I posted my initial journey a couple months back in which I explained how I’d been doing something of a pseudo keto with some weekend cheat meals and drinking more than I should. Here is that thread for reference.
Since that time, I’ve had no cheat meals and stayed completely away from beer as well as cut way back on my drinking. And I wouldn’t call my diet technically “keto” as my net carbs tend to be around 30-40/day on average but all from natural sources.
A typical day in the life for me, in terms of macros, looks like this:
Protein: 160 g
Net Carbs: 35 g
Fat: 175 g
I’ve been feeling pretty dang good and have melted away pretty much any fat I had left on me, leaving behind a pretty defined 6 pack and an overall vascular build. Lends me a lot of confidence and my wife loves it. The goal isn’t vanity here but it’s a great added perk!
That said, I had a follow-up lipid panel and ApoB test, and did my first fasting Insulin test on 3/1 and just got my results back. Was a little surprised to see that my total and LDL cholesterol numbers had increased yet HDL stayed about steady… Trigs went down which is positive. But ApoB shot up quite a bit. And my Insulin was solid.
OLD 1/11/2023 Results
Total Cholesterol: 262
NEW 3/1/2023 Results
Total Cholesterol: 298
Also… On 2/3/23
Calcium CT Score = 0
I honestly thought getting more strict about my diet and cutting back on drinking would have a more positive impact on these numbers but, to my surprise, the positive changes (in Triglycerides only) were fairly insignificant and the “less positive” changes in total cholesterol, LDL and, especially, ApoB were much more pronounced.
All of this said, I think the biggest shocker was the ApoB number… I don’t know how to interpret that one as it seems to be a fairly hotly debated topic. Certain professionals like Dr. Paul Saladino say it’s nothing to worry about whereas others like Dr. Peter Attia says the opposite.
Still waiting to hear from my cardiologist, who is an advocate of keto and said he’d like to see my ApoB below 100. Not sure if he’s going to advise me to change course or stay on this path but I really don’t want to change my diet. We did do the Calcium CT scan since his comments about ApoB so I’m wondering if that’ll change his perspective.
In any case, would love to hear thoughts from the community on these results.