Friendly reminder to check your cholesterol if you're on a very high fat diet

[Heisman2]

https://www.mdpi.com/2072-6643/15/4/962

[DougyF7]

Interdasting

[GeneralSerpant]

Doesn't the body fat that comes from sugar consumption elicit ldl production just the same as body fat that comes from nutritional fats?

Why would a particular diet alone be outright accepted or disregarded when it's an apparent gray area?

[Heisman2]

Doesn't the body fat that comes from sugar consumption elicit ldl production just the same as body fat that comes from nutritional fats?

Why would a particular diet alone be outright accepted or disregarded when it's an apparent gray area?

My interpretation is that some subset of the population, for unclear reasons, develops very high cholesterol and/or triglycerides while following a high-fat diet, and thus for that subset of people it is not an ideal diet to follow. The only way to know would be to check your lipid profile after being in it for 1 month or so. If your lipid profile is fine then you can continue with the high-fat diet, though it may also be wise to check an ALT for the liver.

[TitusVI]

Well I had 325 Total cholesterol. 240 ldl and 63 HDL at the 27.06.2022.

Now I have reduced it to 240 Total 174 LDL and 60 HDL.

I did this by changing my diet. I'm not joking. For 8 months I stop ate meat and eggs and ate fish everyday. I started eating oats, berries, bananas and prrotein whey every morning.

Doctor also told me its familiar and genetic because 325 total is insane.

But before the change I Ate giant pizzas, döner kebap and eggs every day.

Now I eat meat once a week, fish every other day. I like fish.

[GeneralSerpant]

My interpretation is that some subset of the population, for unclear reasons, develops very high cholesterol and/or triglycerides while following a high-fat diet, and thus for that subset of people it is not an ideal diet to follow. The only way to know would be to check your lipid profile after being in it for 1 month or so. If your lipid profile is fine then you can continue with the high-fat diet, though it may also be wise to check an ALT for the liver.

And they're not overeating?

[GeneralSerpant]

Well I had 325 Total cholesterol. 240 ldl and 63 HDL at the 27.06.2022.

Now I have reduced it to 240 Total 174 LDL and 60 HDL.

I did this by changing my diet. I'm not joking. For 8 months I stop ate meat and eggs and ate fish everyday. I started eating oats, berries, bananas and prrotein whey every morning.

Doctor also told me its familiar and genetic because 325 total is insane.

But before the change I Ate giant pizzas, döner kebap and eggs every day.

Now I eat meat once a week, fish every other day. I like fish.

Starchy cheese and meat all day + sweets, and I had something like 170's total or 120 ldl. The doctor was surprised by that based on my bmi I believe.

[AdamWW]

Starchy cheese and meat all day + sweets, and I had something like 170's total or 120 ldl. The doctor was surprised by that based on my bmi I believe.

That’s not very good bro… 120 LDL is pretty well above ideal… and if your total is 170’s and your ldl is 120, your HDL must be pretty low

[Heisman2]

And they're not overeating?

In the link I provided the first 2 patients had BMI 26.2 and 27.3 with muscular physiques and exercised 4x/wk. Unfortunately they didn't have pre-carnivore diet lipid profiles so it's unclear how much of their lipid abnormalities were attributed to the carnivore diet but genetic sequencing found no underlying genetic cause. Patient 3 had a BMI of 21 and in his case he started with high LDL on a diet with low carbs and high in eggs/bacon/raw minced meat/raw liver, and limited vegetables, 3 months after decreasing the intake of animal fats (mainly by cutting out eggs/bacon) his cholesterol improved dramatically. So it does seem possible without overeating.

[air2fakie]

So you're not reminding those who are not on a very high fat diet to also check their cholesterol?

[Heisman2]

So you're not reminding those who are not on a very high fat diet to also check their cholesterol?

That's a fair point, you can have very high cholesterol without realizing it. Probably not going to change rapidly though without some major nutritional or medication change.

[air2fakie]

That's a fair point, you can have very high cholesterol without realizing it. Probably not going to change rapidly though without some major nutritional or medication change.

You may be underestimating how many folks have gone years or their entire lives without ever checking their cholesterol levels.

[Heisman2]

You may be underestimating how many folks have gone years or their entire lives without ever checking their cholesterol levels.

Yes, but I assume those people are not going to all of a sudden change their mind based on one thread on a bodybuilding forum. Though perhaps I am wrong on that point.

[air2fakie]

Yes, but I assume those people are not going to all of a sudden change their mind based on one thread on a bodybuilding forum. Though perhaps I am wrong on that point.

You may be underestimating how much one's health habits can be changed by a doctor at the circus.

[paulinkansas]

I started eating oats

I thought that said "I started eating owls"

[azuki84]

just got mine done.. lmao i'm high everything regarding lipids (except trig ofc). all other markers are excellent (cbc/metabolic/etc)
280 total
126 hdl
53 trig
145 ldl

my bp is 105/65 rhr 40-45 though

[GeneralSerpant]

That’s not very good bro… 120 LDL is pretty well above ideal… and if your total is 170’s and your ldl is 120, your HDL must be pretty low

We’ll I know there was a 2 and a 7.

[AdamWW]

just got mine done.. lmao i'm high everything regarding lipids (except trig ofc). all other markers are excellent (cbc/metabolic/etc)
280 total
126 hdl
53 trig
145 ldl

my bp is 105/65 rhr 40-45 though

Time to clean up the diet looks like....

