Ep:181 HOW TO INTERPRET YOUR BLOOD WORK: LIPID/CHOLESTEROL NUMBERS - by Robert Cywes

แชร์
ฝัง
  • เผยแพร่เมื่อ 2 ต.ค. 2024

ความคิดเห็น • 295

  • @felixshuttlecock1440
    @felixshuttlecock1440 ปีที่แล้ว +8

    Re triglycerides: "It is a marker of excessive production or consumption of carbohydrates." Perfect sentence.

  • @laurielatour2862
    @laurielatour2862 3 ปีที่แล้ว +112

    Thanks SO much for this, Doc! My triglycerides were 46, HDL 106, and A1c 4.9. My doc freaked out over the LDL of about 260 but then admitted he'd never had a patient with triglycerides of 46 and said, "you know, with HDL over 100, I'm not going to worry about this!" That was several years ago. I'm 72, no heart problems and certainly no statins! Now back to my tea and cream!

    • @andrewtaylor9799
      @andrewtaylor9799 3 ปีที่แล้ว +3

      Impressive. Would like to hear more about the diet that gave you those numbers at age 72.

    • @laurielatour2862
      @laurielatour2862 3 ปีที่แล้ว +10

      @@andrewtaylor9799 Got these numbers 5-6 years ago & haven't had cholesterol testing since. So I was about 66-67 at the time. Didn't know much about keto at all but a little about Atkins. Read Mark Sisson's book, Primal Blueprint and his website, Mark's Daily Apple. He explained the carbohydrate curve so I started tracking carbs & had been eating well over 100g/day so dropped that to 50-60. Had never heard of carnivore or any of that. Stuck to meat, eggs & veggies and swam 3-4 days week (40 minutes), walked a couple of miles, road my bike, anything I could to keep moving. I may not be keto but if I stay 50g carbs or less, I lose a little weight. Don't have much to lose so this works for me but everyone has to find how their body responds. I kept a diary for awhile and tried different foods and types of meals & recorded how I felt, energy level, etc. Didn't have a glucose meter at the time. I figured out if I ate protein and fat I wasn't so hungry and had better energy so that's mostly what I did. Now I'm a little more lenient. Maybe I shouldn't be but you realize life is too short when you hit your 70's (if not before).

    • @garyhiland6013
      @garyhiland6013 3 ปีที่แล้ว +8

      @@laurielatour2862 Thanks for sharing! We all learn from each other.

    • @terraflow__bryanburdo4547
      @terraflow__bryanburdo4547 3 ปีที่แล้ว +6

      @@laurielatour2862 Great work...both you and your doc!

  • @dancingoctopus9888
    @dancingoctopus9888 6 หลายเดือนก่อน +10

    Im 32 with LDL at 280. My doctor told me I was at extreme risk of cardio event. My triglycerides are at 83, HDL at 50, A1C at 5.2. She said I have familial hypercholesteremia and that I need to take statin asap, even though they might not do much to improve the situation.
    After 24 hours of anxiety and panic, I found this channel. Thank you!!

    • @sharonillenye8036
      @sharonillenye8036 4 หลายเดือนก่อน +1

      your numbers are similar to mine. and my dr tested my LPa which turned out scary high. trying to bring down the stress level s is one of the hardest things to do. good luck to you.

  • @Aura-us7jl
    @Aura-us7jl 3 ปีที่แล้ว +53

    Great video as usual 😀
    Triglycerides 50, HDL 125 after going Keto more than two years ago... A1C dropped from 6.2 to 5.0.
    And no more fatty liver!!! After 10 years!!!!! 😄

    • @NuclearCarnivore
      @NuclearCarnivore 3 ปีที่แล้ว +5

      Astounding! That’s the highest HDL I’ve ever heard of.

    • @Aura-us7jl
      @Aura-us7jl 3 ปีที่แล้ว +5

      @Lyric Smith In my case it took a year and a half... But I was 53 when I started Keto and I had probably been insulin resistant for ages... Just keep eating strict Keto and you will bring your A1C down 👍👍👍👍👍

  • @mannyradzky493
    @mannyradzky493 3 ปีที่แล้ว +10

    As always, your video is frekin awesome.
    I am 63 yo male. 7 years ago needed a pacemaker and bypass surgery. Why? Decades of eating the food pyramid. No family history of heart disease and I exercised religiously. Was on a statin first year post op..made me feel like shit. So 6 years ago put the statins in the garbage and went HIGH HEALTHY FAT AND LOW CARB. Never felt better in my life. HA1C 5.4, HDL/trigs 3.87.
    Btw, 7 years ago my cholesterol was “normal”.
    No dr ever tested my fasting insulin.
    It’s drs like you that have helped me get my health to the best it’s ever been.
    THANK YOU!!!!!
    If I lived closer to you you would be my dr. Respect from Canada.

  • @richienell
    @richienell 3 ปีที่แล้ว +20

    My Dad has been in the hospital a few times in the last 5 years due to two brain bleeds and TIA mini strokes (not blockage). My family is well educated on nutrition and well educated on most MDs not being educated on anything but prescribing circular chemical tablets. So I like to pick the doctor's brains and let them know how we stand on drugs and nutrition and what really works that they never learned.
    Seems like every time they initially do my Dad's blood work, the doctor will come in an say..."We noticed your Dad's cholesterol was like 210 and we're wondering why he is not on a statin." We basically say because statins are terrible and he's not taking them. End of story. The last time there a doctor did the same as I just said above. Then he said...."Well its just protocol. We have to ask about taking statins." Then I said...."Ok. Forget the protocol. You are a MD, what do YOU think about using statins. He said verbatim......" If it were up to me I would have statins in the drinking water." That is just a very small example of what is taking place in medical schools ran by big pharma and the grossly lack of proper care given to our relatives. It is absolutely insane and people are dieing daily from this type of horrible decision making by medical professionals. Unless it is an immediate life or death situation, do everything in your power to not be admitted in a hospital. We have to educate ourselves and stay healthy. In short, eat GODmade foods not MANufactured foods.

