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Just had annual physical and my cholesterol was high

Posted on 4/27/22 at 12:31 pm
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
27720 posts
Posted on 4/27/22 at 12:31 pm
First time ever. I'm 41 and workout every day pretty hard. I got a great report from my cardiologist doing all my tests in Jan.

Im 5'11, 160 and lean. Follow the 80/20 rule on eating lean proteins and veggies.

Here are my numbers. Please let me know what has worked to lower your LDL

Total 185

HDL- 56
Triglycerides- 63
LDL- 114

This post was edited on 4/27/22 at 1:31 pm
Posted by BeachDude022
Premium Elite Platinum TD Member
Member since Dec 2006
34812 posts
Posted on 4/27/22 at 12:46 pm to
I dunno honestly. Maybe throw a Niacin supplement into your daily regime.
This post was edited on 4/27/22 at 1:17 pm
Posted by KoozieKing
Baton Rouge
Member since Oct 2015
203 posts
Posted on 4/27/22 at 1:39 pm to
Who told you this was high?
Posted by FieldEngineer
Member since Jan 2015
2123 posts
Posted on 4/27/22 at 1:43 pm to
quote:

Who told you this was high?


Agree. HDL could be higher, but overall it seems like a normal set of numbers.
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
27720 posts
Posted on 4/27/22 at 1:48 pm to
on the report he wrote LDL was high
Posted by KoozieKing
Baton Rouge
Member since Oct 2015
203 posts
Posted on 4/27/22 at 1:55 pm to
quote:

on the report he wrote LDL was high


Get a new doctor
Posted by transcend
Austin, TX
Member since Aug 2013
4166 posts
Posted on 4/27/22 at 2:18 pm to
I recently learned high testosterone can cause higher cholesterol. That seems to be the case for my results, as everything is pristine with that one exception. Clean eating, exercise, no issues otherwise.
Posted by calcotron
Member since Nov 2007
8265 posts
Posted on 4/27/22 at 4:06 pm to
What you have learned is that your current doctor looks at a paper for 30 seconds before meeting with you and isn't giving you personal and whole health attention. I have had test results flag outside the boundaries they set, but my doctor always explains why he isn't worried based on my lifestyle or other numbers or whatever.
Posted by Vyvanse
Baton Rouge, LA
Member since Aug 2014
240 posts
Posted on 4/27/22 at 4:26 pm to
“High” LDL means nothing without context. Doctors are too big of pussies to tell you anything other than the same bullshite they’ve been parroting the last 50 years. Surprised he didn’t try to put you on a statin
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
27720 posts
Posted on 4/27/22 at 5:24 pm to
I have a very good Vo2 and a 40-44 resting heart rate.


my cardiologist said my heart is in great shape.

This is my GP
Posted by LSUSkip
Central, LA
Member since Jul 2012
17552 posts
Posted on 4/27/22 at 7:29 pm to
I think you're good. I would love to have those numbers.
Posted by Shepherd88
Member since Dec 2013
4585 posts
Posted on 4/27/22 at 8:28 pm to
High Cholesterol levels means nothing if your triglyceride levels are normal. Which yours are.
Find a new doctor
Posted by LSUSUPERSTAR
TX
Member since Jan 2005
16312 posts
Posted on 4/27/22 at 9:01 pm to
How do they compare to previous years? Are you trending higher?

As a snapshot, they seem fine. You can take a red rice yeast supplement which can help. Otherwise, I wouldn't worry about it.
Posted by Rohan Gravy
New Orleans
Member since Jan 2017
18003 posts
Posted on 4/27/22 at 10:04 pm to
quote:

Total 185 HDL- 56 Triglycerides- 63 LDL- 114


Sounds like you’re bragging
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
27720 posts
Posted on 4/28/22 at 7:08 am to
thx for the feedback. I promise im not bragging. My bloodwork has never come back with anything other than normal so I haven't paid attention to the levels and whats normal or not.

