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.
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.
Yes — VLDL is one of the CRs.
==== 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?
Someday, yes.
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.
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. 🙂
Thanks Dave. Im looking at her work now. Im gonna need more coffee.
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
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.
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
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
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?
requestatest.com
Ugh. Turns out New York State is rather obstinate in this matter.
I have some NYer followers who just head out of state (CT, I believe?) to get their testing.
Interesting. I’ll see what I can do. I live right on the CT border.
–==== 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
–==== 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
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
I plugged your numbers into a Friedewald Equation Calculator here: https://www.mdcalc.com/ldl-calculated
Any chance you typed in the LDL incorrectly?
I did the same. The equation would give you a 214 for LDL-C. Was yours a direct measurement?
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.
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
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
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!
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.
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
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
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
Wow — nice Before vs After improvement in the CR and AIP values!
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
Naw — this repost serves nicely. 🙂
–==== 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
Reading the link for Atherogenic Index … it says avoid saturated fat. This is wrong, sPTB4aturated fat is heart and brain healthy.
Yeah, I’m certainly not avoiding saturated fat, that’s for sure. 😉
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
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/
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.
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!
–==== 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
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
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.
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!
Sounds pretty cool — but alas, I have existing commitments for those dates!
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.
Thanks!
And yes, please be sure to share back your new data, however it turns out. 🙂
Hi Dave:
Thanks for everything you do! It is much appreciated!
Here is my follow up from January labs following your 3.5 day protocol.
Feldman protocol
Jan 22-25. 2018
blood work 8:15am Friday jan 26
Fasted 15.5 hours, last meal 430pm
Date cal carb fat protein
M 2946 49(7%) 225(71%) 157(22%)
T 4092 64(6%) 355(78%) 161(16%)
W 4242 59(6%) 376(79%) 160(15%)
TH 4516 63(6%) 394(78%) 180(16%)
Units of measurement:
7.53 Total Cholesterol (TC)
5.29 LDL Cholesterol (LDL-C)
1.99 HDL Cholesterol (HDL-C)
0.54 Triglycerides (TG)
CholesterolCode.com Report v0.8 ====–
Total Cholesterol: 291 mg/dL 7.53 mmol/L
LDL Cholesterol: 205 mg/dL 5.29 mmol/L
HDL Cholesterol: 77 mg/dL 1.99 mmol/L
Triglycerides: 48 mg/dL 0.54 mmol/L
–CHOLESTEROL REMNANTS–
Remnant Cholesterol: 9 mg/dL 0.23 mmol/L >>> Lowest Risk Quintile
Remnant Chol to HDL: 0.12 >>> Lowest Risk Quintile
Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants
–ATHEROGENIC INDEX OF PLASMA (AIP)–
AIP: -0.566 >>> Lowest Risk Third
Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma
–CONVENTIONAL MARKERS AND RATIOS–
Friedewald LDL-C: 204 | Iranian LDL-C: 162
Total/HDL Ratio: 3.78
TG/HDL Ratio in mg/dL: 0.62 | in mmol/L: 0.27
Very cool, Steve. So I formatted it into a table — let me know if this looks right…
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
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.
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?
🙂
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.
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.
Yep. Ivor knows all about that. 🙂
–==== 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
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
–==== 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
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?
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. 🙂
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
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.
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
>> ” 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.
==== 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
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.
Thanks for the reply Dave!
–==== 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.
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.
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. 🙂
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…
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
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/
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
Yes — it looks very good, IMO
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
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.
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
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. 🙂
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!!!
Absolutely!
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?
You didn’t list your LDL, just your VLDL.
Try running your complete numbers through the tool here: http://cholesterolcode.com/tools/
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.
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.
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
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.
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.
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!
Yeah, I don’t know what the mismatch with LDL-C + HDL-C vs TC is about. But if we can assume it is a super small number for RC (likely), then it’s ultimately something I’d consider good news. 🙂
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
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.
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
Glad to help, Ross. Be sure to share back your experiment data. 🙂
Hi Dave, Here are my results after 3 days of fat loading compared to the results after a 3 day fast: ( I was expecting the cholesterol to go down – but maybe I didn’t use the correct ratio of protein & carbs? It was really hard for me to eat so much fat!)
