We are lucky to have folks like Dr. Hallberg thinking ahead of this. I am avoiding the hell out of a statin and my doc saysI have 90 days to improve. This is inspiring as I begin my keto journey.
I am going to the followup visit armed with lots of data that LDL on standard tests is not a useful measure. I hope that you were able to stay off statins.
I love the way this lady thinks...she epitomizes the true definition of a scientist...I wish they all held to the standards she obviously holds herself to. If they all thought this way & really wanted answers to all the questions, we would live in a much better world!
OMG, yes. Imagine having an honest doctor like this. She gives the best advice but doesnt lie about what she doesnt know. Clmpare her to Doctor John McDougal who is never specifc about the studies supporting his work, never acknowledges when his approach fails. Obviously, shes a successful researcher too.
@@erastvandoren Really.. she reduces diabetics off their meds/lowers the HBA1c, clearly trying to help her patients and has an 'open-mind' that the LDLs on high fat, low carb may have risk.. a quack? Dude I'm a vegan (for moral/health reasons, and kinda poor) and I tell you.. as an M.D. researching on diabetes/insulin resistance that dr. Hallberg is pretty spot on at scientific method. I sometimes disagree w/ even doctors on Whole Food/PlantBased since they''re to inclusive sometimes (like dr. Michael Greger, dr. Joel Kahn, dr. Garth Davis, etc..)
We talk about heroes being cop's and fireman because they save lives. This Doctor is the hero of all heroes. Her message if not fallen on deaf ears will either save your life or extend your life dramatically. Thank you for all your videos Dr Sarah
Dr. Hallberg, I can't begin to tell you how much I love you and how grateful I am for what you've done for my life. I was searching for something else entirely on RU-vid when I saw your TEDTalk in the related videos (it was at Purdue, I think), titled something like "Resolve Diabetes by Ignoring the Guidelines." It definitely got my attention and after I watched it, I studied for two months -- every presentation by every doctor who advocates LCHF -- before I decided this is definitely what I want to do with my life. You're the one that got that ball rolling. And I am so grateful. ~ This is a wonderful presentation! Thanks yet again.
I'm so glad that Dr. Hallberg is doing this research and can't wait to see the outcome. I am among the 1 or 2. I began LCHF in 2009 when I was very sick with with bowel issues, and it worked beautifully to heal my gut. I am continuing with it while reading as much information as I can find, although there isn't much. Grateful that Dr. Hallberg cares enough to investigate this.
Gwen I fall in that camp too, and like you I am reading all I can to get answers, specially when treated by doctors who don't understand and whose only answer is to stop lchf. It's so good there are at least some drs like her that are looking into it.
Very spirited and coherent presentation. Question everything (and act on the best information available at the time). And continue to question everything. Thank you for a enlightening talk!
I wish you were my Dr. I also wish there was a network that helped someone find a Dr. who understands Keto/Fasting. I'm living in Champaign-Urbana following a strict Keto diet. They want me to take statins and I do not want drugs while I am making myself incredibly healthy. sign me healthy, sad and frustrated with the health care system.
My LDL went up on a low carb diet, but it was temporary. It dropped down by the 9th month. Total cholesterol: Before (5.1), after 6 months (6.5), after 9 months (4.5). LDL: Before (3.1), after 6 months (5.0), after 9 months (3.2) LDLC: Before (3.4), after 6 months (4.8), after 9 months (3.3). TRIG: Before (2.6), after 6 months (1.1), after 9 months (0.7) There is always a chance that it could rise again, but I ate more fat and cholesterol between the 6th and 9th months, not less. e.g more cheese/eggs/nuts
I have a very high LDL with HDL of 3.5 and TRG of .5 . This occurred very quickly after changing to LCHF. I am glad this problem is being investigated. Thank you for the video.
LOL! Can totally relate to that PhD issue (both my parents are academics too). BTW, I really like the way Dr Hallbert presents her facts. Really unbiased :)
Dr. Hallberg, thank you for your work. Based on your advice, I adopted LCHF lifestyle and enjoyed so many of the benefits (including significant reduction in triglycerides), except one. After 6 months of diligent LCHF lifestyle, my LDL doubled to 224 and ended up with LDL-P of 3000. I am frightened to continue with LCHF. I understand you are doing a study on this exact issue (some people like me are hyper responders to high saturated fat intake) and can't wait for you to share your findings with us.
