Keto diet
ivasmom2011
Posts: 41 Member
So I'm on the keto diet, I have been on this diet sense January 15th. January 15th I was 205 today February 7th 188!! I get to eat my favorite foods and all of that jazz, my question is anyone on this way of eating do lab results? If What was the outcome?
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Replies
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I don't have an answer to your question, but I'm on week 3 and I've failed every week. How many calories are you taking in? I keep going over and I'm bloated. Any advise?2
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On the main page, you can look under this link:
http://community.myfitnesspal.com/en/discussion/10423197/open-threads-member-threads-on-low-carb-topics#latest
You will see a list of threads about lots of topics including some about labs.
One thing you can expect from changing to this WOE is triglycerides (the most dangerous part of cholesterol) will almost always go down and HDL (good cholesterol) will almost always go up. LDL (frequently called bad cholesterol, but you will learn in some of those threads that newer research disputes painting it with a broad brush) may go up, down or stay flat.
BG (blood glucose) will almost always go down which is a good thing. Insulin will almost always go down (also a good thing as insulin is required to store and retain fat).3 -
MrsReta101 wrote: »I don't have an answer to your question, but I'm on week 3 and I've failed every week. How many calories are you taking in? I keep going over and I'm bloated. Any advise?
Have you read what is in the launch pad?
http://community.myfitnesspal.com/en/discussion/10103966/start-here-the-lcd-launch-pad#latest3 -
I'll have blood work done again in like April/May so I'm excited to see how that looks. I do know that keto has lowered my blood pressure though. So, that's a win!1
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I had blood drawn yesterday and I am eagerly awaiting the results... my last results (from July) were the best results that I have had in my adult life! As soon as I have the results, I will post them for folks here.1
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MrsReta101 wrote: »I don't have an answer to your question, but I'm on week 3 and I've failed every week. How many calories are you taking in? I keep going over and I'm bloated. Any advise?
I would forget about calories right now and concentrate on finding your macro's where you feel full. Get enough protein in, fat to satiety and you'll have this life style down to a T. It takes some time getting used to keto and getting your head around everything you can eat vs what you cannot.
What does a normal day look like for you, food wise?
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soechsner09 wrote: »I'll have blood work done again in like April/May so I'm excited to see how that looks. I do know that keto has lowered my blood pressure though. So, that's a win!I had blood drawn yesterday and I am eagerly awaiting the results... my last results (from July) were the best results that I have had in my adult life! As soon as I have the results, I will post them for folks here.ivasmom2011 wrote: »So I'm on the keto diet, I have been on this diet sense January 15th. January 15th I was 205 today February 7th 188!! I get to eat my favorite foods and all of that jazz, my question is anyone on this way of eating do lab results? If What was the outcome?
In addition to what @cstehansen has posted, I'd just note that preliminary lipid tests (while you're still in weight-loss mode) may not be a very good reflection of where your values will settle after you've reached your target weight and have held it stable for a couple of months.
So.... I keep an eye on as many lipids as I can get my doctors to order tests for, but I'm not going to change much until I hit maintenance mode.
(I believe this is reflected in the LCD LaunchPad - see ref above - but if I find a specific cite, I'll post it.)1 -
MrsReta101 wrote: »I don't have an answer to your question, but I'm on week 3 and I've failed every week. How many calories are you taking in? I keep going over and I'm bloated. Any advise?
Well keto isn't really about calories it's about consuming more fat than your protein and carbs combined in grams. I consume about 1200 - 1900 calories a day at times. My protein is usually at 60 - 70 grams my carbs are under 20 grams and my fats are about 90 to 1152 -
soechsner09 wrote: »I'll have blood work done again in like April/May so I'm excited to see how that looks. I do know that keto has lowered my blood pressure though. So, that's a win!
I've checked my blood sugar levels in the morning after a fast and it was about 99 which is okay I guess but I was thinking it should be lower. Whenever you get your blood results can you post if they are better on here?2 -
I had blood drawn yesterday and I am eagerly awaiting the results... my last results (from July) were the best results that I have had in my adult life! As soon as I have the results, I will post them for folks here.
