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Jan 08

New Report Tool in Development

I haven’t had a chance to write about Cholesterol Remnants or Atherogenic Index of Plasma, but I will at a future date. For now, I have a tool I’ve been writing and testing which will report those and other metrics for copy/paste use. You’ll find it on the new Report page.

Feel free to test it out yourself and copy/paste your report in the comments below.

101 comments

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  1. Dorthe

    I have just tested your new tool, this is the result (and the conversion between mmol/L and mg/dL seems to match, what I found on another website.

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 294 mg/dL 7.6 mmol/L
    LDL Cholesterol: 217 mg/dL 5.6 mmol/L
    HDL Cholesterol: 60 mg/dL 1.56 mmol/L
    Triglycerides: 81 mg/dL 0.92 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 17 mg/dL 0.44 mmol/L >>> Medium-Low Risk Quintile
    Remnant Chol to HDL: 0.28 >>> Medium-Low Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.229 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 4.87
    Triglyceride/HDL Ratio: 1.35

    I haven’t read about cholesterol remnants yet – is that also what is called VLDL? Because I had that measured in my last blod test, and the number was 0.4, which matches the test result.

    1. Dave

      Yes — VLDL is one of the CRs.

  2. John Freeman

    ==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 455 mg/dL 11.77 mmol/L
    LDL Cholesterol: 375 mg/dL 9.7 mmol/L
    HDL Cholesterol: 57 mg/dL 1.47 mmol/L
    Triglycerides: 117 mg/dL 1.32 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 23 mg/dL 0.59 mmol/L >>> Medium-Low Risk Quintile
    Remnant Chol to HDL: 0.4 >>> Medium Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.047 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 8.01
    Triglyceride/HDL Ratio: 2.05

    Am I gonna die?

    1. Dave

      Someday, yes.

  3. John Freeman

    I should also say I was coming off a sinus infection and meds when theses numbers were pulled. My LDL was 58 points higher than my last and my triglycerides were surprisingly high. Normally in the 80’s.

    1. Dave

      That’s actually normal with lipids. The body can upregulate TG rich lipoproteins in particular to battle pathogens. Check out Siobhan’s great work on this site for more information. 🙂

      1. John Freeman

        Thanks Dave. Im looking at her work now. Im gonna need more coffee.

  4. Abby Stoddard

    Tool looks great! Now I am anxious to read your (layperson-accessible) thoughts on cholesterol remnants, as it appears my score has placed me in the “medium risk” quintile:

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 330 mg/dL 8.53 mmol/L
    LDL Cholesterol: 217 mg/dL 5.61 mmol/L
    HDL Cholesterol: 87 mg/dL 2.25 mmol/L
    Triglycerides: 56 mg/dL 0.63 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 26 mg/dL 0.67 mmol/L >>> Medium Risk Quintile
    Remnant Chol to HDL: 0.3 >>> Medium-Low Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.553 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 3.79
    Triglyceride/HDL Ratio: 0.64

    1. Dave

      I’ll have an article on it in the coming future. Not sure when, but CRs are definitely in the middle of my radar now.

  5. Simon Hunter

    LCHF

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 244 mg/dL 6.31 mmol/L
    LDL Cholesterol: 140 mg/dL 3.62 mmol/L
    HDL Cholesterol: 88 mg/dL 2.28 mmol/L
    Triglycerides: 65 mg/dL 0.73 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 16 mg/dL 0.41 mmol/L >>> Medium-Low Risk Quintile
    Remnant Chol to HDL: 0.18 >>> Lowest Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.495 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 2.77
    Triglyceride/HDL Ratio: 0.74

  6. Rafael Castillo

    Here are my data for 3 different Lipid Panels:

    3.27.2017:
    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 223 mg/dL 5.77 mmol/L
    LDL Cholesterol: 150 mg/dL 3.88 mmol/L
    HDL Cholesterol: 63 mg/dL 1.63 mmol/L
    Triglycerides: 51 mg/dL 0.58 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 10 mg/dL 0.26 mmol/L >>> Lowest Risk Quintile
    Remnant Chol to HDL: 0.16 >>> Lowest Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.449 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 3.54
    Triglyceride/HDL Ratio: 0.81

    3.29.2016:
    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 196 mg/dL 5.07 mmol/L
    LDL Cholesterol: 128 mg/dL 3.31 mmol/L
    HDL Cholesterol: 58 mg/dL 1.5 mmol/L
    Triglycerides: 50 mg/dL 0.56 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 10 mg/dL 0.26 mmol/L >>> Lowest Risk Quintile
    Remnant Chol to HDL: 0.17 >>> Lowest Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.428 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 3.38
    Triglyceride/HDL Ratio: 0.86

    5.24.2015:
    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 170 mg/dL 4.4 mmol/L
    LDL Cholesterol: 99 mg/dL 2.56 mmol/L
    HDL Cholesterol: 59 mg/dL 1.52 mmol/L
    Triglycerides: 62 mg/dL 0.7 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 12 mg/dL 0.31 mmol/L >>> Lowest Risk Quintile
    Remnant Chol to HDL: 0.2 >>> Medium-Low Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.337 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 2.89
    Triglyceride/HDL Ratio: 1.05

  7. Rafael Castillo

    Just as an asterisk, all of my numbers aren’t strict LCHF. I’ve only become strict since Late-December 2017 and am curious how my future lipid panel results would turn out. Any tips Dave on how to get labs done without having to see my PCP?

    1. Simon Hunter

      requestatest.com

      1. Rafael Castillo

        Ugh. Turns out New York State is rather obstinate in this matter.

        1. Dave

          I have some NYer followers who just head out of state (CT, I believe?) to get their testing.

          1. Rafael Castillo

            Interesting. I’ll see what I can do. I live right on the CT border.

  8. Mias Posadas

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 270 mg/dL 6.98 mmol/L
    LDL Cholesterol: 186 mg/dL 4.81 mmol/L
    HDL Cholesterol: 82 mg/dL 2.12 mmol/L
    Triglycerides: 50 mg/dL 0.56 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 2 mg/dL 0.05 mmol/L >>> Lowest Risk Quintile
    Remnant Chol to HDL: 0.02 >>> Lowest Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.578 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 3.29
    Triglyceride/HDL Ratio: 0.61

  9. Ravi Shrestha

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 302 mg/dL 7.81 mmol/L
    LDL Cholesterol: 222 mg/dL 5.74 mmol/L
    HDL Cholesterol: 64 mg/dL 1.66 mmol/L
    Triglycerides: 53 mg/dL 0.6 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 16 mg/dL 0.41 mmol/L >>> Medium-Low Risk Quintile
    Remnant Chol to HDL: 0.25 >>> Medium-Low Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.442 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 4.7
    Triglyceride/HDL Ratio: 0.83

  10. Johan Ness

    Something wrong with my labs or in calculator. Remnant Cholesterol error!

