Forget LDL-Cholesterol, Low Triglycerides More Important (here's why)
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- เผยแพร่เมื่อ 21 ก.ค. 2024
- Elevated triglycerides are consistently linked with poor cardiovascular events. Let's discuss why that's the better marker to focus on.
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----------------------------------------Show Notes-------------------------------------
0:00 Intro
00:40 LDL reduction treatments has a minimal, marginal and inconsistent benefit with overall reduction in all-cause and cardiovascular disease mortality and incidence of stroke.
01:15 Heart disease was the leading cause of mortality, even during the pandemic. It was a leading risk factor behind age and obesity in severe COVID.
02:05 Triglycerides and triglyceride-rich lipoproteins tend to be more atherogenic. They are also linked with insulin resistance. If you are on a Statin or told to be on one, check your ApoB to A1 ratio. It is an inexpensive test.
04:40 When you are insulin resistant, there are more triglyceride molecules compared to cholesterol esters.
05:17 The Friedewald equation does not account for triglyceride-rich lipoproteins.
06:00 A decrease in triglycerides is a reflection of improvement in metabolic health.
06:36 Post-prandial increase in atherogenesis and heart disease is linked more closely to remnant lipoproteins and triglyceride-rich lipoproteins.
07:15 Triglycerides fluctuate. Levels of 60 to 70 is what Mike recommends to clients. Get a baseline. Test while fasted. Next time, do a lipid load test. Before you test, consume a typical mixed meal with 60 to 70 grams of fat.
09:00 The degree of your insulin resistance is reflected in your post-meal triglyceride level. When your liver becomes infiltrated with fat, there will be a dramatic increase in post-meal triglyceride levels.
09:36 Post-meal triglyceride levels should be under 220 mg/dl. Levels over that reflect an inability to process post-meal fats.
10:00 LDL particles also carry triglycerides. They can become enriched in triglycerides. Low LDL does not tell you about your cardiometabolic risk.
10:55 Exercise is one of the best ways to lower your triglycerides. Eat a low carb diet. Improve sleep quality and circadian rhythm. Cold exposure/thermal stress can help. Fasting and supplementing with myoinositol and berberine can help.
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I’m seeing a lot of comments about ApoB, so wanted to link this recent video that goes into more detail: th-cam.com/video/c-tZ0fF1URo/w-d-xo.html
Could you link the study that you mentioned in this video? It is still showing that link to the study will be posted soon.
A better lecture. Keep it up, mostly.
I suspect strongly this dedicated semi-sincere host is beholden more to ideology than Truth and self-empowering health.
Could it be one doesn't bite the hand that feeds it be they dairy, eggs and especially meat industry? They certainly have fewer better young articulate charismatic influencers to persuade the next generation and rope in some of the older ones.
I suspect this host wants to justify his own habit of eating animals, their eggs and lactation and he feels better if more were like him.
So I learn carefully what he says and what he avoids very consistently.
And consistently he avoids the role of animal based diets and grilling, browning and crisping them, with regard to the rising tsunami of science, empirical and heuristic knowledge associated or causing damage to the consumers genetic material, the intimal lining of the vasculature and microvascular beds around all essential organs, and how the damage the so called lock and key system of insulin and cells and to muscles, pancreas, liver and other organs accumulating to much fat and insulin stimulation.
Why would such an earnest, productive purveyor and distributor of nutrition health and politics and policy be so neglectful, so willingly?
I realize he wants people to avoid or not need so called Western or allopathic medicine, though he is entirely dependent upon their research, but he pushes hard on out of natural context, tho$e chemical concentrate$, which actually aren't traditionally consumed by mammals in that form, called supplement$ - nutraceutical$ - vitamin$ and mineral$ to treat and prevent.
Of course I realize that a grateful audience isn't a monetarily generous one most of the time, too, and he needs diverse revenue stream. I realize the more honest he is the more likely he will not be monetized and many advertisers won't support him. Yet many others will support him especially if he persists with patients and integrity. We already see he has an audience count too man would nearly sell their soul and die for.
But WE KNOW that the U$ "$upplement" bz is one of the most corrupt, unregulated oversold rackets there is for "con$ume®$, and likely uncecessary with proper individualized rest, diet, movement, flexibility, dexterity, balance, purpose, vocation and community, safety and legality.
And this is especially so, if We can keep improving the quality of air water and soil, including all practices that provide humanity, their pets and livestock water and nutrition. Unfortunately the degradation of everything on the planet that naturally sustains us is being wrecked at exponential rates completely consistent with burning everything possible to generate energy and stuff following precisely the ridiculous most existentially deadly calculated GDP of countries, that ultimately externalizes and ignores and distorts what matters most.
Today is a new day and today we are each awakened as a unique person than the day before, one day and one set of breaths and heartbeats, closer to inevitable death.
I encourage our generous improving host to rectify and make more comprehensive, more complete and more forthcoming, his instruction and that ALL who can benefit, do, better, and thus be good to themselves, others, and all creatures and microbes, great and small, and especially, our only known beautiful amazing and always all satisfying Earth.
Any updates on the Joovv light therapy and your testosterone levels? Are you still using it? I've been using the Beauty Angel RVT30 at planet fitness (600-700nm) once a day for 12-24 mins. I plan on getting another blood test to compare testosterone results after a month of red light therapy.
Mike, you'll appreciate this Russell Brand rant about food chemicals and 'C' th-cam.com/video/Y81jxTuC70U/w-d-xo.html
th-cam.com/video/8MqbdX6n6yY/w-d-xo.html Ultimate Yakutian IceBath
Yep. Bottom line: You want low triglycerides, low vLDL and a high HDL. Total chol. and LDL are irrelevant. You achieve this by greatly reducing/eliminating ultra-processed foods (stop snacking), adhering to a low-carb/sugar diet and by doing some exercise. It's that simple.
