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WHY YOUR CHOLESTEROL RATIOS MATTER - DR. ERIC WESTMAN 

Dr. Eric Westman - Adapt Your Life
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[Conversations with Dr. Westman: Episode 70]
When looking at a lipid panel -- that is, a cholesterol test -- the ratios of certain measurements give you a better indication of things than some of the individual numbers by themselves. For example, in terms of predicting risk for cardiovascular disease, the ratio of your HDL-cholesterol to your total cholesterol, and the ratio of your triglycerides to your HDL-cholesterol give you more information than looking at any of those numbers in isolation.
If this seems a bit confusing and overwhelming, check out my online course, End Your Cholesterol Confusion.
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21 июл 2024

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Комментарии : 101   
@amyphillips367
@amyphillips367 2 года назад
Thank you so much for this information!! Been ketovore for 6 years. I’m 55 and was concerned about having high LDL even though my triglycerides were 47 and HDL 91. Recently had a CAC score done and it was 0!! Dr. Westman videos have helped me so much! Again thank you!!!!
@TalkingGIJoe
@TalkingGIJoe 2 года назад
good on you!
@ElsieDreamWorld
@ElsieDreamWorld 2 года назад
Thank you so very much. I was terrified because my “total cholesterol” was reported high. However, listening to Dr. Westman explain everything, it results that my triglycerides/hdl ratio is 1! I so much appreciate this video. Thanks again
@zshi1
@zshi1 Год назад
Thank you Thank you!! My Total Cholesterol 9.7, imagine that!! But Triglycerides 0.9, LDL 6.7, HDL 2.6. Triglycerides HDL Ratio = 0.34! Refreshing!
@KirstiCheetahh
@KirstiCheetahh Год назад
Yes! TG must be low, not LDL. High LDL is very good for health!
@therevddrruwanpalapathwala1463
@therevddrruwanpalapathwala1463 2 года назад
Thank you, Dr Westman. I was waiting for this video. Very informative and learnt a lot from it. I just got my doc to order a comprehensive blood test for me. I look forward to your next video. Thank you to you too, Glen.
@lovingitonketo
@lovingitonketo 2 года назад
(Harry) Great information again... This to me was a "hit out of the park" because I've been able to lower my Cholesterol dramatically.
@chrisdean5099
@chrisdean5099 2 года назад
I tell anyone who will listen to read End Your Carb Confusion. Dr. Westman is a lifesaver.
@AdaptYourLife
@AdaptYourLife 2 года назад
Thank you Chris 🙌
@erniewhite1382
@erniewhite1382 6 месяцев назад
Thanks again Eric for your valuable information
@NPD2024
@NPD2024 Месяц назад
My cholesterol on my most recent labs was: total-406, triglycerides-91, HDL-63, LDL-325, and VLDL-18. My ratio of trig/hdl is 1.44. Because of the former way of interpreting cholesterol and heart disease I’m a bit worried about my total being 406, and my LDL being 325. My LDL was 183 on my prior labs before I started eating fatty meat, grass fed butter and salt again; however on my prior labs my triglycerides/hdl was 1.7. Now, my ratio is better but I’m still concerned with my high total and LDL. Opinions please?
@jmh8510
@jmh8510 20 дней назад
So my triglycerides are 73 and hdl is 85…so ratio is .8. Did I do that correctly? Is that ok ratio?
@tombirney7276
@tombirney7276 2 года назад
thank you very informative and not too much to swallow, is there a way to find a lipid dr in my city who understands what you practice/teach? I have until Feb 2022 to get my lipid test done for my post-stroke Neurologist appt.
@perlaespejo3305
@perlaespejo3305 17 дней назад
Very interesting topic.. thank u doctor
@gt27312
@gt27312 6 месяцев назад
Thank you for this easy to understand information. I do have a question. What is the difference between LDL and VLDL. I have both test results on my yearly lab testing but I'm not sure what VLDL is indicative of.
@Jack-hy1zq
@Jack-hy1zq 9 месяцев назад
Found out recently that my triglycerides/ratio is 0.27mmol/L (Europe) - pristine! I've been carnivore only, 12 months.