That's excellent how long have you been on keto? And yes please definitely post them0 -
I've been doing LCHF since April of last year. I went keto in September and have been pure carnivore for the last month.1
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ivasmom2011 wrote: »MrsReta101 wrote: »I don't have an answer to your question, but I'm on week 3 and I've failed every week. How many calories are you taking in? I keep going over and I'm bloated. Any advise?
Well keto isn't really about calories it's about consuming more fat than your protein and carbs combined in grams. I consume about 1200 - 1900 calories a day at times. My protein is usually at 60 - 70 grams my carbs are under 20 grams and my fats are about 90 to 115
It's really more about eating low enough carbs to force your body to make its own glucose which puts you into ketosis.
Weather or not your dietary protein plus carb grams are higher or lower than your fat grams is irrelevant. The body fat used for energy is also a factor in the total fat grams used for energy.
If I ate 90g protein, 25g carbs equaling 115g but only ate 90g fat, I'd still be in ketosis because my body will be forced to make its own glucose. The rest of my energy would come from bodyfat and that's what puts the fat grams over.4 -
Sunny_Bunny_ wrote: »ivasmom2011 wrote: »MrsReta101 wrote: »I don't have an answer to your question, but I'm on week 3 and I've failed every week. How many calories are you taking in? I keep going over and I'm bloated. Any advise?
Well keto isn't really about calories it's about consuming more fat than your protein and carbs combined in grams. I consume about 1200 - 1900 calories a day at times. My protein is usually at 60 - 70 grams my carbs are under 20 grams and my fats are about 90 to 115
It's really more about eating low enough carbs to force your body to make its own glucose which puts you into ketosis.
Weather or not your dietary protein plus carb grams are higher or lower than your fat grams is irrelevant. The body fat used for energy is also a factor in the total fat grams used for energy.
If I ate 90g protein, 25g carbs equaling 115g but only ate 90g fat, I'd still be in ketosis because my body will be forced to make its own glucose. The rest of my energy would come from bodyfat and that's what puts the fat grams over.
Combined it's the goal/point in keto. What you stated is Also included.0 -
Sunny_Bunny_ wrote: »ivasmom2011 wrote: »MrsReta101 wrote: »I don't have an answer to your question, but I'm on week 3 and I've failed every week. How many calories are you taking in? I keep going over and I'm bloated. Any advise?
Well keto isn't really about calories it's about consuming more fat than your protein and carbs combined in grams. I consume about 1200 - 1900 calories a day at times. My protein is usually at 60 - 70 grams my carbs are under 20 grams and my fats are about 90 to 115
It's really more about eating low enough carbs to force your body to make its own glucose which puts you into ketosis.
Weather or not your dietary protein plus carb grams are higher or lower than your fat grams is irrelevant. The body fat used for energy is also a factor in the total fat grams used for energy.
If I ate 90g protein, 25g carbs equaling 115g but only ate 90g fat, I'd still be in ketosis because my body will be forced to make its own glucose. The rest of my energy would come from bodyfat and that's what puts the fat grams over.
Yep, that sounds on target.
Phinney & Volek discourage using proportions to evaluate your macros.
Rather, the trick is to figure out just how low you need to go with your net carbs, at this point in your life, in order to induce ketosis (and, if you're diabetic, to keep your protein within your target range - in grams - in order to avoid having excess protein converted to blood glucose).
"Fat to satiety" pretty much dispels the idea that you need to hit any magic minimum, maximum or ratio to stay in ketosis.3 -
ivasmom2011 wrote: »So I'm on the keto diet, I have been on this diet sense January 15th. January 15th I was 205 today February 7th 188!! I get to eat my favorite foods and all of that jazz, my question is anyone on this way of eating do lab results? If What was the outcome?