I love how people are still stuck in the 90s. We might have been wrong for villainizing fats in the past but I blame America today for willfully remaining ignorant on saturated fat and cholesterol..
Saturated fat is NOT good lol. Stop believing the bro science
I battle with this every day with my 60+ year old clients who are scared to eat fat. I convinced a 79-year-old client to eat an entire egg the other day instead of her normal egg white, she is osteopenic and lost 12 lbs that she could not afford to lose over the pandemic, she came back talking about how she was nervous eating it and how it was so rich she had a hard time finishing it.
@@DaveReddy doctor Robert lustig's 2009 sugar the bitter truth taught me a lot. I had to pause a lot of times just to look up every single part of what he was talking about and I learned so much.. You have to admit it's confusing even to someone with educations like us when you have both vegan and carnivore dietitians telling you morally why you should eat the way you should.
I believe we're omnivores. We evolved by eating cooked food out of clay pots. I believe it should be roughly 60% animal product 40% plant product go nuts on whatever you want
It's not the fat people should be worried about, it's the carbs. Depending on your body type, you can get away with eating a fairly high fat diet and your bloodwork will be phenominal. The carbs are what drive the trygliceride levels through the roof
@@bkohler89 that may be true but don't go too far the other way. We are omnivores. Before the invention of the airplane about nine months out of the year we had to be carnivores because we couldn't fly in fruits and vegetables in the winter time... So yes a diet 70% animal product is in my opinion perfect.
However as a species we always procreated in the spring time when carbs were available. Your body can make its own sugar but you really don't have to go through gluconeogenesis all day... It's survivable but not optimal . The only way to evolve is to get the most amount of nutrients and omnivores get the best of both worlds.
One important message you forgot: LDL goes UP the more active you are. LDL also goes up the longer you fast. LDL also goes up the more weight you lose. So essentially, going low carb, starting exercise and losing weight will sky rocket your LDL. Which is a really good thing, don't get me wrong. I really like the work that Dave Feldman has done, makes a lot of sense. But it's important to note why these changes are happening, if you ever want to "win" the discussion about cholesterol with your doctor. And if they tell you that eating more fat raises your LDL, ask them which biomechanism triggers this. (Hint, there are none, it's just returning to a normal level, after being supressed by lack of fat in the diet.)
The first and the third are temporary. I’m not sure about the second. Reasonably low LDL is good (all else being equal-high HDL, low triglycerides). But the insane goal for statin therapy is dangerously close to the numbers associated with cancer. If you have serious concerns (family history of heart disease or diabetes), you can test for particle size or number. [NOT medical advice.] Hope this helps.
can you please provide sources
@@Paul__108__ Is activity temporary? And is weight loss temporary? Mine is pretty permanent, both exercise and my weight loss - and my LDL is still pretty high, so I must admit I don't understand your comment on this. (Your LDL will also drop significantly after a heavy workout, supporting the theory that LDL particles are used as "building material" when they are done with their other roles.) You can look into "Lean mass hyper responder" if you are curious about this.
To the second point, LDL levels is about the energy expenditure. The more fat you mobilize from your fat stores, the higher your LDL, it's pretty simple once you understand the mechanics behind it. It's not about the food you eat, it's about where you energy metabolism is. The more fat you eat, the lower your LDL goes, because you start expending the energy from the food instead of what you have stored on/in your body.
I do not agree with your comment about low LDL. All (proper) evidence points towards higher LDL being associated (yes, I know, correlation, not causation) with lower mortality. I'll take sky-high LDL ANY day over low LDL. But you are correct, it's the level of TG/HDL that is really important, as Dr. Paul Mason & Prof. Robert Lustig talks about. Mine is way below the "you're gonna live forever" break-point, so I honestly don't care that my LDL is off the charts.
And I do agree with you, it's about the particle size. And the TG/HDL is a very good indicator of this (and also of your level of insulin resistance as mentioned in the video), to see how many sdLDL's are floating around your body - again, I have very, very few. Which brings me to another point when people ask me about my cholesterol, I ask them which number they are worried about, usually they reply with LDL - to that I usually ask them how many different types of LDL there are, to which they cannot reply - indicating they have no idea what they are talking about.
I appreciate your concern, I am not concerned though, but thanks anyway :-)
@@FutureLaugh Could you provide examples to what you want sources to? Everything I know I've gathered from Dr. Paul Mason, Prof. Robert Lustig, Dave Feldman along with many others, but on these topics specifically. You can't just read 1 thing or hear 1 lecture and expect to know what is going on, you gotta understand the bigger picture and collect all the data under your own personal umbrella to figure out what works for you - or which truths you want to subscribe to.
But if you want to start somewhere (I apologize for mentioning another channel in the comments here HIH) "LowCarbDownUnder" is an excellent source, with hours upon hours of lectures.
Interesting!
If you’re at a dinner where they’re discussing cholesterol you’re officially old... I’ve accepted it
😂😅 you're so funny!
Right?
Shhhhh! LOL
not necessarily old but certainly with your low IQ friends
Cholesterol and wills....yup🤦😂🎉
Comparing numbers and dosages
I appreciate you bringing in both triglycerides and ApoB to the discussion. I feel like most channels focus on either Triglycerides/HDL or LDL (and sometimes ApoB), but not both. Same story with postprandial triglycerides and postprandial glucose. Really appreciate you telling the full story, even if the full story is more nuanced.
A high time for continuous triglycerides monitoring device…
I was concerned about my blood test numbers . Cholesterol was high but my HDL was 110 and my Trig's were 51. My doctor wants me on Statins but I said no.My total cholesterol were in the 300's. Watching you and other experts helps me . I am normal weight by A1c was 5.5 and I have low blood pressure. My doctor wants me to see a cardiologist. I said sure.
