David deserves a special prize in science for the research he has done and the understanding he has shed/contributed to in the field of Cholesterol. Thanks David!
I am constantly being chastised by doctors for refusing statin drugs. My total cholesterol is in the low to mid 300s. My HDL around 80. My triglycerides are around 70. Thank you for validating my position. I have a lot to learn so I'll keep watching. Thank you.
Paula Janson Demand an in expensive CAC scan if you are really interested in your condition. I find it unconscionable that doctors don’t look for actual arterial damage before proposing cures by meds. It’s ubiquitous malpractice.
I wouldn't try it. I'd just get a new doctor. My doctor is supposed to work for me not the drug companies! He should be able to cure me! Cholesterol is necessary for life! You aren't going to cure me of anything by shutting down my liver artificially!
@@yoso585 The problem is cholesterol doesn't damage arteries or anything! Cholesterol is actually trying to help your body heal! It's the lack of real nutrition that damages the arteries. Read Dr Matthias Rath's theory!
Kudos!! I spent a career as a technician and programmer and network engineer and I am SO GLAD to see somebody take a systems approach to understanding this material! Woot! As I am sure you are painfully aware, WAY too many people AND DOCTORS take a "see this, do that" approach or a "good guys, bad guys" approach, which is how LDL got labeled as a "bad guy." I will, ahem, be using this information the next time I have a fasting lipid panel coming up, but the real benefit to me is that I understand the process better now, and I can use that in many other ways too. Thanks!
Following your wonderful efforts on behalf of all of us hyper-responders-heartfelt thanks, Dave! I’ve been lowering carbs and sugar for 8 months, never having more than 2-10 pounds to lose and having worked out consistently throughout my adult life. Had my annual physical 3 weeks ago and my cholesterol shot up to 396...LDL was 313, Triglycerides were 62. Before my blood draw, I told my Dr I was expecting my LDL to be super high this year, but that I wasn’t going to be too concerned, given my change in diet. Having a CAC test today and my Dr wants new labs drawn in 6 months, at which time I am planning to follow your protocol.
Thank you for the video. Carnivore for over a year and my doctor is concerned about my bloodwork, but not willing to talk about how great I feel... this gives me more confidence that I’m not in danger.
@Cecelia Auburn If there is a question the definitive test is a getting a CAC score which measures the amount of calcium within the arteries. It’s a 5 minute CAT scan .
He gave a very succinct summary at 29:26 lol. But if you need an eli5 version, here’s my takeaway: High LDLC in and of itself is not necessarily a bad thing. In an otherwise healthy person, it’s simply an indication of energy balance.
Brilliant mind__ thank you, some have asked why an "Amateur" found this and not a Doctor__ he followed the data with no preconceived opinion, a Doctor would have looked at how the data supported what he had been taught. Lay people again and again solve the unsolvable for this reason.
Im fairly lean (18% body fat) exercise regularly, been doing keto for a few months (blood meter 1.2) and my LDL is 275. Tri is 150. HDL is 39. Total Chol is 367 so I'm stumped. 65 years old. It seems I have metabolic derangement. So what do I do?
@@Mrm1985100 what would a real doctor know about nutrition, metabolic system &/or Chol ? Where or when have you seen a doctor who knows anything about how chol works & why it works the way it does ? Have you ever heard a doctor talk about HDL & what role it plays in energy & life? I'll answer that for you, never ever. NEVER EVER ! EVER ! NEVER ! How could they? They never studied it either in med school or on their . There may be a few exceptions but 98% know nothing of the working of cholesterol.
Dave, from 17 min in to 22 min in was remarkable. I had no idea thats how fat moved inside the body. Great Video as a teaching tool, and I'm going to watch this again and again....
I agree 😊 the best video yet and short too. I am going to watch it again and again, and share it with as many family and friends that are open minded enough to honestly watch and share and discuss their thoughts 👍 Thank you Dave
Thank you Dave! Makes me feel a helluva lot better as having gone from high carb mostly plant base ldl of 40 to hf ldl of 204. At least if I kick the bucket, I’ll do it as a lean mass responder with fine hdl and trigs. Wish I could spring for frequent labs cause I can turn those numbers hard baby!
Sorta like not being able to fully grasp calculus for me. But I do understand that Dave and others do understand, and that gives me all the relief I need. Next time I get blood work, I may just carb up for giggles, but probably not.
You to totally described me in my basketball days, LDL over 200 but HDL at 99... with low triglycerides.. fighting like hell to get back to that state.. great presentation
That describes a Lean Mass Hyper-responder. You might want to check out my article on that here: cholesterolcode.com/are-you-a-lean-mass-hyper-responder/
Wow. This is probably the best explanation of LDL I've seen. I'm in this category. I'm nervous about upping the fat content before my next blood draw... but this makes it seem just a 3 day increase in energy consumption will be sufficient
This really puts 1 and 1 together, this is why a high sugar diet makes you fat, this is why spiking your insuline is so terrible, this is why eating fat and sugar is bad, and why all of that does not apply to a low carb diet. Damn man, good talk.
There is nothing about his methodology, results, or presentation that are engineering specific. Nothing he did couldn't be learned in a business school stats class.
Jody Jackson the doctor is human... 3 kids at home, a wife and a bit of life prevents them from doing the research. Btw, it would be nice if the doc started wellness sessions for their patients. Everyone’s personal health would improve. 🤔
I wonder, if doctors look at the blood test results, how much of it is based on science and how much of it is based on opinion, observation, conclusion ? How many doctors will question their knowledge, after watching Dave's presentation ?
Unfortunately, not enough. They are more concerned with protecting their license and their profits. It's not their fault though. It's the system. The few that do stand up and shout "WTF" are taking great risks, for which they deserve our respect.
@@realDaveFeldman when you say eating some carb changes your status to a low ldl results scenario...how often would you need to carb up to maintain that status. Do you have a video or other means to get more information on that particular subject please? Thankyou for the work and publishing it fir all to see.
fantastic, plain english and simple analogy based explanation of the mysterious cholesterol and LDL panel and how a keto diet may influence those 'risk' factors.
This cholesterol thing is a real killer, but not in the way we were taught. A family acquaintance / nurse said that she: "..tried Keto and lost weight, felt great and loved the food. Her doctor told her, her cholesterol was too high, and told her to stop because: 'what good does it do to be healthy if you're causing yourself a heart attack?!!'. So, she did what he said, went back to diabetes, weight gain and has added a statin... >>>====> and we PAY for this kind of "Health Care"?!
What a tour de force! Great information presented simply and clearly. I found the additional detail on the body's non-ketone fat usage extremely valuable.
just say no to stantins when I told my doctor no before he even checked my levels he looked at me funny, then my labs were perfect. lost 100 lbs so far and need about 30 more but feel great now!
My doc would have a heart attack watching this, he's a caveman, reckoned I needed statins when I had high cholesterol, even though he knew I am eating low carb.
@@user-ee9fp2ec5k If he were a caveman, he wouldn't be prescribing statins but eating like you! He's a stupid modern! And I dare not include "man" either lest it be construed!
It's the best I have ever felt, losing weight and feeling great! Strict high fat Keto then a blood test on the fourth day of a water fast. Oh my! Doctor very worried and wants to medicate me. Holding off on the meds until another blood test. Thanks so much for explaining this system. A little manipulation should make my doctor feel better. :)
Hello Dave , it’s an amazing lecture , v illuminating and actually it answers me wondering why I got my lipid profile high in LDL ( 250 ) TRIGLYCERIDES ( 57 ) and HDL (54) But one thing didn’t get from ur summary : did u mean we should not go for a multi days fasting in order not to get high cholesterol? Will be thankful if you just answer that . If it’s important for you to know : I’m on an OMAD diet for six months now
First, LDL doesn't matter in healthy situation, it rises when you are fasting to delivery energy. If you mean to lose weight or adjust your body for somewhat reason(like to increase autophagy), multi-days fasting is fine to do. If not, it is not neccessary Just eat LCHF and intermittent fast e.g. 18/6
What is the best way to prepare for a cholesterol test? Considering that I am catogenic. And all I'm interested in is the cholesterol test. 1. Physical training before? 2. Fat loading before? 3. How close to testing?
