: »My most recent blood work revealed my LDL was high, my Triglycerides were high, and my LDL/HDL ratio was 5.1. My doctor told me I should cut down on high cholesterol foods like red meat. I did that for a while and wanted to lose some weight, so I thought I'd try the keto diet for a while. Shortly into that I realized that most of the foods I was eating had a lot of cholesterol, so maybe the keto diet wasn't for me.
After doing a little research I realized there is an overwhelming amount of information on cholesterol, and some of it contradicts what I've always been lead to believe.
Some say the keto diet is actually good for your cholesterol. Some studies say there's actually no connection to heart disease. Some say it's mainly genetic and has little to do with what you eat.
Can anyone "explain it like I'm 5" how to be healthy with my cholesterol? I already exercise plenty, don't smoke, rarely drink, try to avoid red meat, fried foods, and trans fats, and I'm losing weight but my levels are still bad. I don't plan on doing keto ever again, it wasn't for me, but are eggs okay? I get a lot of mixed messages. And what should I try to eat more of to lower it? Does it matter?
Moderation and variety is the answer. If your cholesterol is really that high, for sure your Dr prescribed you some statin drugs. How long were you in keto diet? Probably your fats has build up and you need time to get rid of it.
Eat variety of food and don't shy away from carbs. Do a day without meat like meatless Monday. If you eay meat, choose lean meat, chicken breast, pork loin and fish. Eat beef only maybe once a month. If you can help it, don't fry, use oven on your meat.
I'm not a big believer of keto. I think it's a fad diet. First of all our body needs carbs, protein, and a lil bit of fat. Actually, brain like to function using energy from carbs and starches. Keto diet makes body do extra work to convert fat into something so the brain can absorb it. Although, for some reason Keto diet is benificial to people with epilepsy. Keto would only work if you get your fats from good fat sources like avocado and fish.
Statin drugs have some pretty significant side effects for some people, and many doctors now try to give their patients time to try to lower cholesterol with diet and exercise before going the statin route. High cholesterol isn't necessarily an emergency situation, so rushing someone onto a prescription drug before attempting lifestyle change isn't necessary.
Current research suggests that fat and cholesterol in your diet does not directly affect your blood cholesterol level, unless you are in the minority with a specific health condition. A lot of the research now is changing, which is fascinating but unfortunately means there's some disagreement on what course is best for each individual.3 -
This new study showed ldl did not change on a lchf diet, but triglycerides and help tend to improve.
Effects of carbohydrate-restricted diets on low-density lipoprotein cholesterol levels in overweight and obese adults: a systematic review and meta-analysis
Results
Carbohydrate-restricted diets showed no significant difference in low-density lipoprotein cholesterol after 6, 12, and 24 months. Although an overall pooled analysis statistically favored low-fat diets (0.07 mmol/L; 95% confidence interval [CI], 0.02–0.13; P = 0.009], this was clinically insignificant. High-density lipoprotein cholesterol and plasma triglycerides at 6 and 12 months favored carbohydrate-restricted diets (0.08 mmol/L; 95%CI, 0.06–0.11; P < 1 × 10−5 and −0.13 mmol/L; 95%CI, −0.19 to −0.08; P < 1 × 10−5, respectively). These favorable changes were more marked in the subgroup with very-low carbohydrate content (< 50 g/d; 0.12 mmol/L; 95%CI, 0.10–0.14; P < 1 × 10−5and −0.19 mmol/L; 95%CI, −0.26 to −0.12; P = 0.02, respectively).
https://academic.oup.com/nutritionreviews/article-abstract/77/3/161/5241079?redirectedFrom
Wouldn't these results also be due to the subjects losing weight which would inevitably improve their cholesterol panel?5 -
This new study showed ldl did not change on a lchf diet, but triglycerides and help tend to improve.
Effects of carbohydrate-restricted diets on low-density lipoprotein cholesterol levels in overweight and obese adults: a systematic review and meta-analysis
Results
Carbohydrate-restricted diets showed no significant difference in low-density lipoprotein cholesterol after 6, 12, and 24 months. Although an overall pooled analysis statistically favored low-fat diets (0.07 mmol/L; 95% confidence interval [CI], 0.02–0.13; P = 0.009], this was clinically insignificant. High-density lipoprotein cholesterol and plasma triglycerides at 6 and 12 months favored carbohydrate-restricted diets (0.08 mmol/L; 95%CI, 0.06–0.11; P < 1 × 10−5 and −0.13 mmol/L; 95%CI, −0.19 to −0.08; P < 1 × 10−5, respectively). These favorable changes were more marked in the subgroup with very-low carbohydrate content (< 50 g/d; 0.12 mmol/L; 95%CI, 0.10–0.14; P < 1 × 10−5and −0.19 mmol/L; 95%CI, −0.26 to −0.12; P = 0.02, respectively).
https://academic.oup.com/nutritionreviews/article-abstract/77/3/161/5241079?redirectedFrom
Wouldn't these results also be due to the subjects losing weight which would inevitably improve their cholesterol panel?
