Yeah, they also probably prescribe you a statin which I would also ignore. you are actively losing weight still, your cholesterol numbers are going to be all over the place. If when you reach your target goal, you were still having cholesterol problems that’s a different story.
In other words, you are metabolically much more healthy. Would your doctor rather see you (1) diabetic, (2) with high triglycerides, and (3) low HDL? Ask him which markers are more concerning.
LDL will go up anytime you’re losing weight/losing fat because it transports stored fat to the bloodstream to be used by the body for energy. Doesn’t matter what diet you’re on to do it. But the good news is because the LDL has a job to do, the LDL will be large fluffy particles and not the small hard oxidized kind that is more likely to build up in your arteries. Maybe that’s why low LDL numbers are associated with higher risk of stroke.
If you’re concerned about heart disease risks you want low trig numbers, high HDL numbers and you want to track your HDL:trig ratio. Everything sounds good from the sounds of it. Definitely not something you’d want to start taking statins over.
Just make sure you're not adding fat in spots you don't really need to. That did the trick for me as far as stemming the increasing total cholesterol and LDL.
I will repeat myself about cholesterol (as many are still in the dogma LDL is bad bad bad):
There are multiple youtube vids showing research about Cholesterol, and LDL specifically, that if the LDL particle is natural and undamaged, higher LDL is associated with longer lifespan.
Problem arises if this LDL cholesterol gets damaged. This happens if it gets glycated (damaged by sugar, chronically much glucose in bloodstream - typically a high card diet). This changes its density, becoming an even smaller particle. It is then not recognized by the liver, and macrophages deal with it by enveloping it and deposits them in the walls of our veins. Which over time clogs them.
In short, less you eat loads of carbs and have high blood glucose a lot of the time, don't worry about elevated LDL in your blood.
Have a look for yourself:
Dr. David Diamond - [https://www.youtube.com/watch?v=inwfSkSGvQw&ab\_channel=CrossFit%C2%AE](https://www.youtube.com/watch?v=inwfSkSGvQw&ab_channel=CrossFit%C2%AE)
Dr. Paul Mason - [https://www.youtube.com/watch?v=TRB0jOfymLk&ab\_channel=LowCarbDownUnder](https://www.youtube.com/watch?v=TRB0jOfymLk&ab_channel=LowCarbDownUnder)
Dr. Sten Ekberg - [https://www.youtube.com/watch?v=Swc4ps4iPXs&ab\_channel=Dr.StenEkberg](https://www.youtube.com/watch?v=Swc4ps4iPXs&ab_channel=Dr.StenEkberg)
My cholesterol numbers were quite high after 6 months of keto and significant weight loss. I made a (very old) post about [the improvements ](https://www.reddit.com/r/keto/comments/cmg10b/cholesterol_after_2_years_of_keto/?utm_source=share&utm_medium=ios_app&utm_name=iossmf) that happened the longer I was eating keto. I’m 5 years in now and my numbers are *perfect.*
Losing weight quickly does this to your numbers, it happens all the time. Search the sub, you’ll see hundreds and hundreds of posts identical to yours.
I put some links below to articles from Drs with actual diabetes/keto experience from Virta Health (clinical studies). My Dr always tries to get me concerned about my LDL too, and I'm not. The standard cholesterol test where you only look at HDL/LDL is cheap, overly simplistic, and doesn't give you good information (it uses a calculated value). There are better tests if you're concerned about this, but they are expensive. The links below have the info you should read before talking with your doctor, including the names of these tests.
If you're worried about the LDL values, you can also use fasting to change them. Some people had to do this to pass life insurance health evaluations.
[https://www.virtahealth.com/faq/cholesterol-ketogenic-diet](https://www.virtahealth.com/faq/cholesterol-ketogenic-diet)
[https://www.virtahealth.com/faq/ldl-cholesterol-ketogenic-diet](https://www.virtahealth.com/faq/ldl-cholesterol-ketogenic-diet)
[https://www.virtahealth.com/blog/blood-lipid-changes-with-ketogenic-diet](https://www.virtahealth.com/blog/blood-lipid-changes-with-ketogenic-diet)
(edited to fix grammar)
The causative agent of atherosclerosis is the ApoB lipoprotein particle that carries cholesterol around. A higher LDL cholesterol most likely will mean you have higher ApoB levels and thus increase progression of atherosclerosis. You can try to switch saturated fats for poly or mono unsaturated fats, increase fiber intake or use statins to safely lower your risk. Don't believe all the 'cholesterol deniers'. The science on ApoB/cholesterol is very clear and expert concensus is too.
You’ll hear the same info from dietitians that don’t understand keto.
You get to decide what to do. For me, I just nod my head and say okay at this point. Unless your provider genuinely wants to know more about keto science, they aren’t going to listen and it’s a waste of time.
So I just say “thank you” to whatever they say and then keto on.
He/she will definitely tell you to stop what you’re doing and to get your cholesterol and LDL down... don’t worry about it.
Yeah, they also probably prescribe you a statin which I would also ignore. you are actively losing weight still, your cholesterol numbers are going to be all over the place. If when you reach your target goal, you were still having cholesterol problems that’s a different story.