If you're looking to get an average baseline of what your cholesterol is generally, then eat to your typical levels in the days before the test. Then I recommend water fasting around 12-14 hours from the last meal of the night before to the morning after blood draw for your cholesterol test. Note that they tell you now that you don't need to fast for a cholesterol test, but I strongly disagree with that (see: ruclips.net/video/ZQHztlN1Yls/видео.html )
@@realDaveFeldman does it mean I spend the night drinking water? I am French & did not get the whole picture correctly in1-take fast pace speech video mode
Excellent presentation! I’d like to hear the “nutrient dense” version. Also, I’d like my GP to see the complete version. I am 71, overweight by 50#, I’ve lost 40# from my max wt of 290, snd ketotic (less than 50g carb daily for a year) and following him informing me that I have a 24% chance of having a cardiac episode within 10 yrs, I’m taking a statin for what I believe to be uncorrelated reasons. I’m learning.
I am 53 old, I have got a stent 5 months ago. I stopped statins after one week. For 2 months I follow keto diet but cholesterol go op too much. my cholesterol levels after 2 months of keto diet, august 2021 HDL- 50 LDL - 275 Try. - 85 Man 53 old, I got a stent in February 2021 , I have stopped all medication after 1 week.
My cholesterol has been high for many years and I'm still hearing GP Doctors saying let me give you drugs without a mention of healthy diet or exercise. Whilst my thought is saying quietly "you can stick your drugs up your arse" ...
God Belss You, Dave. This has been my issue all along. Maybe I can explain this to my doc and he'll stop trying to push the evil 'statans' on me. Thank you so much!
I already commented in your other video, but this video. Wow. From 25:00 onward. LMHR. This blows my mind. The whole system blows my mind with how it works. And yet it works this way for a reason. "Harmonious" is the best term. You so are right. I can't get over how much this blows my mind. Yet makes sense in a way that should have been completely obvious already.
Wow David! 🥳🥳 Kudos to you many healthy people can now get health insurance policies! You're changing their lives mate. Thank you for sharing this information.
So if you wanted to game a cholesterol test (i.e. have low LDL), you should 1) eat enough fat and total calories in the three days prior (to downregulate LDL), 2) not be extremely lean (so that local adipose tissue can deliver energy instead of LDL), 3) eat enough glucose to top up muscle glycogen stores (so that skeletal muscle can get energy from local glycogen instead of LDL) 4) fast 12 hours before the test (to clear up remnants of dietary fat in the blood).
That sounds like a workable plan. Of course this won't have any health benefits, but since doctors and insurance companies only care about their preferred misinterpretation of lab tests rather than actual health, it might be a good idea. If you really want to wreck your health and get good labs, you could try Dave's "prison food" diet for a week or two -- switch back to a carb-based metabolism, and your LDL will drop like a rock (since you don't need HDL or LDL if you're constantly feeding your cells glucose instead).
How does someone break that barrier with our normal GP's to accept these higher than "normal" numbers? I was freaking out over seeing others talk about a 200% increase in lipid profile after keto. There is a lot of bad information out there on this. Thank you for clearing it all up. I'm not lean, yet. What if my lipid profile is high but I can't classify myself as "Lean Mass Hyper-Responder"? I'm at 4-months in ketosis and planing to get blood-work done very soon.
MOST hyper-responders I see labs from are not LMHRs. A typical profile might be TC: 320, LDL: 190, HDL: 50, Trig: 100, for example. You may want to check out how your numbers look by assessing risk with Remnant Cholesterol and AIP with our tool here: cholesterolcode.com/report/
Some MDs will just ever be on board, sadly. You need to be your own health advocate and do what is best for you. And if that means refusing drugs or a certain diet they are pushing on you, then so be it. Good luck!!
Thank you for your wonderful knowledge and information. I'm a little frustrated about the 40mg daily of Simvistatin that I'm on. I've been on this now for about 9 years since my heart attack... I received one stint and based on my research and listening to you and a few other trusted folks, I'd like to stop taking statins all together and let me body produce naturally what it should... your thoughts?
Once again another great video! Over the years I prescribed a high fat/low carb diet for people who suffered from metabolic syndrome and obesity and it works wonders short term. However, there was a trend that I noticed with a lot of my clients who remained on the diet long term. I noticed that their levels of inflammation increased dramatically based on blood tests that measure inflammatory markers in the body (C Reactive Protein) is just one example. Not only that, but their kidney function was impaired based on testing and arthritis began to set in among other health issues like IBS. I never told them to remain on this type of diet long term as the negative would offset the positive at some point. However, the ones that did said they thought it was healthy since they were losing weight. My response to them was "a cancer patient will lose weight as well, but that doesn't mean they are healthy!" One diet I do know that works for the majority of people who don't want take things to extreme like the vegan or keto diets is to cut back or eliminate sugar! That simple! Eliminate simple sugar (no pun intended) or any food that contains sugar and you are already half way to the finish line. Your triglycerides will drop like a rock and so will your weight, not to mention your inflammation. Next, cut back on all foods that cause a high insulin response. Eat foods that are low on the Glycemic index and if you do eat a high GI food, take in some fiber or fat with it to slow down the absorption. Don't overeat as this tends to cause insulin resistance, and follow an intermittent fasting protocol. For example, eat two meals in an 8 hour window with no snacks in between and don't eat for 16 hours. In this example, you wake up at 7am and go to bed at 11pm. Your last meal should be no later than 7pm (4 hours before sleep) and your first meal should be no earlier than 11am (4 hours after you wake up). Most people can follow this along with eating a healthy plant based diet with minimal meat consumption along with proper daily exercise and live a long healthy life! What good is it to lower your cholesterol on a keto diet to simply cause severe inflammation in your body down the road and end up with cancer, and yes, even cardiovascular disease. How soon? Every person is different and it could take months or even years, but one thing for sure it will eventually catch up to you, and yes, I have proof based on my own client data of nearly 30 years! You could always eat like an Okinawan and live to a ripe old age of 100 or older and they eat very little meat! There is an old saying - eat dead foods and you will die! You want to eat foods that are thriving with enzymes and the last time I checked a dead cow, pig, etc. is not thriving! I know some people will lash out at this and to those people I say - what experience do you have? I have a client base of over 50,000 and have many physicians that use my research and tons of proof through tons of testing. Everything from blood work, urine, saliva, CIMT, ultrasounds, brain scans, CAT scans, MRIs, countless EKGs, echocardiograms, and so on! However, in my experience most people won't listen and they have to find out for themselves and usually won't do anything to change until after a heart attack, stroke, cancer, etc.. Oh, I'm not the only expert in this field that has and continues to add researched backed data on what I'm saying. View this link for more info and consult with this large group of researchers and physicians and prolong your life by avoiding disease. www.antiagemedical.com/docs/Project150-Hand-out.pdf - Yes, I ramble on because I am passionate about my work and I think that's why I have a 2 year waiting list of clients. I do teach seminars 8 times per year in various parts of the country with other researchers and physicians that back my teachings and I do help people with emergency situations. I love helping people so I definitely don't promote anything or any product unless I know for a fact it works! In good health!
Interesting. Did these obese people continue dropping weight even when CRP went up? How well their diet was monitored? Was this anomaly seen only with obese people or also with normal BMI people? If LCHF works wonders in short term, but not in long term by your studies, wouldn't the correct answer be then to find a solution; for example having a few days or weeks off from LCHF every now and then. What I'm saying it would be interesting and important to find the reason for the CRP to go up systematically.
Thanks for sharing So I saw you say LCHF and inflammation, it directly makes me think of the oils which are actually super unhealthy. I mean, Polyunsaturated fatty acid with high Omega6 ratio(most of plant/seed oil) If your patient eat high fat based on these oil or hydrogenated butter. Then XD... So just one question, did you make sure those with high CRP patients eating correct fat??
Yeah I can't listen to people spouting keto and carnivore, they have no proof yet they won't die of a heart attacks or stroke or cancer at 70 instead of live to be 95 like our grandparents (mine did).