If you are lean, perhaps it's not a problem. cholesterolcode.com/are-you-a-lean-mass-hyper-responder/ If you are still concerned... A/Prof. Ken Sikaris - 'Cholesterol - When to Worry' - RU-vid Wanna know how to collapse your heart disease risk? Ok then. - RU-vid
Before reading the other comments, let me just say,, WOW. You blew my doors off. I took notes and will follow up. I look forward to hearing from you in future talks and as your study progresses. I love your passion too.
I actually don't like her high pitched voice and then every so often that throat grovel. I don't know how to describe it but it is like she is not quite sure of what she is presenting and has to put a certain demeanor to it to give it authority. Anyway, the message is good but the voice that presents it is very exhausting for the listener. It is not a pleasant voice!
Just found this, thought I'd comment since I fall into this category she is describing, maybe it will help some people commenting on here. 50 year old male, 2.5 years full keto adapted, never been out of ketosis. I've lost 30lbs of body fat and added ~8lb of lean mass, I lift weights 5 days a week. My waist line went from a 37" to 29" now and I am currently at 14% body fat down from ~29% 2 years ago. I'm probably in the top 1% for overall health at 50 years old. My total cholesterol is the lowest its ever been, my insulin is a 4 very low...however my ldl-p is ~1500 and my APOb is slightly elevated. I am extremely insulin sensitive and I believe my mTOR pathway is very active due to the muscle growth so it seems I fit the description she is trying to study (minutes 15-19). I've been doing a lot of research on this particular topic to figure it out and I've found 2 other very good youtubes that are driving my personal testing. I believe I'm getting too much PUFA (bacon, eggs, etc.) and not enough MUFA (olive oil, nuts, avocado, fish) so recently I've changed up my eating to include more MUFA and less PUFA. I am going to do this for the next 6 months and re-check. I get a full blood panel ran every 6 months so I have decent data now for 2 years. In case anyone wants to understand how to do keto without tons of bacon my normal breakfast now is: 1egg, 2 bacon,(was 2 eggs and 4 bacon) add half an avocado, 1 bullet coffee, lunch is now 2 cups raw baby spinach with just 2 TBSP of extra virgin olive oil, some salt, ~10 fresh olives and ~20 macadamia nuts. Dinners are now salmon or fish twice a week, and other days are beef, lamb, pork (only 4oz.) etc and green leafy veggies sauteed in olive oil. Its really not that hard. I've also added more Omega-3 fats through supplementation. I take 4 krill oil and 2 regular fish oil a day so I'm getting ~4grams of high quality Omega-3/day now which really helps the fat mechanism in the cell (more efficient). If anyone is interested check out the High Intensity Health you tube channel. Mike Munzel interviews a lot of the research keto docs that are testing this stuff now.
Maybe you will come back here and post results, I'm responding so that if you do I will get notified. My lipid panel is as bad as anyone I've seen so far and now finally started taking 10mg pravastatin so my Dr is not fed up with me. I'll quit taking it if my panel gets better. I'm 65 16% body fat. Trying to lose 10 more pounds. I have terrible threes (chol-375, HDL-39, LDL-280, Trig-151) You cant have LDL that high and it not be predominantly very small particle size.
Sean, in my opinion it's possible that you're just plain consuming too much PUFA (fish, fish oil, nuts, pork). Perhaps you would do better to derive most or all of your fat from saturated fats such as butter, beef, egg yolks, beef tallow, coconut oil etc. Much more stable than PUFA. Maybe more of a carnivore diet approach? Also, nuts can be terrible for digestion and can cause a ripple effect of issues stemming from the gut.
