Never during PA school ( one of the three top ones in the US) or during all of my years of practice, and I went to a lot of Cardiology seminars since I worked in Cardiac surgery division, have I heard such an excellent lecture on Cholesterol and the effect of sugar on the lipid profile! Excellent and beautifully presented!
Kudos to this man for explaining such things in a manner understandable to the non-medical community and more importantly reaffirming my belief in a low carb or ketogenic diet, as he perfectly explained why my cholesterol results were high out of the blue after about 5 months of keto/low carb/IF. Hats off to you sir!
Thank you so much for this. God bless you, for you're one of the awesome ones! It's so important that we start taking responsibility for our own health. There's no accountability on behalf of the government, nor the pharmaceuticals, food industries, education systems, or many doctors, ... Parents, beware and self educate.
Fantastic explanation that has put my mind at ease since I have always been sitting on the high side of total cholesterol but with great triglyceride levels. My diet and lifestyle choices are indeed working. Thank you
A light bulb just came on about statins. When insulin is lowered, the number of LDL recepetors is lowered. Statins work by increasing the number of LDL receptors. How do they do this? By increasing the insulin? When I was on statins, my blood glucose was always 116-125 fasting. I had all the symptoms of metabolic disease. Stopped the statins and it dropped to 92-97 fasting. Have now been on keto (avoiding all sugar and allowing under 20g total carbs) since July 13 and my fasting blood glucose is in the 80s (ketones ranging from 0.7 to 2.0). have lost 16 lbs and feel great. I am trying to build a case for discussion with my old school cardiologist in November when he does a lipid panel! Thank you Dr. Mason!
This was 5 years ago and my new doctor still doesn’t know that my LDL score is okay? Trig./HDL ratio score 0.5. Been on zero carb diet for 6 months. No sugar at all. I’d also fasted for 14 hours before the blood test.
I’m still confused, if the standard lipid panel test indicates Lipo proteins of various densities, why do we call this cholesterol? This isn’t a measurement of cholesterol at all. The Lipo proteins do carry cholesterol as well as TG’s throughout the body, but the amount of lipid particle carriers has nothing to do with how much cholesterol is actually being carried by these particles at any one time
Because big Pharma only has medications for "Cholesterol". They want to sell those devil pills. They do not reduce the small dense LDL particles, only the fluffy harmless ones. They don't want us to know that. That's why the standard blood test won't break down particle A and particle B LDL. It would be very easy to see which LDL their meds reduces. In other words, statins do NOT reduce risk for heart disease, but we'll be a life long customer of big Pharma.
I'm 19 and keto helped me with my eating disorder, my weight is now stable!! I don't crave carbs, no resistence for carbs (I'm not eyeing carbs and wishing I'd want to eat it, it just doesnt look like real food, and cakes kinda of look more like a piece of art, I find it weird how people eat this stuff now) and my energy levels are awesome the only thing I do is take electrolyte salts, I have things like berries, nuts, dairy, variety of vegetables, meat and sometimes hummus, mayo or low sugar baked beans. Started 5 months ago, Best decision of my life! They thought I'd get ketoacidosis but that happens with high insulin, I tried to explain to a practitioner but she was like 'nah your liver is going to get damaged you'll have dangerous amount of ketones' I wanted to believe her but it just didnt add up... keto is not ketoacidosis at all! Has my liver packed in yet, have I developed hypoglycemia?? I don't think so, there's no signs 😂 I love researching about this stuff and watching debunking videos. Thanks for making this 🙏🏽
Yesterday I had an annual check up. I am 68, in very good health, train at least 4 times a week, and walk 10,000 steps every day minimum. I don't smoke and rarely drink. I'm 1.70 and weigh 70 kg. The report I received suggests I should lose weight by eating less calories and less fat. My blood pressure is 110/70. My pulse rate 50 bpm. The report has clearly just been based on my high total cholesterol and ignored the low triglyceride levels and HDL levels. The lack of knowledge about cholesterol in the medical profession is nothing short of pathetic
The doctors are being brainwashed by the drug companies. Believe it. If you want to see the truth of this watch this: Too Much Medicine & The Great Statin Con - Dr Aseem Malhotra.
If the endothelial layer is breached by the oxidised LDL particles and ultimately cause plaque to build up, then why does that same process not occur in our veins? Does anyone know?
Thank you so much for your excellent explanation of this subject. After a recent blood test my results came back with a high LDL result. I was so frustrated as I’ve been off sugar for 3 years and followed a keto diet for a year. I very nearly gave up on a diet I love but now after watching this and doing the ratio I can breathe easily knowing I’m doing the best for my body. You are a very gifted public speaker Thank you from the bottom of my heart !
I recently had the same experience myself after a good fast before my blood tests. Goes to show how flawed (or incomplete) the testing methods we use and how they are interoperated.
I’m 22 years old I’m at a healthy weight throughout my life I have always been moderately active. I had a little chocolate addiction but last year my mindset changed to “if the food doesn’t benefit my body it’s very unecessary for me to eat it” but I would have pizza or hamburger or cake like once a week. No alcohol, no smoking. Last month I stumbled upon keto and for 2-3 weeks I searched what it was all about and decided to change to a LCHF diet after. So like a week before I was on the second day of keto took a blood test. Everything was normal except my cholesterol and ldl was high. The doctor said “we need to put you o meds!!” but I refused and left. Now watching this I checked my results again and happy to see I’m phenotype A 🙆🏼
Similar experience here, but as a type 1 diabetic, doc tried to put me on statins despite me losing 15kg in a year, using less than half the insulin I used to (from 45-50units/day to 18-20units/day), lower hba1c etc. Honestly shocking that they not look at much besides cholesterol.
@ 22 the doctor told you need meds? My doc told me i had high cholesterol but i'm too young to need it (risk factor). He said if i was middle-aged he'd put me on medication.
Tarzan keto is far from extreme. Eat good quality fresh foods. A bit of dairy, no chemically produced ‘vegetable’ oils, small amount of protein naturally occurring fats. Avoid processed rubbish. It is such an easy way to live and for the few compromises the health benefits are outstanding.
WOW.. BLOODY WOW! My Dr wanted to double my statin to 10mg based on my cholesterol results. I refused and advised that I would come back to her once I had done 'my' research. I'm a 52yo who has been morbidly obese for 40 years. I've been eating keto for 4 months and by this video, I surfing close to type A.. winning!!
I was getting my bloodwork done quarterly for the first two years I was in keto. I had a great doc who was curious and wanted to learn more about what this would do to my body, we sat and watched my ldl flip to type a and improve. He is now recommending keto to his patients. Fast forward, we moved and I now have a new doc to break in, wish me luck.
I just go my latest blood work results back today and I am type A by ratio. Along with the results was a note from the doctor requesting me to go on statins. No thank you. The next time we met, I will bring her the research if she cares to review it.
That is so very true Mark. I had my wellness appointment this week. My cholesterol and LDL levels were out of range for the doctor. I refused any statin drugs and he wants to send me to a cardiologist and recheck in bloodwork 3 months. I asked him to order a test for any oxided LDL and coronary calcification scan. He said he doesn't believe in that! I guess I will have to find another doctor! I divided my Triglyceride by my HDL ratio = 2.05 so I am just outside of the good range!
No. The problem is what is called "Standard of Care" in the U.S. A doctor who practices within these guidelines will be in the good grace of his hospital and clinic. Should he operate outside of them, he risks being fired, being sued and losing his medical license. This is why so many physicians hate their job and succumb to burnout.
If you really want to get them into Contempt Mode, quote Russell Blaylock. But remember: most physicians are just trained technicians, following protocols established by others - others who may value profit over patients' well-being.
So then here's my take-away: 1. Listening to your other lectures, high levels of of good LDL are desirable for many reasons, including the prevention of cancers. However, high levels of LDLlevels can also be caused by a build up of bad LDL. Standard blood tests do not discriminate between the two and uses some "Kentucky windage" in its calculation as well. This also makes total cholesterol is a useless number. E.G. add a lot of HDL to the mix, and now you are over the top. 2. Low Triglycerides would mean that it is likely that a low amount of the LDL would be damaged by glycation and oxidized. Not mentioned here but is in other lectures is the A1C test, which measures glycation of red blood cells, and is inexpensive. A1C is not transient and gives a long-term picture of overall glycation. Therefore, I would think that any cholesterol evaluation should include it. These together, with some research, it should be possible to establish parameters to determine normal ranges for bad/oxidized LDL. This would be established without the presence of Statins. Logically, good A1C ranges should be independent of current diabetic acceptable ranges for purposes of cardiovascular risk assessment. 3. Statins increase the the uptake of good LDL by the liver making the blood test and total cholesterol look good while increasing the concentration of oxidized LDL. More unusable LDL means a reduction in good LDL benefits. So in that respect Statins are like putting tape over the check engine light. Statins benefit is it reduces the lifespan of LDL before being recycled so there are fewer to get oxidized. However as pointed out in your other lectures, Statins only increase your lifespan on average of 3.1 days if you have not had a heart attack, and 5.1 days if you have, and demonstrates adverse side effects in 25% of patients. Moreover, the linkage between Statins and the small increased lifespan may be unrelated to blood lipids. However, when diet is changed to ketogenic, there is a big difference in mortality after a heart attack as shown in your other lectures, and those who haven't had a heart attack would reap benefits as well. Statins allow you continue without making diet changes. With it come metabolic syndrome, diabetes, and joint issues from being overweight. If glycation affects the blood cells, it affects more cells than that. 4. In any case, in the title, "Blood tests on a ketogenic diet", the "on a ketogenic diet" is important. Oxidized LDL at high levels is not likely to occur on a ketogenic diet. However, statistically, people doctors encounter are not on ketogenic diets. However, their flag should be low triglycerides and low A1C, and especially when combined with good HDL levels. 5. The next problem is is big pharma, who will fight you using your money. I watch big pharma visit doctors all the time to "educate" them. 6. "Health" organizations only make money when you have health problems. These organizations make it attractive for a doctor to work for them. They make more money, they provide him his office space, and they hire and train his staff. They specialize in cheating insurance companies. Your left and right toe and are two different visits for insurance purposes. They have lawyers working for them to establish precedents with purchased judges so they have to pay. 7. Guidelines are established for doctors by their malpractice insurance that dictate what they must tell you. Their license to practice medicine depends on it. You do not have a doctor-patient relationship, there are puppet masters present. Those guidelines are based are not based on objective science and further tainted by tainted insurance reporting requirements. Good doctors are hard to find and in demand. Good doctors will tell you the guidelines and listen to your arguments and you can have a candid conversations. They are getting in shorter and shorter supply. This is the first president we've ever had who doesn't need other people's money and thus not on someone's pocket. He is already anathema to big pharma after going after opioids and price gouging in the US. Hopefully the Food Guide Pyramid, obesity, and valid blood lipid testing is next, and expose the actual benefits and drawbacks of statins. He would probably draft people like Dr. Paul Mason to create a real strategy. Not everything came about by bad motives. We've seen studies by respected scientists who buried results that were contrary to their desired outcome, but support for what Dr. Atkins and Dr. Paul Mason is saying. When you see fat in an artery, you want to see fat as the cause. People took their word for it and today it is the dogma. People used to believe you get warts from handling toads too because it looks like toads have warts too, but there was no resistance to reversing myth because there weren't huge industries attached to them.