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 313 mg/dL 8.1 mmol/L
    LDL Cholesterol: 244 mg/dL 6.3 mmol/L
    HDL Cholesterol: 84 mg/dL 2.18 mmol/L
    Triglycerides: 74 mg/dL 0.83 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: -15 >> High Risk Quintile
    Remnant Chol to HDL: -0.18 >>> Lowest Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.419 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 3.72
    Triglyceride/HDL Ratio: 0.88

    1. Rafael Castillo

      I plugged your numbers into a Friedewald Equation Calculator here: https://www.mdcalc.com/ldl-calculated

      Any chance you typed in the LDL incorrectly?

      1. Dave

        I did the same. The equation would give you a 214 for LDL-C. Was yours a direct measurement?

        1. Johan Ness

          Lab is using enzymatic method, don’t know if direct or not. I used mmol/l as units. Values are as in in lab report.

        2. Johan Ness

          My labs were somehow corrupted or something (?), sum of LDL and HDL is bigger than TotC. So, its good to notice that you can’t blindly trust the lab results.
          Older labs gives reasonable values.
          Hope that you give Friedewald/Iranian LDL calculations also in mmol/l.

          –==== CholesterolCode.com Report v0.8 ====–
          Total Cholesterol: 305 mg/dL 7.9 mmol/L
          LDL Cholesterol: 209 mg/dL 5.4 mmol/L
          HDL Cholesterol: 82 mg/dL 2.13 mmol/L
          Triglycerides: 80 mg/dL 0.9 mmol/L

          –CHOLESTEROL REMNANTS–
          Remnant Cholesterol: 14 mg/dL 0.36 mmol/L >>> Lowest Risk Quintile
          Remnant Chol to HDL: 0.17 >>> Lowest Risk Quintile
          Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

          –ATHEROGENIC INDEX OF PLASMA (AIP)–
          AIP: -0.374 >>> Lowest Risk Third
          Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

          –CONVENTIONAL MARKERS AND RATIOS–
          Friedewald LDL-C: 207 | Iranian LDL-C: 186
          Total/HDL Ratio: 3.72
          TG/HDL Ratio in mg/dL: 0.98 | in mmol/L: 0.42

          1. Dave

            Heh! I actually have Friedwald and Iranian in mg/dL. I’ll see if I can have the mmol/L version on the next goaround

  11. contre acné

    Woah! I’m really loving the template/theme of this blog.

    It’s simple, yet effective. A lot of times it’s
    challenging to get that “perfect balance” between superb usability
    and visual appearance. I must say you’ve done a amazing job with this.
    In addition, the blog loads very quick for me on Safari.
    Excellent Blog!

    1. Dave

      Thanks! To be honest, I didn’t work on it’s visual very long. Mainly I wanted it to be very copy/paste-able so people could share it on forums to get opinions and such.

  12. Brandon

    07/12/2017 – LCHF

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 255 mg/dL 6.59 mmol/L
    LDL Cholesterol: 186 mg/dL 4.81 mmol/L
    HDL Cholesterol: 52 mg/dL 1.34 mmol/L
    Triglycerides: 85 mg/dL 0.96 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 17 mg/dL 0.44 mmol/L >>> Medium-Low Risk Quintile
    Remnant Chol to HDL: 0.33 >>> Medium Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.145 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 4.92
    Triglyceride/HDL Ratio: 1.63

    09/02/2014 – SAD

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 190 mg/dL 4.91 mmol/L
    LDL Cholesterol: 121 mg/dL 3.13 mmol/L
    HDL Cholesterol: 35 mg/dL 0.91 mmol/L
    Triglycerides: 168 mg/dL 1.9 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 34 mg/dL 0.88 mmol/L >>> Medium-High Risk Quintile
    Remnant Chol to HDL: 0.97 >>> High Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: 0.32 >>> Highest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 5.4
    Triglyceride/HDL Ratio: 4.8

  13. Sabine

    5 months carnivore (90% of the time), female, body fat ~ 22.5%, very athletic:

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 372 mg/dL 9.62 mmol/L
    LDL Cholesterol: 248 mg/dL 6.41 mmol/L
    HDL Cholesterol: 115 mg/dL 2.97 mmol/L
    Triglycerides: 47 mg/dL 0.53 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 9 mg/dL 0.23 mmol/L >>> Lowest Risk Quintile
    Remnant Chol to HDL: 0.08 >>> Lowest Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.748 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 3.24
    Triglyceride/HDL Ratio: 0.41

  14. KetoPhysics - J. S.

    My tiny contribution to your wonderful citizen science work.

    Here are my data for 2 different Lipid Panels:

    # Panel 1. Just a few days after switching to LCHF.
    # Weight at blood draw 103 kg
    02.08.16:
    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 156 mg/dL 4.04 mmol/L
    LDL Cholesterol: 99 mg/dL 2.56 mmol/L
    HDL Cholesterol: 28 mg/dL 0.73 mmol/L
    Triglycerides: 179 mg/dL 2.02 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 29 mg/dL 0.75 mmol/L >>> Medium-High Risk Quintile
    Remnant Chol to HDL:
    1.04 >>> High Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: 0.442 >>> Highest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 5.53
    Triglyceride/HDL Ratio: 6.39

    # Panel 2. Six months (6m) after switching to LCHF (moderate ~>> Lowest Risk Quintile
    Remnant Chol to HDL:
    0.34 >>> Medium Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.02 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 4.38
    Triglyceride/HDL Ratio: 2.2

    1. Dave

      Wow — nice Before vs After improvement in the CR and AIP values!