In response to the initial question, I would recommend reading this thread and the link in it prior to labs so you can have a better perspective on the results:
http://community.myfitnesspal.com/en/discussion/10513958/better-way-to-look-at-risk-based-on-labs#latest
If you want more in depth on my labs and several other people who have responded with theirs, you may want to look at this thread:
http://community.myfitnesspal.com/en/discussion/10490291/interesting-dr-follow-up-with-lchf-friendly-doc-for-t2#latest
Additionally, here are a few sites regarding blood lipids I found helpful:
http://wholehealthsource.blogspot.com/2011/01/does-dietary-saturated-fat-increase.html
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2824152/
http://www.myhealthwire.com/news/breakthroughs/859
https://www.ncbi.nlm.nih.gov/pubmedhealth/behindtheheadlines/news/2016-06-13-study-says-theres-no-link-between-cholesterol-and-heart-disease/
The info is confusing at best. What is clear is a) the link between diet and cholesterol can't be shown except for a small segment of the population which has some type of genetic pre-disposition. Even Ansel Keys, the man who first initiated this hypothesis later recanted, b) the link between cholesterol and heart disease and other diseases is not as cut and dry as is commonly believed. Many of the numbers need to be broken down further such as there are multiple types of LDL and multiple types of HDL as well as L(p)a which seems to be a larger factor than either of them and triglycerides which, although generally reported in labs, doesn't seem to get the attention it should given the detrimental effects it has on damaging artery walls.2 -
I've checked my blood sugar levels in the morning after a fast and it was about 99 which is okay I guess but I was thinking it should be lower. Whenever you get your blood results can you post if they are better on here?[/quote]
FBS (fasting blood sugars) is more gradual - from what i understand it take a bit of time for that to go down. If you are diabetic i would focus on how low you go 2 hours after meals.
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I've checked my blood sugar levels in the morning after a fast and it was about 99 which is okay I guess but I was thinking it should be lower. Whenever you get your blood results can you post if they are better on here?
FBS (fasting blood sugars) is more gradual - from what i understand it take a bit of time for that to go down. If you are diabetic i would focus on how low you go 2 hours after meals.
If you're diabetic, you might want to check before, 60, 90, and 120 minutes after you start eating - there are distinct patterns of hyperglycemia and hyperinsulinemia, and if you wait till 2 hours after you've finished, you may miss a significant, earlier spike (as in my case ).
Great tips on checking and managing blood glucose at http://www.chriskresser.com.0 -
I had blood work done this past Saturday. My cholesterol (good and bad) are absolutely perfect and everything else is right on point. I go for blood work quiet often because of some health issues and this was probably the best one I have had yet. Was so pleasantly surprised. Gives me some actual "proof" to show people3
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ivasmom2011 wrote: »soechsner09 wrote: »I'll have blood work done again in like April/May so I'm excited to see how that looks. I do know that keto has lowered my blood pressure though. So, that's a win!
I've checked my blood sugar levels in the morning after a fast and it was about 99 which is okay I guess but I was thinking it should be lower. Whenever you get your blood results can you post if they are better on here?
Keto has helped my normalize all of my BG except FBG. My FBG was great while I was losing but once I stopped it jumped back up to prediabetic numbers. It is usually my highest number of the entire day, including after meals.
So, overall my BG is way down. LCHF helped me hugely with that.1 -
ivasmom2011 wrote: »I've checked my blood sugar levels in the morning after a fast and it was about 99 which is okay I guess but I was thinking it should be lower. Whenever you get your blood results can you post if they are better on here?
My blood pressure was lowered ... blood sugar for me hasn't really been a huge issue, though I haven't really tested recently. There was a time I was testing regularly, and it always fell in normal ranges. But, yes I can certainly share my results when I get blood work done again.
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cstehansen wrote: »ivasmom2011 wrote: »So I'm on the keto diet, I have been on this diet sense January 15th. January 15th I was 205 today February 7th 188!! I get to eat my favorite foods and all of that jazz, my question is anyone on this way of eating do lab results? If What was the outcome?
In response to the initial question, I would recommend reading this thread and the link in it prior to labs so you can have a better perspective on the results:
http://community.myfitnesspal.com/en/discussion/10513958/better-way-to-look-at-risk-based-on-labs#latest
If you want more in depth on my labs and several other people who have responded with theirs, you may want to look at this thread:
http://community.myfitnesspal.com/en/discussion/10490291/interesting-dr-follow-up-with-lchf-friendly-doc-for-t2#latest
Additionally, here are a few sites regarding blood lipids I found helpful:
http://wholehealthsource.blogspot.com/2011/01/does-dietary-saturated-fat-increase.html
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2824152/
http://www.myhealthwire.com/news/breakthroughs/859
https://www.ncbi.nlm.nih.gov/pubmedhealth/behindtheheadlines/news/2016-06-13-study-says-theres-no-link-between-cholesterol-and-heart-disease/
The info is confusing at best. What is clear is a) the link between diet and cholesterol can't be shown except for a small segment of the population which has some type of genetic pre-disposition. Even Ansel Keys, the man who first initiated this hypothesis later recanted, b) the link between cholesterol and heart disease and other diseases is not as cut and dry as is commonly believed. Many of the numbers need to be broken down further such as there are multiple types of LDL and multiple types of HDL as well as L(p)a which seems to be a larger factor than either of them and triglycerides which, although generally reported in labs, doesn't seem to get the attention it should given the detrimental effects it has on damaging artery walls.
