High Cholesterol on a Low carb Diet

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One of the most common questions I’ve been asked by my patients on a low-carb diet is whether they should be concerned about high cholesterol levels.
Is high LDL cholesterol a reliable indicator of heart disease risk in people on low-carb diets, especially if they don’t have any other significant risk factors like high blood pressure or insulin resistance?
And do statin drugs really reduce the risk of heart disease and early death in people on low-carb diets with high cholesterol that haven’t had a cardiovascular event like a heart attack or stroke yet?
These are exactly the questions I answer in this video, so keep watching!
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Resources & Related Articles:
› The Low Down on Low Carb ebook: chriskresser.c...
› The Diet-Heart Myth ebook: chriskresser.c...
› QRISK®2-2017 risk calculator: www.qrisk.org/...
› Mortality among patients with familial hypercholesterolemia: a registry-based study in Norway, 1992-2010: pubmed.ncbi.nl...
› Statin therapy is not warranted for a person with high LDL-cholesterol on a low-carbohydrate diet: journals.lww.c...
› Coronary artery calcium score and risk classification for coronary heart disease prediction: pubmed.ncbi.nl...
› Absence of coronary artery calcification and all-cause mortality: pubmed.ncbi.nl...
› Coronary Artery Calcium and Cardiovascular Events in Patients With Familial Hypercholesterolemia Receiving Standard Lipid-Lowering Therapy: pubmed.ncbi.nl...
› Systematic review and meta-analysis of clinical trials of the effects of low carbohydrate diets on cardiovascular risk factors: pubmed.ncbi.nl...
› Virta Health studies: www.virtahealt...
› Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian Simvastatin Survival Study (4S): pubmed.ncbi.nl...
› Pravastatin in elderly individuals at risk of vascular disease (PROSPER): a randomised controlled trial: pubmed.ncbi.nl...
› Should people at low risk of cardiovascular disease take a statin?: www.bmj.com/co...

Опубликовано:

12 сен 2024

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Комментарии : 53

@Godsgirl1954 Год назад

I thank you so much for this! My last bloodwork showed excellent levels of everything, very low inflammation, high HDL and low triglycerides - all ratios excellent. LDL was high and that was all the doctor focused on even though I mentioned what I just said and that my cardiac risk was extremely low and I eat a very low carb diet. I will share this info with her - thank you!

@jeffj318 2 месяца назад

Shake the dust from your feet and don't look back. If your doctor is only concerned about LDL it's time to leave the doctor mill.

@RiverReeves23 Год назад

I hope one day, this will be the standard of care. Thanks Chris.

@daisiesushitam984 5 месяцев назад

Clear and to the point. Bravo!

@Debkuwait Год назад

Thank you for this. Very needed 👍🏻👍🏻

@frostfree7 5 месяцев назад

Do you have any data on whether a keto/low saturated fat diet raises LDL as much as a keto/high saturated fat diet?

@celiamoriarty Год назад

I appreciate all this information. It is very hard to take it all in without text. Previously Chris's updates had text or watch options.

@chriskresser Год назад

Hi Celia! If you hit the "CC" icon at the bottom right of the screen you can turn on text captions for the video. Hope this helps!

@ArcoZakus 7 месяцев назад

Tap "...more" under the video's title, then (Show transcript).

@shanedraper240692 7 месяцев назад

I am 31 years old with fh and had a heart attack 2 years ago. I started keto a month ago and my ldl has shot up, my HDL has gone up too

@PH-NEWS159 2 месяца назад

Statins don't reduce ldl, exercise reduce your cholesterol. Statins are use to prevent cholesterol from oxidizing.

@robertdaymouse3784 Год назад

i would be interested to know if the test results for Ezetimbe are similar to the test results for Statins for persons on a low carb diet with low Trigs and good HDL.

@beenflying1 10 месяцев назад

I have tried them and they are just as bad as statins, when it comes to muscle and joint pain. I cannot take either. Fortunately, I have gone on a low carb diet and no longer need them. 😊

@theunknownsamurai7426 Год назад

Is there a correlation between low-carb diets and high cholesterol levels.

