I've been suffering high cholesterol forever. I'm now 64 years old, weigh 50kg am still super fit (rock climber, horse rider and swimmer) and I'm on a no gluten free, low sugar and low carb diet... have been for many years. My mum was the same but lived until she was 92 with no heart problems or stroke. I have never had an advanced lipoprotein panel and my GP refuses to give me one. I suspect that my high LDL isn't from small dense/oxidated free radicals but from the more benign larger fluffy LDL.
Full disclosure, I am a recent patient of yours and I have to say you're the best Cardiologist in Singapore (by a mile) . Your evident professionalism and passion for what you do makes you the best in town. Thank you for the video!!
@@DrMikeMacDonald my age is 23 LDL cholesterol is 116 mg/dl HDL 47 Total cholesterol 151 Vldl 24 Triglycerides 116,, Normal fasting sugar level,, 83mg/dl,, is this okay ???
@@kholi1240 Hi, I can’t give specific patient advice over youtube. There is more to risk than just cholesterol. Family history, smoking history, blood pressure and concurrent illnesses all play a role.
Thank you for this interesting video. My daughter has been told she has a very high level of Lipoprotein A. She has been told that this is genetic. Should other members of the family have this test and are there other tests that would indicate a risk of CVD? Many thanks
Hey Doc, I was told recently, that my cholesterol level was 5.65 (in Canada) but that my LDL, HDL and triglycerides were all normal. My doctor said it had something to do with how those numbers are calculated. By the way, I have been on a statin for 25+ years, so how can this be?
If one on keto Carnivore diet, non hdl and LDL slightly a bit high and didnt fast for twelve hours before take the test. What does this mean ? Is this ok ?
Sir, I have few questions 1. I am from india,my mother who is 66 yr old her recent total cholestrol is 183 mg/dl, Tryglyceride 59.27 mg/dl, HDL is 65.59 mg/dl, LDL 123.53 mg/dl Is it okay, Dr recommended 5 mg Atorvastatin is it sufficient ? 2. If i opt for 5mg atorvastatin geneic medicine is it effective as branded ? 3. At this age how she can manage her LDL and TC level? Thanks
The final section on ApoB leaves me none the wiser on the important questions. What is a high ApoB number and what is the relevance of that number to small dence LDL or large "fluffy".
Can somebody answer a question? Got my blood test results, the printout they gave me read 38 mmol/mol. According to their numbers this is under the good range. The other 2 are moderate and poor. Yet they sent a text saying that my cholesterol is high, without making life style changes. I could head towards a risk of cardiovascular disease. At reception they were unable to explain it and the chances of speaking to a GP is slim as it's too busy. Can anyone explain by any chance?
My cholesterol was 4.0^2 mmol/L, (Canada) Would you have any idea why it has the ^2? Does that mean it's actually 16? My other readings were Cholesterol = 6.7 (H) HDL = 2.5 Non-HDL = 4.2 Chol/HDL Ratio = 2.7 Triglyceride = 0.4 Can anyone make it make sense for me?
Hi Doc, Thanks for video. I hear quite a bit of talk about Triglyceride to HDL ratio being a decent marker of circulatory health with an optimum ratio range apparently between 1:1 and 1.5:1, however this always tends to come from USA based MD's/Surgeons etc and they always state results in mg/dL. I was interested as had my Lipid panel from G.P. and Trigs were 0.93mmol/L and HDL was 0.98mmol/L, which on the face of it seems a close to optimal ratio at 0.95:1, however when I convert mmol/L for Trigs (0.93mmol/L=82.37mg/dL) and HDL (0.98mmol/L=37.9mg/dL) the ratio is not so good 82.37/37.9= 2.17:1. So my question is when they talk of that ratio as a guide are they only referring to that ratio of 1:1 as optimal when the units are mg/dL ? Thank you.
hi dr mike, your videos can be edited better and can be improved, do you need editor? content is good. let me know ill share portfolio link your videos are actually helpful to me, just subscribed your channel.
So on a keto or carnivire diet , isn't it expected that the LDL P number would go up ? The bigger the particle , the higher the LDL , correct? Is higher particle size as dangerous when it's due to animal based diet ?
The response to a diet high in saturated fat is variable. Most will have no change or a small rise in LDL-C, but some will have a very significant increase in LDL-C (like me!). In those that have a significant increase in LDL-C there is a rise in particle size AND number. Many keto proponents will say that the rise in LDL-C / LDL-P doesn't matter because the particles are big, BUT 1: It is well known that both big and small particles have been shown in atherosclerotic plaques. 2: The main driver of risk is particle number not size. 3:There is no long-term data that has looked at risk of heart disease with a keto diet.
Hi doctor very good presentation, so total ch 4.2mmol , hdl 1.4mmol, 2.4 calculated , hdl ratio 3 mmol ,non hdl 2.8 and triglycerides level 0.9 mmol is this OK.