  • @patcomly9886
    @patcomly9886 3 ปีที่แล้ว +6

    I have been treated for HTN for 20 yrs, I was a healthy weight, HDL 40, total cholesterol 168 and my doctor was happy with that. I was told to "be careful because HTN and diabetes go together," but I wasn't counseled on diet or told what "be careful" meant, or referred to a dietitian. Low fat/low sodium was still the heart health diet and that is what I followed. I only recently discovered keto diet and my HDL is up to 62, triglycerides 83, cholesterol 227. My A1C was tested for the first time in my life because I requested it = 5.2. My doctor said the statin word, but I am so happy that I know better. I have been able to skip doses of Cozaar. Monitoring my blood pressure at home, it is very obvious that my blood pressure and water retention is related to carbohydrates, not sodium. What about all those people out there who have not educated themselves and trust their doctors who are not treating them correctly, giving them bad advice. . . . .I am disillusioned with our healthcare system. Thank you Dr. Cywes for helping me to be healthier and I share your videos with others.

  • @cjcj6945
    @cjcj6945 3 ปีที่แล้ว +25

    What an amazing man, thank you for all you do as a doctor who cares enough to learn the truths.⚕
    God bless you & your beautiful family!🙏

  • @auntdee9678
    @auntdee9678 ปีที่แล้ว +10

    Wow!!!! Such helpful information!! And I love how God put all this together to work in our bodies!!! As the Bible says “we are wonderfully made”!!!!

    • @beam-kitty8425
      @beam-kitty8425 3 หลายเดือนก่อน

      Why do you so-called Christians Have to smear your religion over everybody when it’s inappropriate? Please stop.

  • @cntaylor4564
    @cntaylor4564 3 ปีที่แล้ว +17

    I love your videos you’re always straight to the point without all the BS.

  • @ifomadnotsad2140
    @ifomadnotsad2140 ปีที่แล้ว +4

    Thank you for the explanation of the lipids. I just got my blood work back after 6 mos of ketovore and 100 lbs lost and my total cholesterol is 237 due to ldl of 159. I know my PCP is going to be concerned but I want to be armed and ready for push back as you say because at my 6 mos appt with her she voiced concerned about the same and I kindly reminded her I fuel on fat not carbs and she sort of kinda understood my answer and did not insist on any prescriptions because even at that time I had already lost a substantial amont of weight since our last six month appointment in Feb 2022. Your video is very clear and I will be sharing it with my doctor for sure. Keep up the good work doctor I appreciate your efforts. I still have a ways to go on my weight loss journey but I thank you for the help.

  • @mathfaster
    @mathfaster 3 ปีที่แล้ว +25

    Doctors may only order blood tests for things they can treat with drugs but they also only order tests that they will not get dinged for by the insurance companies. ETA: Very interesting to know your target levels for HDL and TGs. Much higher and respectively lower than anyone else who talks about these numbers. Usually it's above 40 for HDL and lower than 100 for TGs.

    • @terraflow__bryanburdo4547
      @terraflow__bryanburdo4547 3 ปีที่แล้ว +1

      It is generally accepted in low-carb circles that HDL/trigs should be >1.0

    • @rubix01
      @rubix01 ปีที่แล้ว

      ​@Terra Flow _/\_ Bryan Burdo I'm sure the ratio is trigs/hdl and optimal is

  • @10AntsTapDancing
    @10AntsTapDancing 3 ปีที่แล้ว +7

    I have blood tests every 3 months and some are flagged as a problem. I get called in to 'talk' about it with the practise nurses and they are worried about my cholesterol levels and get concerned when I say I'm carnivore and want me to be on a statin. I then talk to my doctor and he says no it's ok nothing to worry about and we'll see how it goes. My worry is is that these nurses create fear in patients when frankly they don't know what they are talking about. And I get really annoyed when I'm treated as though I know nothing about my health and I should just take their advice without question.

  • @florangelahinckley8455
    @florangelahinckley8455 2 ปีที่แล้ว +6

    Excellent information and very easy to understand, thank you dr

  • @stuartgoldstein1856
    @stuartgoldstein1856 3 ปีที่แล้ว +7

    So many have had a stent implanted, no one talks about what we should expect, what we should do.

  • @Coffeeismyhappyplace
    @Coffeeismyhappyplace 3 หลายเดือนก่อน

    Fabulous information. Helped me so much with labs drawn yesterday

  • @pamelamechling8647
    @pamelamechling8647 6 หลายเดือนก่อน +4

    This man is such a gem ! Such a breath of fresh air. Thank you from Michigan

  • @JessicaGrey1080
    @JessicaGrey1080 3 ปีที่แล้ว +4

    I wish you were my Dr!! I'm 40, 112 lbs lost. A1C 5.2 HDL 54 Trigs 44.....but LDL 216 so I was told to cut all red meat, dairy and eggs & to focus on weight loss. I weigh 152. Red meat is my life. All they care about is LDL & total cholesterol 🤦🏻‍♀️

  • @rikwen96
    @rikwen96 3 ปีที่แล้ว +11

    Thank you for this video! It explains in simple terms what to look at in my blood work. My doctor and I go back and forth on statins every year. He hates my LDL numbers, which are high, but not as high as what you are saying is acceptable. I keep saying no to statins as I am still trying to lose the rest of this weight I put on over the years and I need that LDL to do that. I do not worry about my LDL numbers as my A1c sits about 4.9 and my HDL is 83. I just get tired of the pill pushing that doctors do all the time for things I can correct with a healthy diet and exercise.