God almighty gave us meats to eat ! ...i think he knows alot more than you and your 30yrs of vanity that ur so proud of ! ..i think it insults you deeply of how a common guy like this learned this vital stuff in a very short time , but you still haven't learned it in 30 years ! You must be very mad ! God confounds the learned ( wise in their own eyes ) and gives grace to the humble (simple ) . Jesus fed the multitudes bread and fish at the same meal ! He knows everything. But you call the meat dead and therefore of no value ! What ignorance on your part . You should quit ur trade and go be a humble janitor or waiter , and lose ur vanity and not do a job that excels in intelligence. Because your vanity impedes your ability to see truths and facts ! And by the way we only live 50-80 yrs average anyway , so why not enjoy some great tasting food for the short time were here anyway ! So what if we might , live another 2-10 yrs choking down salads with little taste , while having to add sick unhealthy seed oil infested salad dressing on top of it ! The soil is depleted of nutrients and super saturated with chemicals from the sprays every year ! They are extremely unhealthy and are very toxic ! Thats how you use commonsense ! You take your 50000 patients and 30 yrs of self delusion and vanity and kerp it to yourself. It all counts for nothing !
Dave, have you worked with ME/CFS? I am 4 months Keto and my hitherto low cholesterol has shot up.... Yet my energy feels more stable on Keto. Great video, thanks for all you do.
I haven't worked with ME/CFS-identifying followers that I'm aware of. But to be sure, I don't often get to have a longer discussion with anyone to discuss all potential issues that led them to LCHF.
Lenore Paletta me too! I wonder is anyone is doing solid research for the millions of people suffering from Fibromyalgia/ Myofacial Pain syndrome or CFS and this LCHF Protocol? This is great info and a bell went off when I heard Dave talk about how the insulin resistance stopped the LDL from getting to the tissues muscle. When I was in a Fybro flare my body used to feel like someone had literally sucked all the energy from my muscles and they were on fire....no one ever linked Fat intake (or lack of) to this condition before. This is a great step in finding a cure I believe.
I wish I had seen this video 3 days ago. This morning I had a blood test to see what my low carb diet is doing to my diabetes... In the previous 3 days I hadn't eaten much because I was testing my basal insulin...what do ya know... high LDL 212. Triglycerides. 103.
Yep -- fasting or eating very low calorie on the days leading up to your blood draw is a good way to spike your total and LDL cholesterol. To prove this, I fasted for 2.5 days a year ago and got the highest TC and LDL I've ever had: cholesterolcode.com/the-fasting-disaster/
Hi. Thanks for your wonderful research. I am type 1 diabetic, trying to follow Dr.Bernstein's low carb diet. Not easy. I go in and out of ketosis. Lately my LDL Cholesterol spiked to ~280. My Endo is going crazy about it (I refuse taking statins). My HDL is almost 100 and TC around 60 (A1C 5.3 and unmeasurable CRP). Thin and active. According to your hypothesis, my body does a good job in distributing energy, right? Thanks again.
Triglycerides. 103. """""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" What's considered normal? A simple blood test can reveal whether your triglycerides fall into a healthy range: Normal - Less than 150 milligrams per deciliter (mg/dL), or less than 1.7 millimoles per liter (mmol/L)
I came to this same conclusion after realizing how conflicting evidence for high and low fat diets was. It's clear it's about entropy (and any variable that connects to it, IE anything that increases a solvent in your blood solution unduly) and not about any one macronutrient or metabolic substrate.
I need a quick take away from this kind of info. As soon as I begin to listen, I glaze over at all those numbers. Please, please give a clear bottom line on all these numbers.
Penny Watson, his basic point is this: very healthy, lean people on a ketogenic diet (50% calories/day from saturated fat, the rest of daily calories from protein: LC,MP,HF) should expect both their LDL and triglycerides to go UP because of the separate ways the body is designed to supply energy when it’s running on glycogen (eating carbs) or when it’s running on ketones (eating fat). Many keto people and their doctors are puzzled and shocked by all the apparent health benefits of keto except the crazy high LDL and trig numbers. So, what’s going on? The medical establishment has dictated that LDL >160 and trigs >200 are automatically bad and require drugs to lower them. Yet, such rules do not apply to those whose primary fuel is from eating keto, rather than eating mostly carbs for fuel.
Interesting how advancements in a field come from "left field" often... someone not immersed in the current thinking throws a curve ball that changes everything. As a software developer, I've worked with the smartest people I've ever met so it doesn't surprise me it's one of us. I've met many doctors that are far too arrogant to see their own follies. Well, same goes for software developers too. :)
TG61, HDL88, BMI 22.5, physically active. Definitely LMHR? Where might I find a mitochondrial disease specialist...for adults? And another question: have any studies been done on LMNRs whose LDL were cut from typical high levels to 100 or lower...and then within half a year, couldn't walk around the block unaided? (It's not FH: no very high LDLs in my 50's.) Thank you--brilliant work!
Dave, Excellent way to make understand how energy distribution works in real! One question though, Dr. Peter Attia says or at least made me think listening to him on latest podcast with you is - high LDL is one of the 3 main reasons leading to atherosclerosis. Does that mean then, if I he is right, doing LCHF or Fasting is NOT good for heart? as they rise LDL. I currently erased/nullified every other negative marker for most of the major ailments by following LCHF. Just concerned still with LDL as per Dr. Attia's comments on LDL in relation to atherosclerosis. I am very interested in your perspective. Thanks again for one of the simple, honest, passionate and the best presentations ever done on Lipid energy distribution.
The problem is that the label "LDL" is applied to about 3 different things: (a) normal, healthy LDL, (b) glycated LDL, and (c) oxidized LDL. The latter two types have damaged ApoB100 proteins which makes it impossible for them to "dock" at normal cells for delivery of triglyceride, or get scavenged and recycled by the liver once they are empty. An LDL receptor on these needy cells uses the ApoB100 protein on the LDL as a signalling molecule to recognize it as such, and allow it to attach, deliver cargo, and (if empty) get scrapped. If that protein gets damaged (glycated/oxidized), then these useless particles simply float around in the bloodstream, piling up (leading to higher "LDL"). Eventually, scavenger receptors in macrophages collect up these particles and incorporate them into arterial plaques (atherosclerosis). Therefore, to use the boat analogy, a "high LDL" might mean that there are lots of functional ships floating around delivering cargo and then returning to port for more productive work, or it could instead mean that many ships are being sent out to sea carrying a load of cargo that lose their port of origin papers, float around at sea going from port to port being refused entry, until eventually the run out of fuel, founder, and wash up on shore as wrecks. Most doctors treat the first case (large amounts of normal LDL) exactly the same as the latter (large amounts of damaged LDL), which is obviously foolish. Without knowing what fraction of your total LDL is oxidized/glycated, it is impossible to know whether this "high" LDL reflects a pathological state or is simply normal, healthy fat-based metabolism.
One point I don't understand... when you said "Hold On.. if you're metabolically unhealthy, this will not apply"... Do I understand from that.. that if I spent all my life being overweight and dieting and losing and gaining weight.. and my metabolism is all screwed up.. then I should not be doing Keto with the high fat intake.. because my body is not going to deal with it correctly.. like someone with a healthy metabolism?
No, rather, I was emphasizing that I find metabolic outcomes with the Inversion Pattern and other common outcomes like TG usage to be less predictable the less metabolically flexible one is when taking cholesterol tests. That flexibility is hopefully something you're working your way back to (regardless of what diet you're on), and once achieved, I believe energy homeostasis gets things into more of the predictive state I was just mentioning.
For example, I have two family members who battled back from metabolic syndrome and after doing so their total and LDL cholesterol shot up, but so too did their HDL and their triglycerides and Remnant Cholesterol dropped to super low levels! ( cholesterolcode.com/report/ )
hello greetings from germany my question is: if what you say is true, why do so many people have a heart attack or stroke and their arteries are proven to be thickened inside? what is/would be the mechanism behind it?
