About 5 Months in and here's my blood work - Looking for feedback

lipids

(John Harford) #1

Hi Everyone,

I’m about five months into Keto and going in for my physical tomorrow morning. I received my blood work back and would some advice on how to approach this. I have a feeling they are going to be concerned with these numbers, however, I did reduce my Triglycerides. I’m inclined to request a LDL-P test.

Google Sheet of results

Also, even though I’ve been reading up on the research I guess I’m slightly concerned about these elevated numbers. Should I be? Seems like I’m in the small group of people who see a rise in the overall Cholesterol. Any other tests I should request, or advice?

Best,
John


(Julie Salinas) #2

I think your numbers look great - look at that A1C! Your numbers will elevate at first and the ones we worry about most beside a1c is the Triglycerides and HDL - your HDL is in healthy range and your triglycerides are plummeting! Very nice job. I would wait for a few more months and then test again if you can. Do some research and you’ll see that lipid numbers always look worse in the beginning. KCKO!!!


(John Harford) #3

Thanks for the feedback. Of course the message I’m getting from my health provider is “Much worse since prior! PLEASE CALL TO ARRANGE A FREE HEALTH COACH CONSULTATION regarding diet and exercise.”

I think I’ll be walking into a lot of pressure to follow their dietary guidelines, but we’ll see. I’ll update this post tomorrow after my appointment. I will be requesting an LDL-P.

Best,
john


(Sheri Knauer) #4

It looks to me like its all trending in the right direction. I would request an NMR panel so you can have that info of a more in depth lipid panel. You could even request a coronary calcium score test. If your doc thinks you’re getting worse, then he or she may be more willing to write prescriptions for these tests. That doesn’t mean your doc will know what to do with the info from those tests (although you can’t really be confused about the calcium score, especially if it is a low one to zero).

You can always go in, listen to their speil on how you must eat less and move more, oh and low fat don’t forget, smile and nod, then after your appointment, just keep calm and keto on. Same with the statin prescription your dr may give you. Nod, smile, take it, then don’t fill it.


(Joyce) #5

I have been ketoing since 06/21/18 very blindly I must say/ I have done a lot of internet searching and videos but I just can’t seem to get to the right ones to help me with finding out the correct amount of calories, carbs, fats and proteins per day to at least lose “1pound” per week/ I would love to lose more than that but would be happy with the one/I have lost 7 pounds since June 20th but I feel that would’ve happened anyway since i gave up bread and all the starches veggies/I hear people all over the web talking about losing a large amount of weight in record time, but for me it has been a yo-yo effect/I would welcome any advice on what I am doing so different from others…


(Joyce) #6

Hey Jules2…I have been ketoing since 06/21/18 very blindly I must say/ I have done a lot of internet searching and videos but I just can’t seem to get to the right ones to help me with finding out the correct amount of calories, carbs, fats and proteins per day to at least lose “1pound” per week/ I would love to lose more than that but would be happy with the one/I have lost 7 pounds since June 20th but I feel that would’ve happened anyway since i gave up bread and all the starches veggies/I hear people all over the web talking about losing a large amount of weight in record time, but for me it has been a yo-yo effect/I would welcome any advice on what I am doing so different from others…


(John Harford) #7

Thanks for the advice Sheri. I’ll share what happens in this thread. Certainly if the doctor has concerns then yes I should get an NMR. I will not take statin of course, but I would like to increase the amount of my workouts, both aerobic and weightlifting. We’ll see!

Thanks,
John


(Julie Salinas) #8

Hi Joyce - https://keto-calculator.ankerl.com/ is a good one. There isn’t really anything accurate out there that will say eat these macros to lose 1 lb a week. Everyone is so different. Just make sure you are eating keto all the time. It will take a little while to get to burning your fat - the first weight as you know to lose is water weight and that’s probably those 7 lbs. Keep eating keto and read up on fasting. Those are your best options.


(John Harford) #9

So to follow up, I went to the doctor this morning. He was slightly concerned about my LDL. He was happy to hear about my low carb intake but recommended I eliminate animal fat. That said, he found nothing else wrong. I don’t have a fatty liver, my Tri is going down. my HDL is higher. I nodded and said ok. He did most of the talking and would not order an NMR. He said he would if my numbers we’re “worse.” KCKO

Question, if I increase my exercise routine would my LDL go down? Thinking of ways to get him off my back.