    • @rikwen96
      @rikwen96 3 ปีที่แล้ว +1

      @Island Man Thanks. I have cut down on the fat as I have enough on my body to feed me. Cheese is coming down and I will soon eliminate it to see what it does. What I also just found out was the new BP medicine that the cardiologist put me on causes weight gain. I am gearing up for a long talk with him as he knew I was trying to lose weight and had taken off quite a bit so far. So to do that does not seem fair to me and I am waiting until I am not so angry so I can have a logical conversation.

  • @davidw991
    @davidw991 3 ปีที่แล้ว +15

    Love the series you have been putting out lately and all your content for that matter. Thanks Doc

  • @byza101
    @byza101 11 วันที่ผ่านมา

    I’m 48, recently had blood done. We measure different in Aus. My TG’s were 0.7, not sure if that transfers to 70. My Dr said she was worried as LDL was 2.4. My response was “HDL 2.1, TG’s 0.7, TG/HDL ratio 0.3, I’m not worried”… Blood glucose was 84… Thanks for the video Dr 👍🏻

  • @kimunderhill490
    @kimunderhill490 3 ปีที่แล้ว +10

    Love your videos. Right to the point, helpful and clear! Want you as my Doctor!

  • @paulfriedman4767
    @paulfriedman4767 3 ปีที่แล้ว +2

    14 months into changing my nutrition. I am 30 kilos less and the lipid numbers are almost where they need to be. This is super useful information. I suspect that you are playing a major role in stopping me from killing myself through my diet.
    My energy levels are back and I'm enjoying life again.
    Thanks for what you do.
    BTW my doctor is horrified by my LDL and wants me on a statin.

  • @andrewtaylor9799
    @andrewtaylor9799 3 ปีที่แล้ว +4

    Thank you. I did not know HDL was a marker for insulin sensitivity. I cut out cereal and milk in the mornings a few years ago, and replaced them with 3 eggs cooked with butter and cheese. HDL rose over a few years from 60 mg/dl to 84 mg/dL, and HgAlc went from 5.7% to 5.2%. It has maintained that level since. Triglycerides are 59 mg/dL. I also have Greek yogurt, some berries, and coffee with cream in the mornings.

  • @bbsaid218
    @bbsaid218 3 ปีที่แล้ว +6

    Thanks for this. Please hurry up with the next videos 🤭. I need this info so I’m not fobbed off by my doctor telling me that my symptoms of diabetic neuropathy aren’t “covid-toe” or “ I’ve got bad feet because I’m running too much “ or the best(worst) one..”just one of those things that happen “ .
    (All actual comments from my first doctor)

  • @jono3395
    @jono3395 2 ปีที่แล้ว +5

    my latest labs: TG = 55, HDL = 48, A1C = 5.1...TC = 180, LDL = 121, VLDL = 11. Doing LCHF (low sat fat since I'm Apoe3/4). I mentioned the word, statins, to my cardiologist, just to see how he would react, and he said "no way, your numbers are good"...guess I have a good cardio doc :)
    Still trying to get my HDL to increase but it always stays between 45-55 (and that's even before I knew my Apoe status and was doing lots of sat fat on keto).

    • @sharonillenye8036
      @sharonillenye8036 4 หลายเดือนก่อน

      my HDL has always been at the range yours is at as well. very frustrating.

  • @jamiedenton4492
    @jamiedenton4492 3 ปีที่แล้ว +6

    This is so informative. Thank you.

  • @jw-vx8im
    @jw-vx8im 3 ปีที่แล้ว +5

    Your better off online consulting with a Dr like this than most of our local ones

  • @keywestfan2503
    @keywestfan2503 3 ปีที่แล้ว +13

    Our cardiology colleagues for the most part still don’t understand the physiology of fat metabolism. The lipid hypothesis is still alive and well.
    Carnivore here. I eat upwards of 20 slices of bacon daily, steak, eggs, butter, etc. My colleagues in the lounge freak out when I’m loading my plate up with bacon! I’m going to “clog my arteries”.
    I’m 53 yo. 11% body fat. The only guy in the lounge with washboard abs! Lol.
    Total chol- 347
    LDL-C- 237; pattern A fractionation
    HDL- 100
    TG- 50
    hsCRP- undetectable
    A1c- 4.9

  • @forkswacarnivore7531
    @forkswacarnivore7531 3 ปีที่แล้ว +8

    Doc, once you have come from morbid obesity to obese and HBA1C from 8 to 5.2 (at last March's labs) is it possible to "repair" the damage to the vascular system that was done up to your 49th year when you went Ketovore/Carnivore...can I ever achieve a good HDL and Tryglercides labs?

    • @carolstettheimer9906
      @carolstettheimer9906 3 ปีที่แล้ว +3

      When I had been keto for about 6 months, I had lost definitely over 50 pounds and my A1C had gone from 9.3 to 5.7, but triglycerides were still high. 6 months later, I didn’t lose much more weight, maybe 10 pounds, but HDL had risen and TG had dropped a lot. Like about 100 points. So definitely give it some time.

  • @csstudio3648
    @csstudio3648 3 ปีที่แล้ว +7

    Thanks so much for covering this topic! I just had blood work done, first time in several yrs. I'm 63 and have been keto for the last year and a half. Lost 31 lbs with maybe 10 more to go to get to ideal weight. I have been so curious to see the bloodwork numbers. All numbers on the Lipid Panel and the A1C (5.0) are in the ranges mentioned in the video. I'm so happy!😄 My ldl was above the normal acceptable lab level which increased my overall cholesterol # so it was flagged. My doctor wrote in her notes in my online chart to eat less high fat and high cholesterol foods, lol. I mentioned that I was eating keto but I'm pretty sure she wasn't that familiar with it. Looking forward to hearing more info about bloodwork from you Dr. Cywes!