Great video. But here is what I don’t understand. Q1) When we measure our LDL ( which are transport ships that contain triglycerides and cholesterol ) are we measuring the LDL ( the ship ) or the Cholesterol ? Q2) is HDL a different ship to LDL ? or is HDL contained in the LDL ship ?
@@paulbenedict1289 My understanding is that the function of HDL in this context is to pick up triglyceride from adipocytes for delivery to the liver so that the trig can be repackaged into VLDL particles for delivery to other cells. This explains why HDL also consistently rises on LCHF diets.
CAC is great but that will NOT help if you are going keto/carnivore to stop more damage occurring. It is a great benchmark but it is a REAR VIEW snapshot. If it is high and you start showing high chol as well, it will freak any doc who is working to the guidelines and they will try to push statins on you even harder, as they are premised on a faulty high-fat blame cholesterol assumption instead of understanding insulin resistance and inflammation, from carbs, as the root cause.
I really feel that cholesterol and lipids is the most misunderstood topic in all of medicine and physiology. I know many people who have went to medical school and could not even give an explanation as to what cholesterol is or it’s role in the body outside of “LDL bad HDL good”
Just a heads up to commenters here -- if you're looking to reach out to me, the most common way is by commenting at my blog, CholesterolCode.com or via Twitter @DaveKeto. Cheers!
The "best" one I had before then was in 2014 -- TC 177, LDL 121, HDL 40, Trig 80. Ironically, this is a worse risk profile than what I have on keto with regard to Remnant Cholesterol and AIP. (See cholesterolcode.com/remnant-cholesterol-what-every-low-carber-should-know/ )
Get tested for Familial Hypercholesterolemia it’s a genetic condition. The only thing that helps mine are PCSK9 inhibitors like Repatha. Ask your doctor.
@Mehrdad Dalamie It is the RATIO of Triglycerides to HDL which is key as well as your HAC1 score. If there is a major question then get a CAC scan. Also see CholesterolCode.com
Yes -- per Renee's comment, I get a lot more in detail on the 2 Keto Dude's podcast. I also may be doing a much longer youtube video in the future that combines all my decks from all my presentations which might end up being 90-120 minutes.
Hi Dave,isn't the body a hybrid system whereby it can derive energy from both/either fat or glucose?If so,why not eat foods from both sources as opposed to obsessing over being in ketosis at all times? Let me know your thoughts.Thanks✌
Apart from the health benefit of restoring ketosis where it's been neglected, the fact is that decades of research into low fat or moderate carb diets didn't define these mechanisms as clearly as the ketogenic state does. The fasting state explains the fed state, rather than the other way around, and ketosis is essentially prolonging enough of the fasted state for long enough to study it in detail.
From RUclips video: “Joe Rogan - Why Obese People Can't Lose Weight” 1) Lower Insulin (prolong fasting, intermittent fasting, alternate-day fasting, or Ketogenic diet) 2) Lower Cortisol (less stress, more sleep, better relationships) 3) Higher Testosterone (high intensity interval training, lift weights, play sports, or supplement) 4) Lower Estrogen (eat leafy greens and lose weight) 5) Hormone Sensitive Lipase & Growth Hormone (stand & walk more) From RUclips video: “Top 5 Exercises To Lose Belly Fat Naturally At Home” “It’s not the visceral fat that’s dangerous, but the hormones that gave rise to it.” Visceral Fat is 95% Diet Problem and 5% an Exercise Problem 1) Insulin - Eating too often and too much 2) Cortisol - Too much Stress, and/or not enough sleep 3) Fatty Liver - Too much sugar/alcohol/carbohydrates Aerobic vs Anaerobic Exercise Aerobic is better because: Its with Oxygen, Fat Burning, Reduces Insulin, HR
I’m not as smart as everyone else and numbers confuse me. I’ve been on fairly strict keto for 5 months and lost 10kg -yay! Ten more to go. I’m due for a blood test. So do I fast or not? My diet is high fat/ low carb so the three days prior will reflect that. I trust in keto but I know my doctor is a traditionalist - so how do I counter argue in simple terms?
No industrially processed refined grain or seed oils. Research how they're made. There was no CVD before those indigestible oils replaced saturated fats.
Good information but...if your numbers are high, don’t dismiss it as everything is alright. Of course to see if you need statins as most doctors will prescribe because diet and exercise won’t do...I’d get particle testing to find out about type of LDL (dangerous or not). Then get in to see cardiologist for calcification scan if needed for condition of your arteries. If you’re good by cardiologist based on test, modify diet to lower and if your arteries aren’t in good order...you’ve got a decision to make. It’s easy to watch these videos and try to be fooled into thinking it fits your story too. I’m at the start of this and going to proceed with caution, *like everyone else, not quickly going to jump on meds without at least weighing in all the factors
David deserves a special prize in science for the research he has done and the understanding he has shed/contributed to in the field of Cholesterol.
Thanks David!
I am constantly being chastised by doctors for refusing statin drugs. My total cholesterol is in the low to mid 300s. My HDL around 80. My triglycerides are around 70. Thank you for validating my position. I have a lot to learn so I'll keep watching. Thank you.
Paula Janson
Demand an in expensive CAC scan if you are really interested in your condition. I find it unconscionable that doctors don’t look for actual arterial damage before proposing cures by meds. It’s ubiquitous malpractice.
I wouldn't try it. I'd just get a new doctor. My doctor is supposed to work for me not the drug companies! He should be able to cure me! Cholesterol is necessary for life! You aren't going to cure me of anything by shutting down my liver artificially!
@@yoso585 The problem is cholesterol doesn't damage arteries or anything! Cholesterol is actually trying to help your body heal! It's the lack of real nutrition that damages the arteries. Read Dr Matthias Rath's theory!
Kudos!! I spent a career as a technician and programmer and network engineer and I am SO GLAD to see somebody take a systems approach to understanding this material! Woot! As I am sure you are painfully aware, WAY too many people AND DOCTORS take a "see this, do that" approach or a "good guys, bad guys" approach, which is how LDL got labeled as a "bad guy." I will, ahem, be using this information the next time I have a fasting lipid panel coming up, but the real benefit to me is that I understand the process better now, and I can use that in many other ways too. Thanks!
Following your wonderful efforts on behalf of all of us hyper-responders-heartfelt thanks, Dave! I’ve been lowering carbs and sugar for 8 months, never having more than 2-10 pounds to lose and having worked out consistently throughout my adult life. Had my annual physical 3 weeks ago and my cholesterol shot up to 396...LDL was 313, Triglycerides were 62. Before my blood draw, I told my Dr I was expecting my LDL to be super high this year, but that I wasn’t going to be too concerned, given my change in diet. Having a CAC test today and my Dr wants new labs drawn in 6 months, at which time I am planning to follow your protocol.
Thank you for the video. Carnivore for over a year and my doctor is concerned about my bloodwork, but not willing to talk about how great I feel... this gives me more confidence that I’m not in danger.
Have the doc do your blood work
@Cecelia Auburn
If there is a question the definitive test is a getting a CAC score which measures the amount of calcium within the arteries. It’s a 5 minute CAT scan .
This presentation was way over my head. I'd have to rewatch several parts to get any semblance of understanding.
Yea, i want a summary of what he is trying to say.
He gave a very succinct summary at 29:26 lol.
But if you need an eli5 version, here’s my takeaway: High LDLC in and of itself is not necessarily a bad thing. In an otherwise healthy person, it’s simply an indication of energy balance.
Amazing presentation... Thank you for your valuable contribution provided!
Thanks, Tim!
Brilliant mind__ thank you, some have asked why an "Amateur" found this and not a Doctor__
he followed the data with no preconceived opinion, a Doctor would have looked at how the data supported what he had been taught.
Lay people again and again solve the unsolvable for this reason.
Wouldn't it be wonderful if what the doctors tell us was based on this model and others so carefully and clearly researched.
This talk is possibly the best talk to clarify what the whole cholesterol 'issue' is and the nonsense that surrounds the propaganda that goes with it.