I'm one of those weird ones that rests above (or below) the scatter plot. 7mths in ketosis and it almost killed me (if you trust inflammatory markers as a sign of distress). CRP went to 3.0, Lp-pla2=230, homocysteine =15, ldl-p=1700, size=21.7, ldl-c=215, trigs=53, small ldl-p
"metabolic health" IS the future. Language matters, and this term is the best to talk about the BIOCHEMISTRY of health. I no longer want to "loose weight" or "lower my XYZ", what I want is to be metabolicly healthy, which means some times I want more fat, sometimes I want more carbs, sometimes I want more HIIT workouts, sometimes I want more strength training, sometimes I want more low intensity, endurance workout. We need better, cheaper ways to measure our key indicators and adjust our diet / activity as needed.
I really need this doctor to weigh in on my situation. My NMR test revealed an off the chart LDL-P of 2563. but my CAC score was 25. Have lost 54 lbs and feel great. This video was so applicable to what I have. That one person that had the unusual high LDL-P
Hi Dr Hallberg It appears that the 2 years of your trial has come and gone. I really would like to know where I can get access to the results? Many thanks
Hi Robert; here is a link to Diet Doctor; the big Swedish low-carb website; in Jan 2019 giving results for Virta Health; that Sarah is now medical director of www.dietdoctor.com/2-year-results-of-the-virta-health-keto-study-patients-thriving; Virta Health was backed by a very successful IT guy; who was the same person rowed; fuelled by fat; from California to Hawaii; (with his wife) and they beat existing records; with no carbs on board!! If you look for commercial evaluations of Virta Health; it is doing very well; on the back of the great results of T2 diabetics coming off meds; dropping weight; and many going into remission from diabetes. all best wishes
I work with a lot of clients that have CFS, which is often connected to an underlying infection like a virus. THey go keto and the LDL goes up and their CFS goes away...I think the connection to LDL and the immune system is vital to understand.
Thanks so much to Dr. Hallberg for sharing her research. Her study was due April 2021. Does anyone know if the results are in yet? By the way, I was discussing my high LDL with my GP and shared some of my internet/youtube research and he forwarded it to my cardiologist. Other than high LDL-C all of my other Chem7 biomarkers are excellent, I'm lean, and exercise over 2 hours 5 days a week. The cardiologist said "All of the human studies that I have seen evaluating rare phenotypes have been unrandomized observational studies with very small sample sizes, so the risk of confounding and statistical anomalies that don't reflect truth are significantly higher (this is not to say its not possible, just that the current data is not robust enough to support the hypothesis)." Maybe we need randomized studies to provide stronger evidence to satisfy a larger population of Cardiologists? I was also wondering how is it possible to have a randomized study with diet? I can see a randomized test for people that take a pill, but how can you do a randomized test with diet? My Cardiologist also said "Lipid particle analysis is another fascinating question. At the moment, the reason why I don't routinely recommend it [NMR Lipid test] is because 1) while it does offer better discrimination in some cases, all the large studies have primarily identified patients where the LDL was normal (and the microparticles demonstrated a 'hidden risk' - since this patient has the opposite issue, there is not data to support 'de-risking' patients with elevated LDLs and reassuring microparticle phenotypes. And 2) even when the risk profile is elevated, the additional question (does giving a statin when the apolipoB is high and the LDL is normal help reduce risk) still remains unanswered. I will tell you there is a apoB specific target that is in phase 3 clinical trials that will hopefully give us that answer soon - but for now the microparticles serve as data without providing any actionable information.." My main question regarding his last comment is what would be needed for a Cardiologist like him to have actionable information.
It's the myristic acid and palmitic acid that raises LDL-P. LDL-P should drop if you swap the myristic and palmitic acids for stearic acid, monunsaturated fat and polyunsaturated fat.
I’ve lost 40 lbs low carb and my triglycerides jump to 200 and ldl is 180.... total chol is 270. I’m really worried about this....bout ready to try a statin (ldl c is through the roof)
Hi papag1961. Thanks for the message, I test my cholesterol this week and it came back down to 5.0 after taking 2 months of ENLIVA, a probiotic. My triglycerides is still good at 1.0 but my LDL has gone down to 3.0, also did eat a bit more Carbs instead of cheese and butter.
