Prof. Ken Sikaris: Cholesterol - When to Worry (sdLDL info)

[apod]

A graduate of the University of Melbourne, Dr Sikaris trained at the Royal Melbourne, Queen Victoria, and Prince Henry's Heidelberg Repatriation Hospitals. He obtained fellowships from the Royal College of Pathologists of Australasia and the Australasian Association of Clinical Biochemists in 1992 and 1997 respectively.

Dr Sikaris was Director of Chemical Pathology at St Vincent's Hospital in Melbourne between 1993 and 1996. A NATA-accredited laboratory assessor, Dr Sikaris specialises in Prostate Specific Antigen, cholesterol and quality assurance and is currently chair of the International Federation of Clinical Chemistry Committee on Analytical Quality. His expertise is highly sought and he has presented extensively at national and international symposiums.

[Stavia]

Thanks Apod. Very useful in helping us expand our knowledge

[Julie G]

Ah, the Aussie version of Dr. Gundry! Very informative, apod. This definitely makes me want to directly test my sdLDL. Do we need an East Coast rebuttal?

[aphorist]

I really hate listening to these lipid scientists who summarily trash carbohydrates as a food source, but never distinguish between raw sugar/candy (zero dietary fiber), lightly cooked tubers/starches (some fiber), and veggies/brussel sprouts etc. (high fiber).

They complain about carbs causing the liver to spew out trigs, but they make little to no distinction about what carbs actually do that other than fructose. It's moronic.

[apod]

I really hate listening to these lipid scientists who summarily trash carbohydrates as a food source, but never distinguish between raw sugar/candy (zero dietary fiber), lightly cooked tubers/starches (some fiber), and veggies/brussel sprouts etc. (high fiber).

They complain about carbs causing the liver to spew out trigs, but they make little to no distinction about what carbs actually do that other than fructose. It's moronic.

They also don't distinguish between high-fructose / high-sugar / low-fiber foods (fruit like grapes, currants, watermelon, ripe banana, mango, pineapple, dates, etc) vs isolated carbohydrate molecules or delve too deeply into the metabolic context around consuming these foods, which is confusing for me. If I recall, there's also some potential difference between sdLDL production for ApoE4s with plant-based fatty acids vs animal-based fatty acids?

Sometimes, it feels a bit like navigating a mine field. Although, as long as I'm eating whole foods and staying active, I feel like I'm in the clear -- just fine-tuning the nitty gritty details.

[Gilgamesh]

apod, incredibly useful video. Clearest explanation I've ever seen of the fate of dietary constituents with respect to lipids. (But Aphorist, yes, not all carbs are the same....)

G

[circular]

I was also glad this got bumped. Great video. I plan to listen until I get this part mastered. Understand your concerns aphorist.

[Schnooks]

He says that if your trig. are high then you have small ldl .. in looking at my numbers from before .. where sdLDL-C was tested.. I have high sdLDL-C 38 and optimal trig. at 71 .. are APOE4's the exception to this?

[Schnooks]

wow.. going back and looking at all these numbers from 3 years ago where I got a more detailed blood panel.. I have high Lp(a) which is indicator of heart event .. he also says there's nothing that can be done about Lp(a).. is this more common in 4/4's?

[Schnooks]

Julie.. have you not had your sdLDL tested .. or is directly test something different