Thanks @cstehansen. I'm going to have to add you to molest ... my list (bad spellchecker! ) of folks who should have their own podcasts.
Here's another riddle for you. In addition to other concerns about the usefulness of the standard fasting lipid profile, is the fasting requirement itself causing mischief (apart from the risk of hypoglycemia for certain diabetics)? For example, circ.ahajournals.org/content/131/19/e471 (time to chuck the fasting lipid profile?).
Thanks again for all the info and insights.
@baconslave1 -
ivasmom2011 wrote: »soechsner09 wrote: »I'll have blood work done again in like April/May so I'm excited to see how that looks. I do know that keto has lowered my blood pressure though. So, that's a win!
I've checked my blood sugar levels in the morning after a fast and it was about 99 which is okay I guess but I was thinking it should be lower. Whenever you get your blood results can you post if they are better on here?
Keto has helped my normalize all of my BG except FBG. My FBG was great while I was losing but once I stopped it jumped back up to prediabetic numbers. It is usually my highest number of the entire day, including after meals.
So, overall my BG is way down. LCHF helped me hugely with that.
Have you hooked the full panoply of tricks and bedtime potions to lower your morning FBG?0 -
cstehansen wrote: »ivasmom2011 wrote: »So I'm on the keto diet, I have been on this diet sense January 15th. January 15th I was 205 today February 7th 188!! I get to eat my favorite foods and all of that jazz, my question is anyone on this way of eating do lab results? If What was the outcome?
In response to the initial question, I would recommend reading this thread and the link in it prior to labs so you can have a better perspective on the results:
http://community.myfitnesspal.com/en/discussion/10513958/better-way-to-look-at-risk-based-on-labs#latest
If you want more in depth on my labs and several other people who have responded with theirs, you may want to look at this thread:
http://community.myfitnesspal.com/en/discussion/10490291/interesting-dr-follow-up-with-lchf-friendly-doc-for-t2#latest
Additionally, here are a few sites regarding blood lipids I found helpful:
http://wholehealthsource.blogspot.com/2011/01/does-dietary-saturated-fat-increase.html
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2824152/
http://www.myhealthwire.com/news/breakthroughs/859
https://www.ncbi.nlm.nih.gov/pubmedhealth/behindtheheadlines/news/2016-06-13-study-says-theres-no-link-between-cholesterol-and-heart-disease/
The info is confusing at best. What is clear is a) the link between diet and cholesterol can't be shown except for a small segment of the population which has some type of genetic pre-disposition. Even Ansel Keys, the man who first initiated this hypothesis later recanted, b) the link between cholesterol and heart disease and other diseases is not as cut and dry as is commonly believed. Many of the numbers need to be broken down further such as there are multiple types of LDL and multiple types of HDL as well as L(p)a which seems to be a larger factor than either of them and triglycerides which, although generally reported in labs, doesn't seem to get the attention it should given the detrimental effects it has on damaging artery walls.
Thanks @cstehansen. I'm going to have to add you to molest ... my list (bad spellchecker! ) of folks who should have their own podcasts.
Here's another riddle for you. In addition to other concerns about the usefulness of the standard fasting lipid profile, is the fasting requirement itself causing mischief (apart from the risk of hypoglycemia for certain diabetics)? For example, circ.ahajournals.org/content/131/19/e471 (time to chuck the fasting lipid profile?).
Thanks again for all the info and insights.
