I thought the results would be back before my appointment, but they weren't. This might've been a blessing in disguise. (The notice that results were in actually came to my email DURING the appointment.) Now I'm feeling more than a little stumped and hopeless, since the lab values just keep getting worse...
But first, the good news:
Based on having few personal risk factors and a high-ish HDL, the lipidologist ordered a calcium scan and said that if it doesn't show anything, he'll consider me low risk (no need for statins) and will want me to repeat the scan in 10 years, since it might just be too early to detect something.
Brief summary of the main interventions of the past month:
- Daily calorie restriction to ~1250 kcal during the week
- Most of the deficit was achieved by eating less fat
- All calories consumed in a 2-8 hr window (within 5 hrs most of the time)
- Higher carbs on Saturdays (40g net vs. 20g net, usually from bell peppers, blackberries, brussels sprouts, etc)
- Higher calories on Sundays (up to around 1500)
- 100 mg resveratrol daily, 20 mg PQQ daily, 500 mg vitamin C BID
- HIIT at least 4x/wk... which I stuck with for 2.5 weeks before frequency decreased
So here's the latest round of results:
Test ............................ 10/26/17 ............. 11/24/17 ............... 1/03/18
LDL-P .......................... 1968 High ...........1853 High ............. 2168 High
LDL-C .......................... 159 High ............. 154 High .............. 163 High
HDL-C ......................... 70 ......................... 55 (!!!) ................... 68
Triglycerides .............. 98 ......................... 194 High (!!!) ........ 151 High (!!!)
Cholesterol, Total ...... 249 High .............. 248 High .............. 261 High
HDL-P (Total) .............. 38.4 ...................... 30.6 ...................... 39.2
Small LDL-P ................. 725 High ............. 654 High .............. 1014 High (!!!!!)
LDL Size ....................... 21.4 ..................... 21.2 ...................... 21.2
LP-IR Score .................. 30 ........................ 53 High (!!!!!) ........ 40
HgbA1c ........................ 4.9 ....................... not tested ............ not tested
Lipoprotein (a) ............ N/T ...................... N/T ........................ 15
Insulin .......................... N/T ...................... N/T ........................ 6.9
For references, these were the results of my first NMR Lipoprofile from 12/02/16 (~5 months after starting a ketogenic diet):
LDL-P: 1354 High
LDL-C: 141 High
HDL-C: 80
Triglycerides: 112
Cholesterol, Total: 243 High
HDL-P (Total): 34.9
Small LDL-P: <90
LDL Size: 21.3
LP-IR Score: <25
HgbA1c: 5.2
Soooooo what now? Ditch the antioxidants and start alternate-day fasting? Do a 2-4 day extended fast every other week? A daily 1000 kcal meal of olive oil, sardines, vitamins, and kale/spinach? (If those aren't beneficial or at least benign when it comes to the lipid profile, then I don't know what is.) Since each new idea seems to make things worse, I'm afraid to try any of these things, but I can't keep doing what I'm doing and expect things to improve on their own