That is the problem with low carb diets: people tend to lose weight on them.
Weight loss does tend to raise ldl and triglycerides while it is happening though. That did not happen here.4 -
This new study showed ldl did not change on a lchf diet, but triglycerides and help tend to improve.
Effects of carbohydrate-restricted diets on low-density lipoprotein cholesterol levels in overweight and obese adults: a systematic review and meta-analysis
Results
Carbohydrate-restricted diets showed no significant difference in low-density lipoprotein cholesterol after 6, 12, and 24 months. Although an overall pooled analysis statistically favored low-fat diets (0.07 mmol/L; 95% confidence interval [CI], 0.02–0.13; P = 0.009], this was clinically insignificant. High-density lipoprotein cholesterol and plasma triglycerides at 6 and 12 months favored carbohydrate-restricted diets (0.08 mmol/L; 95%CI, 0.06–0.11; P < 1 × 10−5 and −0.13 mmol/L; 95%CI, −0.19 to −0.08; P < 1 × 10−5, respectively). These favorable changes were more marked in the subgroup with very-low carbohydrate content (< 50 g/d; 0.12 mmol/L; 95%CI, 0.10–0.14; P < 1 × 10−5and −0.19 mmol/L; 95%CI, −0.26 to −0.12; P = 0.02, respectively).
https://academic.oup.com/nutritionreviews/article-abstract/77/3/161/5241079?redirectedFrom
Wouldn't these results also be due to the subjects losing weight which would inevitably improve their cholesterol panel?
That is the problem with low carb diets: people tend to lose weight on them.
Weight loss does tend to raise ldl and triglycerides while it is happening though. That did not happen here.
*when eating at a caloric deficit. Thats a necessary part of the equation that you always seem to leave out.9 -
This new study showed ldl did not change on a lchf diet, but triglycerides and help tend to improve.
Effects of carbohydrate-restricted diets on low-density lipoprotein cholesterol levels in overweight and obese adults: a systematic review and meta-analysis
Results
Carbohydrate-restricted diets showed no significant difference in low-density lipoprotein cholesterol after 6, 12, and 24 months. Although an overall pooled analysis statistically favored low-fat diets (0.07 mmol/L; 95% confidence interval [CI], 0.02–0.13; P = 0.009], this was clinically insignificant. High-density lipoprotein cholesterol and plasma triglycerides at 6 and 12 months favored carbohydrate-restricted diets (0.08 mmol/L; 95%CI, 0.06–0.11; P < 1 × 10−5 and −0.13 mmol/L; 95%CI, −0.19 to −0.08; P < 1 × 10−5, respectively). These favorable changes were more marked in the subgroup with very-low carbohydrate content (< 50 g/d; 0.12 mmol/L; 95%CI, 0.10–0.14; P < 1 × 10−5and −0.19 mmol/L; 95%CI, −0.26 to −0.12; P = 0.02, respectively).
https://academic.oup.com/nutritionreviews/article-abstract/77/3/161/5241079?redirectedFrom
Wouldn't these results also be due to the subjects losing weight which would inevitably improve their cholesterol panel?
That is the problem with low carb diets: people tend to lose weight on them.
Weight loss does tend to raise ldl and triglycerides while it is happening though. That did not happen here.
Please explain this theory.
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This new study showed ldl did not change on a lchf diet, but triglycerides and help tend to improve.
