NMR IS HERE! Who Wants To See It BEFORE My Doc Does!

(Tracy) #1

I have no idea what I’m looking at. Can someone help me understand if this is good or bad? My doctor hasn’t called me yet to discuss it. It was taken after a 14 hour fast.

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(KCKO, KCFO 🥥) #2

Go over to Dave Feldman’s site and plug your numbers into the report tool there.

(Bunny) #3

I like the little footnotes that say percentile?

Percentile to what referenced population?

(Tracy) #4

In a sample NMR test I was looking to understand my own reading, it says this at the top: LDL-P is the direct measure of low density lipoprotein particles - the causal link between high levels of LDL-P and development of cardiovascular disease (CVD) is well established.

I have high LDL-P. Does that mean it is going to cause CVD?

(Bunny) #5

If your doing a Ketogenic diet I would say no if they are the large fluffy type they are protective (total opposite) and yours appear to be the large fluffy type 22.9 if I’m reading it correctly?

(Tracy) #6

Yes, my LDL particle size is 22.9

(Todd Allen) #7

Your result looks similar to mine. Everything in the green except for LDL count. Unfortunately LDL count is what most physicians consider most important despite little justification.

(Bob M) #8

Same with Lp(a). I have a “low” LDL count (unless I fast for a while, then it goes up to the mid range, even higher), but super high Lp(a). Zero score on CAC scan, though.

(You've tried everything else; why not try bacon?) #9

I second @collaroygal’s advice to plug your numbers in at www.cholesterolcode.com and see what information you get back. It will probably be helpful in dealing with your doctor.

Bear in mind, though, that even if your doctor does prescribe a statin, you are not obliged to fill the prescription. I do not normally advise going against a doctor’s advice, yet from what I know of the side effects of statins (muscle pains, memory loss, mental confusion, impotence, diabetes), I would never take one, no matter how badly my doctor thought I needed it. Unfortunately, prescribing a statin is the standard of care in most jurisdictions, and a doctor could actually get in trouble for not prescribing one. If we refuse to take it, however, that lets the doctor off the hook.

(Tracy) #10

Right before I did this test I was really nervous so I had lost my appetite, which resulted in quite a bit of fasting the 4 days before I took the test. It made the 14 hour pretest very easy. Are you saying that because I had done more fasting than usual prior to the NMR it could have made my LDL-P rise?

(Tracy) #11

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(Tracy) #12

I need to just get a CAC and get it over with. The anxiety of wondering if I have clogged arteries combined with my doctor freaking out of my LDL is causing anxiety anyway. I was doing great recently. I had never felt better in my life until I saw the LDL was high in the NMR. I keep thinking of high LDL as a diagnosis of heart disease and I have to remind myself it’s only considered a risk factor. I’ve eliminated the high blood pressure, obesity, and diabetes as risk factors. Now I’m just dealing with one, if it even is a risk.

(KCKO, KCFO 🥥) #13

A nice report, congrats.

Do you have regular cholesterol test result from before you started Keto/lchf WOE? If you do and the cho. total was way lower, you are probably a hyper-responder, be sure and read up on that at Dave’s website.

(KCKO, KCFO 🥥) #14

You are doing great, many see that high Cholesterol number go down after being keto/lchf for a while. Mine went down well, mine was not as high as yours but higher than my dr. wanted it to be, after about 18 months. If I were you I’d be concerned now about keeping those beautiful HDL and Triglycerides numbers. In 6 months, get a regular panel done and make sure those HDL and Trig numbers are good and see how you have progressed on over all LDL.

(Bob M) #16

Possibly. You either want to eat “normally” for a few days, or follow Dave Feldman’s cholesterol drop protocol. I did Dave Feldman’s protocol, fasted 4.5 days, got a test on 6/14/19 (see right-most column), then ate high fat (drank cups of cream) and high calorie for 3 days and got tested again (see left two columns).

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My LDL-p went from 1170 to 1006 in 3 days, around 14%, in 3 days.

So, you want to be somewhat mellow the few days before the test.