Thank you, Gary! Of course, I consider your insight very valuable and appreciate the feedback. :)
Im fairly lean (18% body fat) exercise regularly, been doing keto for a few months (blood meter 1.2) and my LDL is 275. Tri is 150. HDL is 39. Total Chol is 367 so I'm stumped. 65 years old. It seems I have metabolic derangement. So what do I do?
@@hikerJohn Go to a real doctor and abandon your ludicrous high fat diet.
@@Mrm1985100 what would a real doctor know about nutrition, metabolic system &/or Chol ? Where or when have you seen a doctor who knows anything about how chol works & why it works the way it does ? Have you ever heard a doctor talk about HDL & what role it plays in energy & life? I'll answer that for you, never ever. NEVER EVER ! EVER ! NEVER ! How could they? They never studied it either in med school or on their . There may be a few exceptions but 98% know nothing of the working of cholesterol.
@@Mrm1985100 Wrong
Amazing presentation 👍🏼 beautifully explained also I am a bit scared as to how much the medical world is skewed towards making us sick !
Follow the gold...
Money is made on the Sick not on the Healthy.
Dave, from 17 min in to 22 min in was remarkable. I had no idea thats how fat moved inside the body. Great Video as a teaching tool, and I'm going to watch this again and again....
Glad to hear it, Matt :)
I agree 😊 the best video yet and short too. I am going to watch it again and again, and share it with as many family and friends that are open minded enough to honestly watch and share and discuss their thoughts 👍 Thank you Dave
Thank you Dave! Makes me feel a helluva lot better as having gone from high carb mostly plant base ldl of 40 to hf ldl of 204. At least if I kick the bucket, I’ll do it as a lean mass responder with fine hdl and trigs. Wish I could spring for frequent labs cause I can turn those numbers hard baby!
Sorta like not being able to fully grasp calculus for me. But I do understand that Dave and others do understand, and that gives me all the relief I need. Next time I get blood work, I may just carb up for giggles, but probably not.
You to totally described me in my basketball days, LDL over 200 but HDL at 99... with low triglycerides.. fighting like hell to get back to that state.. great presentation
That describes a Lean Mass Hyper-responder. You might want to check out my article on that here: cholesterolcode.com/are-you-a-lean-mass-hyper-responder/
Wow. This is probably the best explanation of LDL I've seen. I'm in this category. I'm nervous about upping the fat content before my next blood draw... but this makes it seem just a 3 day increase in energy consumption will be sufficient
This was really easy to digest! It made a few things clearer to me. Excellent talk!
Certainly what I was shooting for. :)
This really puts 1 and 1 together, this is why a high sugar diet makes you fat, this is why spiking your insuline is so terrible, this is why eating fat and sugar is bad, and why all of that does not apply to a low carb diet.
Damn man, good talk.
Wouldn’t it be wonderful if docs had to study engineering first 😀
If they end up like Dave - better not.
Erast Van Doren why? Wouldn’t you like medical professionals to use logic rather than dogma?
There is nothing about his methodology, results, or presentation that are engineering specific. Nothing he did couldn't be learned in a business school stats class.
I have heard some of the current leaders in microbiology are requesting to have future students take several engineering courses.
Jody Jackson the doctor is human... 3 kids at home, a wife and a bit of life prevents them from doing the research. Btw, it would be nice if the doc started wellness sessions for their patients. Everyone’s personal health would improve. 🤔
So obvious that the conversion of food to energy is the criteria. Thanks so much for this Dave, Great presentation.
I wonder, if doctors look at the blood test results, how much of it is based on science
and how much of it is based on opinion, observation, conclusion ?
How many doctors will question their knowledge, after watching Dave's presentation ?
I've met a few who have... but I've also met a few who don't think it makes a difference to them.
@Truth Seeker Your LDL high?
Unfortunately, not enough. They are more concerned with protecting their license and their profits. It's not their fault though. It's the system. The few that do stand up and shout "WTF" are taking great risks, for which they deserve our respect.
@Truth Seeker crazy Atkins yes, dangerous hell no.
Every Doctor in America needs to watch this video
Wow! It really does make sense when explained this way. Thank you for such a great presentation.
Thanks, Rioma!
@@realDaveFeldman when you say eating some carb changes your status to a low ldl results scenario...how often would you need to carb up to maintain that status.
Do you have a video or other means to get more information on that particular subject please?
Thankyou for the work and publishing it fir all to see.
@@holisticchaos7910 why would you want to do that?
fantastic, plain english and simple analogy based explanation of the mysterious cholesterol and LDL panel and how a keto diet may influence those 'risk' factors.
Glad the analogy worked -- I was working through that one for a while.
Row, row, row your LDL
Gently down the stream,
Merrily merrily, merrily, merrily
Life is but a dream
Heh!
Andy Loves Keto
This cholesterol thing is a real killer, but not in the way we were taught. A family acquaintance / nurse said that she: "..tried Keto and lost weight, felt great and loved the food. Her doctor told her, her cholesterol was too high, and told her to stop because: 'what good does it do to be healthy if you're causing yourself a heart attack?!!'. So, she did what he said, went back to diabetes, weight gain and has added a statin... >>>====> and we PAY for this kind of "Health Care"?!
I'd like to hear Dave talk when he can go on as long as he wants and doesn't have to cut things out.
I see the patterns. God bless engineers.
What a tour de force! Great information presented simply and clearly. I found the additional detail on the body's non-ketone fat usage extremely valuable.
just say no to stantins when I told my doctor no before he even checked my levels he looked at me funny, then my labs were perfect. lost 100 lbs so far and need about 30 more but feel great now!
Fascinating and geeky at the same time! Thank you for sharing this info, Dave!
Nice Dave. I will definitely be following your work now. It is interesting to think through how you came to your conclusions.
Wow so well explained, and best quality of presentation i've ever watched. If he talked 4 hours about worms, it would keep my interest!
My doc would have a heart attack watching this, he's a caveman, reckoned I needed statins when I had high cholesterol, even though he knew I am eating low carb.
If your doc is a caveman, why you go to him?
A shame he doesn't think like a caveman too, then he'd understand and recommend all his patients go low carb/keto/carnivore!
@@user-ee9fp2ec5k If he were a caveman, he wouldn't be prescribing statins but eating like you! He's a stupid modern! And I dare not include "man" either lest it be construed!
Your ex-doctor now, I suppose
Thanks for all your hard work Dave. Much appreciated.
Thank you, Harboe!
Terrific and unique study that should help the people who are awake.
Thanks, Sally-Ann. :)
Finally someone explains this right
Glad you enjoyed it, Nathan
It's the best I have ever felt, losing weight and feeling great! Strict high fat Keto then a blood test on the fourth day of a water fast. Oh my! Doctor very worried and wants to medicate me. Holding off on the meds until another blood test. Thanks so much for explaining this system. A little manipulation should make my doctor feel better. :)
Hello Dave , it’s an amazing lecture , v illuminating and actually it answers me wondering why I got my lipid profile high in LDL ( 250 ) TRIGLYCERIDES ( 57 ) and HDL (54) But one thing didn’t get from ur summary : did u mean we should not go for a multi days fasting in order not to get high cholesterol? Will be thankful if you just answer that . If it’s important for you to know : I’m on an OMAD diet for six months now
First, LDL doesn't matter in healthy situation, it rises when you are fasting to delivery energy.
If you mean to lose weight or adjust your body for somewhat reason(like to increase autophagy), multi-days fasting is fine to do.
If not, it is not neccessary
Just eat LCHF and intermittent fast e.g. 18/6
One of the best videos I've seen. Thank you!
That's very kind, thank you!
What is the best way to prepare for a cholesterol test? Considering that I am catogenic. And all I'm interested in is the cholesterol test.
1. Physical training before?
2. Fat loading before?
3. How close to testing?
If you're looking to get an average baseline of what your cholesterol is generally, then eat to your typical levels in the days before the test. Then I recommend water fasting around 12-14 hours from the last meal of the night before to the morning after blood draw for your cholesterol test. Note that they tell you now that you don't need to fast for a cholesterol test, but I strongly disagree with that (see: ruclips.net/video/ZQHztlN1Yls/видео.html )
@@realDaveFeldman does it mean I spend the night drinking water?