@@cavestify any diet you can stick to that gives you better health. Weight & body shape will come. Do a DXA scan of body composition to see how much fat and where it lies will give a holistic doctor a starting point. Research HOMA-IR value to see if you are insulin resistant. Ref Dr Sten Ekberg. The keto diet is great to meet short term goals. Then the mental aspects kick in. You are out with friends at restaurants, pubs and clubs. You like a freak with all the negatives about their eating and drinking habits. Do you change friends? You can change family, well easily anyhow. If you try and educate them you will be disrespected, ignored and abused. Get some counselling and new friends. Otherwise you will yo-yo. Keep watching these videos for your mental strength.
Great post. One note though pertaining to #2 above - the doctor in this presentation does address A1C. He refers to it by its full name of HbA1C with an Aussie accent that slightly throws off an American ear. And he says more or less what you do in #2. That the time averaged blood sugar level A1C reports is proportional to glycation levels upon all cells in the body including LDL. Otherwise, I'm still learning, but one thing at least some statins have are anti-inflammatory properties. Up until I saw this video just now, my understanding was that the epithelium layer inside your arteries is damaged by the repeated tug of war between blood sugar spikes and insulin to pull it back down. That sugar-insulin cycle over and over is inflammatory and damages the epithelium which is then "healed" by plaque your body deposits to protect it (like a scab). But in this video the doctor says it's all caused by damaged (glycated) LDL particles which find their way under the epithelium and are then captured by macrophages which then become foam cells which eventually results in arterial plaque. So this was a very interesting video indeed. The learning continues. One thing I know to do now is to try my best to get my triglycerides down, my HDL way up and my A1C down below 5.0 if I can. LDL seems of little importance if I get the others in line.
Imagine the number of patients who got Pattern A but with high cholestrol, and taking the medicine prescribed by their doctors. Imagine the side effects of those unnecasary medicines.. Gosh!
@@DavidBrown-jk2pm Well you just can't mis the two. Can you eat carb with protein? How long does it take for fat to no longer be present in the body so carbs can be consumed if one wants to?
It’s all this refined carbs, gmo, pesticide. There’s no nutrition and there’s too much, I think it’s good, I’m on a carnivore diet. Probably gonna do it during winter.
Dr Paul, this is brilliant, especially the last few minutes where you explained exactly why people who fast or on very low carb diets tend to get high LDL readings: our insulin is low, this reduces the liver LDL receptors, resulting in higher LDL in the blood. BRILLIANT! I have never understood this before… but it makes perfect sense! Thank you so much. I reckon this video needs to be shown to every GP in the world. Imagine what would happen if it did… just WOW!
There is another possibly factor, the plant sterols are lower in the high fat and animal product dieter, therefore they have more of a natural cholesterol profile, which is higher than the reference range
The most useful explanation of lipoproteins I've seen yet. Thank you for making this available for us non-medical professionals who are trying to understand our own health!
I have been on a keto diet for 2-3 years and just had my cholesterol levels measured. My doctor has prescribed me statins and thanks to this helpful lecture I can identify myself as a Pattern A patient so I will not be taking statins. I am extremely thankful for this information.
Dr Paul Mason and many other medical professionals who make online videos for the purposes of educating and helping the general public with their health issues are true heroes and they are men and women of high integrity. Thanks to all of you.
Re-watching this once again. Wonderful information, well presented for all to understand. Excellent video, one of the best!! Confirmed my numbers are still on track.
I’m a cabinetmaker and I understood this perfectly which means the doctor is a genius. I was able to work out that I just slipped into the middle section between A & B type but very close to A. I can also see from my previous result over 12 months ago that I’m moving towards a type A since starting the carnivore diet 7 months ago. I recklessly chose not to go to a cardiologist based on my most recent result but rather to research cholesterol and this particular video has been a breakthrough for me. I will book another blood test this week and this time I won’t fast 24 hours and see how I go. Thank you Doctor you are awesome
Indeed @One Man Band Woodworks , I think is one of the best explanations and empowers you to actually monitor everything and be in control. I am also in the middle, Thank you @ Doctor Paul for excellent medical explanations, you are awesome, continue the good work! There;s a lot of confusion out there...
Hello from France, Thank you so much Dr. Mason, I've been having high LDL in my test results for almost 10 years, even though my doctors never seem to care to treat it, they never explain to me why I don't need medical treatment for high cholesterol because I have low triglyceride. I used your calculation and the result of Triglyceride :HDL ratio = 0.4 mmol :-)
Yep, I went on a Keto diet and lost 20 pounds in 2 months. My primary care doctor saw that my cholesterol levels went up, and immediately advised that I drop Keto and increase 'healthy carbohydrates" in my diet. I have now found a cardiologist who advocates for a low-carb diet instead of prescribing more statins.
It's an absolute disgrace that the standard cholesterol test in the UK on the NHS does not test for triglycerides so we are unable to see the triglycerides to HDL ratio and they do not test for a breakdown of the LDL cholesterol. Go straight to statins, do not pass Go. My husband's cholesterol test numbers are about the same as the patient Dr Mason references. Doctor spent 20 minutes trying to persuade him on the phone last year (to take statins) and he's about to ring again. We wanted the cholesterol test done again to see if his HDL number has gone up.
This is my at least 3rd time watch of this video in past several years. I watched it again today as I just received my test result yesterday, with almost identical indice to the example Dr. Mason demostrated in the video: total cholesterol 8.8, LDL 6.2, HDL 2.1 and triglyceride 1.0. My GP strongly recommended me on statin again but now I must think it triple. I am not on keto, but have significantly cut down carb intake for a while. And I fasted 17 hours before my last test, which is too long according to the blood sampling nurse and this may well explain why the LDL is so high. Thanks Dr Mason.
Game changing info. Doc wanted me on Statins and my levels were similar to the patient in this example! Now to find a doc that understands this stuff...
All you need to do is say "no" to any drugs your doctor recommends afterdoing your own research. That is how I have stayed off medications for the last ten years. First I was very vitamin D deficient..level 6 (U.S) and never took the thyroid or blood pressure meds. I changed my diet and got my vitamin D to 80. Felt great.
Wow thank you. My doctor urged me to stop keto based on my lipid panel. My LDL went from 63 to 121, but my HDL was 79 mg/dl and TG at 57. I actually did stop keto but I’ve never felt the same cognitively. I’ll be going back on keto. It’s so convenient too. I don’t spend much time eating on keto.
This helps explains why my LDL was over 200 when I got my blood work done and freaked out my doctor and suggested I take statin. I was already around my 16th hour of my fast that day (I do OMAD majority of the week). I didn’t hear it on the video but is the LDL elevated because your body is using mostly fat for energy thus requiring increased LDL carriers for transport? Ive been on keto and fasting for about 4 months.
yea afaik it is because of that, if you run on ketones, you mobilize a lot more fat, thats why your ldl is higher, which is more or less like a highway afaik
62 years old here. Had high total cholesterol all my life (250-300 or 6.5 to 7). I have a BMI of 20.8 (always been around that), always been a gym goer (3-4 times a week and I still do boot camps with heart in the 140-160 range twice a week). I’ve been on a low-GI diet for 15 years. I have no family history of cardiac disease or hypertension. My new doctor freaked out at my bloodwork despite perfect (very low) triglycerides and insulin and BP. So I did a CAC Scan and the score was zero. If you have no other indications other than the cholesterol itself, and you know you are leaving a healthy clean life, ignore any doctor that wants you on statins!
@@katavocado3428 well, they're getting free experiment/data so that's least going on. We're beginning to discover scientific diet/nutrition sciences in this decades
I'm 52 and was keto but now transitioned to full carnivore 3 weeks ago and today blood pressure 109/59 heart rate 48bpm. Blood glucose 86 mg/dL. Total cholesterol 327. HDL 57. LDL 259... so that leaves 11 "unaccounted" for. Triglycerides are 59. So my TGL/HDL is 1.04 which by the graph puts it firmly in Pattern A?? Good god....my doctor would have a tartan hairy fit if she knew my "average" daily diet was 4 large butter fried organic eggs, 6 rashers of fatty streaky bacon, a pound of (12%) beef mince/ground beef made into burgers, half pound of grilled Haloumi cheese and a butter fried half pound Rib-eye....loads of salt and ACV too.... never felt better or stronger...!!!
I feel much better now. After I did low carb diet (Keto diet wanna be) and intermittent fasting for 6 months and I did my last blood blood test and learned that my LDL was 20 points higher than the blood test prior to that test. My triglycerides is still low. After watching this video, I am more confident in keep going on my keto (or low carb journey)
Thanks for this video! I'm definitely taking notes. I've been in high fat carnivore diet for over 3 months and I know my nephrologist is going to freak out when she sees my "cholesterol" numbers. It's time we help educate our doctors because every one of them seem to be completely ignorant of how the lipid system works in conjunction with sugar and omega 6 fatty acids.
