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Keto diet: expected lipid test results?
Old 03-06-2020, 11:07 AM   #1
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Keto diet: expected lipid test results?

Told the MD I have been doing Keto since the fall & wanted a lipid test. Called & says its over 300 and should be under 200 so they want me to take drugs to reduce it.

Don't have the hardcopy blood test yet so don't know what test they did.

Need to learn about what levels are "normal" when on Keto, for which tests, and I know I need to agitate for a more detailed test - fractionation test ?

There is a thread on "denied LTC insurance" and I wonder if this sort of thing will "look bad" because there is no official recognition for Keto diets and what levels are normal.
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Old 03-06-2020, 11:24 AM   #2
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You could try "not keto".

https://nutritionfacts.org/

https://nutritionstudies.org/whole-f...ed-diet-guide/

LDL between 50-75. Even under 100 can be plaque forming.

It's tough out there.
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Old 03-06-2020, 11:47 AM   #3
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I am 42yo female RN. When I had drunk some fat from meat, it came to 400. haha. Blood work could be what you ate recently. I didn't worry about at all. But I have quit keto now because I have been sick because of stress. As I know an asian RN, patients are fed rice porridge when they get sick, I started to eat carbs back. Also, I had to take CT scan for other reason, my biliary duct was distented. I am not sure if it was from keto, but possibly keto plus extreme stress with my stuff. My benefit from keto was learning my bad habit not eat enough fat due to low fat movement. I have a check up blood recently, it was back to my normal level. I don't recommend to put you on medication.

Also, what matter is HDL, if your HDL is high, it is good sign, but it is low, I would cut down how much you consume fat.
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Old 03-12-2020, 05:39 AM   #4
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Got results back & an old to compare:

WHEN...Chol...Trig...HDL.....LDL....Chol/LDL
2011___193___60___61__120____3.2
2020___346__111___59__262____5.9 ; non HDL Chol: 287 (what's that?)

Don't know if 2011 was fasting; 2020 was not fasting & on a keto diet.

The MD suggests I have familial hyperlipidemia (FH), but do the 2011 results indicate that at all?

They didn't do any size fraction test, which I wanted to know. Would that data be useful? Or LDL-P particle number test.

This from 2014 seems to talk about what it means if keto causes higher Chol, and high LDL-P:

Lipid Changes on a Very-Low-Carb Ketogenic Diet: My Own Experience - Low Carb Dietitian

"LDL-P is a measurement of the number of LDL (low-density lipoprotein) particles in your blood which carry cholesterol, triglycerides, and another type of fat called phospholipids. According to lipidologists (experts in the field of cholesterol and other lipids), LDL-P is the strongest predictor of risk for cardiovascular disease (CVD) and future cardiac events.

this type of dramatic elevation in LDL-C and LDL-P doesn't occur in most people who adopt a very-low-carb, high-fat diet.

I've seen estimates that somewhere between one quarter and one third of low-carbers experience this. I've met and read about several who have.

Most people who eat VLCKDs see their cholesterol rise only slightly, not at all, or even decrease, remaining within or near the normal range. I've met plenty of folks like this as well.
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Old 03-12-2020, 06:09 AM   #5
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Quote:
Originally Posted by Bongleur View Post
Don't know if 2011 was fasting; 2020 was not fasting & on a keto diet.
Those tests are meaningless if not fasting.
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Old 03-12-2020, 07:20 AM   #6
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Braumeister is correct. Doing lipid labs non-fasting is pointless.
Also, lipid numbers will be irrelevant during weight loss (fat is shed into the blood during that state), so wait until your weight has stabilized for 2-4 weeks.
The really important parts are triglyceride (will be less than 100 if you are truly keto), LDL particle number (especially small LDLp - should be less than 1000 for total particles and less than 400 for small particles). HDL should be >50. Everything else is either calculated (and thus inaccurate), or irrelevant.

Peter Attia has been mentioned here before. He has a highly scientific approach and thus may be difficult to follow for most non-scientists, but he has a lot of really relevant information and a really well reasoned point of view on this topic. See peterattiamd.com for his website. His podcast is called “the drive”. I highly recommend it.
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Old 03-12-2020, 07:27 AM   #7
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Time2 had linked to a 5 parts series of podcasts (#20-24) with Dr. Tom Dayspring Oct 2018.

I’ve downloaded these podcasts for our very long drive.
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Old 03-12-2020, 07:54 AM   #8
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Time2 had linked to a 5 parts series of podcasts (#20-24) with Dr. Tom Dayspring Oct 2018.

I’ve downloaded these podcasts for our very long drive.
Yes, that series is excellent. For even more of the fundamentals, check out his 9 part series called “Straight dope on cholesterol” - also found on his website.
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Old 03-12-2020, 07:57 AM   #9
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Oh thanks!
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Old 03-12-2020, 08:13 AM   #10
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Quote:
Originally Posted by Bongleur View Post
Got results back & an old to compare:

WHEN...Chol...Trig...HDL.....LDL....Chol/LDL
2011___193___60___61__120____3.2
2020___346__111___59__262____5.9 ; non HDL Chol: 287 (what's that?)

RE, Non-HDL:

Chol = 346, HDL = 59 and 346 - 59 = 287=Non-HDL
How they didn't charge you much for that!
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Old 03-12-2020, 02:30 PM   #11
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Originally Posted by Time2 View Post
RE, Non-HDL:

Chol = 346, HDL = 59 and 346 - 59 = 287=Non-HDL
How they didn't charge you much for that!
So "non-HDL" includes what categories? LDL and something else?
I don't know lipid terminology at all.

Not doing keto for losing fat, but to not get hungry 2 hours after I eat (post prandial hypoglycemia, I presume). My % bodyfat before starting was about 20%, its dropped to about 17%.

Been doing it since fall, so weight should be stable by now.

Any of these podcasts have transcripts? I'm not a listener, I read & highlight & cut & paste bits into my own notes.

So the essential tests are HDL, LDL-P (which I guess I need to demand) and Triglyceride?
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Old 03-12-2020, 03:29 PM   #12
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Any of these podcasts have transcripts? I'm not a listener, I read & highlight & cut & paste bits into my own notes.

So the essential tests are HDL, LDL-P (which I guess I need to demand) and Triglyceride?
Yes, as far as I recall, Peter Attia makes it a point to publish transcripts of all of his podcasts.
Yes, IN=MHO, those three lipid parameters (4, if you get small LDL particle number and total LDL particle number) are all you need
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Old 03-24-2020, 07:21 AM   #13
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I have Great results in my blood test while on a Keto diet.
I have been on a Keto Diet for 7 weeks before the blood tests.
I tried for 20 Carbs, but in reality I was between 20 and 30 grams.
I'm weighing and tracking all my food in Cronometer.
I also take 5 mile walk almost every day, I also added some other exercises, since I started Keto.
I lost 11 lbs while on keto. Also, my doc changed my cholesterol med since my last test. (Lovastatin to Rosuvastatin)
So, the improvements include, Keto, exercise, weight loss and a change of cholesterol med.
I wish doc had not changed my med, so I had a clearer picture.
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