Please explain why Hong Kong, Japan and Singapore have high life span and do you think it's due to diet? I don't think it's due to healthcare since Canada and Switzerland have good healthcare but the lifespan is not as high as these asian countries. Probably due to fish? vegetables? rice? more walking? less fast food? Thank you
There is no one causative agent but multiple factors. The two biggest modifiable risks apart from smoking are ldl particles and high blood pressure. There is a theory that sugar is the main cause, largely driven by the keto community. Abnormal sugars definitely also play a role, but in a lot of people are not a major factor.
People as you get older, your cholesterol goes up. It's a fact stop panicking and just watch what you eat if you're in your 80s eat what you want go to Greggs and enjoy your food . Eat every sugary bun every fatty dish and be happy 😅
funny enough, you are showing the lipid panel of someone likely receiving a statin.... If you pretend to show what the numbers mean, and then sticking to units and low grade technical stuff, you missed your self imposed mission. A minimum of interpretation and reference like ACM for those values would be appreciated by many people I guess. For instance, if the total Chol is
I'm 63, never medicated. When I was last measured - BMI 26.5 (so maybe 10 kilos / 22 pounds overweight) :- Total chol 139 / 1.6m LDL 73 / 1.9, Tri 71 / 0.8 How ? WFPB diet. When I was significantly overweight, my values were somewhat mediocre.
I've been suffering high cholesterol forever. I'm now 64 years old, weigh 50kg am still super fit (rock climber, horse rider and swimmer) and I'm on a no gluten free, low sugar and low carb diet... have been for many years. My mum was the same but lived until she was 92 with no heart problems or stroke. I have never had an advanced lipoprotein panel and my GP refuses to give me one. I suspect that my high LDL isn't from small dense/oxidated free radicals but from the more benign larger fluffy LDL.
Full disclosure, I am a recent patient of yours and I have to say you're the best Cardiologist in Singapore (by a mile) . Your evident professionalism and passion for what you do makes you the best in town. Thank you for the video!!
Thank you for the compliment!
@@DrMikeMacDonald my age is 23
LDL cholesterol is 116 mg/dl
HDL 47
Total cholesterol 151
Vldl 24
Triglycerides 116,,
Normal fasting sugar level,, 83mg/dl,, is this okay ???
@@kholi1240 Hi, I can’t give specific patient advice over youtube. There is more to risk than just cholesterol. Family history, smoking history, blood pressure and concurrent illnesses all play a role.
@@DrMikeMacDonaldCHOLESTEROL
122 mg/dL
TRIGLYCERIDES
198 mg/dL
HDL
51 mg/dL
LDL
31 CALC
VLDL
39.60 CALC
LDL/HDL RATIO
0.62 RATIO
Should I be worried
I was hoping for more on the numbers - what is bad what is good, etc.
so what numbers are good
I enjoyed the video. Thanks for posting this one.
Thank you for this interesting video. My daughter has been told she has a very high level of Lipoprotein A. She has been told that this is genetic. Should other members of the family have this test and are there other tests that would indicate a risk of CVD? Many thanks
Love your work.
Very useful. Thank you.
Very nice. Loved it!
So If your apo B number is 90,......how many particles of non-hdl cholesterol would you be estimated to have? I don't know how this works.
Hey Doc, I was told recently, that my cholesterol level was 5.65 (in Canada) but that my LDL, HDL and triglycerides were all normal. My doctor said it had something to do with how those numbers are calculated. By the way, I have been on a statin for 25+ years, so how can this be?
Wouldn't be nice if he actually answered your question? Hmmm...
Brilliant.
If one on keto Carnivore diet, non hdl and LDL slightly a bit high and didnt fast for twelve hours before take the test. What does this mean ? Is this ok ?
Hi my wife 7.18 is this dangerous when they give her her blood test, she was not fasting is there anything to worry about? Thanks
My LDL SMALL was above range, and the LDL LARGE was slightly below range...All other lipid numbers were very good and in range. Should I be concerned?
Very Good!
Thank you! Cheers!
Sir, I have few questions
1. I am from india,my mother who is 66 yr old her recent total cholestrol is 183 mg/dl, Tryglyceride 59.27 mg/dl, HDL is 65.59 mg/dl, LDL 123.53 mg/dl
Is it okay, Dr recommended 5 mg Atorvastatin is it sufficient ?
2. If i opt for 5mg atorvastatin geneic medicine is it effective as branded ?
3. At this age how she can manage her LDL and TC level?
Thanks
The final section on ApoB leaves me none the wiser on the important questions. What is a high ApoB number and what is the relevance of that number to small dence LDL or large "fluffy".
Can somebody answer a question? Got my blood test results, the printout they gave me read 38 mmol/mol. According to their numbers this is under the good range. The other 2 are moderate and poor. Yet they sent a text saying that my cholesterol is high, without making life style changes. I could head towards a risk of cardiovascular disease. At reception they were unable to explain it and the chances of speaking to a GP is slim as it's too busy. Can anyone explain by any chance?
Sir g 1.18 MMOI/l HDL CHOLESTEROL THEK HAY ?