@faitharnold4643 Год назад

Yes, but it's not what most people have been lead to believe. Low carb diets mean more of the body's energy requirements are being met by fat instead of carbs. Fat is a cleaner-"burning" fuel that doesn't result in free radicals being produced inside of the mitochondria. But fat has to be transported arond the body wrapped up in little packets of protein (with a small amount of cholesterol as part of the structure). That's why they are called "lipoproteins". Fat globules cannot ever be allowed to just float around in the bloodstream by themselves or they would make a gooey mess, and they would be very damaging. So, yes, on a higher fat diet there will be more lipoprotein fat transport particles, but no, it isn't really "cholesterol", and they have nothing to do with causing heart disease!

@brenwesterland6306 Год назад

Thank you so much for your helpful information! I know this is random, but you were quite prompt in replying to my youtube comment last time and I cant think of a way to get in contact with you.. so here I am again. My wife just got pregnant and Im trying to consume as much info as I can. Ive read almost all of your articles on your website and have been on the fence about getting your baby course--wondering if its up to date/worth it.. if you really think it is a resource that will add new and concrete guidance then Ill trust your word and give it a try Also looking at the different articles you made about nutrition Im feeling like most base prenatals arent quite the right fit.. would really love if you also added a prenatal line to your Adapt Natural line! Finding a hard balance between natural diet and supplements that don't overlap enough or do so too much and then Im left with dosing individually which is rough when its not my profession nor area of expertise. Anywho love all of you information and again thank you so so much!

@FreedomFox1 6 месяцев назад

What do you define as low triglycerides or high HDL? Also, isn’t it true that driving ldl cholesterol low enough will make heart disease risk basically zero?

@stellabrophy2715 Год назад

Superb!

@takuroshinji2445 Год назад

Ate low carb for over a year,my triglycerides went to 125, cholesterol to 260 ldl to 202 and hdl down to 33..... starting to think low carb and carnivore is just as dangerous as processed foods

@YouTuber-ep5xx 9 месяцев назад

On low-carb high-fat diet, my trigs fell from 200+ to 60s, my HDL rose from low 20s to around 50. I believe this is pretty typical.

@nutritioncoachjo 5 месяцев назад

I wouldn’t assume it’s the carnivore or keto diet that gave you those cholesterol numbers. I highly recommend you watch Dr. Ken Berry’s videos who will explain why carnivore is not dangerous and will tell you exactly what you need to do to get better numbers.

@jeffj318 2 месяца назад

You are numbers are not typical of a low carb diet. You don't sate what you're eating plan was or is today. On a low carb way of eating, your HDL should rise, your triglyceride should decrease into the normal or below normal range although your total cholesterol and your LDL could rise.

@jeffj318 2 месяца назад

@@RU-vidr-ep5xxYour answer is a good answer. This is typical of what should happen and the OP might just be putting out BS.

@jeffj318 2 месяца назад

@@nutritioncoachjoYour answer is exactly correct. 🎉

@magnegronnevik8064 11 месяцев назад

❤Thank You!

@santiagojaramillo3079 Год назад

What about high APO B and Lipo(a) biomarkers associated with cvd?

@EuJiaHan 6 месяцев назад

If one on keto Carnivore diet, non hdl and LDL slightly a bit high and didnt fast for twelve hours before take the test. What does this mean ? If this ok ?

@diannea.2587 Год назад

What is "FH"?

@PorcupineMusic Год назад

Familial hypercholesterolemia. Basically means genetically high cholesterol

@diannea.2587 Год назад

@@PorcupineMusic Thank you Chris!

@ArcoZakus 7 месяцев назад

( 1:55 )

@anna_pinnock Год назад

Thank you, very helpful. Is the mechanism behind this phenomenon known? Could there be a link between increased TGs consumption and VLDL particles?

@chriskresser Год назад

One theory is that saturated fat consumption interferes with the ability of LDL receptors on cells to remove LDL particles from the blood. But it's worth noting that not everyone experiences an increase in LDL with an increase in saturated fat consumption.

