Cholesterol

[Meadowlark]

Had a blood test last week, only been on the niacin for about 2 months but my cholesterol dropped from 242 to 200 so I’m well on my way to healthy!

 

[Kid Twist]

Diet and exercise.

If you want more details, read Attia as Duke says. LDL ("bad") is calculated from total and triglycerides, and is not meaningful in and of itself. Why? We make it in our own body and store or transport is as necessary. What does matter is LDL-P (the number of particles) which is pretty much what apoB is, and may be concordant or discordant with LDL-C, the most commonly measured value that most laypeople quote when they talk about it. The most dangerous situation is to be high LDL-P and low LDL-C, because docs think you're ok, but this is the profile of most metabolic syndrome/diabetes patients that have the highest risk of all for a cardiac event.

I'll save you the time; LDL-P of less than 1060 nmol/L is low, usually taken as 30th percentile and lower.

 

[Meadowlark]

The only thing scary about my cholesterol levels is the triglycerides didn't move much at all. I didn't just do the niacin but also changed my diet back to healthy and stopped going out now that I'm out of the LTR it's easy.

 

[MOVSM]

Marker for heart disease has always been high triglycerides. Triglycerides are associated with high carbohydrate intake.

USDA Scientific Report of the 2015 Dietary Guidelines Advisory Committee

642 Cholesterol. Previously, the Dietary Guidelines for Americans recommended that cholesterol intake
643 be limited to no more than 300 mg/day. The 2015 DGAC will not bring forward this recommendation
644 because available evidence shows no appreciable relationship between consumption of dietary
645 cholesterol and serum cholesterol, consistent with the conclusions of the AHA/ACC report.2, 35
646 Cholesterol is not a nutrient of concern for overconsumption.

Lack of an association or an inverse association between low-density-lipoprotein cholesterol and mortality in the elderly: a systematic review

Objective: It is well known that total cholesterol becomes less of a risk factor or not at all for all-cause and cardiovascular (CV) mortality with increasing age, but as little is known as to whether low-density lipoprotein cholesterol (LDL-C), one component of total cholesterol, is associated with mortality in the elderly, we decided to investigate this issue.

Setting, participants and outcome measures: We sought PubMed for cohort studies, where LDL-C had been investigated as a risk factor for all-cause and/or CV mortality in individuals ≥60 years from the general population.

Results: We identified 19 cohort studies including 30 cohorts with a total of 68 094 elderly people, where all-cause mortality was recorded in 28 cohorts and CV mortality in 9 cohorts. Inverse association between all-cause mortality and LDL-C was seen in 16 cohorts (in 14 with statistical significance) representing 92% of the number of participants, where this association was recorded. In the rest, no association was found. In two cohorts, CV mortality was highest in the lowest LDL-C quartile and with statistical significance; in seven cohorts, no association was found.