Effects of carbohydrate-restricted diets on low-density lipoprotein cholesterol levels in overweight and obese adults: a systematic review and meta-analysis
Results
Carbohydrate-restricted diets showed no significant difference in low-density lipoprotein cholesterol after 6, 12, and 24 months. Although an overall pooled analysis statistically favored low-fat diets (0.07 mmol/L; 95% confidence interval [CI], 0.02–0.13; P = 0.009], this was clinically insignificant. High-density lipoprotein cholesterol and plasma triglycerides at 6 and 12 months favored carbohydrate-restricted diets (0.08 mmol/L; 95%CI, 0.06–0.11; P < 1 × 10−5 and −0.13 mmol/L; 95%CI, −0.19 to −0.08; P < 1 × 10−5, respectively). These favorable changes were more marked in the subgroup with very-low carbohydrate content (< 50 g/d; 0.12 mmol/L; 95%CI, 0.10–0.14; P < 1 × 10−5and −0.19 mmol/L; 95%CI, −0.26 to −0.12; P = 0.02, respectively).
https://academic.oup.com/nutritionreviews/article-abstract/77/3/161/5241079?redirectedFrom
Wouldn't these results also be due to the subjects losing weight which would inevitably improve their cholesterol panel?
That is the problem with low carb diets: people tend to lose weight on them.
Weight loss does tend to raise ldl and triglycerides while it is happening though. That did not happen here.
*when eating at a caloric deficit. Thats a necessary part of the equation that you always seem to leave out.
I must include a calorie deficit when I discuss any weight loss? Why? It would be like discussing gravity every time someone does a weigh in.
Of course a calorie deficit is needed for weight loss. I have never claimed otherwise. I've said it many many times.
4 -
This new study showed ldl did not change on a lchf diet, but triglycerides and help tend to improve.
Effects of carbohydrate-restricted diets on low-density lipoprotein cholesterol levels in overweight and obese adults: a systematic review and meta-analysis
Results
Carbohydrate-restricted diets showed no significant difference in low-density lipoprotein cholesterol after 6, 12, and 24 months. Although an overall pooled analysis statistically favored low-fat diets (0.07 mmol/L; 95% confidence interval [CI], 0.02–0.13; P = 0.009], this was clinically insignificant. High-density lipoprotein cholesterol and plasma triglycerides at 6 and 12 months favored carbohydrate-restricted diets (0.08 mmol/L; 95%CI, 0.06–0.11; P < 1 × 10−5 and −0.13 mmol/L; 95%CI, −0.19 to −0.08; P < 1 × 10−5, respectively). These favorable changes were more marked in the subgroup with very-low carbohydrate content (< 50 g/d; 0.12 mmol/L; 95%CI, 0.10–0.14; P < 1 × 10−5and −0.19 mmol/L; 95%CI, −0.26 to −0.12; P = 0.02, respectively).
https://academic.oup.com/nutritionreviews/article-abstract/77/3/161/5241079?redirectedFrom
Wouldn't these results also be due to the subjects losing weight which would inevitably improve their cholesterol panel?
That is the problem with low carb diets: people tend to lose weight on them.
Weight loss does tend to raise ldl and triglycerides while it is happening though. That did not happen here.
Please explain this theory.
Really simplified: more cholesterol and fat in the blood whenfat is mobilized for energy.
It doesn't always happen, but it is not uncommon.
https://www.ncbi.nlm.nih.gov/m/pubmed/2035468/1 -
This new study showed ldl did not change on a lchf diet, but triglycerides and help tend to improve.
Effects of carbohydrate-restricted diets on low-density lipoprotein cholesterol levels in overweight and obese adults: a systematic review and meta-analysis
Results
Carbohydrate-restricted diets showed no significant difference in low-density lipoprotein cholesterol after 6, 12, and 24 months. Although an overall pooled analysis statistically favored low-fat diets (0.07 mmol/L; 95% confidence interval [CI], 0.02–0.13; P = 0.009], this was clinically insignificant. High-density lipoprotein cholesterol and plasma triglycerides at 6 and 12 months favored carbohydrate-restricted diets (0.08 mmol/L; 95%CI, 0.06–0.11; P < 1 × 10−5 and −0.13 mmol/L; 95%CI, −0.19 to −0.08; P < 1 × 10−5, respectively). These favorable changes were more marked in the subgroup with very-low carbohydrate content (< 50 g/d; 0.12 mmol/L; 95%CI, 0.10–0.14; P < 1 × 10−5and −0.19 mmol/L; 95%CI, −0.26 to −0.12; P = 0.02, respectively).
https://academic.oup.com/nutritionreviews/article-abstract/77/3/161/5241079?redirectedFrom
Wouldn't these results also be due to the subjects losing weight which would inevitably improve their cholesterol panel?
That is the problem with low carb diets: people tend to lose weight on them.
Weight loss does tend to raise ldl and triglycerides while it is happening though. That did not happen here.
