Thread by @DoctorTro

💥THREAD: Cholesterol🔥

If you have lost a lot of weight w/low carb & are now fairly lean, you may have noticed that your LDL has sharply risen

This has nothing to do w/saturated fat intake & in fact if you fasted even for several days your LDL would continue to INCREASE

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The issue is primarily due to your body fat stores not being able to meet the energy needs of your body.

Your fat is no longer so rich in energy and in attempt to recirculate energy more efficiently your liver and fat release cholesterol.

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Some decide to leave their cholesterol elevated. If you do, contact @DaveKeto

Some decide they’d like to lower their cholesterol.

If found several methods reliably reduce it if this situation is occurring

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In order of effectiveness:

**1) gain fat mass
**2) periodize carbohydrates 50-100g to directly after or before exercise
**3) increase meal frequency
4) add fiber
5) reduce saturated fat
6) increase protein

**most effective

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Typically my patients with high LDL get

FH genetic testing
CAC score
CIMT
+/- stress test

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If you have questions feel free to reach out to my office. Also please reach out to @DaveKeto and the citizensciencefoundation.org

/Final