@suedunne7774 Год назад

How about if I'm type 1 but also have high lpa? Low carb works best for my Type 1, but don't love my high lpa score!

@chriskresser Год назад

It's true that Lp(a) is an independent risk factor for CVD. I'd assume that many people in the studies I mentioned in the video that were on LCDs and had high LDL also had high Lp(a). But they weren't at higher risk for CVD. This is still an open question, and I wish we had more research to guide us here.

@suedunne7774 Год назад

Thanks Chris! I do what I can, and it was recommended to take bolouke daily to help. Here's to hoping!

@lorizitzmann6018 Год назад

Does this also apply to those of us with APOE4?

@chriskresser Год назад

I discussed the contribution of APOE4 with Dr. Dale Bredesen on a podcast I did with him a while back. You can read the transcript here: chriskresser.com/prevention-and-treatment-of-alzheimers-from-a-functional-perspective-with-dr-dale-bredesen/. Just search for "APOE4" and you'll find the relevant bits, but here's the short version: the increased risk that APOE4 confers appears to be most relevant for people following a standard American diet and lifestyle.

@Gesundheit888 7 месяцев назад

Keto or carb diets only increase LDL in LMHR. Not in obese people.

@nutritionhealthandriskprev6228 Год назад

The link between high cholesterol and cardiovascular disease is very well-estalished and very solid. I don't know why people like you insist in denying this fact, at the expense ofother people's health. You are so shameless to say all of this and reference a studies that says exactly the opposite: "Conclusion: Despite access to modern dietary counseling and prescribed lipid-lowering drugs, FH patients still have significantly increased CVD mortality compared with the general Norwegian population." "Mean age of CVD deaths among the FH patients in the UCCG Registry was 62.2 years for both sexes combined, with 57.2 years for men and 67.2 years for women. According to data from the Norwegian Cause of Death Registry, the mean age of CVD deaths in the general population was much higher: 79.0 years from 1992 to 1995 and 81.0 years from 1996 to 2010." Their risk doesn't go down with age. Only the relative risk goes down with age. People with FH have higher risk at any age. The study explains this reduction in relative risk like this: "Most FH patients are well aware of premature CVD in the nearest family members and have repeatedly received professional diet and lifestyle advice."

@chriskresser Год назад

Thanks for your comment. It's always helpful to look at the totality of the evidence, which I referred to in the video, like this large review showing that people on LCDs (with higher intake of saturated fat) see a reduction in numerous CVD risk factors. pubmed.ncbi.nlm.nih.gov/22905670/ Virta Health has a good summary of the research on this topic on their website as well. www.virtahealth.com/research

@nutritionhealthandriskprev6228 Год назад

@@chriskresser I read all the studies you referenced. There is no doubt that a ketogenic diet is effective for weight loss, like any diet that eliminates sugar and refined grains. The review you are sharing analyzes obese patients, and the interventions are short term (few weeks to few months). It is no surprise that their cardiometabolic markers improved, just like they improve in obese people with the potato diet.

@markcarter710 Год назад

@@nutritionhealthandriskprev6228 Maybe some day you'll return from the '80s and get current. Remember, just because you disagree with something doesn't make that something wrong.

@nutritionhealthandriskprev6228 Год назад

@@markcarter710 Is that even an argument? The atherogenic effects of LDL-cholesterol are very robust. It's not that I disagree, so it's wrong. The evidence is so overwhelming that it's incontestible. You guys feel cool because you deny science, kinda like flat earthers. High LDL causes atherosclerosis; both big LDL and small dense LDL; both in the presence of inflammation or not; with or without hypertension; with or without high triglicerides. It's not very difficult, LDL-C is an independent risk factors, and it is causal. It's not the only factor, but it is a very important one. I do understand that LDL-C is not the best predictor of cardiovascular events, and that it is not the best measure, and that the size of molecules matter. I'm not stuck in the 80s. But despite all of that, LDL-C remains a factor in cardiovascular disease, and it always will because LDL-C CAUSES atherosclerosis.