I am French & did not get the whole picture correctly in1-take fast pace speech video mode
@@pascalekeating9851 just drink if you need to
Excellent presentation! I’d like to hear the “nutrient dense” version. Also, I’d like my GP to see the complete version. I am 71, overweight by 50#, I’ve lost 40# from my max wt of 290, snd ketotic (less than 50g carb daily for a year) and following him informing me that I have a 24% chance of having a cardiac episode within 10 yrs, I’m taking a statin for what I believe to be uncorrelated reasons. I’m learning.
I am 53 old, I have got a stent 5 months ago. I stopped statins after one week.
For 2 months I follow keto diet but cholesterol go op too much.
my cholesterol levels after 2 months of keto diet, august 2021
HDL- 50
LDL - 275
Try. - 85
Man 53 old, I got a stent in February 2021 , I have stopped all medication after 1 week.
What a symphony!!! What a Creator!!!
My cholesterol has been high for many years and I'm still hearing GP Doctors saying let me give you drugs without a mention of healthy diet or exercise. Whilst my thought is saying quietly "you can stick your drugs up your arse" ...
😅🤣🤣🤣....I say they can kick rocks 🪨 and I don't pick up any of their drugs lol
This is brilliant. Explain on an easy to understand level.
God Belss You, Dave. This has been my issue all along. Maybe I can explain this to my doc and he'll stop trying to push the evil 'statans' on me. Thank you so much!
Thats comical
I already commented in your other video, but this video. Wow.
From 25:00 onward. LMHR. This blows my mind. The whole system blows my mind with how it works. And yet it works this way for a reason. "Harmonious" is the best term. You so are right.
I can't get over how much this blows my mind. Yet makes sense in a way that should have been completely obvious already.
Amen!
Wow David! 🥳🥳 Kudos to you many healthy people can now get health insurance policies! You're changing their lives mate. Thank you for sharing this information.
Dave is an absolute hero of citizen lipidoligy
Thankyou - I needed this, it turns out I'm not a freak who is about to drop.
So if you wanted to game a cholesterol test (i.e. have low LDL), you should 1) eat enough fat and total calories in the three days prior (to downregulate LDL), 2) not be extremely lean (so that local adipose tissue can deliver energy instead of LDL), 3) eat enough glucose to top up muscle glycogen stores (so that skeletal muscle can get energy from local glycogen instead of LDL) 4) fast 12 hours before the test (to clear up remnants of dietary fat in the blood).
That sounds like a workable plan. Of course this won't have any health benefits, but since doctors and insurance companies only care about their preferred misinterpretation of lab tests rather than actual health, it might be a good idea. If you really want to wreck your health and get good labs, you could try Dave's "prison food" diet for a week or two -- switch back to a carb-based metabolism, and your LDL will drop like a rock (since you don't need HDL or LDL if you're constantly feeding your cells glucose instead).
Andrea Falconiero
Yeah, my hc ldl = 40. Hf = 204.
How does someone break that barrier with our normal GP's to accept these higher than "normal" numbers? I was freaking out over seeing others talk about a 200% increase in lipid profile after keto. There is a lot of bad information out there on this. Thank you for clearing it all up.
I'm not lean, yet. What if my lipid profile is high but I can't classify myself as "Lean Mass Hyper-Responder"? I'm at 4-months in ketosis and planing to get blood-work done very soon.
MOST hyper-responders I see labs from are not LMHRs. A typical profile might be TC: 320, LDL: 190, HDL: 50, Trig: 100, for example. You may want to check out how your numbers look by assessing risk with Remnant Cholesterol and AIP with our tool here: cholesterolcode.com/report/
Some MDs will just ever be on board, sadly. You need to be your own health advocate and do what is best for you. And if that means refusing drugs or a certain diet they are pushing on you, then so be it. Good luck!!
Thank you for your wonderful knowledge and information. I'm a little frustrated about the 40mg daily of Simvistatin that I'm on. I've been on this now for about 9 years since my heart attack... I received one stint and based on my research and listening to you and a few other trusted folks, I'd like to stop taking statins all together and let me body produce naturally what it should... your thoughts?
Wow, I so get this and it makes perfect sense. I need my Doctor to look at this.
That makes zero sense.
Once again another great video! Over the years I prescribed a high fat/low carb diet for people who suffered from metabolic syndrome and obesity and it works wonders short term. However, there was a trend that I noticed with a lot of my clients who remained on the diet long term. I noticed that their levels of inflammation increased dramatically based on blood tests that measure inflammatory markers in the body (C Reactive Protein) is just one example. Not only that, but their kidney function was impaired based on testing and arthritis began to set in among other health issues like IBS. I never told them to remain on this type of diet long term as the negative would offset the positive at some point. However, the ones that did said they thought it was healthy since they were losing weight. My response to them was "a cancer patient will lose weight as well, but that doesn't mean they are healthy!"
One diet I do know that works for the majority of people who don't want take things to extreme like the vegan or keto diets is to cut back or eliminate sugar! That simple! Eliminate simple sugar (no pun intended) or any food that contains sugar and you are already half way to the finish line. Your triglycerides will drop like a rock and so will your weight, not to mention your inflammation. Next, cut back on all foods that cause a high insulin response. Eat foods that are low on the Glycemic index and if you do eat a high GI food, take in some fiber or fat with it to slow down the absorption. Don't overeat as this tends to cause insulin resistance, and follow an intermittent fasting protocol.
For example, eat two meals in an 8 hour window with no snacks in between and don't eat for 16 hours. In this example, you wake up at 7am and go to bed at 11pm. Your last meal should be no later than 7pm (4 hours before sleep) and your first meal should be no earlier than 11am (4 hours after you wake up). Most people can follow this along with eating a healthy plant based diet with minimal meat consumption along with proper daily exercise and live a long healthy life!
What good is it to lower your cholesterol on a keto diet to simply cause severe inflammation in your body down the road and end up with cancer, and yes, even cardiovascular disease. How soon? Every person is different and it could take months or even years, but one thing for sure it will eventually catch up to you, and yes, I have proof based on my own client data of nearly 30 years! You could always eat like an Okinawan and live to a ripe old age of 100 or older and they eat very little meat! There is an old saying - eat dead foods and you will die! You want to eat foods that are thriving with enzymes and the last time I checked a dead cow, pig, etc. is not thriving! I know some people will lash out at this and to those people I say - what experience do you have? I have a client base of over 50,000 and have many physicians that use my research and tons of proof through tons of testing. Everything from blood work, urine, saliva, CIMT, ultrasounds, brain scans, CAT scans, MRIs, countless EKGs, echocardiograms, and so on! However, in my experience most people won't listen and they have to find out for themselves and usually won't do anything to change until after a heart attack, stroke, cancer, etc..
Oh, I'm not the only expert in this field that has and continues to add researched backed data on what I'm saying. View this link for more info and consult with this large group of researchers and physicians and prolong your life by avoiding disease. www.antiagemedical.com/docs/Project150-Hand-out.pdf - Yes, I ramble on because I am passionate about my work and I think that's why I have a 2 year waiting list of clients. I do teach seminars 8 times per year in various parts of the country with other researchers and physicians that back my teachings and I do help people with emergency situations. I love helping people so I definitely don't promote anything or any product unless I know for a fact it works! In good health!
Interesting. Did these obese people continue dropping weight even when CRP went up? How well their diet was monitored? Was this anomaly seen only with obese people or also with normal BMI people? If LCHF works wonders in short term, but not in long term by your studies, wouldn't the correct answer be then to find a solution; for example having a few days or weeks off from LCHF every now and then. What I'm saying it would be interesting and important to find the reason for the CRP to go up systematically.
Thanks for sharing
So I saw you say LCHF and inflammation, it directly makes me think of the oils which are actually super unhealthy.
I mean, Polyunsaturated fatty acid with high Omega6 ratio(most of plant/seed oil)
If your patient eat high fat based on these oil or hydrogenated butter.
Then XD...
So just one question, did you make sure those with high CRP patients eating correct fat??