      1. KetoPhysics - J. S.

        Due to some formatting issues (partial HTML tag) the text on my second panel is being rendered incorrectly, it should have read like this (perhaps you can correct it Dave):

        # Panel 2. Six months (6m) after switching to LCHF (moderate less than 100g/day).
        31.01.17
        –==== CholesterolCode.com Report v0.7 ====–
        Total Cholesterol: 154 mg/dL 3.99 mmol/L
        LDL Cholesterol: 107 mg/dL 2.77 mmol/L
        HDL Cholesterol: 35 mg/dL 0.91 mmol/L
        Triglycerides: 77 mg/dL 0.87 mmol/L

        –CHOLESTEROL REMNANTS–
        Remnant Cholesterol: 12 mg/dL 0.31 mmol/L >>> Lowest Risk Quintile
        Remnant Chol to HDL: 0.34 >>> Medium Risk Quintile

        –ATHEROGENIC INDEX OF PLASMA (AIP)–
        AIP: -0.02 >>> Lowest Risk Third

        –CONVENTIONAL RATIOS–
        Total/HDL Ratio: 4.38
        Triglyceride/HDL Ratio: 2.2

        1. Dave

          Naw — this repost serves nicely. 🙂

  15. Geoffrey

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 257 mg/dL 6.65 mmol/L
    LDL Cholesterol: 180 mg/dL 4.66 mmol/L
    HDL Cholesterol: 50 mg/dL 1.29 mmol/L
    Triglycerides: 137 mg/dL 1.55 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 27 mg/dL 0.7 mmol/L >>> Medium-High Risk Quintile
    Remnant Chol to HDL: 0.54 >>> Medium-High Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: 0.08 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 5.16
    Triglyceride/HDL Ratio: 2.74

    1. Geoffrey

      Reading the link for Atherogenic Index … it says avoid saturated fat. This is wrong, sPTB4aturated fat is heart and brain healthy.

      1. Dave

        Yeah, I’m certainly not avoiding saturated fat, that’s for sure. 😉

  16. Karen Lewis

    I have been low-carbing since July 2002. Trying to sort out a heart arrythmia problem, and fasting blood test was taken on Friday. Hauled in to the GP’s surgery because of the Total Cholesterol figure. They didn’t have a LDL figure because it couldn’t be generated apparently, so I’ve used the LDL calculator at the mdcalc.com site. Personally, I’m happy with the HDL and TG figures, and not bothered by the TC. But the health care assistant was freaking out. She calmed down a little when she went through a QRisk assessment, and my cardiovascular score was 3.7/10, which is excellent, and it seems, not so often seen in the surgery.

    I came across your very interesting looking site via the Protein Power/Mike Eades blog, as this has re-ignited my interest in cholesterol, and finally I have an appointment with a cardiologist early next week so need to gen up a little in case this comes up in the consultation. I will be watching the video about eating more fat for the next test in 6 months time.

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 321 mg/dL 8.3 mmol/L
    LDL Cholesterol: 224 mg/dL 5.8 mmol/L
    HDL Cholesterol: 81 mg/dL 2.1 mmol/L
    Triglycerides: 71 mg/dL 0.8 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 16 mg/dL 0.41 mmol/L >>> Medium-Low Risk Quintile
    Remnant Chol to HDL: 0.2 >>> Lowest Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.419 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 3.95
    Triglyceride/HDL Ratio: 0.88

    1. Dave

      Glad to hear it! Also, if you’re boning up, consider the Simple Guide series here: http://cholesterolcode.com/a-simple-guide-to-cholesterol-on-low-carb/

      1. Karen Lewis

        Yes, I read those. : -) Most informative, and very easy to understand for those who don’t know much about the body’s physiology.

        I qualified as a Medical Herbalist way back in 1994 after 4.5 years of study, much of which closely followed that of a conventional medical student, but added nutrition and, obviously, in-depth study of the use of herbs, so I know how the body works, and have always been dubious about the negative hype around cholesterol. So I find work done by such as yourself, and all those other well-known names you use in the cartoons for the ‘ships’ most interesting, even if I do find the GPs somewhat resistant to any information I may try to pass on to them.

        1. Dave

          As it happens, I probably get more pings from GPs and other doctors about the comic than I do laypeople at this point. Go figure!

  17. Kristof

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 280 mg/dL 7.24 mmol/L
    LDL Cholesterol: 194 mg/dL 5.02 mmol/L
    HDL Cholesterol: 74 mg/dL 1.91 mmol/L
    Triglycerides: 58 mg/dL 0.65 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 12 mg/dL 0.31 mmol/L >>> Lowest Risk Quintile
    Remnant Chol to HDL: 0.16 >>> Lowest Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.468 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 3.79
    Triglyceride/HDL Ratio: 0.78

  18. GloriaJ

    There is a reason that Richard Morris would say TG/HDL less than 1 for Australia/Rest of World units and less than 2 for US units.

    With units of mmol/L Trig/HDL should be less than 1 because of conversion of units mmol/L to mg/dL. http://www.endmemo.com/medical/unitconvert/High-density_lipoprotein_cholesterol.php2

    http://www.endmemo.com/medical/unitconvert/Triglycerides.php1

    LDL has same conversion factor as HDL
    http://www.endmemo.com/medical/unitconvert/Low-density_lipoprotein_cholesterol.php

    The conversion factor for trigs is about 88 and the conversion factor for HDL and LDL is about 38. It is the difference in molecular weight between triglycerides and cholesterol and the volume (dL v L). That roughly covers accounts for the difference of less than 2 for mg/dL to less than 1 for mmol/L for the Trig/HDL ratio.

    I learned the hard way that it is only in the US that we use mg/dL. It is easier to convert to weight percent from mg/dL because dL contains 100 mL which is pretty much 100 grams. Can you tell I taught chemistry in one of my former lives?

    Cholesterol: Molar mass: 386.65 g/mol

    Triglyceride: Molecular Weight: 885.453 g/mol

    1. Dave

      Oh yes — this became a bit of a Twitter debate when I first released the tool. I’m contemplating having both versions up there and distinguishing the difference. But I’ll want to call it out in a straightforward way, and that’s a challenge given this report is supposed to be very layperson-friendly.

  19. M Dale Rodger

    Hi Dave

    I think you would make a stellar presenter at The Quantified Self Symposium on Cardiovascular Health that will be held at Atkinson Hall at the University of California, San Diego in April 2018.

    Here is the link for more info: http://qscvd.quantifiedself.com/.

    Been following your work for a year now. Keep up the great work!

    1. Dave

      Sounds pretty cool — but alas, I have existing commitments for those dates!

