Help me defend these lab results

#41

Just ordered her book on Amazon… it will be here Friday. I will spend the weekend with highlighter in hand. :slight_smile:
Sue

(Alec) #42

You will love it. I have read it 3 times now, and I learn stuff each time i re-read it.

(LUIS) #43

I am more concerned on the reason why you are afraid to go to ur PCP with those results. if u go in and out of keto and are not being 100% complaint u will have spikes of LDL… Hypertriglyceridemia is linked to CAD… or coronary artery disease… which u are doing great… if they were high all u need is fish oil from eating salmon… anyway. ur numbers are great… don’t be afraid or ur doc…Many are old school and don’t agree with new methods such as keto… take your health by the horns. ur body … ur decisions… they can only recommend u what to do… if u keep doing keto and don’t cheat check them in 3 months … LDL will lower and HDL will go up… which is what we want

#44

My doc is an older, stern, strict, German woman who has some very strong opinions. I’ve been pleasantly surprised a few times when she’s actually listened to my side of things, but on some things, she’s pretty set in her ways. The doc I adored for over 30 years retired so the search was on for a new one. I’ve been seeing this one just over a year now and really like her for most things. Diet? I think we’re going to butt heads, but … we’ll see! Yes, I will respect her thoughts and opinions, but will remind her that I am capable of making my own health decisions. But I would love to go in armed with reputable data to plead my case with.
Sue

(LUIS) #45

no need to discuss with the doc … remember that docs went to school many many years… and we don’t like it when patients think they know better

:wink: hint hint … just listen … say thank you and say you will eat low fat low cholesterol Dash diet lmao

(Ron) #46

This is kind of the same path that @PaulL was pointing you to but was easier for me to comprehend.:slightly_smiling_face:
https://ketodietapp.com/Blog/lchf/high-cholesterol-on-a-keto-diet-should-you-be-concerned

(Barbara M) #47

I did not see if you are currently losing weight now. IF you are, it is not recommended to have a lipid panel drawn until your weight loss has stabilized (for maybe 6 months). (I know, can’t change the doc’s annual physical at this time)
That said, your trigs and HDL results are WONDERFUL. Keeping that ratio under 2.0 is said to be a better marker for CVD.

I also recommend at your appointment that you listen, perhaps nod your head, take notes and say that you want to do some research on the subject.
It will be interesting what she says. Good luck.

(less is more, more or less) #48

Do you have other doctors you can go see in your area? We patients can help foster a health-care mind-set update it’s thinking by leaving doctors with antiquated and refuted thinking on nutrition.

#49

Triglycerides are good?

We all know the mismanagement and lack of education on fats and refined carbs… almost everything I ever see is how HDL and LDL is not bad.

Not that I’m an expert; but these docs are not dieticians either!

(Alec) #50

Blimey, Ron, you’re ruining my memes: you just found a dietician that’s not barking mad!!

(You've tried everything else; why not try bacon?) #51

If you look in Gary Taubes’s book, Good Calories, Bad Calories, he gives the history of lipidology in Germany between the wars, when the hormonal hypothesis of fat storage was developed. Look at chapter 21, “The Carbohydrate Hypothesis, I: Fat Metabolism,” and especially pp. 360-64 for a history of the thinking of German scientists before World War II. According to Taubes, American nutrition researchers basically ignored all that science and reinvented the field—and getting it wrong!—partly out of hard feelings from the war, and partly out of anti-Semitic prejudice, since a lot of the pre-war researchers were Jewish.

#52

Don’t know if I’ll have time to get the book and find and copy and print those pages, but I’ll look. Not sure if I should bring “German” into it. Don’t know if that would help or hurt my case.

(You've tried everything else; why not try bacon?) #53

I just thought, because you said she was a German doctor.

(Crow T. Robot) #54

I believe she said she tried being vegan for a short time, but was vegetarian for 20 years. Not sure if that included dairy and eggs. I don’t recall that she ever specified how strict a vegetarian she was.

(TJ Borden) #55

I tried being s vegetarian once and hated it. Thankfully the waitress brought my steak as I finished my salad, and I’ve never looked back

(You've tried everything else; why not try bacon?) #56

You just didn’t have enough blue cheese dressing on your salad. (Hint: if you can taste the greens, you need more blue cheese.) :bacon:

P.S.—Not to mention bacon pieces!

#57

Wow, you were a vegetarian for an entire 15 minutes! Did you see and feel a difference? LOL
Sue

(TJ Borden) #58

I felt terrible. I was hungry the whole time :joy:

(LeeAnn Brooks) #59

For the love of god, tell me there was bacon in that salad. :bacon::joy:

#60

I have an appointment coming up with a GP I should’ve fired months ago. Only thing is I have 1 prescription that I haven’t been able to ditch that had to be renewed and my distrust and disgust of most GPs has kept me from finding another. He’ll of course push getting a standard lipid panel and try to scare me onto statins again. I laughed last time, he got pissy. I told him he was trying to put me on a dangerous medication that could ruin my quality of life on the basis of an outdated test and methodology. He wasn’t happy either when I pointed out that my ratios were great… and this was BEFORE I went keto. I think he didn’t know what the hell I was even talking about. He went to med school in like the 70s and seems to be stuck in the 1980s. Not looking forward to the next visit as I’m probably going to have to just fire his ass.