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
2/23/18 After 3 days of fat loading
–==== CholesterolCode.com Report v0.8 ====–
Total Cholesterol: 446 mg/dL 11.53 mmol/L
LDL Cholesterol: 330 mg/dL 8.53 mmol/L
HDL Cholesterol: 104 mg/dL 2.69 mmol/L
Triglycerides: 59 mg/dL 0.67 mmol/L
–CHOLESTEROL REMNANTS–
Remnant Cholesterol: 12 mg/dL 0.31 mmol/L >>> Lowest Risk Quintile
Remnant Chol to HDL: 0.12 >>> Lowest Risk Quintile
Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants
–ATHEROGENIC INDEX OF PLASMA (AIP)–
AIP: -0.604 >>> Lowest Risk Third
Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma
–CONVENTIONAL MARKERS AND RATIOS–
Friedewald LDL-C: 330 | Iranian LDL-C: 273
Total/HDL Ratio: 4.29
TG/HDL Ratio in mg/dL: 0.57 | in mmol/L: 0.25
Hi Ross — that is interesting! So let’s unpack a little:
– I’m sure you’re aware you strongly fit the profile of a Lean Mass Hyper-responder (LMHR) http://cholesterolcode.com/are-you-a-lean-mass-hyper-responder/
– Given your LMHR status — did you have any differences in exercise in the days before the 3 day fasted vs the 3 day fat load?
– By chance do you drink coffee? If so, did you have any during either phase? This is a new development in that we’re discovering it could be a confounder.
– I assume you didn’t have any MCT or coconut oil, is that right?
– Lastly, did you log all your food fully?
Hi Dave thank you so much for your response.
I have totally messed my test up! Can you point me to where I can find best diet/micros I could follow to do another test? I didn’t know about the coconut oil/MCT and coffee restrictions.
I do track my food using Dr. Mercola’s version of cronometer.com – I exercise for 2 to 3 hours every day. Yes I do drink 1 cup of bullet proof coffee everyday! I really love it but I think I could give it up for 3 days!
I am lucky because my Dr is young and is not trying to put me on Statins – in fact he is very suspicious of all the cholesterol data and seems willing to let me experiment. Also funny because he said he may have to look closer at a keto diet to improve his own A1C numbers! All my blood sugar numbers are good fortunately and I have an idea that those of us who are hyper responders may need adapt the keto diet somehow because my cholesterol was about 275 before I started keto which I would be happy with now (my previous Dr was trying to put me on Statins with numbers above 200!) . I did loose about 20 pounds on keto which is good – so I am happy about that.
– No worries. It sounds like you might not have visited the page with my write up on it: http://cholesterolcode.com/extreme-cholesterol-drop-experiment/
– I don’t have the coffee recommendation up on it yet, but I will on the revision. It’s a pretty recent reoccurrence, but often enough that I’m going to advise it moving forward.
– Sounds like you have a doctor that will work with you and your health goals. That’s good to hear.
Thanks again for the reply!
Without the coconut oils I have to figure out what kinds of fat to include could you give a sample of the foods you eat? Like olive oil, avocado oil, nut oils, nut butters, etc? I probably eat too many fat bombs just to get enough fats each day. The Cronometer I use is set up using the Keto setting which – before exercise – is 59 g protein, 40 g carbs & 105 g fat – these numbers go up depending on the exercise I do. I assume I need to set up the chronometer using set amounts like 50 g protein, 20 g carbs & 100 g fat and eliminate the exercise changes.
Thanks again for your help!
I usually eat a lot of fatty meats, cheeses, and some “fat shakes” made with stevia and heavy whipping cream.
Thanks for the reply! So dairy to replace the coconut products, Can you give an example of fatty meats and a shake recipe? Thanks again.
Burgers with cheese, steaks, pulled pork.
Shake: 240ml heavy whipping cream, 2 tbsp unsweetened cocoa powder, 2 packets stevia, 400ml water.
Great! The Fat should be about 460 – What about Protein & Carbs do you try to keep those as low as possible?
Feel free to shoot for about the same ratio with protein (20%-ish) and carbs can be 5%-ish or less.
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.”
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. 🙂
–==== 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
Ah — looks like you just now did it anyway (check the bottom)
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
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
Nice trade up, Ashley. It looks from your change that may be your lower HDL may be genetic.
So is there anything I can do about that? There is heart disease in my family but I never knew what exactly.
Generally, more saturated fat overall can bring up HDL. But again, this is somewhat individualistic. If you find having a lot more isn’t budging your HDL, there’s a decent chance it is genetic.
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
Hi Paul—
I am curious about your TGs being high. Are you on a low carb diet? If so, for how long?
