???Huh???
Keto and HIGH triglycerides and HIGH cholesterol
Keto_Tom
#43
I feel your pain. Just had my recent labs back and basically my numbers have gotten ‘worse’ again. I’m now 8 months into my keto diet, have dropped a lot of weight but my cholesterol refuses to move in the right direction. Over three or four tests in the last 8 months, my LDL is usually around 200, HDL between 40 and 50, trigs 130-200. In fact, my numbers are exactly the same as when I was eating a whole load of carbage, apart from the fact that my LDL is now even higher.
On the plus side, my Hba1c was 5.2 before keto when I was 50lbs heavier (topped out at about 240 lbs)…and is still 5.2 after 8 months of keto (what to conclude from that I’m not sure). I also have some pretty big guys in my family (aged in their 50s and 60s) and none of them are diabetic or even pre-diabetic, despite basically eating a standard western diet.
As an experiment, for the last couple of months I’ve started doing a lot more exercise, have been doing resistance training and gaining muscle, I’ve done two 5 day fasts as well as multiple 24 hour and IF most days…and it’s had absolutely no impact on the numbers.
The high trigs and complete lack of HDL improvement since I started keto are both confusing to me too, given what we know about quality fat intake etc.
A couple of possible factors at play for me is that I am heterozygous for ApoE4 (alzheimer’s gene) and homozygous for MTHFR C677T which messes with my bodies methylation cycle and is fairly famous on ‘the internet’. Both of these may somehow influence the way the body uses cholesterol so I’ve just this week started a supplementation experiment that I’ll stick to for a few months to see what, if any difference, it makes to my general wellbeing/lab numbers. For anyone interested I’ll be taking
- A fancy multivitamin
- Creatine
- Glycine
- Choline (Sunflower Lecithin)
- Curcumin
- Magnesium/Potassium (which I was taking anyway)
Running out of ideas after that…I am still losing weight so perhaps that’s all it is…maybe I need to wait until I reach a stable, healthy body fat for 6 months or so then run the numbers.
Adriana
(Adriana)
#44
A few days ago I was reading a similar thread, the poster has high trigs and found something that works from him, this is the thread: Carnivore Diet N=1 and High Triglycerides Riddle
PaulL
(Bacon is a many-splendoured thing)
#46
@Keto_Tom Have you looked at the information on Dave Feldman’s site, www.cholesterolcode.com? Ivor Cummiins also has a lot of useful information about cholesterol at www.thefatemperor.com. Prof. David Diamond has a very interesting series of papers out, several with Uffe Ravnskov, about statins and cholesterol, and what the real problem is.
Various presentations by all three of these gentlemen are available on YouTube. Just go to YouTube and search on their names.
Alpha
(Omar)
#47
If I may
I am little confused by your reply.
but who is the carrier/transporter for tg in a fasting state?
isn’t it the ldl?
Vietwalin
(Viet Walin)
#48
I think the answer to why your blood lipid panel was sky rocketing this past test was due to your high fat consumption prior to testing. In a clinic testing, a high fat meal is defined as a meal containing 75g of fat. Your coffee contained 80g so yes it would be consider a high fat meal. Such high fat meal prior to testing will give you elevated triglycerides, especially at the peak (like blood sugar peak after meal) and the peak of triglyceride from meals is about 4 hours post feeding. Next time, do just a typical 8-12 hour fast prior to testing if you wish. And if you want to munch, go with just little fat like 4-5 brazil nuts or 1 oz of cheese
Robert_Johnson
(Consensus is Politics)
#49
I realize this thread is fairly old. Seems to be a lot of questions about a high fat diet and labs tests. I’ve posted my most recent labs elsewhere, but thought I might as well show them off here as well.
I’m including everything that was done, most of which I have no idea what they mean, but perhaps someone can make use of it.
For reference, I’ll try to find my previous labs for comparison. But that will have to wait until I get back to my computer tomorrow.
Note: 29 August 2017 I was dx with T2DM. My HBa1c was 11.7%, with a BG reading of 594! I started zero carb on 17 October 2017, so it’s been almost exactly one year. I eat a very high fat moderate protein diet. I try to eat zero carbs, but I still indulge myself in the occasional grilled onion with my steaks, as well as pickled jalapeños with my pork bellies. But always certain to keep them under 20 grams of carbs a day. And that’s gross not net as far as I can measure.