  20. Steve

    July 2015
    Regular Diet
    230lbs
    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 203 mg/dL 5.24 mmol/L
    LDL Cholesterol: 142 mg/dL 3.68 mmol/L
    HDL Cholesterol: 52 mg/dL 1.34 mmol/L
    Triglycerides: 43 mg/dL 0.49 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 9 mg/dL 0.23 mmol/L >>> Lowest Risk Quintile
    Remnant Chol to HDL: 0.17 >>> Lowest Risk Quintile

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.437 >>> Lowest Risk Third

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 3.91
    Triglyceride/HDL Ratio: 0.83

    April 2017
    200lbs
    Eating LCHF since mid Feb 2017 ( approx 130-200P/ 90-150F/ 20-50C )
    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 413 mg/dL 10.68 mmol/L
    LDL Cholesterol: 331 mg/dL 8.55 mmol/L
    HDL Cholesterol: 70 mg/dL 1.81 mmol/L
    Triglycerides: 62 mg/dL 0.7 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 12 mg/dL 0.31 mmol/L >>> Lowest Risk Quintile
    Remnant Chol to HDL: 0.17 >>> Lowest Risk Quintile

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.413 >>> Lowest Risk Third

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 5.9
    Triglyceride/HDL Ratio: 0.89

    October 2017
    192lbs
    Eating LCHF since Feb 2017 but 3.5 days before blood work switched to PSMF (approx 170 protein/35F/ 35C)

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 347 mg/dL 8.98 mmol/L
    LDL Cholesterol: 269 mg/dL 6.95 mmol/L
    HDL Cholesterol: 70 mg/dL 1.81 mmol/L
    Triglycerides: 43 mg/dL 0.49 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 8 mg/dL 0.21 mmol/L >>> Lowest Risk Quintile
    Remnant Chol to HDL: 0.11 >>> Lowest Risk Quintile

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.567 >>> Lowest Risk Third

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 4.96
    Triglyceride/HDL Ratio: 0.61

    My doc is extremely concerned about my total C and LDL and making me re-do lipid panel in late January. I will be doing your 3.5 day Feldman protocol prior to this test as my PSMF “fasting” one back in October, my Total and LDL were still too high for my doc. Although she has no idea of this way of eating and wants me on statins which i refused. I will be much more informed for my next docs visit.

    Also, have the APO-E3/E4 and PPAR gamma markers.

    Thanks for all of your info and hard work! It is much appreciated.

    1. Dave

      Thanks!

      And yes, please be sure to share back your new data, however it turns out. 🙂

  21. Kakoketo

    Almost 8 Months Keto. Results are 2 days after a 4 days Eggfast (Egg, Butter, HWC, Mayo and Cheese).

    It was my first lipid panel, I got a bit scared when I saw the big bold “Abnormal” sign next to my blood test online result. After one restless night of no sleep, I found this page/blog and I’m so glad I did! Thank you for all of your research on Keto and Cholesterol.

    I’m being called into my GP office… I’m not sure what he will say, but I have a feeling it’s to discuss the below results:

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 285 mg/dL 7.37 mmol/L
    LDL Cholesterol: 161 mg/dL 4.17 mmol/L
    HDL Cholesterol: 113 mg/dL 2.93 mmol/L
    Triglycerides: 55 mg/dL 0.62 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 11 mg/dL 0.28 mmol/L >>> Lowest Risk Quintile
    Remnant Chol to HDL: 0.1 >>> Lowest Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.674 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 2.52
    Triglyceride/HDL Ratio: 0.49

    1. Dave

      You may want to read up on Cholesterol Remnants and AIP, both of which have higher correlations than LDL cholesterol alone. This way you can explain this to your doctor as well. I should have a post on them myself soon.

  22. sp salerno

    I have to throw my $0.02 in here. The bottom line with C Remnants and AIP is this: keep your triglycerides under 100.

    Now, exactly what kind of diet is known to do that?

    🙂

    1. Dave

      You all get three guesses… and the first two don’t count. :p

      But FWIW, in fairness, I have some fit vegan friends who likewise have low TG even though they have lower LDL and HDL and manage to still do well with CRs and AIP. So this scoring actually appears fairly universal.

      1. sp salerno

        Hi Dave,

        Thanks for your comment.

        Just as an FYI, here is a calculator that combines the traditional CVD risk factors with a calcium score.

        https://www.mesa-nhlbi.org/CAC-Tools.aspx

        Its interesting to see how much a ‘high risk’ result in the traditional lipid panel gets absolutely squashed when the CAC score is zero.

        1. Dave

          Yep. Ivor knows all about that. 🙂

  23. Dominik

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 284 mg/dL 7.34 mmol/L
    LDL Cholesterol: 200 mg/dL 5.17 mmol/L
    HDL Cholesterol: 72 mg/dL 1.86 mmol/L
    Triglycerides: 55 mg/dL 0.62 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 12 mg/dL 0.31 mmol/L >>> Lowest Risk Quintile
    Remnant Chol to HDL: 0.17 >>> Lowest Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.477 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 3.95
    Triglyceride/HDL Ratio: 0.76

  24. Evinx

    Total Cholesterol: 223 mg/dL 5.77 mmol/L
    LDL Cholesterol: 156 mg/dL 4.03 mmol/L
    HDL Cholesterol: 47 mg/dL 1.22 mmol/L
    Triglycerides: 96 mg/dL 1.08 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 20 mg/dL 0.52 mmol/L >>> Medium-Low Risk Quintile
    Remnant Chol to HDL: 0.43 >>> Medium Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.053 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 4.73
    Triglyceride/HDL Ratio: 2.04

  25. Chris Kunselman

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 353 mg/dL 9.13 mmol/L
    LDL Cholesterol: 261 mg/dL 6.75 mmol/L
    HDL Cholesterol: 67 mg/dL 1.73 mmol/L
    Triglycerides: 112 mg/dL 1.26 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 25 mg/dL 0.65 mmol/L >>> Medium Risk Quintile
    Remnant Chol to HDL: 0.37 >>> Medium Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.138 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 5.28
    Triglyceride/HDL Ratio: 1.67

    1. Chris

      Hi Dave. I’m confused about the AIP calculation. The website you link us to indicates my score is medium risk. Not lower third. Did I put the numbers in wrong?

      1. Dave

        I think you missed the minus sign in the report. Your AIP is -0.138, not 0.138. AIP can be negative and that’s a good thing. 🙂

        1. Chris Kunselman

          Thanks for the clarification. I believe I am a hyper responder or at familial hypercholesterolemic. I have plugged in my numbers across multiple years both before and after LCHF diet. The way my numbers look, LCHF has not drastically benefited or changed my status. I think the risk factors are better, but overall it seems that LCHF hasn’t changed me significantly other than improving my HDL and TRG a little bit. (attempted image file attachment) /Users/ckunselman/Desktop/Screen Shot 2018-01-20 at 3.07.12 PM.png

          1. Dave

            Improving your HDL and TG is pretty significant. It tells a story on how well your metabolism is working with energy via TG and potentially lowering other bad actors that would keep your HDL under range.

