My endocrinologist told me that if my TSH wasn't below a 2 (pretty much any adult should be here, he said), I needed to increase my medication. High Trighs, especiall when HDL and LDL are decent is a HUGE sign of thyroid dysfunction. If your doctor doesn't want to increase your Levothy and/or add T3 meds to your regime, I would find a new doctor or get a referral to an endocrinologist. I found that hard edged keto was very bad for my thyroid condition, possibly due solely to nutritional deficiencies. I'm not sure, but I'm about to retest the theory after an appointment at the end of the month. The D deficiency can also indicate significant thyroid issues.

I don't know about you personally, but having a TSH that high - it's happened to me twice now - but I felt like total crap when it was that high.

The Vitamin D tests - if you are not taking D3 with K2 (Life Extension and Jarrow both have good feedback), then you won't absorb it well. I got my numbers up from the 20's to over 100 (and I'm not working to get it back to the 80-100 range to prevent toxicity. I use a combination of liquid D3 and various capsule types, in conjunction with the K2 (and also included the rest of the cellular retention regime - magnesium, potassium, boron, zinc, etc.), and occasional daylight lamp therapy - and my numbers are now good... But the biggest thing there is to make sure you get 100 mcg of K2 (M7 form) for every 10,000 IU of D3 you're taking.

I absolutely would not do the statin unless you have a had a heart attack or surgeries yourself. Check out Cholesterol Clarity by Jimmy Moore and Dr. Eric Westman.

Carbs are what increase Trigs - as well as thyroid dysfunction, so I'd drop that toast and candy like a brick, but I think getting that thyroid handled, combined with your low carb dietary plan (try a substitute or high fiber/low carb bread choice like soul bread or Joseph's Lavash Wraps/Pitas, etc.) - is probably the most important part of this puzzle.

And absolutely, I would fast before your next round of labs. I would probably tell your doctor if questioned about the statins that you are working to modify your diet before getting on long term medication, and you'd like to retest in 6 months. Also, if he pushes the statin and you elect to take one, I would run screaming for Lipitor and request another option. It has really bad reviews and can cause permanent health side effects, particularly for women.

Good luck @angel381 - please let me know if you have more questions.

I have hypothyroidism and D deficiency as well as a few other conditions, so I hope some of this helps.

My thyroid dosage has been increased about every 6 months, even with being low carb for the majority of the past two years - so if yours has not be adjusted at all, I'd look into it. I think I started at 75 mg of Levothyroxine, and I'm up to 122 mg now, but 6-7 months ago we added Liothyronine (T3) medication, and have increased that dosage twice now to space it out, as it has a really short half-life... I'm finally feeling back to as normal of me as I ever remember feeling as an adult.

I always do it fasted. Also remember that broken down fat also releases cholesterol into the bloodstream, which your body will take care of. Once you start getting into maintenance, get another test done and see if the results haven't yet normalized. It may mean you're just a fat burnin', butter churnin' machine! I'm no doctor, but there is sound research backing that up! I think you're fine though! KCKO! http://www.wheatbellyblog.com/2012/06/i-lost-weight-and-my-cholesterol-went-up/

Remember, too, that cholesterol tests are only a snapshot. For a true picture, you'd need several tests to average out.