My PCP was not happy knowing I have been fasting for over 48hrs. She is afraid I might go into ketoacidosis. I am not in any medication so I asked for her reasoning and she had no answer. I think I need new PCP.
I'm not a medical professional and I am into Keto and doc, I have to say you have a talent for presenting information to a broad audience in a manner that is easy to understand. Thank you for posting and sharing your expertise and perspective.
This is an epiphany for me! I just went for a physical with my new PCP and when I told her I was on a Keto diet - she said she is concerned about my cholesterol levels - I'm not. I had 14 vials of blood drawn for my requested FULLl blood work. This information thoroughly explains in layman's terms that I now can go to my follow up appointment informed. KETO has changed my life for the better!
Awesome presentation! I too have gone low sugar low carb for the past 6 months along with higher fat diet and counting calories and macros. I’ve lost 31 lbs and my recent blood test indicated great results except high LDL. Triglycerides are low and HDL is high so I feel pretty good about it after watching this video!
Whenever I looked at vegetarian or vegan lifestyle, I always looked at my teeth, the cuspids and bicuspids. Those are teeth of an omnivore, so meat seemed a genetic part of the human diet. Keto taught me the value of protein to fat ratio. And this lecture told me I was getting better despite the high cholesterol on my labs. Cardiologists know nothing about this and in a knee jerk reaction prescribe you statins because that's all they know. And if you correct them, it's a knee jerk reaction to bully and threaten you with a fatal disease and assume you are ignorant, because admitting otherwise will be too much to bear.
No offense, but have you ever looked at a monkey's teeth? They have bigger sharper canines than we do. There are tough vegetables and roots that are even harder to chew than most meat. I agree with you that humans are omnivores, but to draw that conclusion from looking at teeth doesn't make much sense.
Thank you for this demonstration. I have been on Keto for about 15 months and have lost about 115 pounds. I feel amazing. Just went to the doctor for the first time, because the company I work for went for cheaper insurance plan and I had to get money in a medical savings account in order to pay for all of my out of pocket expenses. And my ldl and overall cholesterol numbers though a flag. I ran my numbers with this video, and others. And I am clearly pattern A. I often do OMAD and 48 hours fasts. This clearly explains what is happening with my chloresterol.
Thank you for helping me wrap my head around my high cholesterol numbers while on a ketogenic diet and losing weight. I thought maybe I’d been doing something wrong. Now it all makes sense. I wish more insurance companies, labs, and doctors would get educated on this so they can better evaluate heart disease risk factors. Thank you for your work!
same here when I got my cholesterol results from my doctor. She scream "you will dieeee on a heart attack" I am so glad I found this channel and Dr Berg. Big win!
17:46 - I am trying converting from mmol/L to mg/dl using an online calculator. It says 1mmol/L is equivalent to 10mg/dl. I am confused given this scale in 17:46 that points 1mmol/L being close to 90mg/dl.
Excellent, I have just received my blood test results. ( panic attack) , have been strict keto for months and can exercise relentlessly with lots of energy, I now have High total cholesterol but my tricycerides and Hdl ratio are good , I feel /look better than ever, my doctor wanted to put me on Statins, ,no way. This video has eased my anxiety , thank you
Can someone please recreate the slide figures at 21:00 and convert the figure values from mmol to mg and post here for viewers in the USA and EU? Many thanks!
Oh oh I know. *raises hand. Triglycerides. I’m in the same boat. Work out 6 days a week. Total cholesterol is scary high. Triglycerides are 50. Tried to put me on statins. GFTOH. told the doctor I like cooking with tallow and butter. And eat about a dozen whole eggs a week. Should have saw his face. These doctors need to get with the times.
So, will the sugar damage eventually be reversed, to a degree, once we've gone on ketogenic diets (particularly if autophagy is happening)? Or, do we just have to hope for the best?
If you mean the damage done inside the artery with plague build up I think at this stage it is not known if this can be reversed. So its very important to spread the message.
I've been on the keto diet since 2018, have lost 35 kg's in weight and no longer use statin drugs to control cholesterol levels. My HDL and LDL have increased, but the triglyceride levels are way down and the ratios are looking very good. One thing I cannot understand is why does the arterial plaque formation seemingly only occur in arteries and not in veins? Are there any proven medical explanations for this?
Fascinating lecture! I've been in Ketosis over 3 years and OMAD for over 3 months. I fasted for 21 hours before my blood test, and I found it very interesting to learn that fasting will cause a higher level of LDL. I have the same condition as your patient. I have low triglycerides, high HDL, and high LDL. In January my doctor was very concerned about the high LDL (193 mg/DL where "standard" is
My doctor also wanted me on statins when my LDL was 173 but he did not pay attention to my HLD at 64 and TG at 80. And A1C at 5.5 and blood glucose at 88 with normal blood pressure. I refused. Besides there is very little evidence of benefits of statins. May be 1out 100 among those taking statins not getting a secondary heart attack but no benefit in mortality. Its a scam. Lowering your insulin a much better approach.
It would seem the 24 hr fast before blood tests is a scam perpetrated by big pharma? Get those LDL levels up so the Doc can prescribe their biggest money maker that does zero.
I'm on a keto diet with high LDL and HDL. Once a month I do a Niacin flush and it drops dramatically for a week or so (flushing out cholesterol?) Is this helping me eith the risks of high cholesterol or am I damaging myself?
Thank you for this video. It has helped me put meaning to my results. My doctor had advised that my cholesterol level was 'elevated' and suggested that statins were in order. I resisted and he sent me to see the lipids consultant who suggested I try the teeniest dose of statins to bring my LDL down. I had worked out my ratios before, but I did not know how to evaluate the figures. I know now and I am impressed with my figures, thanks to you. I started intermittent fasting at the beginning of 2019 to lose a few pounds after Christmas, however, I was still eating carbs. 3 weeks later I went to have a wellness check-up and everything came back fine except cholesterol, which was 'elevated'. The results were: 25 Jan 2019: Total Cholesterol 7.8, Triglycerides 0.88, LDL 5.6 Trig/HDL ratio: 0.4889 I continued intermittent fasting and by June when I took another blood test, I was eating 1.5 meals within a 6-8-hour window. I was still eating carbs. My results frightened my doctor, who called me in for a chat. The results were: 19 Jun 2019: Total Cholesterol 8.4, Triglycerides 0.87, LDL 5.9 Trig/HDL ratio: 0.4143 A few days before I saw the Lipids Consultant in September, I came across the Ketogenic diet and began it. I gave myself just over 4 weeks before I took another blood test. The results came back as follows: 18 Oct 2019: Total CHolesterol 8.09, Triglycerides 0.77, LDL 5.86 Trig/HDL ratio: 0.4096 From what you explained, and from the calculations, I can safely say that my LDL is healthy. I have to go back in January to see the Lipids consultant, who had given me 4 months to bring my LDL down 1 point. It doesn't look like that's going to happen and I hope by that time, he will have found this information about cholesterol and rethink his ideas about prescribing statins to healthy people. The mind boggles! Thank you so much for all you do.
My doctor told me my LDL is twice what is should be. I shrugged my shoulders and said "Don't bother suggesting I take something for it, I'm not going to." That was the end of the conversation. I've been Keto for years.
Instead of entertaining pharmaceutical representatives (one of which, ashamedly, I once was) I think all GPs should be made to watch this and the necessary blood tests made readily available through Medicare. With more and more people adopting a low carb/keto/carnivore diet how many unnecessary, expensive and potentially dangerous statin prescriptions could be avoided?!
This was unbelievably helpful in understanding that my elevated LDL was not a concern by itself and that using Dr. Mason's calculations I am clearly considered within the Pattern A category! Woo hoo! Keto on!
This is so helpful I calculated my ratio as 0.36. I had bloods repeated following a keto and fasting change of diet. I feel armed now when I’m offered statins.
I didn't thumb down this but I'm more aware that China has been on carbs since at least -2500 BC. Who got the best genetics ? Chinese people. Do they have any issue ? No *if they follow the traditional diet and not the west diet that has come with the capitalism transition in 1970.* Egyptians diet was based on bread a lot. Both did well so as I'm seeing that video, i'm still wondering if I've to listen to people with statistics or judge from what I'm seeing and what the past has shown. Not a hater by the way, i'm just trying to find answers and healthy diet.
@@AlexHackerification Michael Eades says the ancient Egyptians were not healthy at all. If this interests you, please watch his presentation ruclips.net/video/RprGtr_cHlY/видео.html About the chinese, what makes you believe they had the best genetics? Better google for Weston Price.
Part of the issue is the availability of food. One of Mao's goal was a bowl of rice for everyone because most of the population was poor and hungry, middle and upper classes made up of a smaller % of the population. Food was always an issue and so you have skinny people running around... N. Korea, obesity is an illness for only one man... :-D Now China's growing middle class has access to affordable and available food and boom, diabetes going rampant due to a grain-based high cholesterol diet. Being "light skinned and plump" is not a bad thing in China, it is a sign of prosperity... you're not a starving uneducated farmer...
@@AlexHackerification Not sure where you are getting your info from but an estimated 50% of people in China are diabetic or pre diabetic and in fact are currently the worlds highest www.huffingtonpost.com/2013/09/04/china-diabetes_n_3867778.html
Interesting that you never see any lectures like this from the LFHC camp! Do they even do any proper research before spouting about how their diet is more healthy than LCHF. I have never seen an equivalent lecture from that camp showing the mechanisms of how their diet affects lipids, insulin etc. All we ever see is quotes from associative and epidemiological studies.
I had to watch this at least twice to get all the information out as it is complex - Dr Mason thank you for your work and great explanation I am indebted to you.
Great presentation 😊 I have high lipoprotein (a) Trigs and glucose are fine Trigs low Insulin resist low Lost 11 kg on keto but ldl shot up to 9.1 from 5.8 HDL is low Getting an angiogram soon Stress test good Ultrasound good
This is exactly the same situation for my recent blood test lipid result, after practicing 3 months of keto diet cum intermittent fasting. Ironically my physical stamina never been so good in my life!