@ladylibertystacker2014
@ladylibertystacker2014 2 года назад
I recently had my lipid panel basic along with a complete metabolic panel (sugar). I had fasted for 20 hours and took a tsp of MCT oil in my coffee that morning about 6 hours before the blood draw. I was only thinking about not affecting my fasting sugar, but didn't even think about the lipid panel. My total cholesterol was 233 and LDL (total) was 168. I told my doctor about the MCT oil and she didn't space out, but said it would be taken into consideration with my results. My triglycerides were a very low 53 and my HDL was 54. I had only been on Keto for about 3 months. My Triglycerides/HDL ratio was .98, so I was very happy about that. I am wondering how the MCT oil affected things. I am thinking that my results would have been a whole lot better if I had not taken the MCT oil which is a daily habit in my morning coffee. At the time, I had lost about 36 pounds after 3 months of Keto so my doctor apparently wasn't alarmed. That was about a month ago and now my weight loss is about 45.5 pounds so I must be doing something right. Just curious about the MCT oil. Thanks!
@sardot4960
@sardot4960 2 года назад
Check out Dave Feldman's protocol for prepping for lab tests. He says don't fast too long, and don't do MCT oil before the test.
@ladylibertystacker2014
@ladylibertystacker2014 2 года назад
@@sardot4960 Thank you! I will do just that!
@ladylibertystacker2014
@ladylibertystacker2014 2 года назад
@SAR dot I checked it out and saw a video on this very subject put up 3 years ago. Based on that, it definitely affected my test. I was searching for videos on this thing before my test, but the focus was on my blood sugar. I just didn't think about the cholesterol lipid panel. Knowing this, I can say my results are good despite my taking the MCT oil. I do IF along with KETO and my appt wasn't until the early afternoon after 20 hours of fasting. The next time, I will try for a morning appt or just doing the blood work the next morning as I never eat breakfast and quite eating the night before around 7ish. Thanks again!
@ecwestman
@ecwestman 2 года назад
I don't think adding oils (like MCT) is beneficial. It's definitely not needed. I teach a "real food" keto diet--not internet keto.
@robyn3349
@robyn3349 Год назад
Thank you!
@farmer_donny
@farmer_donny 4 месяца назад
To use this calculation the units must be in mg/dL. Europeans must convert.
@thewayidoit8895
@thewayidoit8895 2 года назад
I love this but you boTh need microphones for better quality sound.
@Simpaulme
@Simpaulme 8 месяцев назад
Reassuring! All I was told was that total cholesterol should be less than 200 (or 5 in mmol). Whereas mine is 260 (6.7). But my Tg/HDL is 0.56! Unlike most people here it seems, I'm not at all sold one keto - in fact I'm mostly vegan!
@gmo709
@gmo709 3 месяца назад
Much more to health than cholesterol levels but nice to look at and trigs/ HDLnis a good ratio. Good to look at insulin sensitivity too. And "bad" cholesterol is not all bad. LDL is only bad if damaged...or small, dense particles. Need better blood tests. Too simple. Med field needs to step it up. Bottom line is keeping good metabolic health and keeping mitochondria heakthy. Feed the gut and protect liver.
@karooblue7634
@karooblue7634 2 года назад
QUESTION: Dr. Westman ... What is your take on DNA testing for general Health including Diet & Exercise ? Much appreciated Dr. Westman :-)
@AdaptYourLife
@AdaptYourLife 2 года назад
Cutting carbs and sugar to some degree will improve just about everyone’s health. May I suggest reading my book, End Your Carb Confusion 😊 No need for a DNA test.
@garrains9757
@garrains9757 2 месяца назад
Hi, so what is a good range for Tri/hdl ratio??
@clear4156
@clear4156 2 года назад
Thanks for all you do Dr. Westman. Can you have triglycerides to low and HDL to high? My trig 30 and HDL 79 LDL 120.
@dawnelder9046
@dawnelder9046 2 года назад
Triglycerides are always the lower, the better. The lower your Triglycerides the more likely your lipoproteins are nice big fluffy, safe lipoproteins. The higher the number the more likely you have oxidized lipoproteins. The tiny ones get stuck when they try to fix damage in your arteries. Look up the Korean Cholesterol Mortality Study published in 2019. Not the first to show these results, but the largest at over 12 million subjects.
@ecwestman
@ecwestman 2 года назад
I don't think so.