@baconslave
Thank you for that article. I am just dumbfounded as I read it. Here these.....uh.....people point out that fasting lowers BG and therefore shouldn't be done for diabetics?!?!?!?!?! Maybe the little 5W bulb should go off over their heads to say, "hey, maybe we should look at fasting and or other changes which would naturally lower BG as a treatment." Too much to ask?
Anyway, I do read too much and listen to too many podcasts and watch too many videos on health topics, so I can't remember who it was that said he no longer took fasting lipid measurements. I do remember it had nothing to do with BG, but rather he believed it was a more accurate measurement from a risk perspective to get multiple non-fasted tests. I think it may have been Ted Naiman, but not 100% sure.
Anyway, from a personal standpoint, last August, I went in for blood work but thought it was only for A1c and didn't know cholesterol was being run also so I ate breakfast (a couple of eggs with some almond milk and MCT). The next time in November when I went in I fasted. My triglycerides and HDL were about the same both times (triglycerides about 50 and HDL in the mid 60's), however, my fasted LDL almost doubled from 98 to 191 (if memory serves correctly). Freaked my doctor out.
When I went to the LCHF friendly doc and he ran it with the more complete numbers a couple weeks later, again fasted, I had the same result - tri - 56, HDL - 68, LDL - 185. However, when looking at particle count, Lp(a), sdLDL %, VLDL-C, ratios, etc., he was not concerned at all with my numbers. As I posted in the another thread, using the Reynolds risk model which has been shown to be far more accurate than traditional, my 10 year risk for heart disease is 1% which is the lowest possible score. It doesn't hit double digits (10% on the nose) until I put in that I am 76 years old (currently 46).
That said, starches and sugars tend to jack up triglycerides which are quite atherogenic so using logic, having the typical person on the SAD fast may actually be showing an artificially low risk given most of them follow the guidelines of eating many times a day and are therefore rarely in a fasted state. Most of their time is spent in a fed state - and fed with starches and sugars which raise triglycerides.2 -
cstehansen wrote: »cstehansen wrote: »ivasmom2011 wrote: »So I'm on the keto diet, I have been on this diet sense January 15th. January 15th I was 205 today February 7th 188!! I get to eat my favorite foods and all of that jazz, my question is anyone on this way of eating do lab results? If What was the outcome?
In response to the initial question, I would recommend reading this thread and the link in it prior to labs so you can have a better perspective on the results:
http://community.myfitnesspal.com/en/discussion/10513958/better-way-to-look-at-risk-based-on-labs#latest
If you want more in depth on my labs and several other people who have responded with theirs, you may want to look at this thread:
http://community.myfitnesspal.com/en/discussion/10490291/interesting-dr-follow-up-with-lchf-friendly-doc-for-t2#latest
Additionally, here are a few sites regarding blood lipids I found helpful:
http://wholehealthsource.blogspot.com/2011/01/does-dietary-saturated-fat-increase.html
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2824152/
http://www.myhealthwire.com/news/breakthroughs/859
https://www.ncbi.nlm.nih.gov/pubmedhealth/behindtheheadlines/news/2016-06-13-study-says-theres-no-link-between-cholesterol-and-heart-disease/
The info is confusing at best. What is clear is a) the link between diet and cholesterol can't be shown except for a small segment of the population which has some type of genetic pre-disposition. Even Ansel Keys, the man who first initiated this hypothesis later recanted, b) the link between cholesterol and heart disease and other diseases is not as cut and dry as is commonly believed. Many of the numbers need to be broken down further such as there are multiple types of LDL and multiple types of HDL as well as L(p)a which seems to be a larger factor than either of them and triglycerides which, although generally reported in labs, doesn't seem to get the attention it should given the detrimental effects it has on damaging artery walls.
Thanks @cstehansen. I'm going to have to add you to molest ... my list (bad spellchecker! ) of folks who should have their own podcasts.
Here's another riddle for you. In addition to other concerns about the usefulness of the standard fasting lipid profile, is the fasting requirement itself causing mischief (apart from the risk of hypoglycemia for certain diabetics)? For example, circ.ahajournals.org/content/131/19/e471 (time to chuck the fasting lipid profile?).
Thanks again for all the info and insights.