I find there's no real discussion or education about cholesterol and it get confusing but always quick to recommend the statins. My triglycerides just went down after so many years and dr was unimpressed. I know I have a way to go but no reassurance because of family history and respects that I don't want to take pills but even so why test if you will just say take this?! I will continue to get triglycerides down (I think my walking, yoga and taking cod liver oil helped but I will do more)
Try minimum doses if you can and test for hscrp, it will show inflammation
I have similar numbers to yours. Total:301, HDL:103, TG:49. Normal BP. A1C 5.4. My GP thankfully is very educated for a mainstream GP and does an advanced lipid panel on me every year to see the particle sizes and numbers. They are are all spot on and he never said a word about statins. I am 43 and he doesn't recommend the calcification score test yet. He thinks in younger people it can be false negative because the plaque didn't stick to the arteries yet. He thinks I should do it closer to 46-47. I am very athletic and muscular and have no visceral fat based on my DEXA. I just wish medical society stopped this 'LDLD gonna kill ya" thing. Even knowing what I know, it makes me stress a bit.
@@irinapetrovitsame here. It causes stress!! Carnivore diet here ldl 275
I would keep doing what you’ve been doing. All markers look great to me.
Love your content... Applying everything, a very nice mix between what you are doing and your wife, I've been doing keto, intermittent fasting... Just started OMAD and feeling better each day... I'm 54, living in Spain where I can find good quality real food... Thanks so much. The only bad thing here is that lab exams are expensive. Greetings 🙏🏻😀
This helps explain my tests. Over the past 3 years my LDL has not changed, around 100. I’ve been put on statins for the past year because my triglycerides have climbed from 110 to 320 ( fasting ). Statins are having no effect. My faults; too many cookies and not enough exercise. I stopped going to the gym when Covid hit. Now I’m back on track and cut out all sweets. I anxious to see my 6 month results. 68 years old hoping for another 30.
Stop the statins. Do intermittent fasting.
Not exercising because of a closed gym is NOT an excuse!!
@@BIKENESS Do you have to be rude. Just don't say anything at all if you have to be so rude. You could have written something much kinder and still make the point you are trying to make. You just come off as a jerk the way you are writing.
its all the sugar in your diet you dont even realize youre consuming.
My trigs went from 427’to 117’in 4 months .Stop the statins.
look up/ buy “ Emerald Labs Cholesterol Health” supplements , chromium niacin garlic omega 3 supplements, eat a shitload
of almonds walnuts ,kale spinach
oatmeal,,, “drink”’olive oil
6 ounces a day and exercise or at least walk
every other day a mile or 2 at a fast clip and do this for 3
months then check your trigylcerides :)
Like you, age 68 & on statin, Rosuvastatin. Triglycerides @ 45. My PCP insists that I stay on statin.
Thank you so much for this video it's what I was searching for. I had to slow it down to 75% speed so I didn't have to keep rewinding it. Definitely saving the video.
Thank you for your great work in educating the public about health and fitness. Keep up the great work. 👍
💡💡💡I love how people are sharing their lab results here. I wish we had access to lab results for all the people worldwide while maintaining privacy somehow. People would be able to do data analysis and find patterns for themselves without depending on an institution to do that sort of analysis. 💡💡💡
here is some data, I took omega-3 for 3 months and dropped my triglycerides over 50 points to below the healthy 150 level, but my ldl levels stayed the same. I think the ldl is more representative of my health as nothing else changed, i.e. weight, diet, exercise, but with great improvements to triglycerides levels just because omega-3's are uniquely very capable of lowering blood triglyceride.
@@davidlee8303 I took 1-2 grams of EPA only for 2 months or so and my triglycerides dropped from 180 to 88. My ldl didn’t change much just like you.
@@yamani3882 So I think from that one factor, I cannot assess my overall health from blood trg its like taking a statin for cholesterol, I need to pay attention to both to ensure that I am being overall healthy.
The best 13 minutes 43 seconds I've spent on any you tube video...love the content 👍
Mike, very interesting video and info. I'm a 71 yo man, and have had high Cholestrol for over 10 years - with LLDs over 130+. My Trigs were consistently around 200. In 2018, my Gallbladder was removed. After my 2021 Annual Physical showed my LDLs at 145 my PCP "scared" me into starting Zetia (I tried a mild dosage of a Statins a few years before, and My calfs cramped up in 3 days - threw them out the window). I failed to take the Zetia regulalry as prescribed (10 MG -1 X aday). I would take 1 pill than forget, etc. The blood test taken about 2 months later showed that the levels rose to 165. Then I took them regulalry, 1 X a day. Another blood test done about 6 weeks later - showed they did go down to 138, BUT my TRIG were over 400!! The doctor (who is retired now) said Not To Worry about that now. I'm in the midst of finding a replacement PCP / Internist. The info on TRIGs is very interesting and makes a great deal o sense. My CRP is 2 . I do suffer with a number of Spinal Issues includimng Stenosis at a number of levels in my spine, Facet Joint arthritis everywhere, Disc Bulges at multiple levels, OA in my Knees, Hips, and fingers. Lots of Inflammation. One galring question is that my GB was removed in 2018 and I wonder what kind of effect that has on TYRIGs?
For the second year in a row, my triglycerides came in at 35. My doctor was truly astounded and she said they are the lowest she’s ever seen in her life. Granted, they were post 20 hour fast, but let’s goooo 💪🏼.
Mine are like that too! I always thought I was a freak. I didn't fast, but mine were 48 the other day.
Are you strict keto?
I got 28 today what the heck
Impressive and did you measure the post mix meal eat bloodtest as the vision recommend ?
How often do you do a 20 hour fast? You probably want to look at your real life lipid levels. All of us should because it represents reality.
Thank you for this video. You've made me feel not so bad about my high cholesterol, considering my triglycerides are always low when tested. Now, to get a comparison.