@@xdiver01 They want everyone on statins. They have wanted me on them for 17 years. I refused then, and will continue to refuse. Am 71. Am 158 lbs, 6 ft. 33 inch waist pants. Hard as nails. I am in better physical shape than the average 25 yr old. My HDL is 73, my LDL 188, my triglycerides 43. "Get in here and get a prescription of statins", the nurse said after she read off these results over the phone. I chuckled, and put down the phone. On the other hand I celebrate my lipid profile The doc on this vid just told me I am in excellent shape These people are drug pushers for the most profitable drug in history -- statins. For millions of years all life on earth has depended upon LDL in their life processes. Suddenly in around 1990ad LDL becomes the bad guy! Go figure!! We all know what the "bad guy" is, but since we cannot stop shoving horrible food down our pie holes, and spend some time each day whipping ourselves into shape, we take drugs to cover. (We apparently would rather bend our necks in worship of the smartphone). And worse of all, we have exported our horrendous habits to the rest of the world
Extremely valuable info. I watched this for the second time today and noticed the obvious: 1) Healthy LDL do not cause atherosclerosis but oxidized LDL particles on the other hand do cause atherosclerosis 2)LDL receptors are taking LDL particles out of the bloodstream, but only the Healthy LDL not the oxidized ones 3) one of the mechanism of statin is to increase the LDL receptors 4) More LDL receptors result in more Healthy LDL taken out of the bloodstream while the real cultprit (oxidized LDL) is left in the bloodstream to eventually cause damage and CVD. I cannot think of a biggest scam. This is disgusting.
1) False. www.ncbi.nlm.nih.gov/pmc/articles/PMC2663974/ 2) Okay, any evidence? 3) Correct, and it's effective in preventing another or a first heart attack. If you disagree, do you have any evidence? 4) Again, false. www.ncbi.nlm.nih.gov/pmc/articles/PMC2663974/ I can think of a bigger scam, calling LDL healthy lmao.
So I'm a minute in. Why are people laughing at someone fit looking being at risk? People with hypercholesterolemia can drop dead in their 20s from CVD.
at 22:20 Dr. Mason incorrectly states that a very high-fat diet for 3 to 4 days before a lipid panel the LDL will plummet. He meant to say a very high carb diet. But the lowering of LDL is not a good thing because it is only healthy, not damaged LDL that drops. Furthermore, Feldman has shown in his personal blood work that fasting must be between 12 to 14 hours or the triglycerides will elevate. Fasting either more or less than 12 to 14 hours will result in higher plasma triglycerides.
Dave Feldman's "Feldman Protocol" states high calorie, not high carb. I'm about to go for my blood work and won't break ketosis for it ( high carb). But I could definitely increase calories. 😁 cholesterolcode.com/extreme-cholesterol-drop-experiment/
Wow. This is by far the best video I have seen on this subject. Explained so clearly and with a touch of humour. Well done and thanks for uploading it!
Im in the US.This time last year I was on the high end of my ideal weight (140 lbs and 5'5") and my cholesterol levels were borderline high. Since January, I've been doing a fairly loose keto diet, mainly cutting sugar completely and keeping carbs to 20 to 40 per day with moderate fat and protein plus green vegetables. At this time now, I've dropped 23 lbs and all of my cholesterol levels are optimal. Total cholesterol at 181, triglycerides at 127, LDL at 88, and HDL at 68!
so i would love to get some knowledge on how to reverse the bad ldl. when i start keto, will the broken ldl (and the fat tissue in my vanes) start vanishing?
Two recent cholesterol tests revealed my total lipids to be in the mid 700's where LDL in the mid 600's? This is after being on strict carnivore diet for 5 months and fasting over 12 hours prior to test. Is this crazy?
@@Mrm1985100 epidimiology? Really? You call that real 'science'? Cringe dude, i'd rather listen to a mechanistic explanation and get a coronary calcification test if you don't trust any of what this doc says.
Great Infos! Just two questions: 1 ) if a statin increases the receptors its not actually addressing the problem of oxidated LDL? 2) If you switch to a keto diet, how long would it take your body to effectivly decrease the levels of oxidated LDL and can you "heal" the already stored oxidated LDL in the macrophages?
I think you're right - statins increase healthy LDL uptake but would do nothing for oxidized LDL which is why they don't seem to help. Don't know about question #2.
Paul, this is amazing stuff. I really appreciate this valuable information. I have however one question: If LDL levels become Typ A through a low carb diet, what happens to the crap which has been incorporated into the tissue during the time before that dietary change. In other words: is there a chance to revert this kind of CVD or can we just bring it to a stop or slow it down at least? Once again many thanks and I hope to hear more from you.....
His explanation at 24:00 makes sense in my case. I did a 3hour and a 15h fast. My Trigs lowered a LOT with the longer fast, but my LDL increased a LOT. All other factors equal. I'm strict HFLC. Also, lower A1c (insulin in effect) correlate with higher LDL, as he explains, in my case.
56 YO male here, super athletic and keto, lean / muscular, workout daily, long distance runner and my Cholesterol test produced almost the same results. Thank you for this Dr. Mason!
Really helpful for those of using a Keto diet and wanting to interpret cholesterol markers. Presumably the medical establishment doesn't use these ideas because of some financial calculation.
Oxidised LDL is bad is a given. And damaged protein on the LDL particle isn't recognised by the receptors in the liver and therefore their numbers rise in the bloodstream along with the inherent dangers. I wonder what is the mechanism is that actually does recognise clear oxidised LDL? Would normal macrophages circulating in the bloodstream take them up as they would do faced with a pathogen? However, reading from a research paper, the liver is the major organ for the clearance of OxLDL from circulation, so I guess there are different receptors there other than those responsible for degrading 'healthy' LDL.
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Never during PA school ( one of the three top ones in the US) or during all of my years of practice, and I went to a lot of Cardiology seminars since I worked in Cardiac surgery division, have I heard such an excellent lecture on Cholesterol and the effect of sugar on the lipid profile! Excellent and beautifully presented!
What is 'PA', physician assistant?
@@Will-ql5dbyes
you never heard this there because everything in the video is bunk
@@jimsturtok boomer
@@jimsturt and your medical degree is from where?
Kudos to this man for explaining such things in a manner understandable to the non-medical community and more importantly reaffirming my belief in a low carb or ketogenic diet, as he perfectly explained why my cholesterol results were high out of the blue after about 5 months of keto/low carb/IF. Hats off to you sir!
Amazingly explained! Re-affirms that we don’t have to fear cholesterol if we are eating a proper human diet, low in sugar & carbohydrates.
Thank you so much for this. God bless you, for you're one of the awesome ones! It's so important that we start taking responsibility for our own health. There's no accountability on behalf of the government, nor the pharmaceuticals, food industries, education systems, or many doctors, ... Parents, beware and self educate.
Fantastic explanation that has put my mind at ease since I have always been sitting on the high side of total cholesterol but with great triglyceride levels. My diet and lifestyle choices are indeed working. Thank you
me too ( I now look at my triglycerides to HDL ratio)
I don’t worry about my totals anymore 👍🥳
This is an absolutely fabulous video! Thanks. My GP wanted to put me on a statin but my numbers are excellent in all of the 3 areas you explained.
A light bulb just came on about statins. When insulin is lowered, the number of LDL recepetors is lowered. Statins work by increasing the number of LDL receptors. How do they do this? By increasing the insulin? When I was on statins, my blood glucose was always 116-125 fasting. I had all the symptoms of metabolic disease. Stopped the statins and it dropped to 92-97 fasting. Have now been on keto (avoiding all sugar and allowing under 20g total carbs) since July 13 and my fasting blood glucose is in the 80s (ketones ranging from 0.7 to 2.0). have lost 16 lbs and feel great. I am trying to build a case for discussion with my old school cardiologist in November when he does a lipid panel! Thank you Dr. Mason!
This presentation clarifys so much for me
This was 5 years ago and my new doctor still doesn’t know that my LDL score is okay? Trig./HDL ratio score 0.5. Been on zero carb diet for 6 months. No sugar at all. I’d also fasted for 14 hours before the blood test.
Brilliant presentation!
I’m still confused, if the standard lipid panel test indicates Lipo proteins of various densities, why do we call this cholesterol? This isn’t a measurement of cholesterol at all. The Lipo proteins do carry cholesterol as well as TG’s throughout the body, but the amount of lipid particle carriers has nothing to do with how much cholesterol is actually being carried by these particles at any one time
Because big Pharma only has medications for "Cholesterol". They want to sell those devil pills. They do not reduce the small dense LDL particles, only the fluffy harmless ones. They don't want us to know that. That's why the standard blood test won't break down particle A and particle B LDL. It would be very easy to see which LDL their meds reduces. In other words, statins do NOT reduce risk for heart disease, but we'll be a life long customer of big Pharma.
I'm 19 and keto helped me with my eating disorder, my weight is now stable!! I don't crave carbs, no resistence for carbs (I'm not eyeing carbs and wishing I'd want to eat it, it just doesnt look like real food, and cakes kinda of look more like a piece of art, I find it weird how people eat this stuff now) and my energy levels are awesome the only thing I do is take electrolyte salts, I have things like berries, nuts, dairy, variety of vegetables, meat and sometimes hummus, mayo or low sugar baked beans. Started 5 months ago, Best decision of my life! They thought I'd get ketoacidosis but that happens with high insulin, I tried to explain to a practitioner but she was like 'nah your liver is going to get damaged you'll have dangerous amount of ketones' I wanted to believe her but it just didnt add up... keto is not ketoacidosis at all! Has my liver packed in yet, have I developed hypoglycemia?? I don't think so, there's no signs 😂 I love researching about this stuff and watching debunking videos. Thanks for making this 🙏🏽
excellent video, thanks
I learned more in this video than all my doctors taught me in 40yrs. Thank you!
Yesterday I had an annual check up. I am 68, in very good health, train at least 4 times a week, and walk 10,000 steps every day minimum. I don't smoke and rarely drink.
I'm 1.70 and weigh 70 kg.
