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Is it good to have high good cholesterol?

Posted on 1/22/18 at 4:36 pm
Posted by Will Cover
St. Louis, MO
Member since Mar 2007
38592 posts
Posted on 1/22/18 at 4:36 pm
Test results just came back in. Other than testing positive for HIV, my HDL came back at 60 mg/dL. Apparently the standard range, according to the test results I am looking are >45 mg/dL. From what I have read, the higher your HDL, the lower linked risked to heart disease.

Is 60 mg/dL actually considered "high?"

What I found interesting is that I can actually view my test results before my actual doctor's appointment. Cool ... but could have been scary?


This post was edited on 1/22/18 at 4:41 pm
Posted by pioneerbasketball
Team Bunchie
Member since Oct 2005
132531 posts
Posted on 1/22/18 at 4:37 pm to
Fatty alert
Posted by papasmurf1269
Hells Pass
Member since Apr 2005
20913 posts
Posted on 1/22/18 at 4:38 pm to
Probably better to have low bad cholesterol
Posted by Obtuse1
Westside Bodymore Yo
Member since Sep 2016
25836 posts
Posted on 1/22/18 at 4:39 pm to
quote:

Is 60 mg/dL actually considered "high?"


Just means you are likely a woman.
Posted by LSUfan20005
Member since Sep 2012
8820 posts
Posted on 1/22/18 at 4:50 pm to
Doesn't mean anything at all.

You'll need to test your LDL-P to really know anything.

You should Google Chris Kresser + cholesterol and maybe listen to podcasts he's been on. His analogies about particles and cars on the road/boats in the water is the best way to understand.
This post was edited on 1/22/18 at 4:53 pm
Posted by lsupride87
Member since Dec 2007
95905 posts
Posted on 1/22/18 at 4:50 pm to
The ratio is the most important metric
Posted by Tyga Woods
South Central Jupiter Island, FL
Member since Sep 2016
30374 posts
Posted on 1/22/18 at 4:51 pm to
Aids cancels out the HDL. Sorry baw.
Posted by Big Scrub TX
Member since Dec 2013
33584 posts
Posted on 1/22/18 at 5:09 pm to
quote:

Is it good to have high good cholesterol?
Excellent question. Good piece about it today in the Telegraph. LINK

quote:

Test results just came back in. Other than testing positive for HIV, my HDL came back at 60 mg/dL. Apparently the standard range, according to the test results I am looking are >45 mg/dL. From what I have read, the higher your HDL, the lower linked risked to heart disease.

Is 60 mg/dL actually considered "high?"


In the absence of a lot of other blood markers, the most telling/relevant metric will be your ratio of triglycerides to HDL. Ideally, you want that lower than 2. People with severe insulin resistance and/or metabolic syndrome almost always have a bad ratio (it's essentially a proxy for bad particle numbers.)

More broadly, your cholesterol (as commonly discussed) is nearly entirely irrelevant. e.g. your LDL or "bad cholesterol". Just ignore whatever number they gave you for that. What you need to find out is: LDL particle count, small LDL, LDL particle size, HDL particles, HDL size, large HDL-P, large VLDL-P and VLDL size. You can get all of these by ordering an NMR panel. Just know that all-cause mortality correlates very poorly with blood cholesterol. It's a ridiculous bill of goods we've been sold off of the back of terrible research and corruption over the past 70 years.

More holistically, this blood stuff doesn't matter very much. If you are eating properly (and I would argue that low carb is the only way to go), then you will know if something substantial is going bad for you without having to examine blood work.
Posted by Will Cover
St. Louis, MO
Member since Mar 2007
38592 posts
Posted on 1/22/18 at 5:13 pm to
quote:

In the absence of a lot of other blood markers, the most telling/relevant metric will be your ratio of triglycerides to HDL. Ideally, you want that lower than 2. People with severe insulin resistance and/or metabolic syndrome almost always have a bad ratio (it's essentially a proxy for bad particle numbers.)


Here are the rest of my results. You sound like you know what you're talking about.

Cholesterol, Total 188 mg/dl (140 to 200 mg/dL standard range)
Triglycerides 63 mg/dL (35 to 150 mg/dL standard range)
HDL 60 mg/dL (>45 mg/dL standard range)
LDL Calculated 125 (60 to 135 standard range)


I take 4 fiber pills daily. I read that sugar is a large part of cholesterol. And eating a high fiber, low sodium and low fat diet can help with cholesterol. This is about all I know at this time.