  • @BenjaminWeinlichYT
    @BenjaminWeinlichYT 3 ปีที่แล้ว

    Your knowledge is just so vast! I wish I am this knowledgeable. Please SUPPORT DR. CYWES via Patreon. He really deserves it and I'm sure he'll do good things with the money.

  • @pauldecker60
    @pauldecker60 3 ปีที่แล้ว +2

    I have the VA for my medical, they want me on a statin because my lLDL is 207, been keto a year and carnivore for six months after that. My doctor asked me why I did keto and what’s the carnivore diet? Unfortunately it is what I have for medical

  • @HeroicCoachDan
    @HeroicCoachDan 2 ปีที่แล้ว +1

    Awesome - I am currently studying functional medicine blood lab interpretation. This was great! Thank you.

  • @AndreaD.
    @AndreaD. 3 ปีที่แล้ว +6

    Just had labs repeated. I went more low carb briefly. It’s amazing how much the higher carbs actually affected me. I ate something “Keto” that was actually more low carb one day & it spiked my blood sugar almost 100 points. I felt like crap & threw the rest away!

    • @babarumraisin4863
      @babarumraisin4863 3 ปีที่แล้ว

      Was that keto "bread"?

    • @francineposa6103
      @francineposa6103 3 ปีที่แล้ว +1

      Just eat real food (if that was a marketed keto food) 👍👏🏼✅

    • @Cswbclub
      @Cswbclub 3 ปีที่แล้ว +1

      Real keto is eating like a caveman..keto goodies once in awhile are not.

    • @AndreaD.
      @AndreaD. 3 ปีที่แล้ว

      @@babarumraisin4863 no. The “Keto” bread contains wheat or wheat gluten & thankfully I’m allergic to it! It was a “keto” dessert & it was the sugar alcohols/substitutes that affected me.

  • @DrJPHD
    @DrJPHD 3 ปีที่แล้ว +3

    Thank you for this explanation. Such a relief.

  • @srgmnslv3978
    @srgmnslv3978 3 ปีที่แล้ว +6

    Thanks a million. Having a reference while fat adapted is invaluable. Can’t wait for the other episodes

  • @eddkennedy6458
    @eddkennedy6458 8 หลายเดือนก่อน +1

    Great doctor, he really wants to help us, thank you doc.

  • @tiredlookingforname
    @tiredlookingforname 3 ปีที่แล้ว +6

    What would be your guidelines for interpreting a basic lipid panel for a person with high CAC score?

  • @patvaughn9987
    @patvaughn9987 3 ปีที่แล้ว +3

    Thanks for an excellent explanation. I appreciate you giving your baseline values…I got a evaluation through a lipidologist. She would very much like me to be on a statin, which I am resisting. I think my markers are reflective of good fat adaption according to your info, also think I meet the markers for a lean mass hyper-responder. I do have a high LPD-P 1829…which is something I would like to understand better. It is my understanding that these are the particles that are sticky and cause issues in blood vessels. My A1C is 5.3…so I know that needs to come down a bit more, but feel I am headed in the right direction. CRP 0.4

  • @melissasinclair9303
    @melissasinclair9303 3 ปีที่แล้ว +10

    I love these weekly (approx) videos because they help me stay on task. I lipid panel right now is fine according to my doctor, but it's all still too high or low for your recs and it makes sense. It takes TIME to get these things ok... listening to these videos regularly helps keep me on task. They are motivating numbers, exactly. While I've gotten my doctor happy. It can be better. I've made a lot of progress, but not enough.

    • @garyhiland6013
      @garyhiland6013 3 ปีที่แล้ว +3

      Melissa, I applaud your attitude. I encourage you to keep pursuing the optimum you.

    • @sharonillenye8036
      @sharonillenye8036 4 หลายเดือนก่อน

      Yes, I have written all the levels he mentioned in my spreadsheet. and I even had to buy my own home test HbA1c test since my dr only looked at my fasting glucose once in 2020 and it was prediabetic. He is very focused on cholesterol and LDL and said that me eating low carb on intermittent fasting won't change the numbers that much.

  • @carbaddictioncoach
    @carbaddictioncoach 3 ปีที่แล้ว +2

    Thank you for this informational video! Great stuff. 🙌

  • @philmorris8862
    @philmorris8862 ปีที่แล้ว +3

    I really love most of your videos. However, the fact is that I can read my blood work a lot better than any of my doctors so far. All my doctors try to give me statins and I keep refusing. I live in a small town and finding any doctor that can wipe his own butt is difficult. So don’t tell me not to read my own blood work.
    🌵🌵🌵

  • @ab3585
    @ab3585 ปีที่แล้ว +1

    I have been doing Lazy keto to lose weight and trying to get off my blood pressure medication and I have lost weight in the last month but I got some new test results that showed my platelet count was low at 80 was this because of the keto or something else?

