Thank you all for your inputs. I had a chat with an specialist today on my lipid analysis so I thought I drop a few lines here as it is only fair to let you how it went.
Since 2017 that I started ketogenic diet and moved in to low carb since 2020 (50-70g daily), this was the most pleasant, educational, positive and respectful 45 minutes conversation I had with a doctor on this matter. It was really good.
**His concern:**There is no long term study on hyper-responders for this diet so going by the existing studies, if you carry on with this diet there is chance of CVD in the next 10-20 years as the blood becomes thicker and thicker.
My reply: If CVD is the concern in the long run, total LDL does not mean much but we can look at calcification by CAC score to identify if there are a lot of oxidated LDLc particles in order to conclude if the high total LDL is to concerning.
His conclusion: I wouldn’t even suggest a table to reduce your high total cholesterol (8.3) or high total LDL (5.9) because all the rest of the markers are good and we have a perfect level from 2013 (3.9) plus there is no genetic issue and you don’t smoke. If you want to reduce the total cholesterol then you can introduce some carbs such as up to 100-150 grams a day to reduce this. I had a patient similar to you in this diet and we achieved cholesterol reduction with introduction of some carbs.
Going forward Because I have no underlying health issues, am not diabetic or insulin resistance, I accepted his suggestion and we are going to test my blood work next year and follow up with him to talk about the result next year. My carb introduction is going to be sourdough bread that I make for my darling wife for the last 3.5 hears which has a good level of broken down gluten due to 48 hours fermentation process. I might find a different alternatives or am happy for suggestions.
Big shout out to good doctors. Medical professionals are catching up with science and that is truly great news and that a doctor is having patient’s interest in heart.