Thanks Mike! Always a wealth of knowledge! Just shared with the hubs! 🙌🏽
LDL is not cholesterol. It is a vehicle for cholesterol and it is not dangerous.
my triglycerides have been at 59 and 89 in last couple of years; my HDL ratio at 2.5, and my neurologist wanted me on statins because he said my LDL needed to be below 70. The statins were pure poison scary hell on my body. Horrible. Thank you for seeing and sharing the larger picture! For giving value to other markers.
You must also have a family history of heart disease? We were on vacation in Florida in 1971, I was 15. My dad went into the hospitol in Naples late on Christmas night. At 9:00am on New years day,he had a massive heart attack and died. All of us (9) have the 'curse'. I reccomend eating real food, take anti-inflammatory supplements. and get vigorous exercise 4-7 days a week.
Yes. I was in so much pain when I was on statins. My being put on them was caused only by the cholesterol. My triglycerides have always been low, so this is a really helpful video.
try Canadian prescription drug Repatha 140 mg every 2-3 wks by injection along with 10 mg statin (instead of 20 mg/day). That'll give your liver a break and will destroy plaque within 18 months
You can try 5mg minimum dose to reduce inflammation. I personally saw people on minimum doses goes below 60 LDL
You are right about statins. I am retired and have triglycerides of anywhere from 240 to 1200. Zero plaque in my arteries. No heart disease. My parents both had perfect blood lipid tests, yet both died from vascular disease. Go figure.
My ldl went up and triglycerides went down when I intermittent fasted and was losing weight. I'm glad to hear this information.
Immensely valuable. Thank you for the down to earth and yet extremely informative sessions.
Getting my yearly blood work done next week. Thank you for this. My triglycerides have been in the optimal range the last couple of years, but I’ve recently been experiencing headaches and shakiness towards the end of my daily fasting (OMAD). Hoping my A1C is still in the normal range.
Thanks Mike. Sharing this with friends and family.
An enthusiastic and caring teacher.
My GP knows zip. I have, over the years, taught myself what I need to know about lipidology. My LDL value (March 2022) was 125 mg/dl (considered high), and my triglycerides 63 mg/dl. The post-meal trig test is new to me. I will consider that.
thanks for sharing all of your knowledge Mike
Excellent lesson. Shame my doctor knows nothing of this. Linda, UK.
5 weeks carnivore. My LDL shot up from 100 to 240. My doctor is panicked! I am not very worried. My triglycerides are perfect, and so is my blood pressure etc.
Similar to mine. Total c went to 349/ ldl 283. Triglycerides 51. My triglycerides/ HDL ratio is 1.08. My vldl comes in at 19 the poor man’s method. 8 weeks carnivore. Been running and lifting for 30 years 5-6 days a week. I think I’m fine. I’m convinced my numbers jumped due to going zero carb and losing 30 lbs and counting
@rtay0311 good for you! I did 3 months carnivore last year. Then stopped because my heart kept racing and pounding. It's so strange. Now I am back on Carnivore months in, but doing just meat and fats, no eggs, and no dairy, trying to lower my autoimmune inflammatory markers. I'm curious about my blood work this time around, ha ha. The doctor is always mortified. But my ApoB, triglycerides, and HDL were flawless, so she doesn't really have an argument, even though she tried 🤣🤣 The bottom line is that I feel fantastic!
I see "link to studies:" with no link. What a tease. I would be great to see those.
I'm 73 years old and never had my blood tested. So how I'm still alive and healthy.
You're a vampire.
64 here 44 beats per minute 7 hours of Zone 2 hilly aero bar road cycling a week. Stopped seeing doctors when I was 40.
The vampires are the doctors who push statins and deny Nobel prize winning therapeutics to the dying
@@adlsaias Very true, but it never hurts to get a check-up. Tests might show that you are indeed a vampire.
Good Job!
I'm a 32 south asian healthy and very active male(do martial arts and lift weights). I got my lab results today(urine and blood test) which returned HDL at 71 and LDL at 147(doctor said this is concerning and that I should try to lower it) but my triglycerides are low(all this is matching up with what you're saying). Thank you for making this video, I feel so much more relieved and that I'm going in the right direction.
This guy is on point.again. I can say this because Im livivng it when I started a statin I developed left arm and shoulder pains.I stopped Lipidor and the pain diminished. I have b.p. and heart issues mostly from something called chronic polyneuropothy interfering w signals to the heart.That said,Ive been fasting from animal fats,i do eat eggs,and im losing weight and feel betterIm 56 w an extensive history of exercise and drugs (I know,save it.Im sober now for 4 years) Thanks Doctor Mike.GOD bless you and your family 🙏
I just had a test my triglycerides at 45 I took my test after I ate three eggs with cheese spinach mushroom I’m 47 I dropped sugar a year ago my job keeps me active. I feel better than ever.
Very well explained and important information. Greetings from Brazil!👍👍
Yay! Well my faster triglycerides is 32, HDL 81, and my LDL is 174. BMI at 21 and I am 39 years old. Interesting to know about a post meal!
32! That’s nuts. What r you eating?
My Apo A is 177 😊
My Apo B 109😮
But the ratio is 0.61😊
Triglycerides are 52
HDL 83
LDL ..ugh 143
VLDL 8 😀
Brilliant!! Love your Work. Brian
London
I'm just learning about this as my LDL numbers have put me on edge until my latest doctor suggested he wasn't worried about the LDL number because my Triglycerides & HDL were so good. It's first time I've even paid attention to Triglycerides. I'm 41. Last bloodwork showed LD at 132, HDL at 69 & Triglycerides at 41.