  26. Regina Peterson

    I am so glad you are doing this. I have been low carb for years and my numbers are consistently around the same. I haven’t had my cholesteral tested recently so I would like to see if actually eating fat makes a difference. I have always been a little paranoid about eating fat and my numbers, so I would often cut down on fat right before testing. I may have been unknowingly just making them higher yes? I personally don’t care but don’t want any lectures or perscriptions trying to be pushed on me.

    Units of measurement:   mg/dL   mmol/L   

    Total Cholesterol (TC) 

    LDL Cholesterol (LDL-C) 

    HDL Cholesterol (HDL-C) 

    Triglycerides (TG) 

    (Copy and paste everything below for reuse) 

    –==== CholesterolCode.com Report v0.7 ====-
    -Total Cholesterol:239 mg/dL6.18 mmol/L
    LDL Cholesterol:159 mg/dL4.11 mmol/L
    HDL Cholesterol:66 mg/dL1.71 mmol/L
    Triglycerides:72 mg/dL0.81 mmol/L

    –CHOLESTEROL REMNANTS–

    Remnant Cholesterol:14 mg/dL0.36 mmol/L >>> Lowest Risk QuintileRemnant Chol to HDL:0.21 >>> Medium-Low Risk Quintile

    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–

    AIP: -0.325 >>> Lowest Risk Third

    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–

    Total/HDL Ratio: 3.61 
    Triglyceride/HDL Ratio: 1.09

    1. Dave

      >> ” I may have been unknowingly just making them higher yes?”

      Yes. It’s sad to me just how much this may be affecting the population at large, not just those in the low carb community.

  27. Brian Wiley

    ==== CholesterolCode.com Report v0.7 ====–Total Cholesterol:267 mg/dL6.9 mmol/LLDL Cholesterol:192 mg/dL4.97 mmol/LHDL Cholesterol:60 mg/dL1.55 mmol/LTriglycerides:76 mg/dL0.86 mmol/L

    –CHOLESTEROL REMNANTS–

    Remnant Cholesterol:15 mg/dL0.39 mmol/L >>> Lowest Risk QuintileRemnant Chol to HDL:0.25 >>> Medium-Low Risk Quintile

    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–

    AIP: -0.256 >>> Lowest Risk Third

    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–

    Total/HDL Ratio: 4.45 
    Triglyceride/HDL Ratio: 1.27

    So I guess im most concerned with the chol to HDl 0.25 medium risk, hope this is not a bad #, seems like most are lowest risk third on AIP. Been LC 9 years now, have labs again in spring so hopeing to see about your last experiment and get some tips

    1. Dave

      I haven’t had a chance to write about it yet, but I actually think this is even a little inflated for low carbers. In other words, it probably overstates risk (ironically) if you’re powered by fat and have very few carbs. The (overly simplified) explanation is you have higher VLDL output given more glucose sparing, thus I’d actually expect remnants to be higher quantitatively for mechanistic energy supply reasons. I have some data of my own that seems to back this up when I see this proportional change while lower cal or fasting brings up total VLDL circulation.

      1. Brian Wiley

        Thanks for the reply Dave!

  28. Naomi Norwood

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 152 mg/dL 3.93 mmol/L
    LDL Cholesterol: 28 mg/dL 0.72 mmol/L
    HDL Cholesterol: 133 mg/dL 3.44 mmol/L
    Triglycerides: 19 mg/dL 0.21 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: -9 >> High Risk Quintile
    Remnant Chol to HDL: -0.07 >>> Lowest Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -1.214 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 1.14
    Triglyceride/HDL Ratio: 0.14

    Perhaps someone can elucidate the “error” message? I know my numbers are weird, but they’re real.

    1. Dave

      Hi Naomi–

      Can you doublecheck your entries? Your numbers don’t look possible… I’ve never seen LDL that low, nor have I ever seen HDL exceed LDL by that much. Plus, TG at 19 is extremely low.

  29. Naomi Norwood

    Further to my initial message:

    My reference last night to the “error” message was that the tool initially said, for remnant cholesterol: “ERROR: this score cannot be negative. Please doublecheck your values.”

    As posted, it came through as “negative 9, high risk quintile.” This sent me down the rabbit hole, reading the Varbo, Nordestgaard study report and trying to figure out how I could possibly be in a high risk category. (I did see the one reference to high remnants/low trigs, smaller and easier entry into endothelial walls, etc., but I have none of the high remnant risk factors, so I remain confused.)

    So then I put my nmr numbers (from the same blood sample) in the tool, just for fun, and they yielded a remnant number of 4, lowest risk quintile. Those numbers are TC: 156; LDL-C: 35; HDL-C: 117; TG: 21.

    Please tell me I’ve revealed a glitch in the beta, rather than having just found a major problem I didn’t know I had. 🙂

    1. Dave

      Wow, this might invalidate my comment above. If you have a further NMR that is likewise confirming these markers, it definitely leads me to some questions:

      1) Are you on any medication?
      2) What is your diet like?
      3) Does anyone else in your family have similar numbers? (Genetic?)

      I’m just super curious how you have these lipid numbers as they aren’t like any I’ve ever seen before…

  30. merl mireles

    Hey Dave,

    I have been checking out your research and plan on doing your three day pre blood work experiment the end of this month. can you tell me the specifics of your diet?

    thanks

    1. Dave

      I prefer not to prescribe specific foods as you should tailor it to your typical keto diet. The exceptions are MCT and coconut oil — and lately there’s some anecdotal evidence that possibly coffee can be a confounder.

      See the write up here: http://cholesterolcode.com/extreme-cholesterol-drop-experiment/

  31. Sveinung

    This looks good? 3 month semi-strict carnivore diet.

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 336 mg/dL 8.7 mmol/L
    LDL Cholesterol: 240 mg/dL 6.2 mmol/L
    HDL Cholesterol: 89 mg/dL 2.3 mmol/L
    Triglycerides: 33 mg/dL 0.37 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 7 mg/dL 0.18 mmol/L >>> Lowest Risk Quintile
    Remnant Chol to HDL: 0.08 >>> Lowest Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.794 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 3.78
    Triglyceride/HDL Ratio: 0.37

    1. Dave

      Yes — it looks very good, IMO

  32. Eric

    Dave

    Appreciate your work as always. I don’t know how you were able to stay on the strict eating plan that you did for your last experiment! My body would have absolutely freaked out. I also wonder how my mood which has improved 1000% on LCHF would have fared eating that much bread. I’m not as brave as you I’ll never put THAT to the test. Personal health I probably had Metabolic syndrome for decades. Eating LCHF over the past year has allowed me to not need BP meds, SSRI’s and I stopped statins on my own after taking them for decades. I feel better than I have in forever. Battle scar of prediabetes (now resolved) is CAC of 255 at age 57. My LDLc was kept low for decades at or under 100 with a statin. Not at all convinced the statin did anything to stop CAC score progression. I have only had the 1 test so far. I’m only mildly interested in my high Total LDL-p numbers virtually no smLDL-p. Could care less about LDL-c. I’m laser focused on BG control with my HOMA-IR improving from 1.39 to 0.96. Here are my lipids.

