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High Cholesterol Message Board


High Cholesterol Board Index


[QUOTE=jerry78]I'm a 44 yr old male currently not on statin medication.
I see my Doc this Friday for my semi-annual physical.
I obtained my most recent labs from last week, and here they are:
TC-220
HDL-56
LDL(calculated)-113
TRI's-253
CHOL/HDL Ratio-3.9[/QUOTE]

The only lipid component above that I would be concerned with is your elevated triglycerides. This should be less than 150 mg/dl in my and many doctors' opinion, and optimally less than 100 mg/dl.

Many here put down low carbohydrate diets, but my experience and many other's experiences have shown that this type of diet has a dramatic effect on triglyceride levels. Five years ago, my triglycerides were in the 150's and HDL was ~50 mg/dl. That is about the time I started following a low carbohydrate diet. I've been on it ever since and am currently 25 pounds lighter than when I started. A few months ago I had bloodwork done and my triglycerides were 36 mg/dl and HDL was 73 mg/dl. I'm a 38 y/o male by the way. My diet focuses on wholesome, natural, unprocessed beef, pork, fish, poultry, wild game, eggs, cheese, nuts, fiberous vegetables, and limited amounts of low sugar fruits with a supplemental tablespoon of cod liver oil every day. I cook with lard that I render at home and also use real butter melted on my vegetables and olive oil on my salads. I avoid processed foods whenever possible and in particular attempt to avoid foods containing partially hydrogenated vegetable oils, high fructose corn syrup, and enriched wheat flour (these are everywhere - just read a few labels on any baked goods). I'm not perfect but I do try to stick to that dietary philosophy the large majority of the time.

And the science tends to support a diet low in carbohydrates being more effective at reducing triglyceride levels than a low fat diet. I researched this quite a bit before I jumped on this low carb diet. Just do a google or medline search for [triglycerides carbohydrate]. And to compound things, ultra low fat diets like Ornish's diet recommendations tend to reduce HDL levels which increases CHD risk, whereas diets higher in animal based protein and fats tend to raise HDL levels. This isn't just my opinion, but the scientific evidence is relatively easy to find on the net if you want to spend some time using a search engine.

Here are a few recent relevant hits supporting a low carbohydrate diet for improvement in lipid parameters:

http://cardiology.jwatch.org/cgi/content/full/2004/709/1

The above link in part states "...low-carb dieters fared significantly better than low-fat dieters in changes in mean triglyceride levels (–58 mg/dL vs. +4 mg/dL)"

http://www.annals.org/cgi/content/full/140/10/778

http://www.annals.org/cgi/content/full/140/10/769

And this review article >>> http://www.ccjm.org/pdffiles/Volek1102.pdf <<< states in part "The most dramatic and consistent lipid response to a very-low-carbohydrate diet is a moderate to large decrease in fasting triglycerides levels and postprandial triglycerides responses to a fat-rich meal, (14) both independent risk factors for cardiovascular disease. (15)(16)" – References shown in () at end of article.

[QUOTE=jerry78]Should I request to go on Statins? What are your opinions on it? [/QUOTE]

No, not in my opinion. Statins treat the symptom (elevated cholesterol) rather than the root cause of the problem (poor diet). They may provide some other benefits such as a reduction in inflamation, but these benefits are not well established. The problem for someone of your age is that there is no end game with statins because they don't fix the problem. If you rely on them solely to artificially address your cholesterol abnormalities, then you are stuck with them for the rest of your life. Besides, statins have little effect on triglyceride levels and that is the only component you have that could be considered abnormal. And statins are not without risks themselves - just take a look at the postings on this board or do a google.com search for [statin risk]. Of particular concern is CoQ10 depletion.

Good luck in your search for information.

Alan





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