The report I received suggests I should lose weight by eating less calories and less fat. My blood pressure is 110/70. My pulse rate 50 bpm.
The report has clearly just been based on my high total cholesterol and ignored the low triglyceride levels and HDL levels.
The lack of knowledge about cholesterol in the medical profession is nothing short of pathetic
The doctors are being brainwashed by the drug companies. Believe it.
If you want to see the truth of this watch this: Too Much Medicine & The Great Statin Con - Dr Aseem Malhotra.
You should have high HDL and low triglycerides not low for both fyi.
Low hdl is bad
If the endothelial layer is breached by the oxidised LDL particles and ultimately cause plaque to build up, then why does that same process not occur in our veins? Does anyone know?
A healthy LDL-C is 125 to 150, and less than 77 dramatically increases mortality risk as shown by dr mason. Modern medicine is a joke.
I assume the thumbs down are Australian thumbs ups.
Eddie Saeng lol
Bwahahaha
That is really funny, Eddie 😂
Lol
Brilliant.
Thank you so much for your excellent explanation of this subject. After a recent blood test my results came back with a high LDL result. I was so frustrated as I’ve been off sugar for 3 years and followed a keto diet for a year. I very nearly gave up on a diet I love but now after watching this and doing the ratio I can breathe easily knowing I’m doing the best for my body. You are a very gifted public speaker Thank you from the bottom of my heart !
I recently had the same experience myself after a good fast before my blood tests. Goes to show how flawed (or incomplete) the testing methods we use and how they are interoperated.
I’m 22 years old I’m at a healthy weight throughout my life I have always been moderately active. I had a little chocolate addiction but last year my mindset changed to “if the food doesn’t benefit my body it’s very unecessary for me to eat it” but I would have pizza or hamburger or cake like once a week. No alcohol, no smoking. Last month I stumbled upon keto and for 2-3 weeks I searched what it was all about and decided to change to a LCHF diet after. So like a week before I was on the second day of keto took a blood test. Everything was normal except my cholesterol and ldl was high. The doctor said “we need to put you o meds!!” but I refused and left. Now watching this I checked my results again and happy to see I’m phenotype A 🙆🏼
Similar experience here, but as a type 1 diabetic, doc tried to put me on statins despite me losing 15kg in a year, using less than half the insulin I used to (from 45-50units/day to 18-20units/day), lower hba1c etc. Honestly shocking that they not look at much besides cholesterol.
@ 22 the doctor told you need meds? My doc told me i had high cholesterol but i'm too young to need it (risk factor). He said if i was middle-aged he'd put me on medication.
Tarzan keto is far from extreme. Eat good quality fresh foods. A bit of dairy, no chemically produced ‘vegetable’ oils, small amount of protein naturally occurring fats. Avoid processed rubbish. It is such an easy way to live and for the few compromises the health benefits are outstanding.
@Towelie haha yeah , eating things that dont give you chest pain or make you fat is extreme to Tarzan.
Hiç bilmediğimden soruyorum. Klasik kolestrol testlerinde phenotype a değeri gösteriliyor mu Türkiye'de acaba?
This gentleman as Dr. Jason Fung, and others doctors deserve our respect for helping all of us!!!! thank you for opening my eyes
Don't forget Pradeep Jamnadas. He's the main man in my opinion.
WOW.. BLOODY WOW! My Dr wanted to double my statin to 10mg based on my cholesterol results. I refused and advised that I would come back to her once I had done 'my' research. I'm a 52yo who has been morbidly obese for 40 years. I've been eating keto for 4 months and by this video, I surfing close to type A.. winning!!
Have you had high cholesterol and triglycerides for 40 years?
it's now a year later.... what happened to the cholesterol conversation with the doctor
I was getting my bloodwork done quarterly for the first two years I was in keto. I had a great doc who was curious and wanted to learn more about what this would do to my body, we sat and watched my ldl flip to type a and improve. He is now recommending keto to his patients.
Fast forward, we moved and I now have a new doc to break in, wish me luck.
And surfing too! Double winning!
Jokes aside congrats on getting your life back.
I just go my latest blood work results back today and I am type A by ratio. Along with the results was a note from the doctor requesting me to go on statins. No thank you. The next time we met, I will bring her the research if she cares to review it.
Mention this to your GP and hear crickets. They treat you like a freak when you bring any of this up. Complacent denial.
That is so very true Mark. I had my wellness appointment this week. My cholesterol and LDL levels were out of range for the doctor. I refused any statin drugs and he wants to send me to a cardiologist and recheck in bloodwork 3 months. I asked him to order a test for any oxided LDL and coronary calcification scan. He said he doesn't believe in that! I guess I will have to find another doctor!
I divided my Triglyceride by my HDL ratio = 2.05 so I am just outside of the good range!
more like ignorance .. "here's another statin"
No. The problem is what is called "Standard of Care" in the U.S. A doctor who practices within these guidelines will be in the good grace of his hospital and clinic. Should he operate outside of them, he risks being fired, being sued and losing his medical license. This is why so many physicians hate their job and succumb to burnout.
it wasn't on the test.
If you really want to get them into Contempt Mode, quote Russell Blaylock. But remember: most physicians are just trained technicians, following protocols established by others - others who may value profit over patients' well-being.
So then here's my take-away:
1. Listening to your other lectures, high levels of of good LDL are desirable for many reasons, including the prevention of cancers. However, high levels of LDLlevels can also be caused by a build up of bad LDL. Standard blood tests do not discriminate between the two and uses some "Kentucky windage" in its calculation as well. This also makes total cholesterol is a useless number. E.G. add a lot of HDL to the mix, and now you are over the top.
2. Low Triglycerides would mean that it is likely that a low amount of the LDL would be damaged by glycation and oxidized. Not mentioned here but is in other lectures is the A1C test, which measures glycation of red blood cells, and is inexpensive. A1C is not transient and gives a long-term picture of overall glycation. Therefore, I would think that any cholesterol evaluation should include it. These together, with some research, it should be possible to establish parameters to determine normal ranges for bad/oxidized LDL. This would be established without the presence of Statins. Logically, good A1C ranges should be independent of current diabetic acceptable ranges for purposes of cardiovascular risk assessment.
3. Statins increase the the uptake of good LDL by the liver making the blood test and total cholesterol look good while increasing the concentration of oxidized LDL. More unusable LDL means a reduction in good LDL benefits. So in that respect Statins are like putting tape over the check engine light. Statins benefit is it reduces the lifespan of LDL before being recycled so there are fewer to get oxidized. However as pointed out in your other lectures, Statins only increase your lifespan on average of 3.1 days if you have not had a heart attack, and 5.1 days if you have, and demonstrates adverse side effects in 25% of patients. Moreover, the linkage between Statins and the small increased lifespan may be unrelated to blood lipids. However, when diet is changed to ketogenic, there is a big difference in mortality after a heart attack as shown in your other lectures, and those who haven't had a heart attack would reap benefits as well. Statins allow you continue without making diet changes. With it come metabolic syndrome, diabetes, and joint issues from being overweight. If glycation affects the blood cells, it affects more cells than that.
4. In any case, in the title, "Blood tests on a ketogenic diet", the "on a ketogenic diet" is important. Oxidized LDL at high levels is not likely to occur on a ketogenic diet. However, statistically, people doctors encounter are not on ketogenic diets. However, their flag should be low triglycerides and low A1C, and especially when combined with good HDL levels.
5. The next problem is is big pharma, who will fight you using your money. I watch big pharma visit doctors all the time to "educate" them.
6. "Health" organizations only make money when you have health problems. These organizations make it attractive for a doctor to work for them. They make more money, they provide him his office space, and they hire and train his staff. They specialize in cheating insurance companies. Your left and right toe and are two different visits for insurance purposes. They have lawyers working for them to establish precedents with purchased judges so they have to pay.
7. Guidelines are established for doctors by their malpractice insurance that dictate what they must tell you. Their license to practice medicine depends on it. You do not have a doctor-patient relationship, there are puppet masters present. Those guidelines are based are not based on objective science and further tainted by tainted insurance reporting requirements. Good doctors are hard to find and in demand. Good doctors will tell you the guidelines and listen to your arguments and you can have a candid conversations. They are getting in shorter and shorter supply.
This is the first president we've ever had who doesn't need other people's money and thus not on someone's pocket. He is already anathema to big pharma after going after opioids and price gouging in the US. Hopefully the Food Guide Pyramid, obesity, and valid blood lipid testing is next, and expose the actual benefits and drawbacks of statins. He would probably draft people like Dr. Paul Mason to create a real strategy. Not everything came about by bad motives. We've seen studies by respected scientists who buried results that were contrary to their desired outcome, but support for what Dr. Atkins and Dr. Paul Mason is saying. When you see fat in an artery, you want to see fat as the cause. People took their word for it and today it is the dogma. People used to believe you get warts from handling toads too because it looks like toads have warts too, but there was no resistance to reversing myth because there weren't huge industries attached to them.
SKT, you seem very intelligent. What diet do you subscribe to or think is best?
@@cavestify any diet you can stick to that gives you better health. Weight & body shape will come. Do a DXA scan of body composition to see how much fat and where it lies will give a holistic doctor a starting point. Research HOMA-IR value to see if you are insulin resistant. Ref Dr Sten Ekberg.
The keto diet is great to meet short term goals. Then the mental aspects kick in. You are out with friends at restaurants, pubs and clubs. You like a freak with all the negatives about their eating and drinking habits. Do you change friends? You can change family, well easily anyhow. If you try and educate them you will be disrespected, ignored and abused. Get some counselling and new friends. Otherwise you will yo-yo.
Keep watching these videos for your mental strength.
Great post. One note though pertaining to #2 above - the doctor in this presentation does address A1C. He refers to it by its full name of HbA1C with an Aussie accent that slightly throws off an American ear. And he says more or less what you do in #2. That the time averaged blood sugar level A1C reports is proportional to glycation levels upon all cells in the body including LDL.