On the PDF they emailed me it says normal baseline for LDL is under 100, which is why they marked it for high

I googled it last night and it said new research is saying optimal is under 100.
Posted by Rohan Gravy
New Orleans
Member since Jan 2017
18003 posts
Posted on 4/28/22 at 9:48 am to
Just joking with you.
Hope all is well.
Posted by CrawDude
Baton Rouge
Member since Apr 2019
5266 posts
Posted on 4/28/22 at 9:54 am to
I currently have similar lipid profile as yours and a similar physique, lean (“skinny”). I’m the 1 out 10 trying to gain a bit of weight/muscle vs needing to drop pounds.

For several years my total cholesterol (TC) was about 240, LDL, 150, but triglycerides and HDL were normal/good. In a discussion with my PCP, I wanted to avoid satins if possible and lower my LDL and TC levels via dietary changes and exercise if possible.

These were the dietary changes I made - switched from whole milk to 1%, I use to drink milkshakes nightly, but pretty much gave up whole fat ice cream altogether. I rarely ate breakfast in years, so I started eating high fiber cereal for breakfast daily and generally increased my fiber intake all together via avocados, and more beans in my diet (I always ate those, I just just increased my intake of them). Those were the only significant dietary changes I made.

In 1 year I decreased Total Cholesterol below 200, LDL was reduced a good bit from 150 but sits at around 120 and I’m working to lower that below 100 if possible, and though triglycerides and HDL were normal before, they improved. I was surprised with degree of change and my PCP was impressed how much I improved my cholesterol numbers in 1 year with dietary changes alone which in my opinion were minor and not all difficult for me, and my PCP was no longer concerned with my LDL being lightly above 100 given that my remaining lipid profile numbers were good and improved.

Although I’m generally active, I failed to include a good exercise regime to accompany the dietary changes to help in improving cholesterol numbers (that doesn’t appear to be an issue with you) so beginning this past Feb, I started a consistent regime of cardio 3 days a week and strength training 2 days per week in hopes this, combined with the dietary changes, will lower my total cholesterol and LDL even further, of course with the other health benefits cardio and strength training incurs. I won’t know until my next physical in October the benefit adding the cardio and strength training to improving my lipid profile but I’m optimistic.

This is a reason I started following the Heath and Fitness Board (HFB) on a daily basis the past couple months to learn from you all - and I am learning a lot.



Posted by CoachChappy
Member since May 2013
32538 posts
Posted on 4/28/22 at 1:54 pm to
quote:

on the report he wrote LDL was high


Get a new doctor



THIS!!!
Posted by Big Scrub TX
Member since Dec 2013
33403 posts
Posted on 4/28/22 at 2:29 pm to
This isn't high.

Even if it were "high", that probably doesn't mean much.

Your tri:HDL ratio is 1.1 - very good. (anything above 2 might be concerning).

If you are really eating how you say you are, then you'll know something major is wrong with you WITHOUT having to look at bloodwork.

Fire you doctor.

Keep living the good life.

You're welcome.
Posted by emanresu
Member since Dec 2009
9367 posts
Posted on 4/28/22 at 3:36 pm to
quote:

High Cholesterol levels means nothing if your triglyceride levels are normal. Which yours are.
Find a new doctor

This is why you don't take medical advice from a message board (including this post). There so much wrong with this I don't know where to start. LDL particle atherogenicity is in no way mitigated by normal triglycerides.

If you want to know what your risk is of having a heart attack, get an LDL-p, or an apo-B, both of which are typically included in a lipoprotein fractionation panel. LDL-C is not a good measure of risk because it is not always concordant with LDL-p/apo-B, which are the true markers of cardiovascular atherogenicity.

Your triglycerides go up every time you eat carbs. It's up and down like a roller coaster all day. Simply having low triglycerides on a test says nothing about the number of LDL particles you have which consequently means it says nothing about what you're risk is of coronary artery disease.

If you are LDL-p or apo-B are out of whack, tell your PCP to refer you to a lipidologist.
This post was edited on 4/28/22 at 3:38 pm
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