Firstly, your ratio of triglycerides to HDL is just under 2.0, which suggests very low risk for cardiovascular disease. If you had had a lipid panel done, I’d bet the NMR would show mostly Pattern A, which is the healthier pattern. Secondly, you’ve been keto for how long? Wait till the six-month mark and get retested. Then let’s see what your numbers look like.
Lastly, the whole cholesterol-causes-heart-disease hypothesis is backed by very little solid science. In fact, several large, well-funded studies, among them the Women’s Health Initiative, the Framingham study, and Keys’s own Minnesota Coronary study actually showed that higher LDL actually correlates with reduced risk of heart attack, especially in women, and especially in the elderly.
Add to that the fact that most of the people presenting in emergency rooms with their first heart attack have normal or even low cholesterol, and the fact that half of the people with the genetic condition called familial hypercholesterolemia never develop any sign of heart disease and die in old age of other causes—and one begins to wonder how cholesterol could possibly be the cause of cardiovascular disease. It is true that cholesterol is present in arterial plaque, but it appears to be part of the body’s healing response to damage. In fact, as Dr. Phinney likes to say, blaming heart disease on cholesterol is a whole lot like blaming fires on fire trucks.