Those are excellent numbers if the newer science on LDL is correct, but if they're wrong, than LDL below 110 and below 100, is what the current established narrative is
asking us to believe,
Thanks and kudos for a great presentation. While there is a load of technical/chemical information, the presentation of this material adds credence to the advice of how to make lifestyle changes that improve health. One of the many question I have concerning this information is the ability of a person who was not as careful with their lifestyle choices in the past to utilize the advice you give to actually improve their physical condition. Thanks again.
Mike is one the most interesting presenters on the internet - can watch his videos all-day-long!!
Great video, thank you. Most informative and well presented
Thanks for sharing this valuable information!
@06:18 Ahhh that's why my blood work showed my LDL went up one point from last year and my TG went down 30points also my A1c is 5.2. At 1st I was like "WTH I've been doing good for 6months straight!" since I switched to WholeFoods plant based eating and exercise about 45min a day. Thank you for this info Mike.🙏🙏🙏
I once tried to do a non-fasted extreme lipid test after having alcohol and tons of ice cream and some pizza a few hours before the test. Surprisingly my trigs were 0.92 nmol/L. I had a new one a few days ago while fasted, and it was 0.64 nmol/L in comparison.
Just got my labs back after 10 months of Keto (119 lbs lost and stopped statins 3 months ago). Trig. at 83, LDL at 163, and HDL at 38. I am going to up my kippers/sardines/mackerel consumption. Glad to throw away the statins.
Congratulations!!!!!
Careful of mercury intake
@@coolwiz7994and microplastics
Appreciate your channel as it is very informative and interesting.
Thank you for the podcast and links. Now the logical step in following your suggestion is to reach lower TG target and improved lipid panel with exercises, fasting, cryotherapy, low carb etc diet and then when all at norm drop statin intake. Has such transition from statins been studied at least for heathy individuals? Is there a protocol or guidelines?
Thank you Mike for an excellent video!
My cholesterol was 271 LDL 183, HDL 63, Triglycerides 124. Dr said don’t need a statin which I wouldn’t have taken anyway.
My numbers are similar except the TG which are 70 and my doc acted like Chicken Little and put me on Ezetimibe this week. He only cares about the LDL number. He's a cardiologist. he said anything over 180 is considered "dangerous". Egads.
i just had to get bloodwork done and battled this topic with my new Dr. My triglycerides were great! 58 My HDL was good...but my total cholesterol was up and my LDL. She was pushing statins. I've been keto for 4 years!!!! Lost 50 lbs. my AIC is 5.5 now. She said I was going to have a stroke....like now.
Check out Dr. Darren Schmidt's video (Is Your High Cholesterol Good Or Bad).
STOP GOING TO THE DOCTOR. I just read so many comments. My doctor wants to put me on this, My doctor wants me to do that. Get blood work on your own.
I stopped eating carbs all together and I feel so much better than I ever have before. My inflammation, allergies, and gut pain went away. I sleep way better too.
Thanks for the very helpful video!
Nice! My triglycerides are very nicely in range (90) but with an elevated LDL at 193.
Doc put me on a statin after 2 consecutive blood tests with high ldl. Crestor 20mgs/day but it hinders my performance in the gym, i bodybuild, so the gym is huge for me. Dropped the Crestor to 5/mgs 3x per week and I’m feeling good. Added in ezetimibe too on my own with no negative effects.
Thanks, I will check with Kaiser about testing the APOE gene, I’ve heard that before too so this reminded me 🙏
I have the same problem as you, everything seems normal except for my LDL, what is your Hdl and did you figure out what is going on. Are you on keto
Life insurance companies tend to place more emphasis on where triglyceride levels and hdl ratios, rather than total or ldl cholesterol
also GGT is their primary one
Triglycerides come in a wide range of chain lengths. C6 thru C10 chains are good (ie MCT), longer chains not so good. It is good to do your research on the foods your eating and know if they are rich in Medium Chain or Long Chain Triglycerides. If you are eating low carb/healthy keto you are already reducing LCTs. Intermittent fasting is also an awesome tool for reducing the effects of LCT.
Great news, thanks.
I've never met a Dr who cared this much. Never.
I’m not a doctor but get your point. Thanks 🙏🏽
@@Highintensityhealth I know but you cover this better than they do.😁
Fantastic information 👍🏾👌🏾💪🏾🇬🇧
Thank you for all your info!
You're the only one ill instantly hit the like button for 😊
I have had high triglycerides over 300 all of my life. I am 48. I eat fairly healthy, normal weight and mountain bike and exercise 3-4 times a week for 20 years. Just had my labs and my TG is 528. My doc wants me on statins but I refuse !
My guess is that you've developed insulin resistance. Statins are definitely not the solution. Eating less carbs and intermittent fasting will do wonders to bring your levels in check. I was a non believer until I tried it. I refuse to take numerous meds chasing at lower numbers, only to leave you feeling even more like crap.
What, exactly, do you eat? I eat the inverted food pyramid, ie dirty carnivore, and my triglycerides are 41.6
what exactly is the issue with high triglycerides? I have read that if you are on keto diet releases triglycerides into the blood from fat cells
found this
Niacin's effect on triglycerides is among the best of the agents available. In patients with hypertriglyceridemia and modest LDL-C elevations, niacin lowers triglyceride levels 20% to 50% and LDL-C about 20% at a 2-g/d dose (Figure 2).
Excellent video, thank you!
My total cholesterol is 175, my triglycerides are 77, my HDL is 48; my VLDLis 14, and LDL is 113
When I started eating low carb and exercising regularly, I remember my triglycerides being around 35. The doctor said they don't see that too often lol.
he said that because most pepole eat a LOT of carbs when they shouldn't be lol
My triglycerides are 41.6 which is super low. I do indulge in some junk food once or twice a week, though, but my daily diet is practically zero carb, high animal fat, and moderate to high protein.
