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Member Forum >> Coronary Disease & Cholesterol Protocol >> High LDL-P concern!!
 High LDL-P concern!!
RoniSue

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Posted: 3/1/2020 4:48:08 PM
 
I had my annual physical with bloodwork done on 2/3/2020. Last year, my LDL-C from the regular lipid panel was 119 after having been keto for six months. Because that was high, this year I asked my doctor to order the lipoprotein fractionation NMR test from Quest, which she did. These are my numbers from 2/3/2020:

Total cholesterol: 177  (a year ago it was 219)
Triglycerides: 46  (a year ago it was 67)
HDL-C: 67 (a year ago it was 84)
VLDL Cholesterol Cal: 9 (I don’t see this number a year ago)
LDL-C: 101 (a year ago it was 119)

LDL-P: 1596 (nmol/L)
Small LDL-P: 353 (nmol/L)
LDL size: 21.3 (nm) (I don’t know what this means. Average?)
HDL-P: 39.1 (umol/L) (I don’t know what this means.)
Large HDL-P: 12.8 (umol/L) (I don’t know what this means. Small and large measured in different units??? How can I add them all up to the total of 1596 LDL-P?)
HDL size: 9.7 (nm) (I don’t know what this means. Average?)
Large VLDL-P: <1.5 (nmol/L) (I don’t know what this means.)
VLDL size: 45.9 (nm) (Is this the average size?)

TSH w/reflex to FT4: 2.30 (mlU/L)
T4, Free (this was a year ago): 1.0

Fasting glucose: 92
Hemoglobin A1c: 5.0

I started keto in June 2018. I have been almost 100% grain-free since then, and mostly sugar-free with a few sugar rabbit holes during the last 18 months (like during the holidays) and the occasional glass of wine. Virtually no industrial seed oils since then either. My carb level falls between 20 and 50 net carbs most days, with the occasional carb-up (to around 75 net carbs). I try to eat mostly organic, wild, grass-fed produce, eggs, poultry, beef, seafood.

I have been reading that the latest research shows that it is the LDL particle NUMBER (not the size so much) that is the most important marker for CVD risk. WHY is my LDL-P so high, and should I be concerned? I don’t know how to lower it! I think I’m doing everything right, including exercise six days a week.

I would appreciate any insight! Thank you!

Tags: ,LDL-P

Bob Niland

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Posted: 3/1/2020 5:53:49 PM
Edited: 3/1/2020 6:54:31 PM (3)
 
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RoniSue

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Posted: 3/1/2020 7:30:19 PM
 
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Bob Niland

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Posted: 3/1/2020 7:50:52 PM
Edited: 3/1/2020 7:58:59 PM (1)
 
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RoniSue

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Posted: 3/1/2020 9:39:47 PM
 
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Bob Niland

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Posted: 3/1/2020 10:05:43 PM
 
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RoniSue

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Posted: 3/11/2020 2:54:32 PM
Edited: 3/12/2020 4:48:39 PM (4)
 
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