    Units of measurement:

    251
    Total Cholesterol (TC)

    153
    LDL Cholesterol (LDL-C)

    86
    HDL Cholesterol (HDL-C)

    61
    Triglycerides (TG)

    (Copy and paste everything below for reuse)

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 251 mg/dL 6.49 mmol/L
    LDL Cholesterol: 153 mg/dL 3.96 mmol/L
    HDL Cholesterol: 86 mg/dL 2.22 mmol/L
    Triglycerides: 61 mg/dL 0.69 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 12 mg/dL 0.31 mmol/L >>> Lowest Risk Quintile
    Remnant Chol to HDL: 0.14 >>> Lowest Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.508 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 2.92
    Triglyceride/HDL Ratio: 0.71

    Thanks again

    Eric

    1. Dave

      Hi Eric–

      Your story is compelling. And yes, I’ve now had many write into me who have been on statins their whole life but with CACs in the hundreds. But FWIW, it’s less about the score and more about its progression. If you haven’t already, be sure to check out the work of Ivor Cummins in this area.

      Really great to hear all the improvements you’ve been enjoying.

      And finally, yes — I DID NOT ENJOY returning to carbland (as my family and friends can attest). But I do a lot of these experiments so you don’t have to. The more I can prove this is massively influenced by energy homeostasis, the faster we can get to the truth about inflammation.

  33. Kerry Wilson

    Taken 12-05-17 on SAD woe. It is humbling to post this here, I have to say.

    I started a LCHF/Keto woe on 12-12-17. I am so curious AND interested in follow-up tests in the future (and will post again, then). UnTIL then, THANK YOU for this tool AND all of the content you put-forth. There is so much to absorb, but it is just the best, thank you again!!

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 240 mg/dL 6.21 mmol/L
    LDL Cholesterol: 142 mg/dL 3.67 mmol/L
    HDL Cholesterol: 41 mg/dL 1.06 mmol/L
    Triglycerides: 284 mg/dL 3.21 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 57 mg/dL 1.47 mmol/L >>> High Risk Quintile
    Remnant Chol to HDL: 1.39 >>> High Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: 0.481 >>> Highest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 5.86
    Triglyceride/HDL Ratio: 6.93

    1. Dave

      Thank you, Kerry! I’m hopefully making it easy to digest for everyone, layperson to biochem-er alike.

      You’re certainly very new to the diet, so don’t be surprised if this takes some time to change. Please keep us posted on your progress as it is good to be inspirations to others as well as yourself. 🙂

      1. Kerry Wilson

        Dave, you really do make it that way, and I sure appreciate it – and you! You’re very kind to respond, thank you.

        I will definitely be posting follow-up blood results. I am thinking I will be having those done again at the year-marker, which is December 2018.

        I was already looking forward to seeing those numbers after this new woe/wol, but now, finding you and all of this (new to me) information, I REALLY am!

        Thank you again!!!

        1. Dave

          Absolutely!

  34. Diana

    I followed the 3 day protocol LCHF

    My results
    Total Cholesterol 495
    HDL100.6
    VLDL 16
    Triglycerides 82
    Cho/HDL ratio 4.92
    LDL/HDL ration 3.75

    Should I be worried?

    1. Dave

      You didn’t list your LDL, just your VLDL.

      Try running your complete numbers through the tool here: http://cholesterolcode.com/tools/

  35. Naomi Norwood

    Thank you for responding, Dave. I know my numbers are unusual. I am happy to send you confirmation of my lab results, and I have lots of data points over the years.

    1. I take no medications.
    2. Primal since February 2013; VLCHF since August 2013, mostly in nutritional ketosis (BHB 1.5 ish, but I don’t test very much anymore); daily IF, 2 meals in roughly 7 hour window.
    3. Not that I know of. My 91 year old mother has more normal lipids, as does my 29 year old daughter. (I am 64; 5’6″; 127 lbs.)

    Lest you suspect the blood sample, here are some more.

    Low-fat, primarily vegetarian:

    2010 nmr: TC: 149; LDL-C: 43; HDL-C: 103; TG: 15

    2012: TC: 125; LDL-C: 36; HDL-C: 86; TG: 14

    Primal, LCHF:

    2013: TC: 183; LDL-C: 35; HDL-C: 118; TG: 30

    2016: TC: 152; LDL-C: 28; HDL-C: 133; TG: 19

    2016 nmr: TC: 156; LDL-C: 35; HDL-C: 117; TG: 21

    So would you concur that I don’t have a remnant problem? I’ve never tested for Lp(a); that’s next.

    1. Dave

      Hi Naomi–

      Truly, your numbers are far and away the most unique I’ve seen. And yes, I’d say you likely don’t have a remnant problem.

  36. Justin

    Here are my results, Dave. Been on Keto for about 2 years, and my docs have me really freaked out about my high LDL-C. They’ve been trying to get me to take statins for months, but I’d ideally want to know what’s causing the spike before I take medicine to treat it.

    We’ve already ruled out Familial Hypercholesterolemia, Hypothyroidism, and I have the ApoE3/E3 genes so that’s not an issue either. I tried to ask my physician (and the endocrinologist I was eventually referred to) about whether I’m a “hyper-sythensizer” in regards to insulin resistance, but they kind of just ignored my inquiry (or they didn’t know what I was talking about).

    They think I have something called Polygenic Hypercholesterolemia, as opposed to FH, but my 23andme results may be suggesting the contrary. In my research, I’ve found that there have been 37 SNPs identified by the Global Lipid Genetics Consortium (GLGC) as associated with raising LDL-C. Researchers have been using a genetic score (calculated from 12 of these SNPs) to determine whether or not it’s Polygenic Hypercholesterolemia. After calculating my own GLGC Weighted LDL-C genetic risk score, based on these SNPs, my score (0.891) more closely matches the results of the control groups — those who do not have familial or polygenic hypercholesterolemia. (Here’s the link to the study, if you’re curious to check it out: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)62127-8)

    Anyway, I have no idea why my LDL-C is so high and I could really use your input. Should I just take the statins as my docs are recommending… or should I insist on confirming 100% whether or not I have Polygenic Hypercholesterolemia first?