@kindnesstoall
@kindnesstoall 2 года назад
Interesting! Ratios? Have to figure that out. I may think I'm doing fine and may not. Had CT Scan and it came back with 0 rating. Chol: 310 Trig: 91 HDL: 87 VLDL: 15 LDL:208
@judithcervizzi6609
@judithcervizzi6609 2 года назад
Your numbers are fantastic Keep doing what you're doing.
@brucefranken4615
@brucefranken4615 10 месяцев назад
I would just keep in mind that cardiovascular disease takes decades to develop. I started medication in my 30's due to a similar lipid panel and familial history. Current science shows us that Apo-B (plus familial history) is the marker most associated with cardiovascular disease. HDL is no longer considered cardioprotective, and ratios are not considered relevant. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-EfdwqypYAlU.html (your lab results GC) ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-4b1oj3scN7I.html (how to read lipid panel TD) Hope it helps!
@maribelquesada5651
@maribelquesada5651 2 года назад
I plugged in my numbers in the calculator or mentioned last week CvD i received a note that the HDL should be less than 100, mine is 126
@ecwestman
@ecwestman 2 года назад
Hahaha. No. The calculator doesn't "compute" when the HDL is so high, because it is so rarely seen when people eat carbs! It is good to have an HDL > 100! It also won't compute when the LDL is over a certain number. Again, the metabolism is different on a keto diet---it doesn't mean its bad.
@maribelquesada5651
@maribelquesada5651 2 года назад
@@ecwestman I’m confused, so what numbers are good when eating low carb. I stick to protein and veg, cheese ,butter, cruciferous veg, I don’t eat packaged “Keto” products. My overall is 300 Tri 75 HDL 126 LDL 159
@adorableadornments1101
@adorableadornments1101 2 года назад
What is the best way to raise your LDL and lower your triglyerides if you are type 2 diabetic, eating low carb?
@AdaptYourLife
@AdaptYourLife 2 года назад
You want to raise your HDL and lower triglycerides. One of the best ways is through a low carb diet. If you want to learn exactly what to do, consider Dr. Westman’s course on Cholesterol. Enrolment opens on the 15th November 👇 adaptyourlifeacademy.com/end-your-cholesterol-confusion/
@curiouskitten
@curiouskitten 8 месяцев назад
Tg to hdl ratio .815 (110/135). Is that still normal? TyG is 4.77.
@bobknob8261
@bobknob8261 Год назад
How does ApoB figure in all of this?
@AdaptYourLife
@AdaptYourLife 23 дня назад
Review transcript here: adaptyourlifeacademy.com/cholesterol/why-your-cholesterol-ratios-matter/
@MoreSpewsMoreViews
@MoreSpewsMoreViews Год назад
Do you deny all the research around ApoB being the most superior marker for CVD prediction? A regular pattern in the low-carb community that I see is that nobody talks about ApoB or LDL-P, and they all go after only the less significant markers. Is that intentional? Do you know something about ApoB that others don't?
@naturalforlife6741
@naturalforlife6741 Год назад
My new lipid panel show that my Total Cholesterol is 249 My Triglycerides is 51 My HDL IS 75, MY LDL IS 164. so that is a ratio of .68 Tri/HDL. My doctor wrote a note saying my cholesterol was very high and that if it is still too high in 6 months I will need to start medications since I have a family history of heart disease.
@darlenesnyder4083
@darlenesnyder4083 Месяц назад
Mine is TG 66 divided by HDL 81 = .81 but my CRP was very high. And Dr is pushing me to go on statins. That high CRP can be from anything tho If I’m understanding it correctly.
@naturalforlife6741
@naturalforlife6741 Месяц назад
@@darlenesnyder4083 A little up date. I quite carnivore after a year. I had a ct scan recently and they found some calcium build up in an artery. So I had a stress test and my EKG showed that I had an abnormal heart beat while on the treadmill. Now I have another ct scan to have a fluid injected to see where there may be a blockage. After that comes back a treatment may be recommended. We'll see.
@cieramist1
@cieramist1 2 года назад
I've been eating keto for 7 months, and lost over 70 lbs. My Doctor was aware of the Keto diet, and expected my LDL would be a "bit high", but was SHOCKED at just how high it is. She says my LDL is over 250, but that's all she'd say. She wanted to start me on medication, but I said no...not doing it. So I read that cinnamon is a good way to lower this and even A1C. My A1C is fine, but hoping the cinnamon will help. LOL
@gmnotyet
@gmnotyet 2 года назад
What is your TG/HDL ratio?