Interesting. I didn't realize this (this is not push back, just a statement of fact). My n =1 was that LDL went down steadily (146-128-95) during weight loss (balanced macros, not LC), and tris just plummeted (193-126-82). I hadn't occurred to me to ask myself if this was anything but the norm.
Edited: superfluous word2 -
This new study showed ldl did not change on a lchf diet, but triglycerides and help tend to improve.
Effects of carbohydrate-restricted diets on low-density lipoprotein cholesterol levels in overweight and obese adults: a systematic review and meta-analysis
Results
Carbohydrate-restricted diets showed no significant difference in low-density lipoprotein cholesterol after 6, 12, and 24 months. Although an overall pooled analysis statistically favored low-fat diets (0.07 mmol/L; 95% confidence interval [CI], 0.02–0.13; P = 0.009], this was clinically insignificant. High-density lipoprotein cholesterol and plasma triglycerides at 6 and 12 months favored carbohydrate-restricted diets (0.08 mmol/L; 95%CI, 0.06–0.11; P < 1 × 10−5 and −0.13 mmol/L; 95%CI, −0.19 to −0.08; P < 1 × 10−5, respectively). These favorable changes were more marked in the subgroup with very-low carbohydrate content (< 50 g/d; 0.12 mmol/L; 95%CI, 0.10–0.14; P < 1 × 10−5and −0.19 mmol/L; 95%CI, −0.26 to −0.12; P = 0.02, respectively).
https://academic.oup.com/nutritionreviews/article-abstract/77/3/161/5241079?redirectedFrom
Wouldn't these results also be due to the subjects losing weight which would inevitably improve their cholesterol panel?
That is the problem with low carb diets: people tend to lose weight on them.
Weight loss does tend to raise ldl and triglycerides while it is happening though. That did not happen here.
Please explain this theory.
Really simplified: more cholesterol and fat in the blood whenfat is mobilized for energy.
It doesn't always happen, but it is not uncommon.
https://www.ncbi.nlm.nih.gov/m/pubmed/2035468/
This study had 6 individuals which is not a very relevant correlation for the masses. It was also transient hypercholesterolemia which resolved.2 -
This new study showed ldl did not change on a lchf diet, but triglycerides and help tend to improve.
Effects of carbohydrate-restricted diets on low-density lipoprotein cholesterol levels in overweight and obese adults: a systematic review and meta-analysis
Results
Carbohydrate-restricted diets showed no significant difference in low-density lipoprotein cholesterol after 6, 12, and 24 months. Although an overall pooled analysis statistically favored low-fat diets (0.07 mmol/L; 95% confidence interval [CI], 0.02–0.13; P = 0.009], this was clinically insignificant. High-density lipoprotein cholesterol and plasma triglycerides at 6 and 12 months favored carbohydrate-restricted diets (0.08 mmol/L; 95%CI, 0.06–0.11; P < 1 × 10−5 and −0.13 mmol/L; 95%CI, −0.19 to −0.08; P < 1 × 10−5, respectively). These favorable changes were more marked in the subgroup with very-low carbohydrate content (< 50 g/d; 0.12 mmol/L; 95%CI, 0.10–0.14; P < 1 × 10−5and −0.19 mmol/L; 95%CI, −0.26 to −0.12; P = 0.02, respectively).
https://academic.oup.com/nutritionreviews/article-abstract/77/3/161/5241079?redirectedFrom
Wouldn't these results also be due to the subjects losing weight which would inevitably improve their cholesterol panel?
That is the problem with low carb diets: people tend to lose weight on them.
Weight loss does tend to raise ldl and triglycerides while it is happening though. That did not happen here.
Please explain this theory.
Really simplified: more cholesterol and fat in the blood whenfat is mobilized for energy.
It doesn't always happen, but it is not uncommon.
https://www.ncbi.nlm.nih.gov/m/pubmed/2035468/
This study had 6 individuals which is not a very relevant correlation for the masses. It was also transient hypercholesterolemia which resolved.
It does resolve in all cases when weight loss stops.
As I said, it does not happen to everybody.
This isnt a newly discovered phenomenon. There is a lot more out there on it.2 -
This new study showed ldl did not change on a lchf diet, but triglycerides and help tend to improve.
