Hi,
I am a new member here, so Hi!!
I have listened to the first 40 episodes the 2KD podcast and am fully in. I know that in about 6months I am going to have to argue with my doctor. Is there a list on the forum or somewhere for a reading list of counter arguments about high LDL.
I have already made progress after 3 weeks but I am certain my LDL is going to be an issue for the doc.
Cheers
Welcome to the forum. I find it very informative!
When it comes to dealing with your PCP, I would suggest that you remind yourself that that person is your consultant and you may or may not agree on everything. However you are at liberty to consider the advice and take it or not. You can also agree to disagree.
Years ago when I was in the learning stages of keto I attempted to āschoolā my doc and quickly came to the conclusion if was going to be fruitless and really not my job. I lost weight, came off BP meds, have kept the weight off, avoided type 2 diabetes and probably many more things. Discussing my eating came off the table in terms of discussion.
Your LDL may not go up. Itās a complex relationship as to what causes LDL to go up, but I have eaten insane amounts of saturated fat, and my LDL went down. LDL depends on a lot of factors. For instance, if you fast, your LDL (typically) goes up. Why? Because it comes from VLDL/Triglyderides, which go up because they are energy distributors. If youāre using fat as the source of fuel, your LDL can go up because VLDL is going up.
If you already have āhighā LDL, then itāll be a discussion.
@WishIKnewYearsAgo Welcome!
As noted above, weāre all individuals (and our chemistry changes over time) and your doctor(s) are consultants and practitioners, but as an adult you remain in charge of your body and your choices.
There are many excellent books and NIH studies to read and bring along to your appointments if you wish. And this forum is a great place to search for themā¦ too many to list!
Best wishes and please keep us posted. 
Thanks all for your responses.
Unfortunately as I am an airline pilot, my aviation overlords will have a problem with my LDL at 7.0. Will need my aviation medical doctor to go into bat for me.
I am not horribly out of shape. Started keto at 94kg. I am 187cm tall so not horrendous. I do actually think I was pre pre diabetes as my fasting glucose has been very slowing going up over time. I am lucky that I have an annual medical and consistent blood tests annually for the last 35 years.
Anyway, I am down to 87kg and waist down from 110cm to 104. I am targeting to get waist to hip and waist to height ratios back to where they should be.
But, I will absolutely need to argue my case with mr doctor.
I understand from the podcast there are issues with the Framingham study. Any pointers on where to look for understanding these issues?
Cheers
Most of us can ignore our doctorās advice and refuse to take their meds, but you are in a different situation.
There are some hacks to lower your LDL before a blood test but I donāt remember what they are because I never had to worry about it. Maybe someone else can chime in.
To me, the most damning statistic is half the patients who show up in the ER with a Coronary Artery Event have normal LDL. 50% are normal, 50% are high - I am no statistician but to me that says āno correlationā. I donāt have a link to that data, but maybe someone else can provide.
I wish you the best!
Look up Dave Feldman. I think heās probably the one of the most knowlegeable people regarding Keto and Cholesterol. He has also experimented with his own cholesterol levels and has found he can raise or lower them for short periods fairly easily (eg before a doctors visit hint hint) ā¦if I am remembering correctly.
If you do get a high level for LDL, you could request a full lipid panel (I think thats what its called) which shows actual particle size. Most Keto results should show high LDL A, the big fluffy type and low LDL C, the small dense type. A short search with google or AI I think would turn up a medical journal article or two demonstrating that a high level of LDL A is actually protective, especially in people over 60. Low LDL C is what is required because if any cholestrol is ādangerousā, then it is this one (although it is disputed if even this type is dangerous). Doctors know medical journal articles and its probably just easier to print it out and give it to them to read rather than entering into a discussion. Make it even easier for them and highight the relevant parts!
You may even want to find some evidence to print out showing that HDL/Triglicerides ratio is a far better measure of cholesterol āhealthā than LDL. As a Ketoer your ratio should be great.
Good luck.
PS If I remember rightly, Ancel Keys who started this whole cholesterol & heart disease mess in the first place actually conducted a study later on which refuted his original thesis, but it was never published. I think someone interviewed his secretary a few years ago and got a copy of the paper.
Just Googled it, hereās the paper:
https://www.bmj.com/content/353/bmj.i1246.abstract
Ask AI to explain it you if necessary, I just put in the phrase āancel keys unpublished paperā.