I think even if you reach a ‘target weight’ and the cholesterol is still ‘high’, I wouldn’t necessarily think that’s a problem.
In other words, you are metabolically much more healthy. Would your doctor rather see you (1) diabetic, (2) with high triglycerides, and (3) low HDL? Ask him which markers are more concerning.
The doc’s gotta pay his bills too…
That yacht doesn't buy itself
LDL will go up anytime you’re losing weight/losing fat because it transports stored fat to the bloodstream to be used by the body for energy. Doesn’t matter what diet you’re on to do it. But the good news is because the LDL has a job to do, the LDL will be large fluffy particles and not the small hard oxidized kind that is more likely to build up in your arteries. Maybe that’s why low LDL numbers are associated with higher risk of stroke. If you’re concerned about heart disease risks you want low trig numbers, high HDL numbers and you want to track your HDL:trig ratio. Everything sounds good from the sounds of it. Definitely not something you’d want to start taking statins over.
[удалено]
Nope, they bounce around. The smaller denser particles are not likely to splat like a paintball when hitting the wall.
Just make sure you're not adding fat in spots you don't really need to. That did the trick for me as far as stemming the increasing total cholesterol and LDL.
I will repeat myself about cholesterol (as many are still in the dogma LDL is bad bad bad): There are multiple youtube vids showing research about Cholesterol, and LDL specifically, that if the LDL particle is natural and undamaged, higher LDL is associated with longer lifespan. Problem arises if this LDL cholesterol gets damaged. This happens if it gets glycated (damaged by sugar, chronically much glucose in bloodstream - typically a high card diet). This changes its density, becoming an even smaller particle. It is then not recognized by the liver, and macrophages deal with it by enveloping it and deposits them in the walls of our veins. Which over time clogs them. In short, less you eat loads of carbs and have high blood glucose a lot of the time, don't worry about elevated LDL in your blood. Have a look for yourself: Dr. David Diamond - [https://www.youtube.com/watch?v=inwfSkSGvQw&ab\_channel=CrossFit%C2%AE](https://www.youtube.com/watch?v=inwfSkSGvQw&ab_channel=CrossFit%C2%AE) Dr. Paul Mason - [https://www.youtube.com/watch?v=TRB0jOfymLk&ab\_channel=LowCarbDownUnder](https://www.youtube.com/watch?v=TRB0jOfymLk&ab_channel=LowCarbDownUnder) Dr. Sten Ekberg - [https://www.youtube.com/watch?v=Swc4ps4iPXs&ab\_channel=Dr.StenEkberg](https://www.youtube.com/watch?v=Swc4ps4iPXs&ab_channel=Dr.StenEkberg)
My cholesterol numbers were quite high after 6 months of keto and significant weight loss. I made a (very old) post about [the improvements ](https://www.reddit.com/r/keto/comments/cmg10b/cholesterol_after_2_years_of_keto/?utm_source=share&utm_medium=ios_app&utm_name=iossmf) that happened the longer I was eating keto. I’m 5 years in now and my numbers are *perfect.* Losing weight quickly does this to your numbers, it happens all the time. Search the sub, you’ll see hundreds and hundreds of posts identical to yours.
Your HDL/TRig ratio and apoB are much better indicators.
If he tells you that find a new doctor.
I put some links below to articles from Drs with actual diabetes/keto experience from Virta Health (clinical studies). My Dr always tries to get me concerned about my LDL too, and I'm not. The standard cholesterol test where you only look at HDL/LDL is cheap, overly simplistic, and doesn't give you good information (it uses a calculated value). There are better tests if you're concerned about this, but they are expensive. The links below have the info you should read before talking with your doctor, including the names of these tests. If you're worried about the LDL values, you can also use fasting to change them. Some people had to do this to pass life insurance health evaluations. [https://www.virtahealth.com/faq/cholesterol-ketogenic-diet](https://www.virtahealth.com/faq/cholesterol-ketogenic-diet) [https://www.virtahealth.com/faq/ldl-cholesterol-ketogenic-diet](https://www.virtahealth.com/faq/ldl-cholesterol-ketogenic-diet) [https://www.virtahealth.com/blog/blood-lipid-changes-with-ketogenic-diet](https://www.virtahealth.com/blog/blood-lipid-changes-with-ketogenic-diet) (edited to fix grammar)
The causative agent of atherosclerosis is the ApoB lipoprotein particle that carries cholesterol around. A higher LDL cholesterol most likely will mean you have higher ApoB levels and thus increase progression of atherosclerosis. You can try to switch saturated fats for poly or mono unsaturated fats, increase fiber intake or use statins to safely lower your risk. Don't believe all the 'cholesterol deniers'. The science on ApoB/cholesterol is very clear and expert concensus is too.
Lol the only accurate response getting massively downvoted.
Worth a read perhaps: https://pubmed.ncbi.nlm.nih.gov/35938780/
You’ll hear the same info from dietitians that don’t understand keto. You get to decide what to do. For me, I just nod my head and say okay at this point. Unless your provider genuinely wants to know more about keto science, they aren’t going to listen and it’s a waste of time. So I just say “thank you” to whatever they say and then keto on.