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
Looks pretty good overall.
Hi Dave, just punched in the data. This actually represents a significant improvement on 6 months ago when I had Total 288, LDL 219, HDL 33, Triglycerides 182; what changed is I kicked the carbs and am on a paleo/keto diet now (and currently shedding excess fat). So hopefully over the coming year my lipid profile will continue to improve
–==== CholesterolCode.com Report v0.8 ====–
Total Cholesterol: 351 mg/dL 9.08 mmol/L
LDL Cholesterol: 286 mg/dL 7.4 mmol/L
HDL Cholesterol: 41 mg/dL 1.06 mmol/L
Triglycerides: 122 mg/dL 1.38 mmol/L
–CHOLESTEROL REMNANTS–
Remnant Cholesterol: 24 mg/dL 0.62 mmol/L >>> Medium Risk Quintile
Remnant Chol to HDL: 0.59 >>> Medium-High Risk Quintile
Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants
–ATHEROGENIC INDEX OF PLASMA (AIP)–
AIP: 0.115 >>> Highest Risk Third
Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma
–CONVENTIONAL MARKERS AND RATIOS–
Friedewald LDL-C: 286 | Iranian LDL-C: 284
Total/HDL Ratio: 8.56
TG/HDL Ratio in mg/dL: 2.98 | in mmol/L: 1.3
Grats!
I’d definitely prefer you not have HDL of 33 and a TG of 182. 🙂
-I still have a lot of research to do but my doctor urged me to stop keto. I’m a 34yo male, doing CrossFit 5x a week, and I lost 10 lbs in 3 months on keto. I love low carb and think it works well for me but just seeing these numbers has me a little afraid. Also noting again that I still have a lot of info to go through on this site.
-==== CholesterolCode.com Report v0.8 ====–
Total Cholesterol: 247 mg/dL 6.39 mmol/L
LDL Cholesterol: 170 mg/dL 4.4 mmol/L
HDL Cholesterol: 30 mg/dL 0.78 mmol/L
Triglycerides: 295 mg/dL 3.33 mmol/L
–CHOLESTEROL REMNANTS–
Remnant Cholesterol: 47 mg/dL 1.22 mmol/L >>> High Risk Quintile
Remnant Chol to HDL: 1.57 >>> High Risk Quintile
Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants
–ATHEROGENIC INDEX OF PLASMA (AIP)–
AIP: 0.63 >>> Highest Risk Third
Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma
–CONVENTIONAL MARKERS AND RATIOS–
Friedewald LDL-C: 158 | Iranian LDL-C: 298
Total/HDL Ratio: 8.23
TG/HDL Ratio in mg/dL: 9.83 | in mmol/L: 4.27
Hi Keegan–
Indeed, these are unusual numbers for keto. I almost never see HDL that low and Triglycerides that high for someone keeping carbs below 20g/day.
Typically, this is a pattern I see often with someone who is having very high fat and moderate or higher carbs (such as 100g+) or very high fat and very high protein (usually 200g+), or some combination of both.
If you aren’t already, you might want to track your food very closely and share the logs with the community on the forums. They might have some useful information to share.
This is me on an LCHF. No matter what I do my HDL never seems to increase. I have years of test and I have never had HDL above 39 and have been as low as 8. Is there anything I can do or is a statin my only option?
I need your help!!
–==== CholesterolCode.com Report v0.8 ====–
Total Cholesterol: 377 mg/dL 9.75 mmol/L
LDL Cholesterol: 333 mg/dL 8.61 mmol/L
HDL Cholesterol: 26 mg/dL 0.67 mmol/L
Triglycerides: 89 mg/dL 1 mmol/L
–CHOLESTEROL REMNANTS–
Remnant Cholesterol: 18 mg/dL 0.47 mmol/L >>> Medium-Low Risk Quintile
Remnant Chol to HDL: 0.69 >>> Medium-High Risk Quintile
Go to https://tinyurl.com/y8hokam2 for more on Cholesterol Remnants
–ATHEROGENIC INDEX OF PLASMA (AIP)–
AIP: 0.174 >>> Highest Risk Third
Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma
–CONVENTIONAL MARKERS AND RATIOS–
Friedewald LDL-C: 333 | Iranian LDL-C: 302
Total/HDL Ratio: 14.5
TG/HDL Ratio in mg/dL: 3.42 | in mmol/L: 1.49
Hi Rick–
Indeed, that news does concern me. I suspect given the lack of HDL elasticity that there may be a genetic component in play. But to know more, we’d have to compare to your earlier lipid labs and what your lifestyle was at that time.