I would like to know if there are doctors in Perth, that perform these tests. I will need to watch this again, because I am not certain I understand everything around LDL-P. I get that LDL-C, is the normal test our local GP orders. There are many doctors talking about LCHF diets, Sarah seems to be way out in front, talking about LDL-P. I wish Sarah would write a book. That way, we could write down the type of test we need to get done, also to get a much better understanding of this whole area.
Nothing here in Perth but one lab in sydney (Imupro) can send you a kit for testing. I'll be getting mine done next week or so. Abit expensive but it would be good to get the data.
I would really appreciate it if you would talk about thyroid disease and keto. Please, there is so much confusing and contradictory information out there.
My thyroid was damaged around the time I was exposed to toxic mold. The only thing that has helped is desiccated thyroid hormones as well as adrenal. Now 10 years later I have been in keto for 3 months with great improvement in every way.
Where in Australia "Brisbane " can we get these tests done my doc just gave me total cholesterol number which she said was 9.0. And she said it was very high. I've on keto for 6/7 weeks
A lab in sydney can get it done for you. They send you the form to give to a pathologist or you can ask your GP to get the test done but I think I will go with the former even if it is slightly cheaper going through your gp (if they bulk bill) Search for imupro and give them a call . I'll be getting the test done in a couple of weeks. Like you my Cholesterol and LDL were high on keto. My cholesterol is 12!
started keto diet this week. started taking wheatgrass yesterday. Having Rapid heartbeats. Woke up at 3am with Rapid heartbeats. Having them now, sitting up, or when lying down???? Help????
Likely cause by low sodium as keto diet results in kidneys really flushing out the fluids and salts. When you go keto gotta make sure you take in plenty of salt.
Hi Dr. Hallberg, I have been following a LCHF diet since October 2015, my HbA1c has improved from 6.5 to 5.7 to 5.5 this June 2016. But my LDL has increased from 5.3 to 6.1 to 6.6 mmol/l. My HDL is good at 2.1 and Triglycerides at 0.8. I have declined taking statin but what happens if my LDL keeps going up? Am I open to clogged arteries or heart disease? Am I the 2% people that has cholesterol circulating in my body And at what levels do I agree to statins?
Peter Rabitt Are you dismissing her data ? There are tens of thousands of people who have improved their blood profile and overall health on LCHF. How would you explain that ? Why is it so difficult for Vegans to grasp, that THEIR way is not the ONLY way, and the majority of people in the world enjoy eating meat. This will never change in our lifetime. I'm astounded by the level of hate Vegans on YT direct at Keto diets, when it is based on real foods (if you're doing it right) !
Peter Rabitt I feel compelled to reply in a little more detail. Particularly when I read this from your post "I can't say how much I dislike her". Why direct so much hate towards someone who is promoting a whole foods diet ? Honestly, watch a couple of her videos. She advocates eating a large amount of vegetables.The best kind, you know, the nutrition dense greens and others. Despite what figures and studies you (and other Vegans) produce, I will trust that eating moderate amounts of animal Protein in high quality, and cooked in an optimal method (NOT well done), will not harm me, and probably provide health benefits. You need a level of fair mindedness here. This is not the typical Western diet where you gorge yourself with meat, chicken, pork and very little else in terms of nutritional value. A Ketogenic Diet is generally 20% Protein, which equates to somewhere in the range of 100 grams worth for most people. For me, this means eating a small portion of meat or chicken or fish per day (no bigger than the palm of my hand), and the rest comes from Dairy and Nuts/Seeds. Now, please produce a study that proves eating high quality sources of animal protein in such moderate quantities is certain to lead to disease. Bet you can't, because it doesn't exist. Vegan lifestyle promoters and dieticians need to understand, that people can reach the same goals of health, well being, longevity and weight loss, but get there using 2 entirely different methods. Unfortunately, it seems people like yourself and your Vegan friends, will never be able to accept this notion, to your detriment !
@Peter Rabbit Please provide the non-observational studies (more scientific than the horrible China "Study") that show that. deniseminger.com/2010/07/07/the-china-study-fact-or-fallac/
Dr. Greger's book "How Not to Die" is useful as well as his great website NutritionFacts. Denise Minger did a recent blog review of his book at Raw Food SOS. I enjoyed her book "Death by Food Pyramid." Cheers!
my wife is on LCHF diet for about 18 months now and got her recent LDL-C at 230 and LDC_P at 1968, her family doctor wants to put her on statin now and btw her total cholesterol is 320 and HDL is 79. should we worry?
