[NSV] Lipid Victory!

Your statement:

Trigs up slightly, which is to be expected with the weight loss.

is completely false. No matter which healthy diet you are on weight loss comes from a reduction of triglycerides. The other alternatives are muscle or water. You've lost water but not muscle, hopefully.

Test 11/2014 4/2015 Recommended Optimal
Total Cholesterol (mg/dL) 142 142 Under 220 Varies
HDL-C (mg/dL) 38 34 Over 40 Over 70
LDL-C (mg/dL) 75 74 Under 130 Varies
VLDL-C (mg/dL) 29 34 10-40 11-14
non-HDL-C (mg/dL) 104 108 LDL-C + (20-25) Varies
Triglycerides (mg/dL) 146 168 Under 100 Under 70
TC/HDL-C Ratio 3.74 4.18 Under 5 Lowest
TG/HDL-C Ratio 3.84 4.94 Under 3 Under 1

There's one simple problem here:

Your body is creating triglycerides, which is not possible on adherence to this diet. Contrary to what you believe I do not see adherence that I would expect based upon your results. What normally happens?

Blood Panel On Keto What will it do?
Triglycerides Consumed for fuel and therefore is reduced.
VLDL-C Decreases due to triglyceride shedding. Converted into IDL & consumed.
LDL-C Increase due to VLDL catabolism. This should decrease over time as SD-LDL are consumed due to lower triglycerides.
HDL-C Increase. Contains primarily cholesterol so increased count as triglycerides drop. This may decrease initially as LDL particles transfer cholesterol to small HDL particles which then gets sent straight into VLDL particles without the HDL particles maturing properly.
Total Cholesterol Increase due to HDL-C & LDL-C rising. Could go either way.
TC/HDL-C Ratio Decrease. May go up if LDL-C rises significantly. Look to HDL-C for further analysis.
Trig/HDL-C Ratio Decrease. This should always improve.

More information:

Dr. Jeff Volek, Lipoprotein Responses to a Well-Formulated Ketogenic Diet

https://www.youtube.com/watch?v=y2zoDsVimyw&feature=youtu.be

So if your:

  • Cholesterol doesn't change
  • HDL-C drops
  • VLDL-C increases
  • LDL-C doesn't move
  • non-HDL-C doesn't move
  • triglycerides increases
  • and both your TC-TG/HDL-C ratios worsen

it indicates you are eating too many sugars and are not aware of it or something in your body is not working correctly.

Obviously there is concern with the T1 diabetes - that will never change. This diet does not create triglycerides, it gets rid of them. I would strongly suggest analyzing your diet and switching your adherence from

70-75% fat

to

  • Under 25g of carbs daily
  • Protein limit of 0.8g / lb lean body mass (body fat % x weight)
  • Fat macro, in NET GRAMS, as an upper limit

So while I am happy for you at least approaching this diet and being concerned about your health the very two things you do not want happened:

Trigs went up and HDL-C went down.

HDL-C should not be going down in the face of LDL-C not moving.

/r/keto Thread