Otherwise, I'm still learning, but one thing at least some statins have are anti-inflammatory properties. Up until I saw this video just now, my understanding was that the epithelium layer inside your arteries is damaged by the repeated tug of war between blood sugar spikes and insulin to pull it back down. That sugar-insulin cycle over and over is inflammatory and damages the epithelium which is then "healed" by plaque your body deposits to protect it (like a scab). But in this video the doctor says it's all caused by damaged (glycated) LDL particles which find their way under the epithelium and are then captured by macrophages which then become foam cells which eventually results in arterial plaque. So this was a very interesting video indeed. The learning continues. One thing I know to do now is to try my best to get my triglycerides down, my HDL way up and my A1C down below 5.0 if I can. LDL seems of little importance if I get the others in line.
Eating is so complicated. I would rather be autotrophic.
Thank you so much for your long, wonderful explanation!
Much appreciated!
Imagine the number of patients who got Pattern A but with high cholestrol, and taking the medicine prescribed by their doctors. Imagine the side effects of those unnecasary medicines.. Gosh!
I am one of those poor patients... with TRG in 50, HDL 80 and 200 LDL i started taking statins 3 years ago 🤦🏼♀️🤦🏼♀️🤦🏼♀️
@@inmalealmendez8716 Have you stopped taking them?
Imagine that this is what the big pharma wants...
So very scary yes 😕
Only our Dr. Mason can make a 'scary' subject like High Total Cholesterol a laugh out loud term. Thanks Paul.
It all goes back to sugar. The whole highly glycemic carbs thing.
Correct. Never eat carb. It's a dog eat dog planet. Not a carb planet. People claiming otherwise are lying.
@@DavidBrown-jk2pm Well you just can't mis the two. Can you eat carb with protein? How long does it take for fat to no longer be present in the body so carbs can be consumed if one wants to?
It’s all this refined carbs, gmo, pesticide. There’s no nutrition and there’s too much, I think it’s good, I’m on a carnivore diet. Probably gonna do it during winter.
Vegetable oils are as big a culprit. Watch Paul Saladino on you tube. Mason mentions this at 9min 30 sec mark.
Dr Paul, this is brilliant, especially the last few minutes where you explained exactly why people who fast or on very low carb diets tend to get high LDL readings: our insulin is low, this reduces the liver LDL receptors, resulting in higher LDL in the blood. BRILLIANT! I have never understood this before… but it makes perfect sense! Thank you so much. I reckon this video needs to be shown to every GP in the world. Imagine what would happen if it did… just WOW!
Thank you for this post.
There is another possibly factor, the plant sterols are lower in the high fat and animal product dieter, therefore they have more of a natural cholesterol profile, which is higher than the reference range
The most useful explanation of lipoproteins I've seen yet. Thank you for making this available for us non-medical professionals who are trying to understand our own health!
The food and pharma industry relies on us not understanding health.
I have been on a keto diet for 2-3 years and just had my cholesterol levels measured. My doctor has prescribed me statins and thanks to this helpful lecture I can identify myself as a Pattern A patient so I will not be taking statins. I am extremely thankful for this information.
Statins = poison. It only does good for pharma industry
You dodged a massive bullet mate!!!
Dr Paul Mason and many other medical professionals who make online videos for the purposes of educating and helping the general public with their health issues are true heroes and they are men and women of high integrity. Thanks to all of you.
Re-watching this once again. Wonderful information, well presented for all to understand. Excellent video, one of the best!! Confirmed my numbers are still on track.
Awesome. Wish I learned this in medical school or residency 20 yrs ago!
Better late than never. At least you're watching.
Maybe it’s a sign that what he’s saying isn’t worth being taught…
@@KnowOne111 Maybe you're not a doctor.
Wish my doctor would be as open to new knowledge as you are.
Wonder why you didn't? Cuz they are using you docs to secretly kill ppl
Hi. I have a question: how is the triglyceride/HDL ratio related to blood pressure?
I’m a cabinetmaker and I understood this perfectly which means the doctor is a genius.
I was able to work out that I just slipped into the middle section between A & B type but very close to A.
I can also see from my previous result over 12 months ago that I’m moving towards a type A since starting the carnivore diet 7 months ago.
I recklessly chose not to go to a cardiologist based on my most recent result but rather to research cholesterol and this particular video has been a breakthrough for me.
I will book another blood test this week and this time I won’t fast 24 hours and see how I go.
Thank you Doctor you are awesome
Indeed @One Man Band Woodworks , I think is one of the best explanations and empowers you to actually monitor everything and be in control. I am also in the middle, Thank you @ Doctor Paul for excellent medical explanations, you are awesome, continue the good work! There;s a lot of confusion out there...
👍 This type of info is much appreciated.
Hello from France, Thank you so much Dr. Mason, I've been having high LDL in my test results for almost 10 years, even though my doctors never seem to care to treat it, they never explain to me why I don't need medical treatment for high cholesterol because I have low triglyceride. I used your calculation and the result of Triglyceride :HDL ratio = 0.4 mmol :-)
Yep, I went on a Keto diet and lost 20 pounds in 2 months. My primary care doctor saw that my cholesterol levels went up, and immediately advised that I drop Keto and increase 'healthy carbohydrates" in my diet. I have now found a cardiologist who advocates for a low-carb diet instead of prescribing more statins.
Really nice and clear lecture. Every UK GP should be asked to view this as part of their ongoing training.
It's an absolute disgrace that the standard cholesterol test in the UK on the NHS does not test for triglycerides so we are unable to see the triglycerides to HDL ratio and they do not test for a breakdown of the LDL cholesterol. Go straight to statins, do not pass Go. My husband's cholesterol test numbers are about the same as the patient Dr Mason references. Doctor spent 20 minutes trying to persuade him on the phone last year (to take statins) and he's about to ring again. We wanted the cholesterol test done again to see if his HDL number has gone up.
This is my at least 3rd time watch of this video in past several years. I watched it again today as I just received my test result yesterday, with almost identical indice to the example Dr. Mason demostrated in the video: total cholesterol 8.8, LDL 6.2, HDL 2.1 and triglyceride 1.0. My GP strongly recommended me on statin again but now I must think it triple. I am not on keto, but have significantly cut down carb intake for a while. And I fasted 17 hours before my last test, which is too long according to the blood sampling nurse and this may well explain why the LDL is so high. Thanks Dr Mason.
I too had almost the same results. This is the best video I have seen explaining how it all works. A big thumbs up.
Game changing info. Doc wanted me on Statins and my levels were similar to the patient in this example! Now to find a doc that understands this stuff...
All you need to do is say "no" to any drugs your doctor recommends afterdoing your own research. That is how I have stayed off medications for the last ten years. First I was very vitamin D deficient..level 6 (U.S) and never took the thyroid or blood pressure meds. I changed my diet and got my vitamin D to 80. Felt great.
Wow thank you. My doctor urged me to stop keto based on my lipid panel. My LDL went from 63 to 121, but my HDL was 79 mg/dl and TG at 57. I actually did stop keto but I’ve never felt the same cognitively. I’ll be going back on keto. It’s so convenient too. I don’t spend much time eating on keto.
I'm seventy and my cholesterol is very high according to my doctor. I'm on keto and wouldn't change for the world.
This helps explains why my LDL was over 200 when I got my blood work done and freaked out my doctor and suggested I take statin. I was already around my 16th hour of my fast that day (I do OMAD majority of the week). I didn’t hear it on the video but is the LDL elevated because your body is using mostly fat for energy thus requiring increased LDL carriers for transport? Ive been on keto and fasting for about 4 months.
yea afaik it is because of that, if you run on ketones, you mobilize a lot more fat, thats why your ldl is higher, which is more or less like a highway afaik
62 years old here. Had high total cholesterol all my life (250-300 or 6.5 to 7). I have a BMI of 20.8 (always been around that), always been a gym goer (3-4 times a week and I still do boot camps with heart in the 140-160 range twice a week). I’ve been on a low-GI diet for 15 years. I have no family history of cardiac disease or hypertension. My new doctor freaked out at my bloodwork despite perfect (very low) triglycerides and insulin and BP. So I did a CAC Scan and the score was zero. If you have no other indications other than the cholesterol itself, and you know you are leaving a healthy clean life, ignore any doctor that wants you on statins!
Got my bloods back today, doc thinks I’m going to get a heart attack from this keto carnivore thing. We’ll see
Jo Hannes still alive? Lol
@@silver933 Suprise us in a few months comming back :) Good luck!
Oh dear.....this is really really scary. Maybe it's not a good idea to brush off our doctors with a RUclips video. 🤷♀️
@@katavocado3428 well, they're getting free experiment/data so that's least going on. We're beginning to discover scientific diet/nutrition sciences in this decades
@@katavocado3428 Says the vegan bull shitter.
they ought give this info to kids before they leave high school.
That would destroy Big pharma & big Agriculture so....
I'm 52 and was keto but now transitioned to full carnivore 3 weeks ago and today blood pressure 109/59 heart rate 48bpm. Blood glucose 86 mg/dL. Total cholesterol 327. HDL 57. LDL 259... so that leaves 11 "unaccounted" for. Triglycerides are 59. So my TGL/HDL is 1.04 which by the graph puts it firmly in Pattern A?? Good god....my doctor would have a tartan hairy fit if she knew my "average" daily diet was 4 large butter fried organic eggs, 6 rashers of fatty streaky bacon, a pound of (12%) beef mince/ground beef made into burgers, half pound of grilled Haloumi cheese and a butter fried half pound Rib-eye....loads of salt and ACV too.... never felt better or stronger...!!!
I feel much better now. After I did low carb diet (Keto diet wanna be) and intermittent fasting for 6 months and I did my last blood blood test and learned that my LDL was 20 points higher than the blood test prior to that test. My triglycerides is still low. After watching this video, I am more confident in keep going on my keto (or low carb journey)
any change on the LDL?
So the patient is so healthy, he doesn’t need insurance
Thanks for this video! I'm definitely taking notes. I've been in high fat carnivore diet for over 3 months and I know my nephrologist is going to freak out when she sees my "cholesterol" numbers. It's time we help educate our doctors because every one of them seem to be completely ignorant of how the lipid system works in conjunction with sugar and omega 6 fatty acids.