Yeah I can't listen to people spouting keto and carnivore, they have no proof yet they won't die of a heart attacks or stroke or cancer at 70 instead of live to be 95 like our grandparents (mine did).
God almighty gave us meats to eat ! ...i think he knows alot more than you and your 30yrs of vanity that ur so proud of ! ..i think it insults you deeply of how a common guy like this learned this vital stuff in a very short time , but you still haven't learned it in 30 years ! You must be very mad ! God confounds the learned ( wise in their own eyes ) and gives grace to the humble (simple ) . Jesus fed the multitudes bread and fish at the same meal ! He knows everything. But you call the meat dead and therefore of no value ! What ignorance on your part . You should quit ur trade and go be a humble janitor or waiter , and lose ur vanity and not do a job that excels in intelligence. Because your vanity impedes your ability to see truths and facts ! And by the way we only live 50-80 yrs average anyway , so why not enjoy some great tasting food for the short time were here anyway ! So what if we might , live another 2-10 yrs choking down salads with little taste , while having to add sick unhealthy seed oil infested salad dressing on top of it ! The soil is depleted of nutrients and super saturated with chemicals from the sprays every year ! They are extremely unhealthy and are very toxic ! Thats how you use commonsense ! You take your 50000 patients and 30 yrs of self delusion and vanity and kerp it to yourself. It all counts for nothing !
Dave, have you worked with ME/CFS? I am 4 months Keto and my hitherto low cholesterol has shot up.... Yet my energy feels more stable on Keto. Great video, thanks for all you do.
I haven't worked with ME/CFS-identifying followers that I'm aware of. But to be sure, I don't often get to have a longer discussion with anyone to discuss all potential issues that led them to LCHF.
Moira Goldsmith I would love to talk to you. I have cf/me. The only thing to make any difference is LCHF. I’m only 6 weeks in.
Lenore Paletta me too! I wonder is anyone is doing solid research for the millions of people suffering from Fibromyalgia/ Myofacial Pain syndrome or CFS and this LCHF Protocol? This is great info and a bell went off when I heard Dave talk about how the insulin resistance stopped the LDL from getting to the tissues muscle. When I was in a Fybro flare my body used to feel like someone had literally sucked all the energy from my muscles and they were on fire....no one ever linked Fat intake (or lack of) to this condition before. This is a great step in finding a cure I believe.
I wish I had seen this video 3 days ago. This morning I had a blood test to see what my low carb diet is doing to my diabetes... In the previous 3 days I hadn't eaten much because I was testing my basal insulin...what do ya know... high LDL 212. Triglycerides. 103.
Yep -- fasting or eating very low calorie on the days leading up to your blood draw is a good way to spike your total and LDL cholesterol. To prove this, I fasted for 2.5 days a year ago and got the highest TC and LDL I've ever had: cholesterolcode.com/the-fasting-disaster/
Hi. Thanks for your wonderful research. I am type 1 diabetic, trying to follow Dr.Bernstein's low carb diet. Not easy. I go in and out of ketosis. Lately my LDL Cholesterol spiked to ~280. My Endo is going crazy about it (I refuse taking statins). My HDL is almost 100 and TC around 60 (A1C 5.3 and unmeasurable CRP). Thin and active. According to your hypothesis, my body does a good job in distributing energy, right? Thanks again.
I fasted for 19 days and i had highest choresterol of my life 450+
@@lnxelnope Makes sense. A lot of LDL "ships" cruising around will need to be equipped with many "lifeboats" (high TC)!
Triglycerides. 103.
""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""
What's considered normal?
A simple blood test can reveal whether your triglycerides fall into a healthy range:
Normal - Less than 150 milligrams per deciliter (mg/dL), or less than 1.7 millimoles per liter (mmol/L)
I came to this same conclusion after realizing how conflicting evidence for high and low fat diets was. It's clear it's about entropy (and any variable that connects to it, IE anything that increases a solvent in your blood solution unduly) and not about any one macronutrient or metabolic substrate.
I want to understand what you mean, when you say: high and low fat?
Thanks 🙏🏻
This was great! Very informative and made total sense.
This describes me and my results to a T. Thanks for explaining this in a way that I can visualize. Would love to follow all your research.
I need a quick take away from this kind of info. As soon as I begin to listen, I glaze over at all those numbers. Please, please give a clear bottom line on all these numbers.
Penny Watson, his basic point is this: very healthy, lean people on a ketogenic diet (50% calories/day from saturated fat, the rest of daily calories from protein: LC,MP,HF) should expect both their LDL and triglycerides to go UP because of the separate ways the body is designed to supply energy when it’s running on glycogen (eating carbs) or when it’s running on ketones (eating fat). Many keto people and their doctors are puzzled and shocked by all the apparent health benefits of keto except the crazy high LDL and trig numbers.
So, what’s going on? The medical establishment has dictated that LDL >160 and trigs >200 are automatically bad and require drugs to lower them. Yet, such rules do not apply to those whose primary fuel is from eating keto, rather than eating mostly carbs for fuel.
I thought triglycerides goes down in keto as ldl and hdl go up.
Mehrdad Dalamie It does.
@@brandonfredenburg8343 beautiful
@Mehrdad Dalamie
The triglycerides goes down on a Keto/LCHF/Carnivore diet.
Interesting how advancements in a field come from "left field" often... someone not immersed in the current thinking throws a curve ball that changes everything. As a software developer, I've worked with the smartest people I've ever met so it doesn't surprise me it's one of us. I've met many doctors that are far too arrogant to see their own follies. Well, same goes for software developers too. :)
TG61, HDL88, BMI 22.5, physically active. Definitely LMHR?
Where might I find a mitochondrial disease specialist...for adults?
And another question: have any studies been done on LMNRs whose LDL were cut from typical high levels to 100 or lower...and then within half a year, couldn't walk around the block unaided? (It's not FH: no very high LDLs in my 50's.) Thank you--brilliant work!
FABULOUS INFORMATION!
Wow what a great presentation
Thank you, InterTay
Dave, Excellent way to make understand how energy distribution works in real! One question though, Dr. Peter Attia says or at least made me think listening to him on latest podcast with you is - high LDL is one of the 3 main reasons leading to atherosclerosis. Does that mean then, if I he is right, doing LCHF or Fasting is NOT good for heart? as they rise LDL. I currently erased/nullified every other negative marker for most of the major ailments by following LCHF. Just concerned still with LDL as per Dr. Attia's comments on LDL in relation to atherosclerosis. I am very interested in your perspective. Thanks again for one of the simple, honest, passionate and the best presentations ever done on Lipid energy distribution.
The problem is that the label "LDL" is applied to about 3 different things: (a) normal, healthy LDL, (b) glycated LDL, and (c) oxidized LDL. The latter two types have damaged ApoB100 proteins which makes it impossible for them to "dock" at normal cells for delivery of triglyceride, or get scavenged and recycled by the liver once they are empty. An LDL receptor on these needy cells uses the ApoB100 protein on the LDL as a signalling molecule to recognize it as such, and allow it to attach, deliver cargo, and (if empty) get scrapped. If that protein gets damaged (glycated/oxidized), then these useless particles simply float around in the bloodstream, piling up (leading to higher "LDL"). Eventually, scavenger receptors in macrophages collect up these particles and incorporate them into arterial plaques (atherosclerosis). Therefore, to use the boat analogy, a "high LDL" might mean that there are lots of functional ships floating around delivering cargo and then returning to port for more productive work, or it could instead mean that many ships are being sent out to sea carrying a load of cargo that lose their port of origin papers, float around at sea going from port to port being refused entry, until eventually the run out of fuel, founder, and wash up on shore as wrecks. Most doctors treat the first case (large amounts of normal LDL) exactly the same as the latter (large amounts of damaged LDL), which is obviously foolish. Without knowing what fraction of your total LDL is oxidized/glycated, it is impossible to know whether this "high" LDL reflects a pathological state or is simply normal, healthy fat-based metabolism.
@@andreafalconiero9089 Brilliant explanation!
Thank you I finally understand. Blood tests last month while fasting 24hours. So I should expect lol to be higher. Finally understand.
