People have asked me in the past “Aren’t you concerned about your Cholesterol since you are eating all that fat on the Keto diet?”  I wouldn’t have even tried this way of eating had I not done my homework and be continuing to learn about this WOL.  With that being said read on.

Lab Results 

On January 21st I had my yearly labs drawn. Prior to having them drawn, I had been fasting for around 12 to 13 hours. My doctor’s appointment was all set for January 28th. I for once was looking forward to going in for my annual checkup since my weight was significantly lower than it was a year ago and I was pretty certain that my lab work would reflect positive results.

The Friday before my appointment I received my lab results through my patient portal. Indeed there were some positive results. My Hemoglobin A1c was 5.0 (Non-Diabetic <=5.6%), Estimated Average Glucose (eAG) was 97. My Triglyceride was lower than last years and my HDL Cholesterol (so-called “good” cholesterol) was higher, which is good.  On the report I received via the portal the doctor noted “Your Cholesterol was extremely high and needs to be treated with medication.”  I was certain I was in for a fight when I went in for my appointment – actually I was very anxious about it.  I already knew I was going to ask for an advanced lipid test called NMR LipoProfile to see how my LDL and HDL particles break down I was unsure how my doctor would react to my request.

Below are my Lipid Panel results for the past three annual check-ups.  The Lipid Panel from 2017 was months before I started on the Ketogenic Diet (Started August 6, 2017)

Lipid Panel Results

2019 Lipid Panel

HDL Cholesterol 65
Cholesterol 363
Cholesterol/HDL Ratio 5.6
LDL Cholesterol, Calculated 280
Non-HDL Cholesterol 298
Triglyceride 89
VLDL Cholesterol 18

2018 Lipid Panel

HDL Cholesterol 51
Cholesterol 225
Cholesterol/HDL Ratio 4.4
LDL Cholesterol, Calculated 155
Non-HDL Cholesterol 174
Triglyceride 93
VLDL Cholesterol 19

2017 Lipid Panel

HDL Cholesterol 50
Cholesterol 211
Cholesterol/HDL Ratio 4.2
LDL Cholesterol, Calculated 114
Non-HDL Cholesterol 161
Triglyceride 233
VLDL Cholesterol 47

Appointment with my Doctor

Truthfully I was anxious about seeing my doctor but as I was driving to the appointment asking God to calm my heart, He reminded me of this in His word “I trust in God, so why should I be afraid? What can mere mortals do to me? Psalm 56:11 (NLT).  It was amazing the sense of peace I had after God reminded me of this verse.

So at my doctor’s appointment, she was absolutely thrilled with my weight loss and my weight graph that she has in my chart – since my last appointment.  She was thrilled with my blood sugar and A1c.  What a difference a year makes, she certainly has changed her tune about the ketogenic diet from a negative to a positive one.

It was a while before she got my lipid panel results…I was waiting for it.  As expected she was shocked at my numbers and suggested that she puts me on a statin.   I said to her that “I would like to have an advanced study done to see how my cholesterol particles break down.”  She was very receptive of that suggestion and immediately wrote out the lab order.  She said to me “I am glad you are taking this seriously.”  I am taking it seriously but that does not absolutely mean I am going to go on a statin.

Cholesterol Education

Dr. Adam Nally does a very great job at explaining cholesterol and the breakdown of it using legos – you can watch it here.  The first 15 minutes of this Facebook live video he explains it then he goes on to answers some questions.

I have also learned a lot from Dave Feldman who has become well known in Ketogenic circles and with many of the doctors who support and treat patients with low carb and ketogenic diets.  Dave has learned from his own personal lipid studies that cholesterol numbers go up and down within a few days. Not only that but he has learned how to manipulate his cholesterol numbers and has said that a treatment plan should not be based on a single annual test.

Here is a link of an interview with Dave Feldman on BioHackers you might find interesting titled What Causes High Cholesterol Levels on a Keto Diet? • Dave Feldman.

Increased Cholesterol numbers do not happen to everyone on the Keto Diet.  After listening to Dave I wonder if I could be a Hyper-Responder.  For more information on this please visit here.

The video below is one that Dr. Berg recorded with Dave Feldman.  It really is amazing how our bodies work.  While listening to Dave speak it truly reminds me of Psalm 139:14 “I will praise You, for I am fearfully and wonderfully made; marvelous are Your works“.  I hope you will enjoy this video and learn as much as I have from it.

For those who need more information, here is a link for an interesting interview from with Dr. Ron KraussAlso check out my Resource Links for more information on cholesterol. 

I have a lab appointment set for this coming Friday to get my NMR Lipo Profile drawn, that Dr. Adam Nally spoke about in his Lego Version of Cholesterol video (see the link above).  Stay tuned for results!

Please read my Disclaimer and note  The above are my own personal choices.  Everyone needs to be their own advocate when it comes to their health choices and each person needs to make their own personal decisions when it comes to their health.

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