Effects of carbohydrate-restricted diets on low-density lipoprotein cholesterol levels in overweight and obese adults: a systematic review and meta-analysis
Results
Carbohydrate-restricted diets showed no significant difference in low-density lipoprotein cholesterol after 6, 12, and 24 months. Although an overall pooled analysis statistically favored low-fat diets (0.07 mmol/L; 95% confidence interval [CI], 0.02–0.13; P = 0.009], this was clinically insignificant. High-density lipoprotein cholesterol and plasma triglycerides at 6 and 12 months favored carbohydrate-restricted diets (0.08 mmol/L; 95%CI, 0.06–0.11; P < 1 × 10−5 and −0.13 mmol/L; 95%CI, −0.19 to −0.08; P < 1 × 10−5, respectively). These favorable changes were more marked in the subgroup with very-low carbohydrate content (< 50 g/d; 0.12 mmol/L; 95%CI, 0.10–0.14; P < 1 × 10−5and −0.19 mmol/L; 95%CI, −0.26 to −0.12; P = 0.02, respectively).
https://academic.oup.com/nutritionreviews/article-abstract/77/3/161/5241079?redirectedFrom
Wouldn't these results also be due to the subjects losing weight which would inevitably improve their cholesterol panel?
That is the problem with low carb diets: people tend to lose weight on them.
Weight loss does tend to raise ldl and triglycerides while it is happening though. That did not happen here.
Please explain this theory.
Really simplified: more cholesterol and fat in the blood whenfat is mobilized for energy.
It doesn't always happen, but it is not uncommon.
https://www.ncbi.nlm.nih.gov/m/pubmed/2035468/
6 women on a VLCD had an initial lowering of total cholesterol for 1 to 2 months followed by 5 months of a higher total cholesterol, and ultimately lowered cholesterol at maintenance.
I mean I suppose this shows sometimes cholesterol raises with weight loss, but being a VLCD, I'm not sure if it is demonstrating it is an effect of weight loss over a low carb diet. It would be nice to have the full study to see the VLCD composition.
I would have taken it as typically the case that weight loss just plain sees a drop in LDL for overweight and obese subject.2 -
Vlcd is a very low calorie diet. I have no idea if the diet was low carb1
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Vlcd is a very low calorie diet. I have no idea if the diet was low carb
Yeah... I know what VLCD means. You have no idea if it was low carb? You understand low calories basically means low macros too, right? A lot of VLCDs would end up being low carb and low fat too just by virtue of the calories available.5 -
magnusthenerd wrote: »Vlcd is a very low calorie diet. I have no idea if the diet was low carb
Yeah... I know what VLCD means. You have no idea if it was low carb? You understand low calories basically means low macros too, right? A lot of VLCDs would end up being low carb and low fat too just by virtue of the calories available.
Yes. Possibly low protein too.
And yes, I realize that cutting carbs will reduce macro totals...1 -
This new study showed ldl did not change on a lchf diet, but triglycerides and help tend to improve.
Effects of carbohydrate-restricted diets on low-density lipoprotein cholesterol levels in overweight and obese adults: a systematic review and meta-analysis
Results
Carbohydrate-restricted diets showed no significant difference in low-density lipoprotein cholesterol after 6, 12, and 24 months. Although an overall pooled analysis statistically favored low-fat diets (0.07 mmol/L; 95% confidence interval [CI], 0.02–0.13; P = 0.009], this was clinically insignificant. High-density lipoprotein cholesterol and plasma triglycerides at 6 and 12 months favored carbohydrate-restricted diets (0.08 mmol/L; 95%CI, 0.06–0.11; P < 1 × 10−5 and −0.13 mmol/L; 95%CI, −0.19 to −0.08; P < 1 × 10−5, respectively). These favorable changes were more marked in the subgroup with very-low carbohydrate content (< 50 g/d; 0.12 mmol/L; 95%CI, 0.10–0.14; P < 1 × 10−5and −0.19 mmol/L; 95%CI, −0.26 to −0.12; P = 0.02, respectively).
https://academic.oup.com/nutritionreviews/article-abstract/77/3/161/5241079?redirectedFrom
Wouldn't these results also be due to the subjects losing weight which would inevitably improve their cholesterol panel?
That is the problem with low carb diets: people tend to lose weight on them.
Weight loss does tend to raise ldl and triglycerides while it is happening though. That did not happen here.
*when eating at a caloric deficit. Thats a necessary part of the equation that you always seem to leave out.
I must include a calorie deficit when I discuss any weight loss? Why? It would be like discussing gravity every time someone does a weigh in.
Of course a calorie deficit is needed for weight loss. I have never claimed otherwise. I've said it many many times.
In the context of your original statement, I definitely think it should have been mentioned. Otherwise it infers that the lack of carbs is responsible for the weight loss when in reality it is the lack of excess calories.
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