Note Two: Very little exercise. There have been maybe a dozen days in the past year where I got on my stationary bike, and rode it for 15 miles, which was an hour of riding.
Note Three: oops. I didn’t have a long fast before this test. At 6 am I had a BPC. It was about 7 hours before the test. And it was about 500 calories of fat 
. Now if someone can clue me in if these lab results are now invalid? But I think they are probably ok (should say I hope:sunglasses:)
So drum roll please………
| PSA | 0.71 | ng/mL | 0.1-4.0 |
|---|---|---|---|
| HGB A1C | 5.6 | % | 4.1-6.4 |
| Test Name | Result | Units | Reference Range |
| WBC | 5.16 | K/cmm | 4.8-10.8 |
| RBC | 5.03 | M/cmm | 4.7-6.1 |
| HGB | 15.3 | g/dL | 14-18 |
| HCT | 46.5 | % | 42-52 |
| MCV | 92.4 | fL | 80-94 |
| MCH | 30.4 | pg | 27.0-31.0 |
| MCHC | 32.9 Low | g/dL | 33-37 |
| RDW | 13.9 | % | 11/14/18 |
| PLT | 216 | K/cmm | 130-400 |
| MPV | 10.2 | fL | 7.4-10.4 |
| NEUTRO# | 3.15 | K/cmm | 1.4-6.5 |
| NEUTRO% | 60.9 | % | |
| LYMPH# | 1.16 Low | K/cmm | 1.2-3.4 |
| LYMPH% | 22.5 | % | |
| MONOS# | 0.38 | K/cmm | 0.2-1.0 |
| MONO% | 7.4 | % | |
| EOS# | 0.38 | K/cmm | 0-0.7 |
| EOS% | 7.4 | % | |
| BASO# | 0.07 | K/cmm | 0-0.2 |
| BASO% | 1.4 | % | |
| NRBC# | 0.00 | K/cmm | <0 |
| NRBC% | 0.0 | %/100WBC | |
| IG# | 0.02 | K/cmm | 0.01-0.03 |
| IG% | 0.4 | % | |
| Plasma Substance | |||
| CHOLESTEROL | 233 | mg/dL | |
| TRIGLYCERIDE | 169 | mg/dL | |
| HDL | 61 | mg/dL | >40 |
| LDL | 151 | mg/dL | |
| VLDL | 34 High | mg/dL | 0-30 |
| GLUCOSE | 88 | mg/dL | 74-106 |
| BUN | 13 | mg/dL | 07/18/18 |
| CREATININE | 1.0 | mg/dL | 0.6-1.3 |
| SODIUM | 142 | mmol/L | 136-145 |
| POTASSIUM | 4.5 | mmol/L | 3.5-5.1 |
| CHLORIDE | 103 | mmol/L | 98-107 |
| CO2 | 28 | mmol/L | 21-32 |
| CALCIUM | 9.1 | mg/dL | 8.5-10.1 |
| EGFR | 77.6 | mL/min/1.7 | <>90 |
| TOTAL PROTEIN | 7.5 | g/dL | 6.4-8.2 |
| ALBUMIN | 4.4 | mg/dL | 3.4-5.0 |
| TBIL | 0.4 | mg/dL | 0.2-1.0 |
| ALP | 79 | U/L | 45-117 |
| ALT | 29 | U/L | 12/01/78 |
| AST | 19 | U/L | 15-37 |
| TSH | 1.040 | uIU/mL | 0.358-3.74 |
| Urine Substance #1 | |||
| SPECIFIC GRAVITY | 1.020 | 1.002-1.035 | |
| URINE BLOOD | Negative | Negative | |
| URINE BILIRUBIN | Negative | Negative | |
| URINE PH | 5 | 05/09/18 | |
| URINE NITRITE | Negative | Negative | |
| URINE LEUKOCYTE ESTERASE | Negative | WBC/uL | Negative |
| URINE PROTEIN | Negative | mg/dL | Negative |
| URINE KETONES | 1+ | Negative | |
| URINE GLUCOSE | Negative | Negative | |
| URINE COLOR | Yellow | YELLOW | |
| URINE CLARITY | Clear | CLEAR | |
| UROBILINOGEN | NORM | mg/dL | NORM-2 |
| Urine #2 | |||
| MICROALBUMIN (QUANT) | 2.44 | mg/dL | |
| MICROALBUMIN/CREAT RATIO | 15.8 | mg/gCr | 0-30 |
| URINE CREATININE | 154 | mg/dL |