Best,
john


(Joyce) #10

jules2 https://www.ketogenicforums.com/u/jules2 Julie Salinas
https://www.ketogenicforums.com/u/jules2
July 18

Hi Joyce - https://keto-calculator.ankerl.com/ is a good one. There isn’t
really anything accurate out there that will say eat these macros to lose 1
lb a week. Everyone is so different. Just make sure you are eating keto all
the time. It will take a little while to get to burning your fat - the
first weight as you know to lose is water weight and that’s probably those
7 lbs. Keep eating keto and read up on fasting. Those are your best options.

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In Reply To
jayden https://www.ketogenicforums.com/u/jayden Joyce
https://www.ketogenicforums.com/u/jayden
July 17
Hey Jules2…I have been ketoing since 06/21/18 very blindly I must say/ I
have done a lot of internet searching and videos but I just can’t seem to
get to the right ones to help me with finding out the correct amount of
calories, carbs, fats and proteins per day to at least lose “1pound” per
week/ I …

Thank you Jules2 for responding/I will keep pushing and finally find my
knack/I do believe that I’m on the right road just kind of overwhelmed…Visit
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(You've tried everything else; why not try bacon?) #11

Your LDL may or may not go down, but it is a fairly volatile number, so I wouldn’t worry about it. Recent research tends to suggest that a ratio of triglycerides to HDL under 2.0 is an indicator of low risk for heart disease, and eating saturated fat is the only really effective way to raise HDL. The triglyceride number is also fairly volatile. If you want to manipulate your numbers for the next test, check out www.cholesterolcode.com. Dave Feldman has worked out a way that many people can use to target a test. His take is that it is what he calls “remnant cholesterol” (the number you get by subtracting HDL and LDL from total cholesterol) that is the true indicator of risk.

As for LDL and heart disease, I started a thread that links a video by David Diamond and a podcast in which he is interviewed. He is neurobiologist who got interested in cholesterol and LCHF/keto for personal reasons. You might find it interesting to check out those links. Diamond’s theory is that the real cause of heart disease is clotting factors (fibrinogen and a couple of others) that have been activated by inflammation caused by too much insulin. He feels that a ketogenic diet, which reduces inflammation, is the best treatment for heart disease. I think that researchers in the field, such as Dr. Phinney and Dr. Westman, would agree.

The idea that cholesterol causes heart disease has not been backed up by any scientific research. It was promoted by a couple of authority figures in the medical world and has become official dogma, but all the studies designed to prove that it causes heart disease have not only failed to show it, but instead show that higher cholesterol has a protective effect against heart disease, especially once we are over 60. (Check out the Minnesota Coronary Study, MRFIT, and the Women’s Health Initiative, for starters.)


(karen) #12

One test you could request that’s usually approved and not expensive is CRP (C-reactive protein.) It’s a measure of inflammation and considered more indicative of a potential heart disease problem than cholesterol.


(John Harford) #13

Actually he requested that we check that 3 months from now. Since it’s a measure of inflammation I’d expect to have good numbers in this area?

Thanks,
John


(karen) #14

Yes.


(Alec) #15

John
If you are concerned, and have local access to a service that will do a CAC scan for you, I recommend you pay for it yourself and just get it done. It is by far the best way to see what’s going on. It looks at and measures any disease directly: it is not a marker or indication.

Any lipid panel interpretation, whatever the results, are just based on such shaky unproven science, that frankly they are not worth the paper they are written on.

These cholesterol tests are an invented medical industry job and profit creation scheme.


(John Harford) #16

Hi Everyone,
Just wanted to update this thread on my now over year-long keto journey. I’ve got updated blood work you can see here:

Updated Blood work

*Update
Also just received my Cardio Crp® which is 0.8 mg/L!

I’m super happy with the results but also curious as to why my LDL went down. The only thing I’ve changed is introducing intermittent fasting as well as working out which consists mainly of weight lifting. As anyone else seen their LDL go down over some amount of time? Also, my HDL is still rising with my fat intake mainly from saturated, natural monounsaturated (avocados), and natural polyunsaturated fats (Omega-3s) and avoiding processed polyunsaturated fats (vegetable and seed oils) and of course trans fats.

FYI I have no history of metabolic disorders, but jump into keto mainly based on the research and for health. I’m interested in knowing more about how keto works for those without metabolic issues and who are generally active.

Thanks all,
John from Guilford CT


#17

Checkout these sites. Cholesterol isn’t a very good indicator of health on its own. Trigs/HDL ratio is a better number to be concerned with.

https://www.docsopinion.com/2014/07/17/triglyceride-hdl-ratio/