  • @LearningGrace
    @LearningGrace ปีที่แล้ว

    THANK YOU SO VERY MUCH! This is extremely helpful and it's making so much sense.
    Would love to see more on these numbers and what to expect as you are in the process of losing weight and eating a cleaner keto diet.
    My doctor gave me three months to see how I do after some pretty nasty lipid panel results. I've since been eating extremely clean keto and have lost over 30 lbs. I have Hashimoto's and LUPUS so this was not easy.
    About halfway in the three months my doc gave me, I did my own blood work on the side and might not even share it with my doc. I needed to see if I was on the right path with keto. My triglycerides went from 281 to 99 which makes total sense now after seeing this video. I'm eating practically no carbs or sugar except for some berries now and then. VLDL went from 56 to 20. Ratio from 4.4 to 4.5. Cholesterol and non HDL Cholesterol are going down.
    But my HDL went from 64 to 60. I don't get it. Why did it go down? Is this some weight loss thing or it takes a while to see that get better?
    I get more blood drawn in about a month. Should be very interesting.
    THANK YOU THANK YOU THANK YOU!!!!! Just appreciate all you do SO VERY MUCH!

  • @dennisdowning3851
    @dennisdowning3851 3 ปีที่แล้ว +2

    Will our cadiovascular system try to heal itself since we cut out carbs and sugars? Will we have to live with the damage to our blood vessels from decades of damage? Will plaqing of vessels ever recede?

  • @stephwessel7346
    @stephwessel7346 3 ปีที่แล้ว +52

    My Mom, who is 73, was told by her cardiologist (after recovering from triple bypass surgery) that she should be on statins because she needed to reduce her cholesterol to zero. He also wouldn’t order an A1C “for someone her age.” I want her to fire him so badly!! Thankfully, she’s stopped the statins on her own and is maintaining her low carb lifestyle and feeling pretty well. Can’t wait to see you in Omaha in one week! 😀~Steph

    • @HephaestusDizzy
      @HephaestusDizzy 3 ปีที่แล้ว +3

      Reduce cholesterol to zero?! Your mum's cardiologist is no doctor. He is a murderer!

    • @keywestfan2503
      @keywestfan2503 3 ปีที่แล้ว +1

      Your mom would die….
      Don’t listen to that advice.

    • @stephwessel7346
      @stephwessel7346 3 ปีที่แล้ว +1

      @@HephaestusDizzy that was a bit of an exaggeration, I guess. He said single digits/very low. She did a great job questioning him and recording him and I went back to the recording and listened to it again the other day. He also said the additional tests for lipoprotein A & B are experimental and only being used in research settings.

    • @loriereid458
      @loriereid458 ปีที่แล้ว

      @Island Man not in New York 🤬

  • @ahmaddrea6219
    @ahmaddrea6219 2 ปีที่แล้ว +1

    Amen! Thank u for this video and yes it is very valuable. I will definitely subscribe.

  • @Lifestyleinvest
    @Lifestyleinvest 3 ปีที่แล้ว +2

    Thank you so much. I love your videos. So informative.💕

  • @shimon1166
    @shimon1166 3 ปีที่แล้ว +3

    I miss the nice palm tree background and the Michigan Shirt? I'm a Michigan grad too.

  • @vitalkoval4537
    @vitalkoval4537 3 ปีที่แล้ว +1

    Awesome break down ! Can’t wait for more.

  • @sophiasmith7948
    @sophiasmith7948 3 ปีที่แล้ว +3

    My doc neglected to request my A1C even though I am type 2 diabetic. My lipid panel I was happy with, increased hdl from 39 to 61, reduced triglycerides from 275 down to 90. Leads me to believe going keto on Feb 1st was a life saving choice for me. Waiting for A1C after demanding another blood test, to say I was peeved is an understatement. not that it matters my old went from 160 to 144. Thanks for letting me know I am on the right track.

  • @christia3693
    @christia3693 11 หลายเดือนก่อน

    Hi, im 47 female, 5'2", 190lbs, Trig 138, HDL 67, LDL 162, NON HDL 189, HA1c 6.0.
    I was placed in statin before, but i decided to stop months before this lipid panel, i never liked i was in statin.
    When i get results, my doc says you have to work on your cholesterol and get on statin becof my LDL. i asked about my "good" cholesterol level, he didn't want to talk about that and says its not his focus.
    I do tend to have high blood pressure but not on meds, usually 140/90.
    I currently am on carnivore for about 5 weeks in and plans to get a panel test on my 3rd month of carnivore so to see where my numbers are. I feel better and no inflammation arthritic experience when I get up in the morning. I'm excited to see the numbers but I don't at the same time. Because of what my LDL would say, but learning more about cholesterol gives me peace of mind.
    I would appreciate any feedback

  • @sassypants420
    @sassypants420 3 ปีที่แล้ว +34

    Hey Doc. I feel so blessed to have you as my Dr. I was so freaked out when my previous Dr. looked at my lab results and told me I had to immediately go on Statins. So grateful that you took so much time to meet with me and explain my blood work results in detail.

    • @privatesuzie4071
      @privatesuzie4071 3 ปีที่แล้ว +2

      SAlly did you go in person?

    • @sassypants420
      @sassypants420 3 ปีที่แล้ว +4

      @@privatesuzie4071 Yes. I saw him in Jacksonville.

    • @bedanava
      @bedanava 3 ปีที่แล้ว +1

      I was just going to ask what state he was in I would love to go see him

    • @rosebahrami3919
      @rosebahrami3919 2 ปีที่แล้ว +1

      May I ask what state he is practicing?

    • @sassypants420
      @sassypants420 2 ปีที่แล้ว +2

      @@rosebahrami3919 Florida

  • @markdiener1425
    @markdiener1425 ปีที่แล้ว +2

    Some countries, you can just go to the lab to get whatever test you need. No Doc needed. But I need Cywes as a virtual doc. Thanks doc!

