I present a complicated picture. I'm rapidly approaching menopause, I have autoimmune thyroid that has been less stable lately, a genetic connective tissue disorder with vascular symptoms, impaired glucose tolerance (despite being thin and active) and of course the APOE 4/4. Before I post lipids, here are a few notes that may or may not be relevant.
Changes since last labs:
1) Added 1.5 tsp coconut oil a day
2) Cut out one fish pill
3) Cut out one egg yolk (now I eat one yolk, three whites)
4) Two benecol most days with egg meal
5) Tripled VitD supps a day due to low value in September (28 in September, 42 as of last week)
6) Less Alcohol
7) High stress
8) High hormonal fluctuations (age 49)
A year and a half ago (April 2012) I started injecting minute amounts (1-1.5 units) of rapid acting insulin before any carb meals. I did this because I was experiencing acute and extensive GI upset with ANY carbs and losing weight due to extreme limited diet. This was a new symptom that went on for several months until I got desperate. Upon the very first injection, I experienced zero, literally zero GI problems. Problem solved. Unfortunately, I got the insulin from a friend instead of a script and that was upsetting to all of my doctors. I knew I was being very cautious and responsible, so I was ok with it all. With six months of 1-2 insulin injections a day, my Ha1c fell from 5.9 to 4.8 and my fasting from 100 to 80. I've been off insulin for a year now and even though my carb intake is low compared to average diet, my GI problems are gradually coming back, my Ha1c is at 5.6 and my fasting is around 90. Just information in case this applies to lipids...
I'm thinnish (BMI 19), exercise almost every day and my average daily diet is:
1 coffee with cream
one small greenish banana with 1/4 c. almonds 1.5 tsp coconut oil
3 egg whites, one yolk, 1-2 oz aged cheddar with tomatoes in 1T olive oil
1/2 c. fat free plain greek yogurt
Medium salad with 1/4 garbanzo beans, veggies, olive oil and vinegar or lemon juice
2 cups skim milk, supplements: 3- 1,000IU Vit D., 2-450 mg turmeric, 1 NAC, 1 Broad Vit B Supplement, 2 Lysines, 1 Fish pill, 1 Milk Thistle, 2 Mk-7, 2 CoQ10
NMR results from Lipidologist 11/20:
TRI - 80
Vit D 42
Standard Cholesterol Panel from Primary Care Doc 9/23
LDL - 113
HDL - 73
TRI - 58
VAP Results from Lipidologist 7/24
LDL - 136
HDL - 73
TRI - 82
LDL pattern A large bouyant
There were other numbers on VAP, but can't compare to NMR, so I left them out here.
So we're seeing a rise in LDL and a fall in HDL. I know my picture is convoluted; and I'm not expecting you guys to solve me...just posting as info in case you're interested. I see my lipidologist in 2 weeks..he doesn't know I've seen my results (another doctor sent them to me, probably by accident). I'm glad I can prepare ahead of time. I don't want to start statins, or zetia. He wanted me to take 4 benecol a day and I'm taking 2 instead. I see my endocrinologist in a month. She mentioned metformin in my future; she said she plans to be aggressive with treatment for glucose abnormalities given all my issues. I'm wondering if I should try and get insulin legitimately (as in from a doctor). I personally prefer the insulin, it gave my pancreas a rest that seemed to last a year and my GI system felt great.
Meanwhile, Happy Thanksgiving to all my buddies here...I have a lot for which to be thankful