    Being a “Hyper-Sythensizer” would be the only other possible explanation that I’ve read about. However, it was really hard for me to understand BJJ Caveman’s notes on it. How would you recommend I rule being a “hyper-sythensizer” out?

    Thanks so much for your hard work!
    Justin

    P.S. Got an error message for my “Remnant Cholesterol,” saying it cannot be negative. See below. Not sure what that means!

    –==== CholesterolCode.com Report v0.7 ====–
    Total Cholesterol: 319 mg/dL 8.25 mmol/L
    LDL Cholesterol: 246 mg/dL 6.36 mmol/L
    HDL Cholesterol: 84 mg/dL 2.17 mmol/L
    Triglycerides: 55 mg/dL 0.62 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: -11 >> High Risk Quintile
    Remnant Chol to HDL: -0.13 >>> Lowest Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.544 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL RATIOS–
    Total/HDL Ratio: 3.8
    Triglyceride/HDL Ratio: 0.65

    1. Justin

      Also, in case it’s relevant, I live a very sedentary lifestyle and never really work out, so I don’t think I fall under the Lean Mass Hyper-Responder category, which seems to be for really athletic/fit people.

      1. Dave

        Hi Justin–

        Your Remnant score only shows “High risk” because it’s a negative number, which helped expose a bug I should take care of. But that said, it is not possible for your HDL-C + LDL-C to be higher than your Total Cholesterol. Doublecheck that you entered the number correctly.

        Friedewald would put your LDL at 224. Not that I’m endorsing that equation, but it is the usual one used when getting a standard lipid panel. If you got a direct measurement, that would be even less likely to exceed total cholesterol when added to HDL-C

        On not being a LMHR, can I confirm you aren’t thin either? I’m interested in any outliers.

        1. Justin

          Thanks for the response, Dave. I triple checked the LDL numbers and they are indeed correct. The LDL-C is a direct measurement (listed as LDL-DIRECT in my lab results). My LDL-P, taken at the same time, was 1462 nmol/L, in case it’s helpful to know.

          I agree that it’s very strange that my LDL-C + HDL-C are higher than my Total Cholesterol. This is the case in my previous labs from earlier this year as well. Any reasons you could think of? Happy to send my labs over to you, if you’d like.

          Regarding LMHR, I would say I’m thinner than average… but probably not lean relative to athletes. I’m 5’7 and weigh 140 lbs if that helps!

  37. Adriana Tomeu

    Hi, Dave,

    We met at the Epigenix conference in february, and I heard you speak at KetoCon about your findings on Dietary cholesterol and blood test results, and they were fascinating. I’m scouring your site for a single report on this but I can’t find anything; do you happen to have a summary paper written up on what you’ve found, or some of your numbers?

    I would love to share your results with a graduate professor of mine, who is teaching a course I’m taking entitled “Therapeutic Lifestyle to Combat Chronic Disease” here at the University of Miami, if that would be something that is okay with you.

    Thanks in advance!

    Adriana

    1. Dave

      Technically, no. In a sense, my presentations are more of a summary of progress.

      Part of the issue is that so much of my research is moving very quickly. I just wrapped my Phase 2 last month ( http://cholesterolcode.com/the-capstone-experiment-its-time-to-rethinkldl/ ). It’s possible that following this next experiment — if it succeeds — that I’ll choose that point as a period to do something like you’re suggesting.

  38. Ross

    So glad I found this information! Thank you for your work. I am also a high responder. I am looking forward to my next test where I will load up on fat 3 to 5 days before the test.

    11/14/16 before Keto my Dr wanted to put me on statins!

    -==== CholesterolCode.com Report v0.8 ====–
    Total Cholesterol: 272 mg/dL 7.03 mmol/L
    LDL Cholesterol: 193 mg/dL 4.99 mmol/L
    HDL Cholesterol: 66 mg/dL 1.71 mmol/L
    Triglycerides: 85 mg/dL 0.96 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 13 mg/dL 0.34 mmol/L >>> Lowest Risk Quintile
    Remnant Chol to HDL: 0.2 >>> Lowest Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.251 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL MARKERS AND RATIOS–
    Friedewald LDL-C: 189 | Iranian LDL-C: 175
    Total/HDL Ratio: 4.12
    TG/HDL Ratio in mg/dL: 1.29 | in mmol/L: 0.56

    10/18/17 After Keto

    –==== CholesterolCode.com Report v0.8 ====–
    Total Cholesterol: 338 mg/dL 8.74 mmol/L
    LDL Cholesterol: 232 mg/dL 6 mmol/L
    HDL Cholesterol: 87 mg/dL 2.25 mmol/L
    Triglycerides: 78 mg/dL 0.88 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 19 mg/dL 0.49 mmol/L >>> Medium-Low Risk Quintile
    Remnant Chol to HDL: 0.22 >>> Medium-Low Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.408 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL MARKERS AND RATIOS–
    Friedewald LDL-C: 235 | Iranian LDL-C: 208
    Total/HDL Ratio: 3.89
    TG/HDL Ratio in mg/dL: 0.9 | in mmol/L: 0.39

    11/30/17 After 3 day fast

    –==== CholesterolCode.com Report v0.8 ====–
    Total Cholesterol: 417 mg/dL 10.78 mmol/L
    LDL Cholesterol: 303 mg/dL 7.84 mmol/L
    HDL Cholesterol: 97 mg/dL 2.51 mmol/L
    Triglycerides: 73 mg/dL 0.82 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 17 mg/dL 0.44 mmol/L >>> Medium-Low Risk Quintile
    Remnant Chol to HDL: 0.18 >>> Lowest Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.486 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL MARKERS AND RATIOS–
    Friedewald LDL-C: 305 | Iranian LDL-C: 263
    Total/HDL Ratio: 4.3
    TG/HDL Ratio in mg/dL: 0.75 | in mmol/L: 0.33

    1. Dave

      Glad to help, Ross. Be sure to share back your experiment data. 🙂

  39. Paul

    Dave, you might consider adding this LDL estimation formula to the Friedewald and Iranian, above.

    http://journals.sagepub.com/doi/full/10.1258/acb.2012.011259

    Some relevant excerpts:

    “The generally accepted formula (LDL-F) for estimating LDL-c developed by Friedewald and colleagues in 1972 using data from 448 individuals suffers from known inaccuracies at extremes of triglyceride (TG) and total cholesterol (TC) values.”