  • @ladyw605
    @ladyw605 2 ปีที่แล้ว

    I certainly wish my doctor knew how to properly interpret lab results….I have been following a strict keto protocol for about 20 months. When I began the protocol my A1C was 5.64. At the time of my last lab work, which was 8 months ago, I’d lost about 50 pounds…my A1C was 5.15…my Triglycerides 69…HDL was 80…LDL was 147. Since my last lab work, my total weight loss as of today 2-3-2022, is 85 pounds…!!! Based on the numbers you state in this video, I am thrilled with my results and can hardly wait to see the results of my next lab work. My doctor still insists that my cholesterol is too high…but I flat refused her recommendation to take statins; needless to say, she was not happy.

  • @garyhiland6013
    @garyhiland6013 3 ปีที่แล้ว +6

    Very valuable information and perspective. Always on the lookout for "optimum" numbers instead of "population average" or milquetoast targets and goalposts from paradigms past. Can't wait for next videos in this series. Love it, Love it.

  • @rinnie6598
    @rinnie6598 3 ปีที่แล้ว +3

    I am wondering if you could talk about strokes, specifically a stroke from a brain clot in the cerebellum, and statins? As in why do doctors want you on a statin after a stroke?

  • @CalamityinTexas
    @CalamityinTexas 3 ปีที่แล้ว

    Love you!!! Getting my bloodwork done in September my Dr knows I am carnivore keto. We will see, I am 60 years old

  • @petercyr3508
    @petercyr3508 3 ปีที่แล้ว +3

    Keto to carnivore. OMAD. Always fat burning. Recent labs (Dr Ali): TG 139, a bit high. Past LDLp shows I am pattern B. Still am judging by the TG. HDL 46. Insulin 2.8. BG 93. A1C 5.5, high reflective of extreme dawn phenom I have. CAC 169. Ok for being T2D for 24 years. Oh, ya total C 316, LDL 241.

    • @keywestfan2503
      @keywestfan2503 3 ปีที่แล้ว

      You’re not eating enough healthy fats!!!
      Think: bacon, eggs, butter, ribeye

  • @bruceprigge7420
    @bruceprigge7420 3 ปีที่แล้ว +4

    Thanks, your keeping me motivated!

  • @sirk74
    @sirk74 ปีที่แล้ว

    Great talk and great energy.

  • @rhondaw.4190
    @rhondaw.4190 3 ปีที่แล้ว +1

    My total has been over 300 since I was 40 (now 64) HDL 52, Tri just went down to 188 from 226, LPIR 51, 967 Small ldl, LDLC NIH calcium 234, LDLP- 3164....So I have been saying no to statins for 24 years. I did decide to take rosuvastatin 2.5 2X per week for inflammation. My last a1-c was 5.4 Do you feel the statin is protective for inflammation? I do not really care about the LDL's. thank you!

  • @bluedove7876
    @bluedove7876 3 ปีที่แล้ว +7

    Thanks for this! Would love to hear about the BUN, creatinine and the ratio at some point. Not sure if high numbers there are a reason for concern, or just a sign that I eat plenty of protein...

    • @garyhiland6013
      @garyhiland6013 3 ปีที่แล้ว +1

      Yes, Dr. C. I have the same questions as bluedove. Also a deep dive into thyroid numbers would be super. I really appreciate your "optimum" numbers; we should be setting the highest bar for ourselves.

    • @dextery4458
      @dextery4458 3 ปีที่แล้ว

      @@garyhiland6013 You might like this presentation my PCP in Az gave to a keto conference called "tuning your thyroid with ketosis"
      th-cam.com/video/S3n6gEia_iM/w-d-xo.html

  • @elibenson4586
    @elibenson4586 3 ปีที่แล้ว +2

    HDL 74, LDL 33, Triglycerides 38. My doctor almost dropped to the floor 😂 Good ol’ PCSK9 inhibitory genetics don’t hurt!

    • @thecolonel-truesoutherngen2230
      @thecolonel-truesoutherngen2230 ปีที่แล้ว

      I would be really concerned by that low LDL. all the studies I've seen show abnormally low LDL is not good

  • @magdalenalemieux7176
    @magdalenalemieux7176 3 ปีที่แล้ว +2

    Thank you Dr. Cywes for absolutely fantastic video. God bless you.
    We all need dr. like you.

  • @wackymontederamos
    @wackymontederamos 3 ปีที่แล้ว +4

    Always excited to hear from carb addiction doc

  • @debrahemerson7238
    @debrahemerson7238 3 ปีที่แล้ว +2

    I love your work and how well you explain this subject of Lipid interpretation. I NOW have goals that are well within on Keto and will continue to say NO to statins. Thank you.

  • @jackie2246
    @jackie2246 3 ปีที่แล้ว +7

    Total cholesterol is 468. TG 78, HDL 98. Doc wants me on statins. I asked her to order a CAC score CT. That was 2 months ago, still waiting for appointment. So, how worried is she about my cardiovascular risk...I'm fed up with the medical system

    • @williambledsoe1812
      @williambledsoe1812 3 ปีที่แล้ว +1

      What does your liver function look like?

    • @jackie2246
      @jackie2246 3 ปีที่แล้ว +2

      @@williambledsoe1812 Back in November the AST 48, ALT 91, ferritin 18. This was why I started low carb keto diet. The TG and HDL are the results of this diet. My doc is repeating the liver enzymes in December...(she told me not to eat eggs and red meat🙄)

    • @carnivoreRon
      @carnivoreRon 3 ปีที่แล้ว +2

      My physician upon my request ordered a CAC score for me a year ago. My total cholesterol was 332 and my CAC score was 32. I was 67 at the time. My overweight physician wanted me on a statin. He was concerned about my weightloss. lol I will never take a statin.