My cholesterol was 4.0^2 mmol/L, (Canada) Would you have any idea why it has the ^2? Does that mean it's actually 16?
My other readings were
Cholesterol = 6.7 (H)
HDL = 2.5
Non-HDL = 4.2
Chol/HDL Ratio = 2.7
Triglyceride = 0.4
Can anyone make it make sense for me?
Hi Doc, Thanks for video. I hear quite a bit of talk about Triglyceride to HDL ratio being a decent marker of circulatory health with an optimum ratio range apparently between 1:1 and 1.5:1, however this always tends to come from USA based MD's/Surgeons etc and they always state results in mg/dL. I was interested as had my Lipid panel from G.P. and Trigs were 0.93mmol/L and HDL was 0.98mmol/L, which on the face of it seems a close to optimal ratio at 0.95:1, however when I convert mmol/L for Trigs (0.93mmol/L=82.37mg/dL) and HDL (0.98mmol/L=37.9mg/dL) the ratio is not so good 82.37/37.9= 2.17:1. So my question is when they talk of that ratio as a guide are they only referring to that ratio of 1:1 as optimal when the units are mg/dL ? Thank you.
Good question. Anyone….???
@cudgee7144 has our small discussion been deleted as I can no longer see your posts?
Anyone can clarify this please?
This is great very helpful thanks
Thanks. Plenty more videos in the series coming soon
hi dr mike, your videos can be edited better and can be improved, do you need editor? content is good.
let me know ill share portfolio link
your videos are actually helpful to me, just subscribed your channel.
the total cholesterol lvl should be between 150 to 200, but in my case its 118. please give me some tips, which might help me out to get a normal lvl
Lower is better in general!
Gosh - apart from the HDL figure, all my numbers are higher than these numbers ! Now I'm concerned.
So on a keto or carnivire diet , isn't it expected that the LDL P number would go up ? The bigger the particle , the higher the LDL , correct? Is higher particle size as dangerous when it's due to animal based diet ?
The response to a diet high in saturated fat is variable. Most will have no change or a small rise in LDL-C, but some will have a very significant increase in LDL-C (like me!). In those that have a significant increase in LDL-C there is a rise in particle size AND number.
Many keto proponents will say that the rise in LDL-C / LDL-P doesn't matter because the particles are big, BUT
1: It is well known that both big and small particles have been shown in atherosclerotic plaques.
2: The main driver of risk is particle number not size.
3:There is no long-term data that has looked at risk of heart disease with a keto diet.
Hi doctor very good presentation, so total ch 4.2mmol , hdl 1.4mmol, 2.4 calculated , hdl ratio 3 mmol ,non hdl 2.8 and triglycerides level 0.9 mmol is this OK.
My results of cholesterol are 6.80
Range is 0.00 to 5.70
Is this the problem!?
Nice video
Thanks
Thx
Please explain why Hong Kong, Japan and Singapore have high life span and do you think it's due to diet?
I don't think it's due to healthcare since Canada and Switzerland have good healthcare but the lifespan is not as high as these asian countries.
Probably due to fish? vegetables? rice? more walking? less fast food?
Thank you
Follow up question: Warren Buffett has fast food everyday. Do you think some people like him have superior genes?
.. wheres the sdLDL-C?..
Hi my cholesterol levels are 6% is that blocked archery's thanks
I am not sure I understand. What is 6 percent?
what is good what is bad numbers
@cudgee7144 has our small discussion been deleted as I can no longer see your posts?
Bit confused. I thought cholestetol was no longer the cause of atheriosclerosis but sugar is.
There is no one causative agent but multiple factors. The two biggest modifiable risks apart from smoking are ldl particles and high blood pressure.
There is a theory that sugar is the main cause, largely driven by the keto community. Abnormal sugars definitely also play a role, but in a lot of people are not a major factor.
@@DrMikeMacDonald thank you for taking the time to reply. Much appreciated.
Asslam u alaikum gg Kya Hal hay g
Hi bro I searched from fiverr, Can I make RUclips thumbnails for your channel in just $10?
What are your details on fiverr?
@@DrMikeMacDonald raja777ru
People as you get older, your cholesterol goes up. It's a fact stop panicking and just watch what you eat if you're in your 80s eat what you want go to Greggs and enjoy your food . Eat every sugary bun every fatty dish and be happy 😅
Didn’t really understand any of that.
I don't think there is a good way to explain this so the layperson can understand it. I was lost half way through.
funny enough, you are showing the lipid panel of someone likely receiving a statin....
If you pretend to show what the numbers mean, and then sticking to units and low grade technical stuff, you missed your self imposed mission.
A minimum of interpretation and reference like ACM for those values would be appreciated by many people I guess. For instance, if the total Chol is
I'm 63, never medicated.
When I was last measured - BMI 26.5 (so maybe 10 kilos / 22 pounds overweight) :-
Total chol 139 / 1.6m LDL 73 / 1.9, Tri 71 / 0.8
How ?
WFPB diet.
When I was significantly overweight, my values were somewhat mediocre.