Lab results back 12/14/22: I fasted 24 hr PRIOR> I follow low fat low carb diet. I was shocked my cholesterol numbers this time were HIGHER> I had not fasted before. I did this time. So my results this time are:Total choles: 211. LDL 139. BUt my TRIGLy ERIDES are LOW- they are 55. Does this make me at giant risk. My trigly. have always been good. BUt that LDL went Way higher than 6 months ago. shocked. My A1C remains ata 5.5
THANK YOU! This was SO helpful! Watching it again!
On sunday my father had a heart attack. He's a former world champ, extremely fit 55yo male, eats a mix between mediterrian-style diet and SAD - usually "healthy" but enjoys chips and chocolate every now and then. For a few months he's been feeling something off and finding himself strangely out of breath. For his bloodwork, he had "perfect" results for everything, but I actually questioned it because I felt that the triglicerides were high at 110 for someone as active and fit as him. I didn't know much about it, but mine are around 30 so intuitively assumed he should be under 80 at least. Then he suddenly collapsed and was taken to the ICU. Apparently the top to the bottom on the right side of his heart was just not transmitting. And the ventricles aren't pumping right and is very inefficient. His ejection ratio is low 30s. The doctors are calling it ideopathic - they have no idea, they think maybe there could be some sort of infection. They put a pacemaker in him, and he is about to be discharged after nearly a week of monitoring.
He refuses to even try a low carb diet, but I'm still trying to convince him to at least give it a go. He has an autoimmune disorder that he's in denial about that passed onto me in an even more debilitating form - I could barely function as a human and was permanently sick and injured until I started a carnivore WOE. He doesn't even want to consider that lifestyle could be a factor here, he wants to just blame it on an unknown infection or something.
I love my dad, and don't want him to die. But I don't know what I can say to him anymore if he won't listen. And I'm convinced that his autoimmune disorder plays a role in this - he also needs to live a restrictive lifestyle especially as he ages.
Did he get covid vaccine? Lots of sudden heart damage from it.
Does he use Beef Heart real or supplement to strengthen his heart ?
@@joycewright5386 Yes, but he was experiencing some issues before he got covid and then the vaccine later, to be fair. I also consider this to be a factor, but simultaneously if his body was in a state that could deal with it, well then he could deal with it. And that's brought about by lifestyle.
@@inthehouse9062 No, doubt he'd think of it
@@justadudebrowsin5807 It is high in coq10 which I believe the heart uses a lot of but you and him can do your own research check out Dr Berg on the subject of coq0
Is he able to resume his normal routine?
Thank you so much for this information. I am 52 and pretty active I run a couple miles twice a week and just started wieght lifting again 2-3 times a week. I'm not over wieght but I'm I'm peri menopause. My doctor wants me on statins. I'm so sad because amongst my family and friends I am the only one who follows a healthy life style so it's a constant battle and now my doctor. I eat Paleo and am about 80% pure on it with daily 12 hour fasts. Trigl 68 ldl 186 hdl 59 vldl 11. How does this look. My last labs low sugar and all else good
My latest was total c 349/ HDL 47/ ldl 281/ triglycerides 51. Triglycerides/HDL ratio of 1.08. Vldl ratio of 19. Been ketovore for 8 weeks. I’m sure my va doc will freak out . But I’ve been lifting and running for 30 years regularly 5-6 days a week. Down 30 lbs currently
Amazing numbers...
Great job man
Great video!
Mike, great video! Had to look up “atherogenicity” though! Question - if i’m 57 and my tri-G’s have been
Cinnamon helps lower your triglycerides.
It's harmful used regularly or in high amounts. Also, very few people consume real cinnamon, as it's hard to find, which actually isn't that harmful, and unfortunately not flavorful.
I have learned that the Ceylon type is considered safe to use
@@magnegronnevik8064 Yeah, but unfortunately it doesn't have the cinnamon taste most of us are used to. It's precisely the thing that's bad for us in "cinnamon" that gives it the flavor we enjoy.
Don't forget to get Ceylon Cinnamon!
video helped me win an argument, ty
I make a casserole with ground beef, eggs, cheese with seasonings and cheese and have it for breakfast with avocado. It lasts me for a few days. Also I might throw in gherkins etc if in the mood.
my LDL was 92 and my Triglycerides is 46, my HDL is 66, non-HDL is 101, when fasting for about 13 hours.
It would be great if you could include the measurements used in Canada as well. The USA standard of measuring is different and hard to follow. Thanks
I know this isn't necessarily a muscle building/workout channel. However I was wondering if he has done a video on the effects of spreading out lifting weights. I was walking 1 straight hour per day for cardio and found myself sort of burnt out or unmotivated to continue so what I did was start doing two 30 minute minimum or sometimes 45 minute walks to my day at say Noon to 2Pm an within an hour of a meal and then again at evening after my 2nd to last meal. maybe 5-7pm. It has seemed to help me stay focused on getting my cardio in and walking after each meal. I am to the point where I'm 90lbs down and want to begin strength training as well to the cardio each day. Instead of working out right after one long walk, I wanted to try to break up my days workout between the two cardio sessions. For instance If I'm doing upper body/chest. I do maybe Biceps and Shrugs and shoulders after one walk, and then Triceps/Pecs/Abs in the next session. The reason being is that I'm sort of afraid after being lethargic for so long and not lifting for literally years that It might affect my blood sugar being lower. I am not a diabetic and saw a endocrinologist for what I believe to be blood sugar issues. After seeing her and showing her some numbers I had during cardio she is comfortable that it is likely not although I still keep 'feeling blood sugar type surges' in around eating food. I have started lifting and do notice my blood sugar numbers are 10pts lower as opposed to just doing cardio and walking. It's a good thing but I'm still getting used to it. I think the issue I might be having is in regards to electrolytes/water intake which I m seeing a doctor about or perhaps a issue with the Throat which I saw a ENT about and am addressing. I was wondering if anyone has any input on how to burn more fat throughout the day and if this is effect as opposed to doing the entire workout right after cardio. I'm actively trying to lose weight and currently at 292-295ishlbs down from 381lb in about a year. Hopefully that rant makes sense. In addition when should I take protien or the keto collagen peptide (type 2) that I've been to best be used by my body? Thanks!