[Strawng]

just got mine done.. lmao i'm high everything regarding lipids (except trig ofc). all other markers are excellent (cbc/metabolic/etc)
280 total
126 hdl
53 trig
145 ldl

my bp is 105/65 rhr 40-45 though

Time to clean up the diet looks like....

Ehhh...The LDL's really not THAAAT bad and the cholesterol's only so high cuz of the insanely high HDL. Given that the triglycerides are so low, this looks like a very high total fat and low carb diet. Subbing some of the fats (especially Sat. Fat rich foods) would probably normalize it fast.

[Guyfawkes1010]

Yeah I got put on lipitor cause I was doing keto and bloods were fooked lol. But only 10mg.

[AdamWW]

Ehhh...The LDL's really not THAAAT bad and the cholesterol's only so high cuz of the insanely high HDL. Given that the triglycerides are so low, this looks like a very high total fat and low carb diet. Subbing some of the fats (especially Sat. Fat rich foods) would probably normalize it fast.

I mean a 145 LDL is 45 points (almost 50%) over the maximum recommended level... that's pretty darn high. The Total isn't the issue per se, it's just the LDL... and given HDL isn't a causal factor in preventing/reducing heart disease, really the LDL should be the primary intervention point.

Like you said, the lower TG is a good thing, but personally that LDL would give me pause to consider changing something right away. The Sat Fat as you mention is the first thing to look at... then probably best to look at adding more fiber etc.

They may also be a high responder to dietary Cholesterol, I mention that because I recently read a statement/study by some heart disease organization which suggested that a VERY high HDL (as theirs was) is often a sign of high intestinal absorption of cholesterol... which apparently can apply to the cholesterol we produce in our own livers. Pretty weird stuff.

[AdamWW]

Yeah I got put on lipitor cause I was doing keto and bloods were fooked lol. But only 10mg.

maybe a sign keto isn't a good option for u

[Strawng]

They may also be a high responder to dietary Cholesterol, I mention that because I recently read a statement/study by some heart disease organization which suggested that a VERY high HDL (as theirs was) is often a sign of high intestinal absorption of cholesterol... which apparently can apply to the cholesterol we produce in our own livers. Pretty weird stuff.

I definitely suspect as much. He's most likely a among the few that need to watch their cholesterol (as am I).

Yeah I got put on lipitor cause I was doing keto and bloods were fooked lol. But only 10mg.

maybe a sign keto isn't a good option for u

LOL this. I'm assuming the "keto" trend is gonna die a hard death after studies like this and the wild "success" of GLP-1 agonists that will prove to countless millions that it's all about CICO.

[paulinkansas]

I was doing keto and bloods were fooked

I read that and thought it said "I was doing keto and blonds were fooked"

[azuki84]

I mean a 145 LDL is 45 points (almost 50%) over the maximum recommended level... that's pretty darn high. The Total isn't the issue per se, it's just the LDL... and given HDL isn't a causal factor in preventing/reducing heart disease, really the LDL should be the primary intervention point.

Like you said, the lower TG is a good thing, but personally that LDL would give me pause to consider changing something right away. The Sat Fat as you mention is the first thing to look at... then probably best to look at adding more fiber etc.

They may also be a high responder to dietary Cholesterol, I mention that because I recently read a statement/study by some heart disease organization which suggested that a VERY high HDL (as theirs was) is often a sign of high intestinal absorption of cholesterol... which apparently can apply to the cholesterol we produce in our own livers. Pretty weird stuff.

you need to look at the whole picture than just ldl- hdl:ldl ratio, trig count, overall diet (i have been 30%protein/50%carb/20%fat pretty much 90% of my life), and ESPECIALLY genetics/family history. i already have advice provided from my doctor and my diet has been extremely spot on, much better than yours for sure given my condition.

this is why i barely post anything online...dumb people just type stupid **** its hilarious

[AdamWW]

you need to look at the whole picture than just ldl- hdl:ldl ratio, trig count, overall diet (i have been 30%protein/50%carb/20%fat pretty much 90% of my life), and ESPECIALLY genetics/family history. i already have advice provided from my doctor and my diet has been extremely spot on, much better than yours for sure given my condition.

this is why i barely post anything online...dumb people just type stupid **** its hilarious

I already address all this.

Your LDL/HDL ratio doesn't really matter in terms of atherosclerosis. That used to be a standard point of analysis, but data has since shown that HDL is non-causal in heart disease risk... it's not an interventional target for therapy at all. Having a high HDL indicates overall metabolic fitness, yes, but it has nothing to do with attenuating the risk of LDL.

Triglycerides as well are great to have them low, BUT, LDL is the primary issue here...

You say these comments are "stupid", but I can provide you plenty of highly reliable studies showing exactly what I say... this isn't stuff I decided on my own.

If you want to ask an actual doctor, ask the OP.... I'm sure he'll agree with me that your lipid levels are not ideal and should be addressed if the goal is optimum health.... HDL being high or not, it doesn't matter in this context.

These provide a good breakdowns:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8123633/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3617479/



Im not sure why you're suggesting looking at your diet as though that would negate the effects of LDL being very high... you have the biomarker on hand (your LDL)... whatever you're doing to cause that (diet or lifestyle, etc), is kind of irrelevant.

The only exception here is if you actually have a genetic issue causing your LDL to be that high even though you've generously cut back on Sat Fat and Cholesterol in your diet... if THAT is what you're saying, then fine, but I got no indication that was the case.