"lol" = Freudian Slip. :D
@@realDaveFeldman The LOLs from her doctor might not be as high as expected, although her own LOLs at the doctor's reaction ought to compensate. ;-)
One point I don't understand... when you said "Hold On.. if you're metabolically unhealthy, this will not apply"... Do I understand from that.. that if I spent all my life being overweight and dieting and losing and gaining weight.. and my metabolism is all screwed up.. then I should not be doing Keto with the high fat intake.. because my body is not going to deal with it correctly.. like someone with a healthy metabolism?
No, rather, I was emphasizing that I find metabolic outcomes with the Inversion Pattern and other common outcomes like TG usage to be less predictable the less metabolically flexible one is when taking cholesterol tests. That flexibility is hopefully something you're working your way back to (regardless of what diet you're on), and once achieved, I believe energy homeostasis gets things into more of the predictive state I was just mentioning.
For example, I have two family members who battled back from metabolic syndrome and after doing so their total and LDL cholesterol shot up, but so too did their HDL and their triglycerides and Remnant Cholesterol dropped to super low levels! ( cholesterolcode.com/report/ )
A high fat, low carb diet will help you overcome metabolic syndrome!!
Dave: Thanks x1000 for your work!!!
Work? What work?
Can someone summarize this in English for me, plz?
Excellent ..very informative
Cross-discipline scientists are making the best discoveries! huge thanks!
Thank you! Yes, this is me. 13% body fat, high LDL.Doctor is🤔
😲😲 thank you so much for this amazing knowledge David,
Thank you, this explains everything!
Great seminar.
Excellent presentation.
Massive thanks a million
Thanks, Zuhair
This was super enlightening, thanks a lot!!
You gotta be kidding
I want his reading list!
Inspirational, a key phrase is controling the other variables, can anyone share what these were?
hello greetings from germany
my question is: if what you say is true, why do so many people have a heart attack or stroke and their arteries are proven to be thickened inside? what is/would be the mechanism behind it?
Inflammation and insulin resistance
Great video. But here is what I don’t understand. Q1) When we measure our LDL ( which are transport ships that contain triglycerides and cholesterol ) are we measuring the LDL ( the ship ) or the Cholesterol ? Q2) is HDL a different ship to LDL ? or is HDL contained in the LDL ship ?
davefromlondon1
It is a different protein. As far as I know it is not yet fully understood how HDL works.
@@paulbenedict1289 My understanding is that the function of HDL in this context is to pick up triglyceride from adipocytes for delivery to the liver so that the trig can be repackaged into VLDL particles for delivery to other cells. This explains why HDL also consistently rises on LCHF diets.
Nice work, Dave
Thanks, Richard! Looking forward to Ketofest. ;)
Great talk thank you. Have you measured your coronary calcium score?
CAC is great but that will NOT help if you are going keto/carnivore to stop more damage occurring. It is a great benchmark but it is a REAR VIEW snapshot. If it is high and you start showing high chol as well, it will freak any doc who is working to the guidelines and they will try to push statins on you even harder, as they are premised on a faulty high-fat blame cholesterol assumption instead of understanding insulin resistance and inflammation, from carbs, as the root cause.
Been low carb for years low trig's, but hdl
I really feel that cholesterol and lipids is the most misunderstood topic in all of medicine and physiology. I know many people who have went to medical school and could not even give an explanation as to what cholesterol is or it’s role in the body outside of “LDL bad HDL good”
Just a heads up to commenters here -- if you're looking to reach out to me, the most common way is by commenting at my blog, CholesterolCode.com or via Twitter @DaveKeto. Cheers!
Dave Feldman what were your lipid values before keto??
The "best" one I had before then was in 2014 -- TC 177, LDL 121, HDL 40, Trig 80. Ironically, this is a worse risk profile than what I have on keto with regard to Remnant Cholesterol and AIP. (See cholesterolcode.com/remnant-cholesterol-what-every-low-carber-should-know/ )
Thanks a lot Dave my LDL-C is 320.
That's really really high.
Get tested for Familial Hypercholesterolemia it’s a genetic condition. The only thing that helps mine are PCSK9 inhibitors like Repatha. Ask your doctor.
You are dead man walking.
Dave - wish you would label your x and y axes with units. Are those grams? Who knows... Can I assume that the x axis is days? Or weeks?
My parents (old school Korean) need to hear this.
Anyone know if a Korean transcription of this exists?
Dave you have left people more confused than before. Here, some think triglycerides goes up in keto, whereas it's the LDL and HDL that do.
@Mehrdad Dalamie
It is the RATIO of Triglycerides to HDL which is key as well as your HAC1 score.
If there is a major question then get a CAC scan.
Also see CholesterolCode.com
Question: Is there a way to REVERSE existing arterial Cholesterol/plaque ??
So is there like a 90 minute version of this?
Random Guy 2 keto Dudes podcast on cholesterol with Dave Feldman. Very geeky
Yes -- per Renee's comment, I get a lot more in detail on the 2 Keto Dude's podcast. I also may be doing a much longer youtube video in the future that combines all my decks from all my presentations which might end up being 90-120 minutes.
Hi Dave,isn't the body a hybrid system whereby it can derive energy from both/either fat or glucose?If so,why not eat foods from both sources as opposed to obsessing over being in ketosis at all times? Let me know your thoughts.Thanks✌
Apart from the health benefit of restoring ketosis where it's been neglected, the fact is that decades of research into low fat or moderate carb diets didn't define these mechanisms as clearly as the ketogenic state does.
The fasting state explains the fed state, rather than the other way around, and ketosis is essentially prolonging enough of the fasted state for long enough to study it in detail.
Hybrid doesn't mean half and half. Only A tiny about of glucose is needed and can be made from fat and protein
Dave, please respond to this comment
I think cycling out of ketosis is the answer. Listen to your body. Check blood work and any other results like heart beats per minute.
From RUclips video: “Joe Rogan - Why Obese People Can't Lose Weight”
1) Lower Insulin (prolong fasting, intermittent fasting, alternate-day fasting, or Ketogenic diet)
2) Lower Cortisol (less stress, more sleep, better relationships)
3) Higher Testosterone (high intensity interval training, lift weights, play sports, or supplement)
4) Lower Estrogen (eat leafy greens and lose weight)
5) Hormone Sensitive Lipase & Growth Hormone (stand & walk more)
From RUclips video: “Top 5 Exercises To Lose Belly Fat Naturally At Home”
“It’s not the visceral fat that’s dangerous, but the hormones that gave rise to it.”
Visceral Fat is 95% Diet Problem and 5% an Exercise Problem
1) Insulin - Eating too often and too much
2) Cortisol - Too much Stress, and/or not enough sleep
3) Fatty Liver - Too much sugar/alcohol/carbohydrates
Aerobic vs Anaerobic Exercise
Aerobic is better because: Its with Oxygen, Fat Burning, Reduces Insulin, HR
I don't understand. Why higher triglycerides can be an issue for bad metabolism? Shouldn't TGL increase during a fasted state?
I’m not as smart as everyone else and numbers confuse me. I’ve been on fairly strict keto for 5 months and lost 10kg -yay! Ten more to go. I’m due for a blood test. So do I fast or not? My diet is high fat/ low carb so the three days prior will reflect that. I trust in keto but I know my doctor is a traditionalist - so how do I counter argue in simple terms?
Have you ever tried which cocking oil is best ? And what diet you think it's best ?
No industrially processed refined grain or seed oils. Research how they're made. There was no CVD before those indigestible oils replaced saturated fats.
Thank you! :)
Good information but...if your numbers are high, don’t dismiss it as everything is alright. Of course to see if you need statins as most doctors will prescribe because diet and exercise won’t do...I’d get particle testing to find out about type of LDL (dangerous or not). Then get in to see cardiologist for calcification scan if needed for condition of your arteries. If you’re good by cardiologist based on test, modify diet to lower and if your arteries aren’t in good order...you’ve got a decision to make. It’s easy to watch these videos and try to be fooled into thinking it fits your story too. I’m at the start of this and going to proceed with caution, *like everyone else, not quickly going to jump on meds without at least weighing in all the factors