How long have you been doing Keto? It is very common for Cholesterol numbers to increase, sometimes even dramatically, when first starting out. It can take about 6 months if not more for them to normalize again.

I'm confused, where does it say your total is 336? Is this your test from before?

Nevermind, I see it's the old test.

That said, yes, that number is high, but so is your HDL, the good cholesterol. And your ratio is only 2.5 which is excellant. If it were me, I wouldn't stress, and would give it another 6 months to see if it comes down.

@Running_and_Coffee
Can you keep fats if you use ones that increase HDL to reduce LDL?

• Soy/almond/nut versions of cheese/milk/sourcream etc.
• Fish/poultry/nuts/soy instead of red meat protein
• Cook with "lite" (for flavorless) or regular olive oil - (adding salt tastes buttery)
• EggBeaters (or any egg-white-based brand) instead of whole eggs
• Avocados, nuts, seed snacks/toppings

Keep in mind that LDL and HDL are lipoproteins. So fats that are being mobilized in the body through the blood stream. One of the effects of fat metabolizing is that the body then has to move that fat to the liver for processing into ketone substrates and glycerol's.

Of course that works in reverse too; your body can store those lipoproteins in your adipose as readily as it burns it if insulin and other hormones are present. High cholesterol counts are indicative of CVD and CHD but are also indicative of energy imbalances leading to reduced adiposity. You have to look at the whole picture of health rather than focus on an arbitrary number on a graph of a single blood work exam.

I second what the other's said. Your ratio seems to be good but without the rest of the numbers it is difficult to give a more accurate picture. Also keep in mind that the medical establishment tends to run about fifty years behind the research. One of the reasons we continue to see so much emphasis on the reduction of animal sources of protein and saturated fats despite zero scientifically rigorous medical evidence supporting their removal from the human diet.

LDL doesn’t come from dietary fat according to Dave Feldman. It’s a lipoprotein transport system and it comes from stored body fat. So it being higher is a sign you are mobilizing body fat from storage.
Wait til you are weight stable for 6 months before worrying about it and honestly, even then only HDL and Trigs have any actual correlation to any disease. Additionally, rather than hypothesize about some arbitrary number being an indicator of disease, they could actually test you to find out if any calcification is actually present. CAC scan would answer that question.