I'm on statins. I could not get my cholesterol down despite all the exercise I do. I'm likely a Lean Mass Hyper Responder, even though my cholesterol was above range on carbs. When I did my very low carb diet, which I'm not on now, my cholesterol probably went through the roof. I'm glad I did not see how high it went. I do have very low Triglycerides, despite having a history of high cholesterol, which I believe sits well within the LMHR phenotype.
I was told the only way to assess your CVD risk is through a apo B test. It seems just guess work on whether your LDL particles are light or of the dense variety.
The apo B test is used to help assess your risk of heart and blood vessel disease.
I have attached a link which explains the apo B test. I have also attached a couple of interesting links on concerns around the keto diet. I do not have any strong views on very low carb diets. I've been on them twice, the Atkins diet back in 2010. Which I had to come off it after 3 months as I got sick on it, and the second time I went on it , I was trying to reduce my blood sugars, but they remained stubbornly elevated despite being on it fir 9 months.
The last link I have included is a research paper arguing that nutritional ketosis is a harmful metabolic state. The researchers suggests that ketone bodies can induce the same protein modifications as those responsible for the vascular damage caused by glucose. It concludes that nutritional ketosis is a harmful metabolic state.
Sometimes we tend towards confirmation bias when reading on subjects we feel passionate about, but to my mind its best to look at the possible negatives too. So I guess I have moved from LDLs to Ketone bodies in my post. Here are the links.
https://my.clevelandclinic.org/health/diagnostics/24992-apolipoprotein-b-test
https://www.health.harvard.edu/heart-health/keto-diet-is-not-healthy-and-may-harm-the-heart
https://pubmed.ncbi.nlm.nih.gov/32248054/
Edited for spelling