@cassieoz1702
@cassieoz1702 2 года назад
In your case, knowing your LDL particle size distribution will be key
@Rusty6507
@Rusty6507 2 месяца назад
Yes…my current labs are total cholesterol /HDL , NOT your formula. So 2.96 vs 1.43. Big difference.
@joeohalloran9309
@joeohalloran9309 2 года назад
My question is should you fast 12 hours before blood taken to give an accurate reading with triglyceride. I also think triglycerides change from day to day. So can you have small dense LDL if your triglycerides do go from 0.5 to 2.1 in couple of days?
@AdaptYourLife
@AdaptYourLife 2 года назад
Yes to the fasting 😊
@tserevenad
@tserevenad 2 года назад
always fast; 12-14 hours, target 13 and don't exceed 13. For optimum repeatability always get blood tests in same condition.
@Shadow-bs1iu
@Shadow-bs1iu 26 дней назад
our doctors have said do not fast the night before a test, which makes me wonder if this will affect the triglyceride levels in the blood and therefore affect the test result
@mariamorris954
@mariamorris954 2 года назад
When I divide my Trigs and HDL i get less than 1, Im wondering if thats ok??
@mtebor
@mtebor 2 года назад
that is great. check out Dr. Paul Mason on RU-vid. he has several videos on cholesterol. I am at .78. when I was prediabetic I was at 4.5.....BUT at the same time my cholesterol was forty points lower when I was pre diabetic
@tserevenad
@tserevenad 2 года назад
lower the better. I am 0.6. The lower this number is the less sdLDL becomes. I think below
@lindabragg4125
@lindabragg4125 2 года назад
Dr. Westman can you tell me what your feelings are about these numbers. HDL 94, LDL 147 and Triglycerides 30.
@AdaptYourLife
@AdaptYourLife 2 года назад
Hi Linda, unfortunately Dr. Westman is not legally permitted to give personal advice.
@lindabragg4125
@lindabragg4125 2 года назад
@@AdaptYourLife thank you
@tserevenad
@tserevenad 2 года назад
those 3 numbers are spectacular. of course, not knowing anything else it may or may not speak to your health status overall.
@lindabragg4125
@lindabragg4125 2 года назад
@@tserevenad I’m pretty much low carbs everyday under 20. Eats lots of bacon, eggs, hamburger, pork and steak. Some seafood now and then. I’m 64 on no medication. My family history has been heart disease, cancers and my brother passed away this year from nonalcoholic fatty liver disease. I started keto back in June 2, 2019 and slowly converted to more carnivore life style. Vegetables do not like me much since I had my gallbladder removed in 2014. I’m so pleased with this way of eating. I tell people through a health seminar I’ve been doing per your videos and Dr. Berry’s videos they truly need to try this new way of eating as a new life style. I have some people who are seeing a difference thank you both so much.
@tserevenad
@tserevenad 2 года назад
@@lindabragg4125 fantastic Linda, you have done great! . I am nearly 61, in best health in long time. People around me think I am nuts.
@vickiejohnson3283
@vickiejohnson3283 2 года назад
Thank you, Dr. Westman. I missed the part about calculating your ratios. Would you mind posting that calculation instruction here? My total is 312, Triglycerides 81, HDL 100, VLDL 16 and LDL 196. Thank you in advance for our consideration. Of course my Dr. is insisting on a statin, but I couldn't tolerate them.
@maribelquesada5651
@maribelquesada5651 2 года назад
He said Trig/HDL
@tmcche7881
@tmcche7881 2 года назад
Your Triglycerides to HDL ratio = 0.81 My interpretation of Dr Westman's description of the lipid panel. Target less than 1.0 - the lower the better. It could have been explained better with slides.
@maribelquesada5651
@maribelquesada5651 2 года назад
@@tmcche7881 read my comment and let me know your thoughts
@maribelquesada5651
@maribelquesada5651 2 года назад
@@tmcche7881 my HDL is 126 the Mayo Clinic calculator the Doctor mentioned states it’s too high
@artemishunter8993
@artemishunter8993 2 года назад
Dr Paul Mason talks about this also. Saying less then 1.4 is great and over 4 is bad.