Have your kidney symptoms improved?
what happened? if you cut out the sugar, and the fructose, it's very likely that you can reverse the nephropathy-- over time
Let us know when you get your first stent. I'm guessing age 50 at this rate on carnivore.
Thanks a lot Dr. Mason! I've made a summary video in Chinese. 做了一个中文的总结视频，给大家参考：ruclips.net/video/004X3CCeOv4/видео.html
Please stop spreading this nonsense in Chinese.... it's dangerous and false
Beware of trolls...
@@Mrm1985100 Were I on your diet I'd be in a psych ward, coma or diabetic. So, no, it's neither dangerous nor totally false.
Wow, outstanding presentation. A comprehensive theory of cholesterol metabolism and pathogenesis. Never got anything close to this in medical school.
My PCP was not happy knowing I have been fasting for over 48hrs. She is afraid I might go into ketoacidosis. I am not in any medication so I asked for her reasoning and she had no answer. I think I need new PCP.
You just consolidated the last few months of my learning in 30 minutes. Great job
I'm not a medical professional and I am into Keto and doc, I have to say you have a talent for presenting information to a broad audience in a manner that is easy to understand. Thank you for posting and sharing your expertise and perspective.
This is an epiphany for me! I just went for a physical with my new PCP and when I told her I was on a Keto diet - she said she is concerned about my cholesterol levels - I'm not. I had 14 vials of blood drawn for my requested FULLl blood work. This information thoroughly explains in layman's terms that I now can go to my follow up appointment informed. KETO has changed my life for the better!
Cliff Etzel how did the follow up go?
Please let us know how your results were?
whats the update? been 2 years
Australian "Horse float" = UK "Horse box" 🐴
(I had to Google it!) 😂
I thought it was only learners of English like myself who had to google it :-) I feel less hopeless now thanks to your comment.
@@DyzioTheDreamer Don't worry, most of the people I work with are English and they speak the language worse than many of the foreigners I speak to.
And in the USA it is called a horse trailer. :-)
Australian=horse float, American=horse trailer
Thank you. 👍
Awesome presentation! I too have gone low sugar low carb for the past 6 months along with higher fat diet and counting calories and macros. I’ve lost 31 lbs and my recent blood test indicated great results except high LDL. Triglycerides are low and HDL is high so I feel pretty good about it after watching this video!
Whenever I looked at vegetarian or vegan lifestyle, I always looked at my teeth, the cuspids and bicuspids. Those are teeth of an omnivore, so meat seemed a genetic part of the human diet. Keto taught me the value of protein to fat ratio. And this lecture told me I was getting better despite the high cholesterol on my labs. Cardiologists know nothing about this and in a knee jerk reaction prescribe you statins because that's all they know. And if you correct them, it's a knee jerk reaction to bully and threaten you with a fatal disease and assume you are ignorant, because admitting otherwise will be too much to bear.
Same here. I used to think that we are meant to be vegetarians but now I'm convinced that we are omnivores.
@@ghassanco1 yes, our teeth are evidence of this fact.
No offense, but have you ever looked at a monkey's teeth? They have bigger sharper canines than we do. There are tough vegetables and roots that are even harder to chew than most meat. I agree with you that humans are omnivores, but to draw that conclusion from looking at teeth doesn't make much sense.
@@Garthant exactly, we are opportunitists, we eat whatever we can have or find.
Thank you for this demonstration. I have been on Keto for about 15 months and have lost about 115 pounds. I feel amazing. Just went to the doctor for the first time, because the company I work for went for cheaper insurance plan and I had to get money in a medical savings account in order to pay for all of my out of pocket expenses. And my ldl and overall cholesterol numbers though a flag. I ran my numbers with this video, and others. And I am clearly pattern A. I often do OMAD and 48 hours fasts. This clearly explains what is happening with my chloresterol.
46 thumbs down, vegans and pharmaceutical reps.
Thank you for helping me wrap my head around my high cholesterol numbers while on a ketogenic diet and losing weight. I thought maybe I’d been doing something wrong. Now it all makes sense. I wish more insurance companies, labs, and doctors would get educated on this so they can better evaluate heart disease risk factors. Thank you for your work!
same here when I got my cholesterol results from my doctor. She scream "you will dieeee on a heart attack" I am so glad I found this channel and Dr Berg. Big win!
same as me, Dr see my medical report and say you should take med to control your cholesterol!!!
17:46 - I am trying converting from mmol/L to mg/dl using an online calculator. It says 1mmol/L is equivalent to 10mg/dl. I am confused given this scale in 17:46 that points 1mmol/L being close to 90mg/dl.
Excellent, I have just received my blood test results. ( panic attack) , have been strict keto for months and can exercise relentlessly with lots of energy, I now have High total cholesterol but my tricycerides and Hdl ratio are good , I feel /look better than ever, my doctor wanted to put me on Statins, ,no way. This video has eased my anxiety , thank you
You erased my anxiety.... Thank you for sharing ur story
Yeah I was scared as hell. I feel a little comfort now
I think you need to share your numbers cuz high can mean anything above 100 for ldl
Can someone please recreate the slide figures at 21:00 and convert the figure values from mmol to mg and post here for viewers in the USA and EU? Many thanks!
there are mmol to mg/dl calculators online.
Oh oh I know. *raises hand. Triglycerides. I’m in the same boat. Work out 6 days a week. Total cholesterol is scary high. Triglycerides are 50. Tried to put me on statins. GFTOH. told the doctor I like cooking with tallow and butter. And eat about a dozen whole eggs a week. Should have saw his face. These doctors need to get with the times.
You still alive bruh? Let us know how it goes long term.
me too but my doctor know im in top shape. he said not to worry, sometimes its genetic.
Perhaps Familial Hypercholesterolaemia?
CAN I connect you through messenger or WhatsApp? 94 95 27 58 09
Amateur. I eat a dozen eggs and 6 strips of bacon in one meal.
So, will the sugar damage eventually be reversed, to a degree, once we've gone on ketogenic diets (particularly if autophagy is happening)? Or, do we just have to hope for the best?
If you mean the damage done inside the artery with plague build up I think at this stage it is not known if this can be reversed. So its very important to spread the message.
I've been on the keto diet since 2018, have lost 35 kg's in weight and no longer use statin drugs to control cholesterol levels. My HDL and LDL have increased, but the triglyceride levels are way down and the ratios are looking very good. One thing I cannot understand is why does the arterial plaque formation seemingly only occur in arteries and not in veins? Are there any proven medical explanations for this?
Oxygen is the difference. So that would be my guess.
Just watched this with my blood work print out. Triglycerides. 0.7, HDL 2.9, LDL 3.8, tri to HDL ratio 0.2.
My doc seemed happy. LCHF for the win.
Fascinating lecture! I've been in Ketosis over 3 years and OMAD for over 3 months. I fasted for 21 hours before my blood test, and I found it very interesting to learn that fasting will cause a higher level of LDL. I have the same condition as your patient. I have low triglycerides, high HDL, and high LDL. In January my doctor was very concerned about the high LDL (193 mg/DL where "standard" is
My doctor also wanted me on statins when my LDL was 173 but he did not pay attention to my HLD at 64 and TG at 80. And A1C at 5.5 and blood glucose at 88 with normal blood pressure. I refused. Besides there is very little evidence of benefits of statins. May be 1out 100 among those taking statins not getting a secondary heart attack but no benefit in mortality. Its a scam. Lowering your insulin a much better approach.
It would seem the 24 hr fast before blood tests is a scam perpetrated by big pharma? Get those LDL levels up so the Doc can prescribe their biggest money maker that does zero.
how did it go
Any update on the story? How are things now?
Instead of the usual lipid profile test, what should we be asking for?
This was explained in a easy to understand way , thank you Dr Paul Mason 😊
I'm on a keto diet with high LDL and HDL. Once a month I do a Niacin flush and it drops dramatically for a week or so (flushing out cholesterol?) Is this helping me eith the risks of high cholesterol or am I damaging myself?
Thank you for this video. It has helped me put meaning to my results. My doctor had advised that my cholesterol level was 'elevated' and suggested that statins were in order. I resisted and he sent me to see the lipids consultant who suggested I try the teeniest dose of statins to bring my LDL down. I had worked out my ratios before, but I did not know how to evaluate the figures. I know now and I am impressed with my figures, thanks to you.
I started intermittent fasting at the beginning of 2019 to lose a few pounds after Christmas, however, I was still eating carbs. 3 weeks later I went to have a wellness check-up and everything came back fine except cholesterol, which was 'elevated'. The results were: 25 Jan 2019: Total Cholesterol 7.8, Triglycerides 0.88, LDL 5.6
Trig/HDL ratio: 0.4889
I continued intermittent fasting and by June when I took another blood test, I was eating 1.5 meals within a 6-8-hour window. I was still eating carbs. My results frightened my doctor, who called me in for a chat. The results were: 19 Jun 2019: Total Cholesterol 8.4, Triglycerides 0.87, LDL 5.9
Trig/HDL ratio: 0.4143
A few days before I saw the Lipids Consultant in September, I came across the Ketogenic diet and began it. I gave myself just over 4 weeks before I took another blood test. The results came back as follows: 18 Oct 2019: Total CHolesterol 8.09, Triglycerides 0.77, LDL 5.86
Trig/HDL ratio: 0.4096
From what you explained, and from the calculations, I can safely say that my LDL is healthy. I have to go back in January to see the Lipids consultant, who had given me 4 months to bring my LDL down 1 point. It doesn't look like that's going to happen and I hope by that time, he will have found this information about cholesterol and rethink his ideas about prescribing statins to healthy people.
The mind boggles!
Thank you so much for all you do.
My doctor told me my LDL is twice what is should be. I shrugged my shoulders and said "Don't bother suggesting I take something for it, I'm not going to." That was the end of the conversation. I've been Keto for years.
Bravo Dr Mason! Crystal clear presentation. A masterclass.
Quite brilliant
Instead of entertaining pharmaceutical representatives (one of which, ashamedly, I once was) I think all GPs should be made to watch this and the necessary blood tests made readily available through Medicare. With more and more people adopting a low carb/keto/carnivore diet how many unnecessary, expensive and potentially dangerous statin prescriptions could be avoided?!
