Well, I didn’t have the guts or the time to do this. My cardiologist has so few minutes with me, that I can’t tell them the issues I’m having let alone talk to them about keto.
I have idiopathic (we have no idea what caused this) dilated (your heart is getting bigger) cardiomyopathy (something’s wrong with your heart). I have been experiencing low blood pressure (<100 systolic, which is low for me), dizziness at times, and what I perceive to be slow heart rate. So, those took priority for the 10 minutes I was in the office.
I used the Dave Feldman cholesterol drop protocol and got my LDL down to 106. The cardiologist was happy about that, but then pulled up an old (5 years?) reading where my LDL was 152. I had to tell him that was because that was after 4.5 days fasting, which was true. Fasting that long causes “bad” things to happen for me, TC, LDL, trigs all go up, HDL goes down. I did not know this at the time (way before Dave Feldman), so to prove what happened, I did another test after 12 hours then after 4.5 days of fasting, and saw dramatic differences (again, before Feldman helped to explain this). The cardiologist does not have this data, though. He thought I was crazy for fasting that long.
I didn’t have the heart to then say, “Ha! You think that’s crazy, I fasted 4.5 days, then ate as much saturated fat as I could for three days, then took the blood test that caused LDL to be 101. Oh, by the way, I’ve been on a low carb/keto diet since 1/1/14. Oh, and I didn’t eat at all Monday, worked out Tuesday morning without eating, ate two meals Tuesday, ate one meal yesterday…”
He is convinced that the drugs I’m taking have helped repair my heart. I’m less convinced. There is a high correlation between insulin resistance and what I have. There is also a benefit to adding ketones for heart failure. I think my reversal of insulin resistance via diet and fasting is at least as important and perhaps more important than drugs.
This is the cardiologist who refused to authorize a CAC scan for me. He told me this is because my LDL is low, thus a CAC isn’t useful, apparently believing that high LDL = high values on a CAC scan, which I think is unsupported by scientific evidence. Unfortunately, I’m not the person to be the black swan for this, as my LDL is (assuming I don’t fast a lot) “low”.
I found a place that did not require a doctor’s prescription and got a CAC scan anyway. Score was zero. (And, I have very high Lp(a) and likely have had this my entire life, though I only knew about it when I began paying for fancier blood tests myself.) I’ll get another scan sometime in the future, to track what’s happening.
The good news is that I’m officially just “overweight” based on BMI. And based on my pants and the way I look and feel, I’ve gained muscle mass too, so I’m probably much better than the scale shows. I’ll know during my next DEXA scan.