Hello Dr. Hallberg. One year later my total cholesterol is still high at 7.4. Triglyceride 0.9. LDL 4.9. I am not worried, just hope the particles are large. A hyper responder? My weight remained good at 65.9 kgs for 162 cm. My HbA1c remained at 5.6. Any update?
I love dr sarah so this is not meant mean-spiritedly. I had to laugh at the "blocks in fox" part because all I could hear was dr Seuss. LOL! All that aside though, I find this stuff immensely interesting and could listen for hours even though I have no medical background. I'm changing my life, you could say betting my life, literally, on this science. I wish it had all come to light soon enough for my folks to have benefitted from it.
how about high uric acid serum on ketogenic? telling you the truth I've been searching on the internet and never find a real answer (science based) why uric acid serum goes up when you do ketogenic diet..
Maybe someone can give me an opinion.. After three months on lchf my cholesterol changed this way (all in mg/dl): Total: 240 -> 295HDL: 95 -> 75 Trig: 51 -> under 70 (that's what the machine printed so I don't have the exact number) Could it be that I'm in the group of people who react bad to this diet? Should I forget about lchf and go back to the way I ate before?
Dr. Halbert, My current Total cholesterol has gone up again after six months of good total cholesterol of 5.0, now it is 7.0 . But my triglycerides and HDL is good at 0.8 and 2.3 but my LDL has gone up to 4.3. My HbA1c is 5.6. Question is what can I do with the rise in LDL? Do I continue to take ENLIVA to lower the cholesterol? Does onion and garlic water help? That is after my weight has stabilised, now to 58.4 kgs. Height 162 cm. Thanks.
Too much protein can result in some being converted partially to glucose. LCHF does not alter your protein needs which should be O.8 g/kilo of ideal weight.
Sarah, I surely hope you genetically test all these people first. Genes weren't mentioned. Probably, are genetic markers for this 1/8th (guessing, from the lecture).
There's nothing wrong WITH going heavy on saturated fat. When doing keto, your body is burning it instead of storing it and there is no proof that saturated fat causes heart disease. Saturated fat is far healthier for you than all the omega 6 fats in vegetable oils.
@Getnudged Actually, the OP is right. There absolutely are genes, like my FTO gene that will turn one mouthful of cheese into one lb of fat (no exaggeration) , making the risk of weight gain from small amounts of saturated fat. My solution is eating equal amount of Sardines with lean chicken, to balance out the omega-6.... I don't do cheese as my weight goes up, even eating carnivore...... Then, there are other people who genetically lack the ldl receptors in the liver, which causes the ldl to hang around too long and become oxidized, which is bad tidings for the artery intima.... I do watch the omega-6 to omega 3 ratio of any fats, since saturated fat must be minimal for my fat storing genes.
Very shrill, but worse than that speaks way too fast -- real teachers know that when presenting material that is new to the audience, they proceed slowly and emphasize key points. She's smart and knowledgeable but cannot teach.
Interesting. This MD has a shrill voice that is somewhat irritating. I'm sure that she enjoys her specially because it allows for repetitive scientific study to allow studies to be done to embark on the war against obesity and metabolic diseases. Practicing this area is less demanding then a full-fledged family practice which deals with these health problems. As a patient with these health problems I do not get the results she is talking about in her research studies. I am not going to say what is obvious. Evidence based medicine is necessary to change outcomes in true reality. I may try her method but watch my labs and how I feel. Patients need to feel secure in their MDs practice and how it effects them. I hope all this obesity trend be solved, through not just medicine but patients' education, and status of their emotional, physical, financial and spiritual lives that could be improved. She sounds enthusiastic about her protocol except for the LDL p outcome through the break down of Fox01 to MttP (glycogenosis) and Apoplll which does not sound good such as an increase in LDLP creating a situation the patient may have to face cardio-vascular issues.