    • @dextery4458
      @dextery4458 3 ปีที่แล้ว

      @@carnivoreRon Never go back to a fat doc

  • @jeannedigennaro6484
    @jeannedigennaro6484 3 ปีที่แล้ว +1

    Great video. Too bad you’re not working at a teaching hospital or med school. and instructing young doctors.

  • @lynnabis1683
    @lynnabis1683 3 ปีที่แล้ว +3

    Thank you so much for what you do. I am 74, keto 1 year. Had blood work a couple days ago. Tri 150, Hdl 66, Ldl 193, A1c 5.4. no meds but blood pressure. Tri went up 8 points in six months. Am going to cut out coffee with cream and watch carbs closely. Do not have any added sugar at all
    Somewhat confused. Thank you for the explanation. 🙏

    • @EastOrlandoFlorida
      @EastOrlandoFlorida 3 ปีที่แล้ว

      Coffee with real heavy whipping cream is not the problem. Try keeping a food journal for 2 weeks to help determine where the carbs are coming from. Write down whatever is going in your mouth and at what time. If you are eating more than 2 times per day, that might be spiking your insulin too much? Are you using cooking oils? Maybe try ketovore (meat heavy) and see if that helps.

    • @lynnabis1683
      @lynnabis1683 3 ปีที่แล้ว +1

      @@EastOrlandoFlorida Thank you. When I first started keto I was heavy meat but had constipation really bad. Started eating more veggies (salad, broccoli, cauliflower, etc) all low carb to become more regular. Helped. I get confused about the veggies as to whether they are ok to eat. I only do coconut and avacodo oils. Thank you for your reply.

  • @olivia8979
    @olivia8979 3 ปีที่แล้ว +1

    Here is what I don't understand.
    You started off cautioning us against interpreting our own blood work. then you told us our doctors probably don't know how to interpret it (they don't. I agree) so you explained to us how to interpret our own blood work ... whiich you had cautioned us against doing.

  • @loarmesl69
    @loarmesl69 3 ปีที่แล้ว +2

    👌🏼 Thank you Dr. Cywes. God bless you and your family! 🙏🏼 😊

  • @stevespringer8385
    @stevespringer8385 3 ปีที่แล้ว +4

    I've been LCHF for years, and recently mostly carnivore. My TriGs are 61 and HDL 79 - all seems well. Just had a CT scan for another issue and fore the first time was diagnosed with fatty liver. I thought a LCHF diet would cure/prevent fatty liver. Your thoughts please.

    • @tonym842
      @tonym842 3 ปีที่แล้ว +1

      Could it be too many calories? Fatty liver is energy storage. Perhaps an extended fast could help clear your fatty liver.

    • @tiredlookingforname
      @tiredlookingforname 3 ปีที่แล้ว

      @@tonym842 When you say extended what time period do you have in mind? 3days, 5 days, 1 week?
      Also. Do you realize that you almost gave a medical advice?

    • @tonym842
      @tonym842 3 ปีที่แล้ว

      @@tiredlookingforname LOL
      I'm NOT indoctrinated enough to give medical advice. You'd be dumb to not do your own research.

    • @meilia9636
      @meilia9636 3 ปีที่แล้ว +2

      Dr Cywess mentions in one of his videos about fatty liver. Don't eat carbs for 3 days straight. He said it will cure it.

  • @eddielangwinski9864
    @eddielangwinski9864 9 หลายเดือนก่อน

    Hello Dr. Cywes. Been carnivore for approximately 4 months now. Just had my bloodwork done and my lipid results are. Total cholesterol is 166. LDL is 110. HDL is 44. Triglycerides is 58. Should I be concerned about my HDL? How do you raise that level? Thank you.

  • @BlackSeedOil20
    @BlackSeedOil20 9 หลายเดือนก่อน

    We have different units in Canada. What are yours here? I converted so I got:
    LDL 187
    HDL 65.7
    Triglicerides 50.4
    AC10 5.7
    (I had a bad diet before going ketovore)
    What do you think of the kidney filtration. Is it normal it goes down? My urate was elevated too and so was my creatinine.

  • @lindalolan1994
    @lindalolan1994 ปีที่แล้ว

    That talk really helped me understand my bloodwork
    And the factors associated with levels.
    Appreciate your time and knowledge to help me.🥰

  • @elainetracy12
    @elainetracy12 3 ปีที่แล้ว +1

    I had zero CAC score but blood results had come back with small dense LDL. Dr is sending me to see specialist. Don't really understand why I have good HDL and triglycerides but small dense LDL. Anyway see what they say.

  • @shirleybartlett4073
    @shirleybartlett4073 3 ปีที่แล้ว +1

    I've had the doctor on the phone this morning threatening me with Statins. Been on low carb high fat about 3 months. These are the readings Serum Triglyceride 0.60 mmol/L - serum HDL 1.83 mmol/L - Serum LDL 4.90 - serum cholesterol /HDL ratio 3.8 - Non-HDL cholesterol 5.17. So, how are they?

  • @liliamacedo1719
    @liliamacedo1719 3 หลายเดือนก่อน

    Hi! I’m a 65 year old woman my Tri- 128,HDL 77,LDL145 and my A12 5.5 my Dr. wants to put me on STATINS, thank you for all your videos 🙏

  • @akhiker01
    @akhiker01 ปีที่แล้ว

    ?? Just got test in mail cholesterol abnormal 216 I’m nervous about the notice . Doesn’t sound like i should be. ?????

  • @JohnBenson
    @JohnBenson 3 ปีที่แล้ว +2

    I like your series. Lots of details and helpful explanations.