Appreciate the information you shared.
This post was edited on 1/22/18 at 5:15 pm
Posted by Big Scrub TX
Member since Dec 2013
33584 posts
Posted on 1/22/18 at 5:33 pm to
quote:

Triglycerides 63 mg/dL (35 to 150 mg/dL standard range)
HDL 60 mg/dL (>45 mg/dL standard range)
So, your ratio is 1.05:1...that's pretty excellent my friend!

quote:

I take 4 fiber pills daily. I read that sugar is a large part of cholesterol. And eating a high fiber, low sodium and low fat diet can help with cholesterol. This is about all I know at this time.

It's true that ingested sugar/carbs is what causes metabolic syndrome and cardiovascular disease. It's not true that high fiber, low salt and low fat are good for you. What's mostly true is that cholesterol is largely irrelevant (at least these headline numbers.)

I would stop the fiber pills - no use. I would eat low carb and high fat. And I'd probably keep my salt on the higher side than the lower side.

Like I said, if you want to go deeper with the NMR Panel, then that can give you some more numbers. However, I don't see anything to worry about here.
Posted by lsu777
Lake Charles
Member since Jan 2004
31436 posts
Posted on 1/22/18 at 5:55 pm to
Yea salt doesn't matter so long as it's consistent. More problems arise from drastic swings on sodium and usually when people drop to a low sodium diet suddenly
Posted by zatetic
Member since Nov 2015
5677 posts
Posted on 1/22/18 at 6:38 pm to
The Story of Fat: Why we were Wrong about Health

It's mainly triglycerides and inflammation that you have to watch out for. HDL and LDL are just transporters of cholesterol, either to or from the liver. Cholesterol is good for you and you make like 3,000 mg of it a day because you need it for your brain, hormones, repairing your body etc.

Americans started getting really fat after going to low fat diets. Basically stop eating sugar and processed foods.

Cholesterol (Part 1): The Real Purpose
Posted by lsucoonass
shreveport and east texas
Member since Nov 2003
68484 posts
Posted on 1/22/18 at 7:41 pm to
Why would you admit to a + hiv test on here
Posted by AUCE05
Member since Dec 2009
42574 posts
Posted on 1/22/18 at 7:47 pm to
My HDL was 83 last month. Dr was oddly impressed.
Posted by Hulkklogan
Baton Rouge, LA
Member since Oct 2010
43305 posts
Posted on 1/22/18 at 8:03 pm to
quote:

In the absence of a lot of other blood markers, the most telling/relevant metric will be your ratio of triglycerides to HDL. Ideally, you want that lower than 2


I did mine from my test last August

Triglycerides 150
HDL 39


This post was edited on 1/22/18 at 8:04 pm
Posted by McLemore
Member since Dec 2003
31534 posts
Posted on 1/22/18 at 8:36 pm to
quote:

Doesn't mean anything at all.

You'll need to test your LDL-P to really know anything.

You should Google Chris Kresser + cholesterol and maybe listen to podcasts he's been on. His analogies about particles and cars on the road/boats in the water is the best way to understand.


This. And to get an idea of whether a "high" LDL count is troublesome (and therefore you should definitely verify with the LDL-P test), look at the ratio of your triglycerides to HDL. That should be close to 1:1 (mine was 1:1 my last test. 2:1 t:hdl is ok but you want it as close to 1:1 as possible).

I haven't looked into VLDL as much except that it contains the most triglycerides. Supposedly normal range is 2 to 30.
This post was edited on 1/22/18 at 8:38 pm
Posted by McLemore
Member since Dec 2003
31534 posts
Posted on 1/22/18 at 8:38 pm to
what bigscrub said too. just saw that. sry.
Posted by McLemore
Member since Dec 2003
31534 posts
Posted on 1/22/18 at 8:38 pm to
quote:

My HDL was 83 last month. Dr was oddly impressed.


most doctors are oddly DUMB when it comes to cholesterol, and frankly, anything but Rxes, scans and surgery....

sorry, i accidentally submitted early. I'm curious about your doctor's comments on LDL and triglycerides. Sorry if I missed that. I'll go back through thread.
This post was edited on 1/22/18 at 8:41 pm
Posted by AUCE05
Member since Dec 2009
42574 posts
Posted on 1/22/18 at 10:25 pm to
I can't remember. My numbers were high the year before. I changed diet, increases red wine, and they improved. I think total was still like 210. But she said she wasn't too worried.
Posted by Will Cover
St. Louis, MO
Member since Mar 2007
38592 posts
Posted on 1/23/18 at 7:13 am to
quote:


I would stop the fiber pills - no use. I would eat low carb and high fat. And I'd probably keep my salt on the higher side than the lower side.


I also take the fiber pills to help regulate me. I notice a big difference when I skip a couple of days. I never add salt to any of my meals after their cooked, but I also don't skimp on it either in preparation. I only use either sea or kosher salt - not sure if this makes a big difference?

quote:

your ratio is 1.05:1...that's pretty excellent my friend!





If you don't mind the ask, are you in the medical field? If so, in what capacity?
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