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re: Got a Physical - Nurse Said My Cholesterol was High - Numbers Say Different

Posted on 6/10/15 at 2:43 pm to
Posted by Macavity92
Member since Dec 2004
6349 posts
Posted on 6/10/15 at 2:43 pm to
quote:

Need to know LDL and Total cholesterol.



Useless. LDL is not a measured number. It is a calculated number. The higher your HDL the less reliable the calculation is. If you are really concerned you need to have your doctor run a test that shows particle sizes for LDL and HDL cholesterol. At that level they do actually measure it.

LDL Calculation
Posted by gorillacoco
Baton Rouge
Member since Oct 2009
5328 posts
Posted on 6/10/15 at 2:45 pm to
quote:

HDL: 49 mg/dL
Chol/HDL: 4.35


This means your total cholesterol is 4.35 x 49mg/dL

Which is like 217 or something. Pretty high IIRC the charts correctly.
Posted by Ace Midnight
Between sanity and madness
Member since Dec 2006
96300 posts
Posted on 6/10/15 at 2:46 pm to
quote:

low cholesterol diet


Cholesterol consumption has virtually zero effect on serum cholesterol levels.

Your HDL and Triglyceride levels seem fine. Your ratio looks fine. I'm not a doctor, but I wouldn't listen to anyone who suggests cholesterol (versus saturated fat and/or trans fat) consumption has any effect on your lipid profile or cardiovascular risk.

If she had told you to reduce saturated fat consumption, as well as carb consumption, and increase your cardiovascular exercise, I might give her a little bit of credibility.

If you're really concerned about it, find another doctor. (They're trying to soft sell you a statin prescription, BTW).

This post was edited on 6/10/15 at 2:49 pm
Posted by dnm3305
Member since Feb 2009
16413 posts
Posted on 6/10/15 at 2:47 pm to
Whatever you do, dont think you cant eat bacon and eggs. Genetics, smoking, stress and fitness are more important
Posted by Topwater Trout
Red Stick
Member since Oct 2010
70183 posts
Posted on 6/10/15 at 2:47 pm to
quote:

This means your total cholesterol is 4.35 x 49mg/dL Which is like 217 or something. Pretty high IIRC the charts correctly


I did mine a month ago and I think mine was in the low 30's on the mg/dl...next to cholesterol it had (low)
Posted by dnm3305
Member since Feb 2009
16413 posts
Posted on 6/10/15 at 2:48 pm to
quote:

If you're really concerned about it, find another doctor. (They're trying to soft sell you a statin prescription, BTW).


Yes they are. And dont do this unless you want to slowly kill yourself.
Posted by Artie Rome
Hwy 1
Member since Jul 2014
8757 posts
Posted on 6/10/15 at 2:48 pm to
quote:

holesterol consumption has virtually zero effect on serum cholesterol levels.


The fact that some doctors still preach a high carb / low protein diet is astounding.
Posted by Twenty 49
Shreveport
Member since Jun 2014
21542 posts
Posted on 6/10/15 at 2:48 pm to
quote:

Did you fast before for 24 hours?


24 hours is a serious fast. Does your doc require that?

Mine says to eat nothing after midnight the night before the appointment; black coffee and water only for breakfast.
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 6/10/15 at 2:49 pm to
Your LDL can actually be too low. You are at higher risk for fever, sepsis, and infection with a LDL below 40.
Posted by gorillacoco
Baton Rouge
Member since Oct 2009
5328 posts
Posted on 6/10/15 at 2:49 pm to
quote:

mine was in the low 30's on the mg/dl


that was your HDL cholesterol number. you have an HDL and an LDL number which determines your total cholesterol (along with some other factor involving your triglycerides). <180 total is supposed to be the 'target' cholesterol.
Posted by BigPerm30
Member since Aug 2011
32450 posts
Posted on 6/10/15 at 2:50 pm to
She's definitely trying to frick you.
Posted by StringedInstruments
Member since Oct 2013
21088 posts
Posted on 6/10/15 at 2:50 pm to
I'm wondering if it's the health insurance issue. "Come back in six months..." which is after the deadline for this screening.

If I pass the health insurance company's tests, I get a $50/month discount. Hopefully my cholesterol doesn't ruin it for me.
Posted by WeeWee
Member since Aug 2012
46014 posts
Posted on 6/10/15 at 2:51 pm to
quote:

holesterol consumption has virtually zero effect on serum cholesterol levels.


The fact that some doctors still preach a high carb / low protein diet is astounding.


That is because they don't teach nutrition in medical school. They teach the biochemistry of it so MDs understande the mechanism but the recommendations they just say refer to the USDA. I think that is the biggest flaw in medical education.
Posted by Topwater Trout
Red Stick
Member since Oct 2010
70183 posts
Posted on 6/10/15 at 2:52 pm to
DR just said it was good which shocked me
Posted by WeeWee
Member since Aug 2012
46014 posts
Posted on 6/10/15 at 2:57 pm to
quote:

DR just said it was good which shocked me


So the nurse calls you and can't read the chart or tries to act like she knows more than she actually does? Not surprising.

ETA: Apparently I can't read either
This post was edited on 6/10/15 at 3:09 pm
Posted by jeffsdad
Member since Mar 2007
25379 posts
Posted on 6/10/15 at 2:59 pm to
Mac and Ace had good points, however, consumption does affect cholesterol levels in most people. For me, only about 10% :(. The size of your LDL particles make all the difference in the world. It can be very surprising to find out you have borderline results on cholesterol etc., and have a heart attack soon afterwards.
Posted by dnm3305
Member since Feb 2009
16413 posts
Posted on 6/10/15 at 3:00 pm to
quote:

consumption does affect cholesterol levels in most people



The consumption of what?
Posted by Topwater Trout
Red Stick
Member since Oct 2010
70183 posts
Posted on 6/10/15 at 3:00 pm to
im not the op...I have low cholesterol
Posted by Artie Rome
Hwy 1
Member since Jul 2014
8757 posts
Posted on 6/10/15 at 3:01 pm to
quote:

That is because they don't teach nutrition in medical school.


Blows my mind. The biggest problems faced by MDs and the population are related to food.
Posted by WeeWee
Member since Aug 2012
46014 posts
Posted on 6/10/15 at 3:05 pm to
quote:

Blows my mind. The biggest problems faced by MDs and the population are related to food.


Only 5 schools in the US teaches it and non of the caribbean or international schools do. The rational is that as long as you understand the underlying mechanisms than you can just read the USDA website and know enough to refer to a nutrional and/or exercise therapist.

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