–==== CholesterolCode.com Report v0.8 ====–
Total Cholesterol: 467 mg/dL 12.08 mmol/L
LDL Cholesterol: 398 mg/dL 10.29 mmol/L
HDL Cholesterol: 63 mg/dL 1.63 mmol/L
Triglycerides: 109 mg/dL 1.23 mmol/L
–CHOLESTEROL REMNANTS–
Remnant Cholesterol: 6 mg/dL 0.16 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: -0.122 >>> Lowest Risk Third
Go to https://tinyurl.com/ycccmmnx for more on Atherogenic Index of Plasma
–CONVENTIONAL MARKERS AND RATIOS–
Friedewald LDL-C: 382 | Iranian LDL-C: 355
Total/HDL Ratio: 7.41
TG/HDL Ratio in mg/dL: 1.73 | in mmol/L: 0.75
LCHF Calorie restricted (in active weight loss phase)
~18 hour fasting at blood draw
LDL direct, not calculated
Dave,
I spotted this in your reports section on AIP. Please explain this item about Saturated Fats. It looks out of place on your site. Could it have been pulled up incorrectly in a former public advisory?…
“Saturated Fats
Eliminating saturated fats from your diet will lower your atherogenic index and promote heart health when it’s part of an active lifestyle.”
I really need your help on this!
I’ve been eating everything on the list, beef, pork, lamb, dairy products, poultry fat, cheeses, etc.!
Help! Am I eating the wrong fats?
Regards,
Dave B
Full on keto 1y4m and counting!
Heh!
I see labs from people all day long who (like me) eat LOTS of saturated fats. The vast majority of us are riding the low Remnant Cholesterol (RC) and AIP scores ( http://cholesterolcode.com/report/ )
There’s lots of anecdotal evidence that lowering saturated fat in favor of M/PUFAs can reduce LDL, but not necessarily RCs or AIP. Indeed, higher PUFAs show lots of evidence in lowering LDL but increasing oxidative stress and actually worsening risk for all-cause mortality. (See Minnesota Coronary Experiment, for example)
Gotcha,
I just thought you may want to clip that info from your site as it seems like you are supporting it. It’s not clear to the reader that this is part of a reference document meant to provide details on AIP.
In any case, thanks for the quick response. I’ll keep my regular table at Ruth’s Chris lol!
Regards from Hong Kong,
Dave B
Not sure I follow — where did you find that quote? If it’s in one of the studies linked, then I don’t have control over that.
===–
Total Cholesterol: 331 mg/dL 8.56 mmol/L
LDL Cholesterol: 246 mg/dL 6.36 mmol/L
HDL Cholesterol: 74 mg/dL 1.91 mmol/L
Triglycerides: 56 mg/dL 0.63 mmol/L
Remnant Cholesterol: 11 mg/dL 0.28 mmol/L >>> Lowest Risk Quintile
Remnant Chol to HDL: 0.15 >>> Lowest Risk Quintile
AIP: -0.482 >>> Lowest Risk Third
–CONVENTIONAL MARKERS AND RATIOS–
Friedewald LDL-C: 246 | Iranian LDL-C: 202
Total/HDL Ratio: 4.47
TG/HDL Ratio in mg/dL: 0.76 | in mmol/L: 0.33
Strict keto for 10 months at time of testing mid December 2017. Functional MD is highly concerned and wanted me to take red yeast rice. I declined. Will retest in May. Never had a prior NMR before, but lipid panel in 02/16 was:
TC 206
Triglycerides 49
LDL 138
Ratio 3.6
HDL 58.
He kind of made me fearful that I was at high risk of cardiac disease. I am not an athlete and barely work out at all. I am having a cardiac CT in the next few weeks.
46 years old
154lbs
5’3″
55lbs lost on keto since 02/17.
Wow — I won’t lie, I like those numbers. They’re close to mine when fully keto, but your HDL is slightly higher and TG slightly lower.
That makes me feel better! I’ll post the redraw numbers in May
Great! More data, more value!
Also, I was eating fairly higher fat in December, but admit I had a LOT of sugar alcohols. How do SAs play into cholesterol numbers?
I haven’t done much specific research isolating sugar alcohols specifically. If I’m doing an experiment that has them as part of my beverage, I make sure it’s a constant throughout so as not to confound the results.