There is a Graph of triglycerides and Phenotype A and Phenotype B from Circulation, 82(2), 495-506. It shows that for triglycerides of 45 mg/dl or less more than 90% of the LDL are the large fluffy type. Was pleased to find out that this is where mine were. My doctor also said that the most impotant marker for heart health is the ratio of Triglycerides to HDL. The nearer to 1 or lower, the better. Mine was 0.64
Yes, I think that's correct most of the time. Everyone's different, like the classic cases of familial hypercholesterolemia where cholesterol deposits will be a big problem without extra treatment.
Back about 15 or so years ago my doctor informed me that my triglycerides were getting too high. 79. She said officially it was suppose to be under 150, but she felt under 80 was safer.
My cholesterol was low, but she explained that triglycerides were a much better indicator for heart disease. I was surprised as I had never heard any of that before.
It was not until going low carb three years later that I brought my triglycerides down to what she described as surprisingly low. She was very happy with me. MY HDL to triglycerides was also extremely good.
We moved 4 years ago, and when I asked about my triglycerides levels after bloodwork, the Nurse Practitioner we had been assigned said triglycerides were not important. My husband had health issues so we were assigned fast.
My triglycerides were still very low, even though I had not fasted. I was happy about that.
But I was informed that it wasn't important. But my HDL was slightly high and my LDL normal. Triglycerides did not matter. I was a bit stunned.
Last bloodwork they calculated the HDL to triglycerides, so slowly getting into the new century. Most doctors are still in the dark ages. I know this from talking to friends.
My doc neve heard of the triglycerides to hdl ratio.
Exactly
Smart doctor
i’m confused my very famous NYC MD who now only takes cash prepaid $4,000. patients .. said my triglycerides somewhat high but ok .. they are good cholesterol .. ❓but i get the insulin resistance connection
So what’s a good drug to lower triglycerides? I’ve been taking krill pills and it hasn’t worked much.
For most people LDL-C tracks with ApoB, especially if you add VDLC-C…basically your not HDL cholesterol. Mendelian randomizations show a direct correlation between ApoB and MACE, not TG and MACE.
You’re essentially correct in everything you’re saying. Those of us who are “into lipids” have been preaching about the superiority of ApoB/LDLp over cholesterol for years. My issue here however is that you need to add a caveat about people with very high LDL cholesterol. Basically >200. LDLc at those levels indicate potential HeFH and confer greatly increased CV risk even if the person is otherwise “healthy”. I’ve seen several people commenting on this video and others on this topic with LDLc in the 200-300 range thinking they’re fine. So please remind people that in those cases they should confer with their health provider and/or a lipid specialist.
Dr. David Diamond has Familial Hypertriglyceridemia (different than hypercholesterolemia, but MDs hit it with the same hammer... statins) and isn't worried about high LDL while eating a high fat low carb diet. th-cam.com/video/VUMUhp1pSyM/w-d-xo.html
Wow so much information and everything free. I have high triglycerides. I discussed with multiple doctors they knew nothing about high triglycerides. All they said is it appears to be genetic and they put me on statins. Thank you so much. We need more information / research on this. Please make more videos on this topic. Everyone suffering from this can maybe post a comment if following his advise helped you and what exactly changed even I would do the same.
I've had high triglycerides for the past 10-15 years (400-450). Not until the past year that I wised up and took my health into my own hands, rather than listening to the doctors. Ive practiced a low carb diet as well as intermittent fasting, and now my triglycerides are well under 200 (and dropping). I feel much better these days too.
@@Sooflojoe thank you for replying. My triglycerides was in the range of 500- 550 before the doctor prescribed me statins (rosuvastatin f). Were you prescribed any medications. My doctor says all meat based products have triglycerides and cholesterol. So I guess i have to try intermittent fasting and stop having medicines maybe for a month and check the blood report.
@@nishanthshetty3615 yes prescribed statins as well. I read about all the nasty side effects and I refused to take them. It basically boils down to diet and exercise. Believe me, that's a harder pill to swallow from someone who loves fried foods and sweets. However once you have 'converted' to a low carb diet lifestyle, as well steady exercise, and NO processed oils, you will see your health start to improve. Also, try incorporating intermittent fasting. I wasn't into any of this until visiting the hospital 3 times last year due to sickness, and nobody could explain to me why.
@@nishanthshetty3615 high glycemic and sugary foods are what drive triglycerides up. Your doctor is definitely misinformed.
@@Sooflojoe thank you for responding let me start low carb and exercise. Do you eat meat and does fat in meat affect your triglycerides levels. I am a meat lover but have stopped eating it because of my condition
Might I also add to pay close attention to liver ALT, a known marker for NAFLD. The old standard used to be
I enjoyed your video. My dr is pushing statins. My fasted VLDL is 9 and my fasted trigylucides is 44. My ApoB is 103. What’s wrong with these numbers? I am 64 and in good health. And My HDL us 110 and my LDL is 120.
i just found from out (from 4 hour plasma insulin sensitivity test) i'm super resistant (14 years pre diabetes with blood sugar from 103-110 range)...my trigs have always been ok in the 70s 80s and recently 58. My LDL just out of range most years. Stumping the researcher....drs don't seem to be bothered over the decade or two...i've had my aha moment after i found out my insulin resistant badly. Made to feel like a hypochrondriac over and over again when saw the cardiologist , endocdrinologist and nobody would want to test my apo a & b. I armed myself with a printout of an article from Mayo Clinic yet it was very diffiuclt to get someone to take me seriously. When i got those tested, apo a and b high, getting referred to an endo yet their office STILL? didn't want to make a consult appt. I had to be a guinea pig at an ivy school clinical study (where i found myself insulin resistant) and had fatty liver results and persisted before they are deciding finally to have these retested before i can get a consult at the lipids center.