  • @CG63_CarbFree
    @CG63_CarbFree 5 หลายเดือนก่อน +1

    Just got my 90-day labs in for cholesterol. Things are getting better. Trigs up from 37; LDL up; HDL DOWN from 120 to 88. A1C down.1 to 5.7 fasting. In December 2013, it was over 10 and I had a staph infection (intramuscular). Only risk factor was the diabetes T2. I have now cut back 1/3 on my insulin meds, stopped my statins and stopped my anxiety meds. It’s a beautiful day in carnivore land.

    • @CG63_CarbFree
      @CG63_CarbFree 3 หลายเดือนก่อน

      Even better now. A1C without any meds was 5.7 and cholesterol is even better. I am off 100% of the meds I had been taking.

  • @Rockman-4
    @Rockman-4 3 ปีที่แล้ว +9

    Ldl 135, hdl 65, triglycerides 63, hba1c 5. All right!

  • @shawnmcgrath3226
    @shawnmcgrath3226 4 หลายเดือนก่อน

    Where would you rank fasting insulin and C-reactive protein … ?

  • @AngelikaSchallehn
    @AngelikaSchallehn 4 หลายเดือนก่อน

    What about if tryglicerides are slightly high on Carnavore 8 weeks hdl ok

  • @marklowe5939
    @marklowe5939 3 ปีที่แล้ว

    Yeah but the docs mostly don’t have a clue. Their education comes from reading the latest drug pamphlet the rep brings by. Reading actual studies that pretty much ends. After meds school… Those continuing education cruises are rough….lol

  • @kimberlyann1029
    @kimberlyann1029 3 ปีที่แล้ว +1

    The cab analogy 😂 And your saying in Afrikaans about the mouth full of teeth. I enjoy your talks, Doc.

  • @zdcbali4372
    @zdcbali4372 หลายเดือนก่อน

    Of course they don’t. 👍 The third reason is the results are given a week later. All changes in a body so fast so the results are not accurate… lipids check is the right way

  • @artemis6628
    @artemis6628 3 ปีที่แล้ว +1

    How do you view the Remnant Cholesterol = Total Cholesterol - LDL - HDL. This value to be below 15.5?

  • @bmeetze
    @bmeetze 10 หลายเดือนก่อน

    My vegetarian ND doctor was trying to scare monger me about having high LDL. He never said he was glad I let go of a bunch of weight.

  • @daveb8449
    @daveb8449 5 หลายเดือนก่อน

    I agree about statins. The notion that you can strip away such a vital molecule from the body and not expect serious health consequences is laughable.

  • @waynechason5855
    @waynechason5855 3 วันที่ผ่านมา

    How do you lower triglycerides without statins?

  • @janetthornton7909
    @janetthornton7909 3 ปีที่แล้ว +2

    “BS”! Tell us how you really feel!! Want to show this to my nurse practitioner!

    • @chestrockwell8328
      @chestrockwell8328 3 ปีที่แล้ว

      Same, had similar conversation with my Doc Monday afternoon, "high" LDL, zero CAC score, sorry buddy, not taking your "aggressive" stain plan; docs words.

  • @ayawael4370
    @ayawael4370 10 หลายเดือนก่อน

    Dr how to have an assessment with you online ? I’m from Egypt and I’m a faaaan to your channel you’ve helped me alot

  • @aymanelgamal1928
    @aymanelgamal1928 3 ปีที่แล้ว

    Excellent video, as usual

  • @blessedat309
    @blessedat309 3 ปีที่แล้ว +5

    Thank you!!! Totally needed to hear this today! Just left my doc’s office with the guilt of once again refusing a statin... my triglyceride is 91, HDL 56, A1C 5, LDL 277, total 352...still in the healing process but think I should just stick with fasting & organ meats? Got any other advice? Thanks again!

    • @Norman_Gunstan1
      @Norman_Gunstan1 3 ปีที่แล้ว

      @Island Man interesting

    • @keywestfan2503
      @keywestfan2503 3 ปีที่แล้ว +2

      Absolutely not!!! Leave the fat on. The more the better. Respectfully, that is incorrect advice.
      Don’t fast just yet. You’re probably not fat adapted enough for your body to tolerate fasting to any prolonged degree.
      Try going to a carnivore diet. Eat nice fatty cuts of meat. The fattier the better. Eggs. Butter. Etc. Plenty of good videos to guide you.

    • @terraflow__bryanburdo4547
      @terraflow__bryanburdo4547 3 ปีที่แล้ว

      @Island Man NO.

    • @terraflow__bryanburdo4547
      @terraflow__bryanburdo4547 3 ปีที่แล้ว

      @@keywestfan2503 YES.

    • @keywestfan2503
      @keywestfan2503 3 ปีที่แล้ว +4

      So hard for people to overcome their cognitive dissonance. We’ve been hammered so much over the years with the low fat paradigm that it has been ingrained as dogma.
      Despite 50+ years of medical literature showing saturated fat intake is not linked to heart disease.
      I mean, even cardiologists for the most part don’t believe their own literature…..

  • @AngelikaSchallehn
    @AngelikaSchallehn 4 หลายเดือนก่อน

    Does anyone know what a doctor means by triglycerides are up a little I am in Australia

  • @GlennLazado78
    @GlennLazado78 ปีที่แล้ว

    MY LDL IS 311 and im fine. Im carnivore.

  • @NariKims
    @NariKims 3 ปีที่แล้ว +1

    I've had my lipids be from what is within normal range to doctor calling me middle of the day to prescribe me statins (LMHR).
    I've done various tests, and the one sure way I can lower my LDL-C is to eat lots and lots of junk food, lol.
    I still find it sad how my doctor hasn't asked me how my LDL-C has been all over the place in the past year.. You'd think he would be curious seeing how he claimed it was hormones or familial hypercholesterolemia..
    My last labs' lipids were all within range so he made no remark, other than saying my vit D was too high.