LCHF & Cholesterol.

CondorX · Sep 13, 2020

smc4761 said:
and on the flip side, an even greater number of qualified medical people ( ones that may have spent 5 or so years studying) believe that having a high cholesterol is not the best way to live a healthy life. I would also think that a very significant number of medical people are completely right about T2

There are also "significant numbers of qualified medical people" (I count myself in those numbers...) who do NOT believe that having a high cholesterol necessarily indicates any pathology or adverse finding at all. It depends on many factors and is not as simplistic as just "having high cholesterol" which is in itself, actually meaningless unless the ratios are known and the particle sizes and probably also the CAC scan results............
Most of the old mantras about T2 are definitely showing signs of changing, thank heavens. The good carb / bad carb / brown rice / white rice advice etc.........

Resurgam · Sep 14, 2020

My cholesterol level was below average last time it was suggested that I take a statin again. It seems to be a mindless thing they have to d. When I asked if they'd read my reaction to statins at diagnosis it was obvious they had not.

Daphne917 · Sep 14, 2020

Resurgam said:
My cholesterol level was below average last time it was suggested that I take a statin again. It seems to be a mindless thing they have to d. When I asked if they'd read my reaction to statins at diagnosis it was obvious they had not.

I had the same conversation with a new GP at my practice - until I told him to go back through my notes and find out what happened last time I was on statins. He took one look at the rise, and fall, in hba1c from 48 at diagnosis to 54 then down to non diabetic levels after stopping them that he’s now put statin intolerant on my notes as neither of us wants to risk it happening again.

Oldvatr · Sep 14, 2020

KennyA said:
For anyone not sure about the low/high cholesterol issue it's worth having a look at the recent research - start with the HUNT 2 study published in 2012

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3303886/

The conclusion says:
"Our study provides an updated epidemiological indication of possible errors in the CVD risk algorithms of many clinical guidelines. If our findings are generalizable, clinical and public health recommendations regarding the ‘dangers’ of cholesterol should be revised. This is especially true for women, for whom moderately elevated cholesterol (by current standards) may prove to be not only harmless but even beneficial."

I would add to that another recent study that showed low cholesterol is not helpful for elderly people either.
https://www.telegraph.co.uk/news/he...ittle-cholesterol-is-harmful-for-elderly.html

Mrs T 123 · Sep 14, 2020

bulkbiker said:
Cholesterol numbers in my signature.. yes they have gone up but am I worried about them? no way..
I'm quite happy to take on my doctors when they mention stains as it seems I now know more than they do about T2 and cholesterol.

So ... my results are in ...
cholesterol 6.8 (usually 4.5)
Triglyceride 0.6
HDL 2.5
LDL 4.0 (usually 2.4)

May I have your thoughts?

zand · Sep 14, 2020

Mrs T 123 said:
So ... my results are in ...
cholesterol 6.8 (usually 4.5)
Triglyceride 0.6
HDL 2.5
LDL 4.0 (usually 2.4)

May I have your thoughts?

Brilliant! Your triglycerides are less than 1.0...that's fantastic. My guess is that the increase in total cholesterol is because your HDL (good chol) has gone up so your ratio will actually be better than last time.

Women need higher cholesterol figures as they age anyway. I would be over the moon with your results.

bulkbiker · Sep 14, 2020

Mrs T 123 said:
So ... my results are in ...
cholesterol 6.8 (usually 4.5)
Triglyceride 0.6
HDL 2.5
LDL 4.0 (usually 2.4)

May I have your thoughts?

Absolutely brilliant results.. Trig/HDL ratio of 0.24 (anything under 0.87 is thought as very good) stunning.

Mrs T 123 · Sep 14, 2020

bulkbiker said:
Absolutely brilliant results.. Trig/HDL ratio of 0.24 (anything under 0.87 is thought as very good) stunning.

Cheers - Trigs have been 0.5 last 3 years and have gone up to 0.6 -so if the trigs are good is that the main thing do you know and HDL is 1.7, 2.0 and now 2.5 so are they the main ones, LDL was usually 2.4 & 2.5?

bulkbiker · Sep 14, 2020

Mrs T 123 said:
Cheers - Trigs have been 0.5 last 3 years and have gone up to 0.6 -so if the trigs are good is that the main thing do you know and HDL is 1.7, 2.0 and now 2.5 so are they the main ones, LDL was usually 2.4 & 2.5?

LDL does all sorts of odd things but is interestingly never used to calculate CVD risk.

It is however lowered by statin usage so it has been labelled "bad" to makes drugs companies oodles of money ..

Pfizer made almost $2 bio out of one statin last year.

Mrs T 123 · Sep 14, 2020

zand said:
Brilliant! Your triglycerides are less than 1.0...that's fantastic. My guess is that the increase in total cholesterol is because your HDL (good chol) has gone up so your ratio will actually be better than last time.

Women need higher cholesterol figures as they age anyway. I would be over the moon with your results.

Why do women need higher figures and from roughly what age?

Resurgam · Sep 14, 2020

When someone checked it was realised that higher cholesterol tallied with living longer, something particularly noticeable for women.

Mrs T 123 · Sep 14, 2020

bulkbiker said:
LDL does all sorts of odd things but is interestingly never used to calculate CVD risk.

It is however lowered by statin usage so it has been labelled "bad" to makes drugs companies oodles of money ..

Pfizer made almost $2 bio out of one statin last year.

Interesting - so - the lower my trigs the better?

bulkbiker · Sep 14, 2020

Mrs T 123 said:
Why do women need higher figures and from roughly what age?

https://www.diabetes.co.uk/forum/threads/cholesterol-and-statins.156985/

Its probably in there somewhere.. but to be honest it came from a study that might have been PURE that showed that for older women (I think post 60 years old) higher total cholesterol led to longer life and lower all cause mortality.

bulkbiker · Sep 14, 2020

Mrs T 123 said:
Interesting - so - the lower my trigs the better?

Its more the ratio between trigs and HDL but yes lower trigs (when fasted for 12-14 hours pre blood test) are far "better" than high trigs.

Mrs T 123 · Sep 14, 2020

bulkbiker said:
Its more the ratio between trigs and HDL but yes lower trigs (when fasted for 12-14 hours pre blood test) are far "better" than high trigs.

Many thanks for you help - much appreciated

zand · Sep 14, 2020

Mrs T 123 said:
Why do women need higher figures and from roughly what age?

@bulkbiker can you help? I can't find the links I had previously. @Mrs T 123 I don't think you are at the age yet but really can't remember, sorry my memory has been rubbish recently

bulkbiker · Sep 14, 2020

Mrs T 123 said:
Why do women need higher figures and from roughly what age?

If you check out post 32 on this thread from @KennyA that could be the study I was thinking of.

Sarbak · Sep 15, 2020

MrsA2 said:
A very easy to understand presentation about cholesterol

You and I have very different definitions of "very easy to understand" lol

aard · Sep 15, 2020

Anyone have any idea how much a cac test costs in the UK? I find it really frustrating that not one website like buoa, nuffield etc will give a price.

bulkbiker · Sep 15, 2020

aard said:
Anyone have any idea how much a cac test costs in the UK? I find it really frustrating that not one website like buoa, nuffield etc will give a price.

These guys will do one
https://www.rivershospital.co.uk/treatments/ct-calcium-scoring
Price I think between £350 and 400 but please check.
You can also self refer if you answer a brief questionnaire.

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