@baconslave
Thank you for that article. I am just dumbfounded as I read it. Here these.....uh.....people point out that fasting lowers BG and therefore shouldn't be done for diabetics?!?!?!?!?! Maybe the little 5W bulb should go off over their heads to say, "hey, maybe we should look at fasting and or other changes which would naturally lower BG as a treatment." Too much to ask?
Anyway, I do read too much and listen to too many podcasts and watch too many videos on health topics, so I can't remember who it was that said he no longer took fasting lipid measurements. I do remember it had nothing to do with BG, but rather he believed it was a more accurate measurement from a risk perspective to get multiple non-fasted tests. I think it may have been Ted Naiman, but not 100% sure.
Anyway, from a personal standpoint, last August, I went in for blood work but thought it was only for A1c and didn't know cholesterol was being run also so I ate breakfast (a couple of eggs with some almond milk and MCT). The next time in November when I went in I fasted. My triglycerides and HDL were about the same both times (triglycerides about 50 and HDL in the mid 60's), however, my fasted LDL almost doubled from 98 to 191 (if memory serves correctly). Freaked my doctor out.
When I went to the LCHF friendly doc and he ran it with the more complete numbers a couple weeks later, again fasted, I had the same result - tri - 56, HDL - 68, LDL - 185. However, when looking at particle count, Lp(a), sdLDL %, VLDL-C, ratios, etc., he was not concerned at all with my numbers. As I posted in the another thread, using the Reynolds risk model which has been shown to be far more accurate than traditional, my 10 year risk for heart disease is 1% which is the lowest possible score. It doesn't hit double digits (10% on the nose) until I put in that I am 76 years old (currently 46).
That said, starches and sugars tend to jack up triglycerides which are quite atherogenic so using logic, having the typical person on the SAD fast may actually be showing an artificially low risk given most of them follow the guidelines of eating many times a day and are therefore rarely in a fasted state. Most of their time is spent in a fed state - and fed with starches and sugars which raise triglycerides.
Good points. Speaking of triglycerides, the use of triglycerides (variable) to compute LDL values (stable in the short run) in the standard panel has always perplexed and annoyed me. Does it make sense to you?
The authors are not agitating against fasting for BG control, I don't believe, but rather expressing concern that PCPs who order lipid panels are not sufficiently respectful of the effect of insulin and oral meds with hypoglycemic tendencies when telling patients to fast for 12 hours.. ..0 -
cstehansen wrote: »cstehansen wrote: »ivasmom2011 wrote: »So I'm on the keto diet, I have been on this diet sense January 15th. January 15th I was 205 today February 7th 188!! I get to eat my favorite foods and all of that jazz, my question is anyone on this way of eating do lab results? If What was the outcome?
In response to the initial question, I would recommend reading this thread and the link in it prior to labs so you can have a better perspective on the results:
http://community.myfitnesspal.com/en/discussion/10513958/better-way-to-look-at-risk-based-on-labs#latest
If you want more in depth on my labs and several other people who have responded with theirs, you may want to look at this thread:
http://community.myfitnesspal.com/en/discussion/10490291/interesting-dr-follow-up-with-lchf-friendly-doc-for-t2#latest
Additionally, here are a few sites regarding blood lipids I found helpful:
http://wholehealthsource.blogspot.com/2011/01/does-dietary-saturated-fat-increase.html
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2824152/
http://www.myhealthwire.com/news/breakthroughs/859
https://www.ncbi.nlm.nih.gov/pubmedhealth/behindtheheadlines/news/2016-06-13-study-says-theres-no-link-between-cholesterol-and-heart-disease/
The info is confusing at best. What is clear is a) the link between diet and cholesterol can't be shown except for a small segment of the population which has some type of genetic pre-disposition. Even Ansel Keys, the man who first initiated this hypothesis later recanted, b) the link between cholesterol and heart disease and other diseases is not as cut and dry as is commonly believed. Many of the numbers need to be broken down further such as there are multiple types of LDL and multiple types of HDL as well as L(p)a which seems to be a larger factor than either of them and triglycerides which, although generally reported in labs, doesn't seem to get the attention it should given the detrimental effects it has on damaging artery walls.
Thanks @cstehansen. I'm going to have to add you to molest ... my list (bad spellchecker! ) of folks who should have their own podcasts.
