petoeketo wrote:Hi socal guy. (I'm in LA actually).
I have a 1950 LDL-P eating LHCF and found comfort in Davis Feldman's research. Browse cholesterolcode.com
Certainly this is a contentious topic but LDL-P, according to Feldman is not the most relevant metric to focus on. It, like LDL-C can be manipulated easily by adjusting your fat intake.
I've also done a few FMDs. It's had good results for me but don't expect fasting to improve your LDL-P.
Hello petoketo,
Thanks for your reply! That's cool that you are a local! I am in the South Bay area.
I had been on the keto/fasting protocol since March and am very happy with my C-Reactive Protein and HbA1c assays. I have no danger signs at all when it comes to inflammation or losing insulin sensitivity. My biggest concern right now is my elevated lipids and seeing my CAC go from a zero to a five. It's still quite low but it seems to indicate there could be some calcification going on.
I've read a bunch of Dr. Gundry's articles and watched most of his video podcasts so I know he's a bit of a skeptic when it comes to CAC scoring. So I'm not viewing CAC as being 100% validation that I'm getting some calcification but I am definitely paying attention.
I also listened to Dave Feldman's podcast with Peter Attia and I take Attia's skepticism regarding Feldman seriously given Attia has a pretty big practice where his focus is on much more than TC or LDL-C. That doesn't mean I am writing Feldman off - I think low carb has been validated to a very large extent. I'm just following what the experts say are the warning signs when it comes to heart disease. Both Attia and Dayspring seem to put great value on APO B and LDL-P. However if I start to see signs of becoming less insulin sensitive or inflammation start to become an issue then I'll go back to focusing on those markers and let LDL-P and APO B take a back seat once again.
I have two young kids and my primary goal is to be around to get them to adulthood, ie their mid 20s. Right now I feel like heart disease is the most likely thing to kill me within the next 20 years. If I can get my lipid markers to the 20% percentile like Attia uses as a goal for his patients I'll feel good about that 20 year goal. If I can get those markers dialed in then it becomes about what I can do diet wise to either get off the meds or keep them at the lowest doses possible for as long as possible.
Thanks again for suggesting I check out Cholesterol Code. I will definitely bookmark it and listen to some more podcasts with Feldman to stay on top of his research!