This was unbelievably helpful in understanding that my elevated LDL was not a concern by itself and that using Dr. Mason's calculations I am clearly considered within the Pattern A category! Woo hoo! Keto on!
This is so helpful I calculated my ratio as 0.36. I had bloods repeated following a keto and fasting change of diet. I feel armed now when I’m offered statins.
Folks who thumb down should explain their version...(those who thumb up are assumed to have concurred with the ideas and content presented here)
I didn't thumb down this but I'm more aware that China has been on carbs since at least -2500 BC.
Who got the best genetics ? Chinese people. Do they have any issue ? No *if they follow the traditional diet and not the west diet that has come with the capitalism transition in 1970.*
Egyptians diet was based on bread a lot.
Both did well so as I'm seeing that video, i'm still wondering if I've to listen to people with statistics or judge from what I'm seeing and what the past has shown. Not a hater by the way, i'm just trying to find answers and healthy diet.
@@AlexHackerification Michael Eades says the ancient Egyptians were not healthy at all. If this interests you, please watch his presentation ruclips.net/video/RprGtr_cHlY/видео.html
About the chinese, what makes you believe they had the best genetics? Better google for Weston Price.
Part of the issue is the availability of food. One of Mao's goal was a bowl of rice for everyone because most of the population was poor and hungry, middle and upper classes made up of a smaller % of the population. Food was always an issue and so you have skinny people running around... N. Korea, obesity is an illness for only one man... :-D
Now China's growing middle class has access to affordable and available food and boom, diabetes going rampant due to a grain-based high cholesterol diet. Being "light skinned and plump" is not a bad thing in China, it is a sign of prosperity... you're not a starving uneducated farmer...
One answer could possibly be that the grains Egyptian eat back then had nothing to do with the GMO "Monsanto" type available today.
@@AlexHackerification Not sure where you are getting your info from but an estimated 50% of people in China are diabetic or pre diabetic and in fact are currently the worlds highest www.huffingtonpost.com/2013/09/04/china-diabetes_n_3867778.html
Interesting that you never see any lectures like this from the LFHC camp! Do they even do any proper research before spouting about how their diet is more healthy than LCHF. I have never seen an equivalent lecture from that camp showing the mechanisms of how their diet affects lipids, insulin etc. All we ever see is quotes from associative and epidemiological studies.
I had to watch this at least twice to get all the information out as it is complex - Dr Mason thank you for your work and great explanation I am indebted to you.
The liver receptor bit at the end had me watching it again, was confusing the LDL receptor/key
Great presentation 😊
I have high lipoprotein (a)
Trigs and glucose are fine
Trigs low
Insulin resist low
Lost 11 kg on keto but ldl shot up to 9.1 from 5.8
HDL is low
Getting an angiogram soon
Stress test good
Ultrasound good
This is exactly the same situation for my recent blood test lipid result, after practicing 3 months of keto diet cum intermittent fasting.
Ironically my physical stamina never been so good in my life!
me too. My doctor wants me on statins.
@@susandriver7238 Same here.
@@xdiver01 They want everyone on statins. They have wanted me on them for 17 years. I refused then, and will continue to refuse. Am 71. Am 158 lbs, 6 ft. 33 inch waist pants. Hard as nails. I am in better physical shape than the average 25 yr old.
My HDL is 73, my LDL 188, my triglycerides 43.
"Get in here and get a prescription of statins", the nurse said after she read off these results over the phone. I chuckled, and put down the phone.
On the other hand I celebrate my lipid profile
The doc on this vid just told me I am in excellent shape
These people are drug pushers for the most profitable drug in history -- statins.
For millions of years all life on earth has depended upon LDL in their life processes. Suddenly in around 1990ad LDL becomes the bad guy! Go figure!!
We all know what the "bad guy" is, but since we cannot stop shoving horrible food down our pie holes, and spend some time each day whipping ourselves into shape, we take drugs to cover. (We apparently would rather bend our necks in worship of the smartphone).
And worse of all, we have exported our horrendous habits to the rest of the world
What happened now after 2 years of keto please explain
Extremely valuable info. I watched this for the second time today and noticed the obvious:
1) Healthy LDL do not cause atherosclerosis but oxidized LDL particles on the other hand do cause atherosclerosis
2)LDL receptors are taking LDL particles out of the bloodstream, but only the Healthy LDL not the oxidized ones
3) one of the mechanism of statin is to increase the LDL receptors
4) More LDL receptors result in more Healthy LDL taken out of the bloodstream while the real cultprit (oxidized LDL) is left in the bloodstream to eventually cause damage and CVD.
I cannot think of a biggest scam. This is disgusting.
1) False. www.ncbi.nlm.nih.gov/pmc/articles/PMC2663974/
2) Okay, any evidence?
3) Correct, and it's effective in preventing another or a first heart attack. If you disagree, do you have any evidence?
4) Again, false. www.ncbi.nlm.nih.gov/pmc/articles/PMC2663974/
I can think of a bigger scam, calling LDL healthy lmao.
@@robertmedak4058 You are full of misinformation. Humble yourself and learn.
So I'm a minute in. Why are people laughing at someone fit looking being at risk? People with hypercholesterolemia can drop dead in their 20s from CVD.
The best about anything Cholesterol and Triglyceride I have seen! Thanks
at 22:20 Dr. Mason incorrectly states that a very high-fat diet for 3 to 4 days before a lipid panel the LDL will plummet. He meant to say a very high carb diet. But the lowering of LDL is not a good thing because it is only healthy, not damaged LDL that drops.
Furthermore, Feldman has shown in his personal blood work that fasting must be between 12 to 14 hours or the triglycerides will elevate. Fasting either more or less than 12 to 14 hours will result in higher plasma triglycerides.
Dave Feldman's "Feldman Protocol" states high calorie, not high carb. I'm about to go for my blood work and won't break ketosis for it ( high carb). But I could definitely increase calories. 😁
cholesterolcode.com/extreme-cholesterol-drop-experiment/
Wow. This is by far the best video I have seen on this subject. Explained so clearly and with a touch of humour. Well done and thanks for uploading it!
Thank you, this is going to my Dr.
Dear Dr. Mason, will fasting remove the damaged LDL and sir more importantly clear out the gunk built up in my arteries? Thank you very much sir.
This is what I want to know also.
I'd imagine so, although it may take some time. The human body has an amazing ability to heal itself.
So high fat, low carb (keto) is good, as long as you don't eat sugar? But if you do eat sugar, your LDL will kill you?
Im in the US.This time last year I was on the high end of my ideal weight (140 lbs and 5'5") and my cholesterol levels were borderline high. Since January, I've been doing a fairly loose keto diet, mainly cutting sugar completely and keeping carbs to 20 to 40 per day with moderate fat and protein plus green vegetables. At this time now, I've dropped 23 lbs and all of my cholesterol levels are optimal. Total cholesterol at 181, triglycerides at 127, LDL at 88, and HDL at 68!
S explain why after 6 day water fast my LDL was so high. My doc alarmed me and suggested to go on statins.
so i would love to get some knowledge on how to reverse the bad ldl. when i start keto, will the broken ldl (and the fat tissue in my vanes) start vanishing?
Fasting starts autophagy which starts the cleanup
Two recent cholesterol tests revealed my total lipids to be in the mid 700's where LDL in the mid 600's? This is after being on strict carnivore diet for 5 months and fasting over 12 hours prior to test. Is this crazy?
You need to go to a real doctor and not listen to these people: www.eas-society.org/page/LDLcausesASCVD
@@Mrm1985100 epidimiology? Really? You call that real 'science'? Cringe dude, i'd rather listen to a mechanistic explanation and get a coronary calcification test if you don't trust any of what this doc says.
Great Infos! Just two questions: 1 ) if a statin increases the receptors its not actually addressing the problem of oxidated LDL? 2) If you switch to a keto diet, how long would it take your body to effectivly decrease the levels of oxidated LDL and can you "heal" the already stored oxidated LDL in the macrophages?
I think you're right - statins increase healthy LDL uptake but would do nothing for oxidized LDL which is why they don't seem to help. Don't know about question #2.
Pumping this question up. Hopefully someone knows answer to #2.
IssacSun good question I’d like to know the answer to?!?
Maybe by increasing healthy LDL uptake, the number of LDL potentially susceptible to glycation and oxidation is reduced?
@@Jeremy-pt7bdYes, the least LDL in the blood stream the less chance of glycation = Meat and Statins good.
So how do we remove foam cells, are they affected by autophagy when fasting?
Paul, this is amazing stuff. I really appreciate this valuable information. I have however one question: If LDL levels become Typ A through a low carb diet, what happens to the crap which has been incorporated into the tissue during the time before that dietary change. In other words: is there a chance to revert this kind of CVD or can we just bring it to a stop or slow it down at least? Once again many thanks and I hope to hear more from you.....
His explanation at 24:00
makes sense in my case.
I did a 3hour and a 15h fast. My Trigs lowered a LOT with the longer fast, but my LDL increased a LOT. All other factors equal. I'm strict HFLC.
Also, lower A1c (insulin in effect) correlate with higher LDL, as he explains, in my case.
56 YO male here, super athletic and keto, lean / muscular, workout daily, long distance runner and my Cholesterol test produced almost the same results. Thank you for this Dr. Mason!
Really helpful for those of using a Keto diet and wanting to interpret cholesterol markers. Presumably the medical establishment doesn't use these ideas because of some financial calculation.
Oxidised LDL is bad is a given.
And damaged protein on the LDL particle isn't recognised by the receptors in the liver and therefore their numbers rise in the bloodstream along with the inherent dangers.
I wonder what is the mechanism is that actually does recognise clear oxidised LDL?
Would normal macrophages circulating in the bloodstream take them up as they would do faced with a pathogen? However, reading from a research paper, the liver is the major organ for the clearance of OxLDL from circulation, so I guess there are different receptors there other than those responsible for degrading 'healthy' LDL.
I think in future leeches terapy will come back in a big style ;)
Actually, a high amount of healthy HDL will clean it up.