Here's another riddle for you. In addition to other concerns about the usefulness of the standard fasting lipid profile, is the fasting requirement itself causing mischief (apart from the risk of hypoglycemia for certain diabetics)? For example, circ.ahajournals.org/content/131/19/e471 (time to chuck the fasting lipid profile?).
Thanks again for all the info and insights.
@baconslave
Thank you for that article. I am just dumbfounded as I read it. Here these.....uh.....people point out that fasting lowers BG and therefore shouldn't be done for diabetics?!?!?!?!?! Maybe the little 5W bulb should go off over their heads to say, "hey, maybe we should look at fasting and or other changes which would naturally lower BG as a treatment." Too much to ask?
Anyway, I do read too much and listen to too many podcasts and watch too many videos on health topics, so I can't remember who it was that said he no longer took fasting lipid measurements. I do remember it had nothing to do with BG, but rather he believed it was a more accurate measurement from a risk perspective to get multiple non-fasted tests. I think it may have been Ted Naiman, but not 100% sure.
Anyway, from a personal standpoint, last August, I went in for blood work but thought it was only for A1c and didn't know cholesterol was being run also so I ate breakfast (a couple of eggs with some almond milk and MCT). The next time in November when I went in I fasted. My triglycerides and HDL were about the same both times (triglycerides about 50 and HDL in the mid 60's), however, my fasted LDL almost doubled from 98 to 191 (if memory serves correctly). Freaked my doctor out.
When I went to the LCHF friendly doc and he ran it with the more complete numbers a couple weeks later, again fasted, I had the same result - tri - 56, HDL - 68, LDL - 185. However, when looking at particle count, Lp(a), sdLDL %, VLDL-C, ratios, etc., he was not concerned at all with my numbers. As I posted in the another thread, using the Reynolds risk model which has been shown to be far more accurate than traditional, my 10 year risk for heart disease is 1% which is the lowest possible score. It doesn't hit double digits (10% on the nose) until I put in that I am 76 years old (currently 46).
That said, starches and sugars tend to jack up triglycerides which are quite atherogenic so using logic, having the typical person on the SAD fast may actually be showing an artificially low risk given most of them follow the guidelines of eating many times a day and are therefore rarely in a fasted state. Most of their time is spent in a fed state - and fed with starches and sugars which raise triglycerides.
Good points. Speaking of triglycerides, the use of triglycerides (variable) to compute LDL values (stable in the short run) in the standard panel has always perplexed and annoyed me. Does it make sense to you?
The authors are not agitating against fasting for BG control, I don't believe, but rather expressing concern that PCPs who order lipid panels are not sufficiently respectful of the effect of insulin and oral meds with hypoglycemic tendencies when telling patients to fast for 12 hours.. ..
Short answer - no. This is one reason I changed doctors so I could get one who understood getting a more detailed panel including actual counts. I had to pay out of pocket for part of it, but that was well worth it to me.2 -
If trigs are under 100 and/or HDL is over I think 75, the calculations the "standard model" uses are more or less invalid. Those calculations were not made off of "healthy" numbers...0
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This is what my day looks like. I'm not a pure keto dieter. I'm more of a Paleo gal. What do you think?0 -
nomorepuke wrote: »
This is what my day looks like. I'm not a pure keto dieter. I'm more of a Paleo gal. What do you think?
@nomorepuke - In general, that breakdown looks fine to me, but what's more important is whether it works for YOU. Are you losing weight or maintaining, whatever you goal is? Do you feel healthier, more vital, better rested, more energetic? Are you avoiding cravings and binge eating? Do you feel it is maintainable? To me, those things are FAR more important than any macro or scale numbers...1 -
ivasmom2011 wrote: »So I'm on the keto diet, I have been on this diet sense January 15th. January 15th I was 205 today February 7th 188!! I get to eat my favorite foods and all of that jazz, my question is anyone on this way of eating do lab results? If What was the outcome?
I'm in a very similar boat as you -I started around early January at 200 lbs, and as of last Saturday I was 188. I'm actually going in this upcoming Monday, the 13th to get my health check with blood work & all. Only thing is that I didn't get a baseline before I started Keto. I have my records from about a year ago though. We'll see what the results show this time around.1
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