    “The new simple formula 3/4 (TC – HDL) accurately estimates LDL-c while avoiding some of the limitations of currently published formulas, and presents an attractive alternative when direct quantification is not possible.”

    1. Dave

      Hi Paul–

      Actually, I just updated this last night. Do a refresh on the /tools page and ensure it says “CholesterolCode.com Report v0.8” — both Friedewald and Iranian are now included and at the bottom. 🙂

  40. Paul

    –==== CholesterolCode.com Report v0.8 ====–
    Total Cholesterol: 304 mg/dL 7.86 mmol/L
    LDL Cholesterol: 194 mg/dL 5.02 mmol/L
    HDL Cholesterol: 97 mg/dL 2.51 mmol/L
    Triglycerides: 60 mg/dL 0.68 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 13 mg/dL 0.34 mmol/L >>> Lowest Risk Quintile
    Remnant Chol to HDL: 0.13 >>> Lowest Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.567 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL MARKERS AND RATIOS–
    Friedewald LDL-C: 195 | Iranian LDL-C: 161
    Total/HDL Ratio: 3.13
    TG/HDL Ratio in mg/dL: 0.62 | in mmol/L: 0.27

    1. Dave

      Ah — looks like you just now did it anyway (check the bottom)

  41. Alex Romayev

    Dave,

    Thanks for all your work. Here are my numbers:

    –==== CholesterolCode.com Report v0.8 ====–
    Total Cholesterol: 588 mg/dL 15.21 mmol/L
    LDL Cholesterol: 453 mg/dL 11.71 mmol/L
    HDL Cholesterol: 122 mg/dL 3.15 mmol/L
    Triglycerides: 66 mg/dL 0.75 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 13 mg/dL 0.34 mmol/L >>> Lowest Risk Quintile
    Remnant Chol to HDL: 0.11 >>> Lowest Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.623 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL MARKERS AND RATIOS–
    Friedewald LDL-C: 453 | Iranian LDL-C: 380
    Total/HDL Ratio: 4.82
    TG/HDL Ratio in mg/dL: 0.54 | in mmol/L: 0.24

  42. Ashley

    T2 diabetic (a1c down from 12.8 in February 2017 to 5.9 in January 2018, dropped two meds), keto since June 2017, doctor continues to push Lipitor, results from 2 panels:

    10/2017

    –==== CholesterolCode.com Report v0.8 ====–
    Total Cholesterol: 211 mg/dL 5.46 mmol/L
    LDL Cholesterol: 147 mg/dL 3.8 mmol/L
    HDL Cholesterol: 37 mg/dL 0.96 mmol/L
    Triglycerides: 143 mg/dL 1.61 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 27 mg/dL 0.7 mmol/L >>> Medium-High Risk Quintile
    Remnant Chol to HDL: 0.73 >>> Medium-High Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: 0.225 >>> Highest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL MARKERS AND RATIOS–
    Friedewald LDL-C: 145 | Iranian LDL-C: 181
    Total/HDL Ratio: 5.7
    TG/HDL Ratio in mg/dL: 3.86 | in mmol/L: 1.68

    1/2018

    Total Cholesterol: 202 mg/dL 5.22 mmol/L
    LDL Cholesterol: 146 mg/dL 3.78 mmol/L
    HDL Cholesterol: 37 mg/dL 0.96 mmol/L
    Triglycerides: 94 mg/dL 1.06 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 19 mg/dL 0.49 mmol/L >>> Medium-Low Risk Quintile
    Remnant Chol to HDL: 0.51 >>> Medium-High Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: 0.043 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL MARKERS AND RATIOS–
    Friedewald LDL-C: 146 | Iranian LDL-C: 148
    Total/HDL Ratio: 5.46
    TG/HDL Ratio in mg/dL: 2.54 | in mmol/L: 1.1

    1. Dave

      Nice trade up, Ashley. It looks from your change that may be your lower HDL may be genetic.

      1. Ashley

        So is there anything I can do about that? There is heart disease in my family but I never knew what exactly.

  43. Paul Coughlin

    Well this scared the crap out of me! lol..

    –==== CholesterolCode.com Report v0.8 ====–
    Total Cholesterol: 449 mg/dL 11.6 mmol/L
    LDL Cholesterol: 356 mg/dL 9.2 mmol/L
    HDL Cholesterol: 50 mg/dL 1.3 mmol/L
    Triglycerides: 213 mg/dL 2.4 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 43 mg/dL 1.11 mmol/L >>> High Risk Quintile
    Remnant Chol to HDL: 0.86 >>> High Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: 0.266 >>> Highest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL MARKERS AND RATIOS–
    Friedewald LDL-C: 356 | Iranian LDL-C: 406
    Total/HDL Ratio: 8.98
    TG/HDL Ratio in mg/dL: 4.26 | in mmol/L: 1.85

  44. Karen

    Just got back my results. My doctor is generally not too concerned about my cholesterol, she is more interested in my blood glucose control as I have been diagnosed as a T2D. My A1c was 5.4 – up a bit as the 3 month period included Thanksgiving-Christmas-New Years, the trifecta of crazy food parties. I have an appointment in a few weeks to go over it all.

    ==== CholesterolCode.com Report v0.8 ====–
    Total Cholesterol: 244 mg/dL 6.31 mmol/L
    LDL Cholesterol: 153 mg/dL 3.96 mmol/L
    HDL Cholesterol: 75 mg/dL 1.94 mmol/L
    Triglycerides: 81 mg/dL 0.91 mmol/L

    –CHOLESTEROL REMNANTS–
    Remnant Cholesterol: 16 mg/dL 0.41 mmol/L >>> Medium-Low Risk Quintile
    Remnant Chol to HDL: 0.21 >>> Medium-Low Risk Quintile
    Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants

    –ATHEROGENIC INDEX OF PLASMA (AIP)–
    AIP: -0.329 >>> Lowest Risk Third
    Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma

    –CONVENTIONAL MARKERS AND RATIOS–
    Friedewald LDL-C: 153 | Iranian LDL-C: 141
    Total/HDL Ratio: 3.25
    TG/HDL Ratio in mg/dL: 1.08 | in mmol/L: 0.47

  45. Dave

    Hi Paul—

    Are you on a low carb diet? If so, have you been tracking it closely? I’m curious as to why your triglycerides are as high as they are if LCHF.

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