@marjanz3777
@marjanz3777 2 года назад
Does alcohol increase triglycerides?
@AdaptYourLife
@AdaptYourLife 2 года назад
Yes, definitely.
@mtebor
@mtebor 2 года назад
I got dinged on my life insurance for having HDL over 60. Mine 75 while Tri was 56. LDL, which my doctor really focuses on is 184.
@ecwestman
@ecwestman 2 года назад
It is good to have an HDL over 60! I can't explain these life insurance predictive models. I would like to see insurance companies do their own predictive modelling.
@mtebor
@mtebor 2 года назад
@@ecwestman they had 60 as the max threshold. unbelievable. I think on the low end it is 35...which is probably too low
@dlg5485
@dlg5485 2 месяца назад
That makes absolutely no sense. Just one more way in which Americans are incentivized toward poor health, for the benefit of greedy corporations (big pharma, hospital groups, etc). I learned long ago that you must do your own extensive research and trust that above all else. If your doctor isn't following the best research, finds a new doctor.
@3on4off
@3on4off 3 месяца назад
Im 64 and my TG/HDL ratio is .69
@peternielsen1414
@peternielsen1414 2 года назад
how was the ratio ldl/hdl what is the target?
@tserevenad
@tserevenad 2 года назад
LDL isn't the biomarker of focus so this ratio doesn't hold as much significance based on the latest research. That is why he is talking TG and HDL along with there ratio TG/HDL.
@mary-xk9dc
@mary-xk9dc Год назад
my ratio 79/74 is that bad
@spaceghost8995
@spaceghost8995 Год назад
My triglyceride is 89 my LDL is 47. That gives me 1.89 ratio. I hope that's good.
@dlg5485
@dlg5485 2 месяца назад
The ratio you want to calculate is TG/HDL, not LDL. Any result below 1.5 is considered protective, but below 1.0 is the goal.
@spaceghost8995
@spaceghost8995 2 месяца назад
@@dlg5485 My comment is so old I forgot even watching this video! lol
@trailguy
@trailguy Месяц назад
Doctors a not even looking much at ldl anymore. Not nearly as much as vldl. If your ldl is high but your vldl is very low, you’re likely doing well.
@denniskitterman1712
@denniskitterman1712 Год назад
Ratio theory was tossed out years ago. Are you still following ratios?
@dlg5485
@dlg5485 2 месяца назад
Tossed out by who? Be careful who or what you choose to believe. Not all research is created equal. It's important to understand who is conducting and funding the research and what their conflicts of interests might be.
@sophiah8794
@sophiah8794 Месяц назад
Triglycerides 0.70 mmol/L HDL 1.64 mmol/L Non HDL 4.59 mmol/L LDL 4.32 mmol/L ApoB 1.05 g/L Can someone calculate my ratio please. 🙏💐
@robertrandom7931
@robertrandom7931 18 дней назад
(0.70 /1.64)*2.29=0.98 O.K.
@danvitale1825
@danvitale1825 25 дней назад
confusing. I don't understand at all
@johnfloryan8535
@johnfloryan8535 11 месяцев назад
Get over the term “bad cholesterol”.
@dansykes4965
@dansykes4965 2 года назад
I like Dr Westman. He is very clever and his books are great however he is terrible whilst trying to explain something. Not just in this example but lots of others. He should have some decent notes and have practiced the answers because he blunders his way through and sounds like he doesn't know anything. Like I said, I respect him immensely but I just refuse anything like these because it's so frustrating. The way Glenn talks is so clear and precise. I'd prefer he tried to give us the info instead.
@freddymaf7754
@freddymaf7754 Год назад
Good info offered in the most infuriatingly rambling presentation imaginable. I wanted to throw my shoe at this guy!
@TalkingGIJoe
@TalkingGIJoe 2 года назад
First off... there is no such thing as good or bad cholesterol... time to get out of the alopathic paradigm... look at the cholesterol cycle to actually understand cholesterol function and where triglycerides are in that cycle...
@AdaptYourLife
@AdaptYourLife 2 года назад
We agree
@tserevenad
@tserevenad 2 года назад
well the latest data suggests phenotype B (small dense LDL) is the bad. Additionally TG is bad. The good news? both respond favorably to low carb eating.
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