It’s party time. After many statin arguments with my doc over the past year, I went ahead and got a CAC score, and just got the score back. Big fat 0! This is what 2 years of keto+fasting has done for me.
It may not stop her from arguing about it, but it certainly makes it easier for me to stand my ground with no second guessing. My cholesterol numbers left me feeling a little uncertain, but I’m feeling better today.
I still have weight to lose, I still have some lingering stress and high blood pressure to deal with, which I believe are still temporary, but my heart is in great shape.
On a secondary note, they found a moderate-sized hiatal hernia, which really doesn’t surprise me because I had some pretty severe reflux in my 20s, but haven’t had it for well over 10 years now.
CAC is 0! hsCRP is 0.8! Cholesterol is pretty high!
Awesome job. Now unless your cholesterol is off the charts high you should take a breath and pat yourself on the back. Standing up to your dr can be hard.
Thank you!
My numbers are up above, both the last 4 basic lipids and the NMR numbers. I was somewhat concerned about the small LDL-P score and the IR but I would just consider them high, not astronomical to someone who doesn’t believe in statins, and the hsCRP is very low too. All that with with the CAC makes me worry a lot less!
Your LDL-P is astronomical like mine. I am watching mine carefully. Peter Attia and other keto-friendly experts are NOT dismissive about such hyper-responsiveness. I am planning to change course if things don’t improve; I may be apoe4 which could mean the fix is as simple as swapping saturated fats out for monos.
Caution.
Can you give some more info as to why? I’m not completely dismissive of those numbers, but in the absence of other risk factors, what’s the concern? This is the first NMR I’ve had but my other lipids have been identical going back to 2013, long before I was eating Keto, is that not enough time for some real sign of disease to have developed or am I missing something?
All I know is that if Peter Attia pulls his patients off keto for high LDL-P, it’s skmething to worry about. He is not ketophobic by any stretch; quite the opposite.
Thank you for the concern, I appreciate where you’re coming from. Believe me, I know how easy it is to take things for granted and put yourself at risk unintentionally.
That may be true about Peter Atilla, but he’s not the only ketogenic doctor out there and there are a wide range of opinions on the importance of the LDL-P number, especially in context of a ketogenic diet. That’s why I’m asking for specifics. If I just had those NMR numbers without any further testing to go with them, then I might feel some reason for concern too. Some doctors think it matters by it self, some only in the context of other risk factors, like a high hsCRP score, or known heart disease. That’s why I contrast it with a CAC score of zero. At least the CAC score is a hard endpoint of disease rather than just a risk factor.
The only number on that list I’m really thinking needs much attention is the LP-IR (insulin resistance) score, but I’m not in the least surprised to see that number, I’m on a ketogenic diet precisely because I have so many symptoms of insulin resistance.
Don’t get me wrong, I’m constantly experimenting, especially given some of the symptoms I’ve continued to have after a particularly stressful year. At the moment, I’ve switched from Mag64 Magnesium Chloride capsules (about 6 per day, which amounts to 384mg of Magnesium) to ReMag liquid, just to see if it helped as advertised. So far, I’m very pleased - after taking it about 3 days, I already feel substantially better - no depression or anxiety, much calmer. I’m upping my dose pretty steadily (600mg yesterday, aiming for 1200 today) and have yet to have any diarrhea, which is common. I’m hoping it gets my blood pressure under control, which wasn’t a problem til the stress. I’m curious to see if it drops the LDL-P numbers back toward a “normal” range.
I’m personally planning on doing the NMR again in about a year. Maybe I’ll consider it at 6 months.
I think that with a CAC score of 0 you have very little to worry about, but for those that do have concerns about cholesterol like @gabe, honestly I think the latest evidence might point towards LPa, ApoA/B, and OxLDL numbers being more useful than just particle size/count. Rather than an LabCorp NMR LipoProfile, I might look at getting Quest Cardio IQ, SpectraCell LPP Plus, or VAP VAP+ which will do the former, and and a Shiel Triple Marker or CHL/Quest OxLDL that will cover the OxLDL.
It goes without saying that people with concerns about APOE4 should just get it tested rather than saying “maybe I’m at risk” - if you’re skeezed out by the privacy implications of more comprehensive SNP testing services, you can specifically get APOE4 clinically tested, eg https://www.labcorp.com/test-menu/20331/iapoe-i-alzheimers-risk