Great video. I also heard another important factor is your triglyceride to HDL ratio. If it's about two, you're on your way to developing heart disease. I've been telling everybody don't even worry about LDL. Avoid sugar, processed carbs, and absolutely processed seed oils. I've been following this path along with exercising and eating right for a while and my current triglycerides is 58 and HDL is 56 at the age of 45.
My triglycerides are at 75 and my hdl is at 61, so I wonder if I need to bring my hdl up or triglycerides down
Exactly! I always divide my HDL into my triglycerides. As long as it's under 2 we are good. Yours is about one which is terrific!
@@KAS470 If I'm doing the math right, you are at about 1.23. That's really good!
My TG is 86 and my HDL is 71, so ratio is 1.21. Good? I’m 73 with high LDL.
@@lindad100 according to the real medical science, your LDL is probably very light and fluffy, not oxidized which would make it small and hard. Sounds like you're doing quite well.👍
I feel the need to share this...
So the fact that I had blood work done about 3 weeks ago, I had a triglyceride number of 415. And yes, I was fasting. It has completely scared the crap out of me like you would not believe. I am 6 foot tall, 240 lbs and I live a sedentary desk job work life. I also noticed I been having new onset of anxiety the past few months that I've never had before. I knew something wasnt right and Im glad I went to the doctor. Could the anxiety be linked? WHo knows.
I have since made radical changes to my diet to INCLUDE more fiber and carbs from whole wheat bread, eating plain shredded wheat cereal, almonds and peanuts, and eating vegetables more. I used to snack at work all the time (salt and vinegar chips, oreos) out of pure boredom, not exactly from hunger. I also have started walking to work when it's nice out (it's a 10 minute walk, I really should walk more instead of driving).
I have noticed that since I changed my diet, the anxiety has dropped to almost non-existent. I dropped nearly 10 pounds since that doctors visit (I was 249). I go back to the doctor for a proper physical in a few weeks and I look forward to sharing the results at that time. I'm REALLY hoping the numbers will dwindle.
Skip wheat as much as you can. It does not matter whether your bread is white, brown, multi-grain, all wheat flour is highly processed food that spikes blood glucose more than sugar. This, along with the other changes you made, will go a long way to better health.
have you done low carb>?
Any updates on your result?
Cut the carbs. More meat, more fat
try protein cereal instead..........like magic spoon on catalina crunch.....forget the nuts.......jmo.
im keto been keto for like 7 years now and i couldnt even believe my triglycerides were at 42 after not eating a meal for only 5 hours.
Very interesting!
makes a lot of sense, thx Mike
Can anyone explain to me what exactly it means if you have very low Triglycerides but still HIGH LDL cholesterol? I can never really get a clear answer for my danger level. I understand its good to have low Triglycerides, but its had to have high LDL
Hi Mike. I am a huge fan of yours. I've been watching you for a couple of years.
I am a middle aged female, in (excellent) physical health with almost zero body fat. I run several miles at least a couple of days a week, often on three or four days. I lift or do calisthenics almost daily. My workouts are intense. I am on a consistently very low carb diet that features almonds, avocados, leafy greens, non-starchy uncooked vegetables, fatty fish, extra virgin olive oil. I am in ketosis often and practice intermittent fasting. I am consistently well hydrated, drinking only water. I never eat processed food, avoid starches and all sugars.
By all measures, i am in excellent health. Last year I had a cardiovascular calcium score measure performed and I scored a perfect 0. My arteries were clear.
However, recently my bloodwork revealed high triglycerides and VLDL---several hours post (protein/fat/0 carb) snack. My doctor didn't seem worried by these things. But what would you say? Should I have a retest? And what about getting an oxidized lipoprotein test as opposed to just an APO B test?
What could cause high triglycerides (252) and VLDL when I am on such a strict low to no carb regimen and am quite fat-adapted? Could it have been the several slices of Swiss cheese I ate the morning before the bloodwork? The black coffee I drank?
Steroids lotions or pills taken for infections raises triglycerides ALOT so do a pharma inventory. I learned that lesson the hard way!
Almost zero fat isn't healthy
Dr Cywes has a very good explanation when he went over this couple’s blood work. It’s long but worth the watch th-cam.com/video/D-NKM2XZyto/w-d-xo.html
My CAC was 1200. My dad died suddenly at 41 of a massive MI. I was 15. We were on vacation in South Florida, at my grandparents. I'm 68, in better shape than most guys will ever be, work out hard 4=6 X week. Just got a blood panel: triglycerides are 67. HDL is 112. Im' wondering if you have some sort of a genetic predisposition involving the reabsorption of your triglycerides. That value is quite high. And it seems to me that the Swiss cheese might play a role, so maybe ask for a fasting test. Good Luck!
Zero fat for a middle aged woman is extremely dangerous and asking for a hormonal disaster
How does adding alcohol, specifically red wine, to a meal affect this? Would it be better to consume the wine several hours after a meal? I think I read one time many years ago that the liver converts the alcohol to a fat and therefore it can't burn fat when digesting a meal, causing you to store more fat. Appreciate any thoughts!
What about particle size and oxidized LDL level? Thats what I've read were important in addition to the ones you talk about here.
Is it ok to have caprilyc/capric triglycerides in skincare products applied topically? I assume it penetrates the skin as deeply as glycerin... it'a said to be a very sage ingreadient that's a mix of coconut oil and glycerin.
For the Lipid Load test, how close to blood draw should you wait after last bite?