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Transcript

so you just start a keto and your cholesterol  is off the charts what do you do okay there’s  

a couple important things you need to know number  one and this was in 2018 the new guidelines about  

the american heart association okay this  is brand new they said total cholesterol  

is not significantly associated with heart disease  okay that’s the new finding they just found out  

looking at your total cholesterol doesn’t  really give you a lot of information with  

in relationship to predicting heart disease okay  that’s number one number two your body makes 75  

25 comes from diet why do we need  cholesterol why does your body make it  

to make hormones sex hormones cell  membranes bile to help you digest fat  

and vitamin d which is very very crucial  and this is why when people take cholesterol  

drugs that block cholesterol as in statins  they have a lot of side effects relating to  

these right here which we’re not going to  get into now what i did is i took my wife  

karen’s report okay that i’m going to show you  i’m going to walk you through this this is an  

actual report done 11 15 2019 and we checked the  total cholesterol the ldl the hdl triglycerides  

and we checked several other things because i  always recommend when you get a cholesterol test  

you get an advanced lipid profile an advanced test  that measures the two different types of ldl okay  

which we’re going to cover now check this out this  is what we found her total cholesterol was 261.  

normal is below 200. so this is too high right  so immediately you’re probably going to freak out  

unless you understand that this total cholesterol  is not the cholesterol that’s floating  

through your arteries it can’t it doesn’t  mix well with blood it has to be packaged  

in a protein so the total cholesterol is  really all these other things combined okay  

so we have ldl which is low density  lipo proteins because you need a protein  

kind of a sac to push it through the blood  and we have high density lipo protein okay  

so really you know take the cholesterol and just  put it to the side right now all right so we know  

the cholesterol is high we also know her ldl look  at that should be below 100 it’s 195. it’s more  

than double where it should be hdl should be  greater than 50 because you want that higher  

because that’s the cholesterol coming from the  cells back onto the liver okay it’s not the ldl  

from the liver to the cells it’s coming back the  other way hers was really good 71. triglycerides  

less than 100 hers were 66. so this is where  it’s coming from right here but thank goodness  

we did a test that goes a little bit deeper and we  measured two types of ldl one is the large buoyant  

type of ldl which is kind of large and fluffy  as it goes through the artery and number two we  

measured the small dense ldl particles okay so i  want to focus on this one right here small dense  

so the way it’s worded on the cholesterol  test is this right here s d l d l dash c  

standing for small density all right here  we go here’s karen’s report we have her name  

we have the date and we have the total cholesterol  which is 261 right check that out right there  

and the second one this high ldlc that stands for  ldl cholesterol it’s 195. okay if we take a look  

on the second page right here look at this the ldl  is 2128 right but let’s narrow in on this one type  

of ldl sd ldl dash c that’s the small dense low  density lipoprotein this is one that’s dangerous  

and it’s actually 26 within the normal range  it’s optimal so guess what this means it means  

that karen’s high level of ldl is not the small  dense type it is the large buoyant type and it’s  

the small dense type that creates the damage  it’s one of the better markers for predicting  

heart problems it’s one of the best indicators for  detecting inflammation deep inside of the arteries  

all right so let me just explain the inside of the  arteries so i got this really good analogy from a  

dr sanjay gupta on one of his youtube videos using  a frying pan right so it’s a really great example  

of what happens on the inside of your arteries so  here we have this non-stick frying pan okay so you  

fry something on here you put some fat on there  and it doesn’t stick right and you rub it or you  

scratch this and you get rid of this layer the  fat will start to stick here’s what you need to  

know cholesterol is not going to affect the inside  of the arteries unless there’s first some type of  

lesion some type of erosion on the inside of the  arteries where the small dense type ldl can then  

penetrate because they’re small and start  developing plaquing so the question is why  

did karen have such high cholesterol and  such high ldl and also why did she have  

more of the large buoyant type versus the small  dense type and that’s simply because of this this  

comes from a high carb diet it comes from  consuming the wrong types of foods when you’re  

doing a healthy version of keto where you’re doing  higher fats lower carb moderate protein guess what  

you’re going to get into ketosis you’re going to  start burning fat and a fat cell is composed of  

mostly triglycerides and cholesterol so that  cholesterol has to come out it has to be mobilized  

so you can have certain times or transitional  periods where your cholesterol goes up and it goes  

down but as long as you keep your carbs low you’re  going to get more of this type of cholesterol  

and this is why i always recommend doing an  advanced lipid profile not just your regular  

test that doesn’t tell you very much information  and so getting back to the arteries there’s  

various things that cause inflammation  in addition to the glucose in the sugar  

which is a kind of a most people know that seed  oils a lot of corn oils canola soy cottonseed  

oil and so many different foods mayonnaise salad  dressings going off to dinner eating fried foods  

very inflammatory smoking creates inflammation  junk food creates inflammation and also  

when you’re deficient in vitamin e and you become  deficient in vitamin e when you start consuming  

refined flour products and that would be in the  form of breads and pastas cereal crackers biscuits  

things like that you start becoming depleted of  vitamin e which is the protective antioxidant to  

protect the inside of the arteries and by the  way if you have any problems with the inside  

of your artery the best vitamin e to take is not  tocopherols it’s tocatrinals okay that’s the one  

that you would want to help protect the inside  of that layer so now let’s take a look inside  

the artery and get a visual of what can happen so  we’re looking here at the inside of an artery this  

tiny layer on the inside of the artery is called  the endothelium and this layer controls the tone  

of your blood vessel it can increase the blood  pressure it can decrease the blood pressure  

it can make the artery thicker or more  elastic but it’s very sensitive to sugar  

especially chronic sugar i’m  talking about chronic glucose  

an average person in america consumes between 250  to 350 grams of glucose that is at least 13 to 15  

times what is normal so when you expose the inside  of your artery to that much glucose what’s going  

to happen we’re going to get this oxidation effect  it’s like rusting out the inside of your arteries  

now what happens next is the body’s response to an  injury we’re going to get inflammation we’re going  

to get calcium that’s going to come in there  and start building up and start to to act as a  

band-aid we’re also going to get cholesterol that  actually mixes in there and acts as a band-aid  

we’re also going to get fibrous tissue that’s  going to act as a band-aid altogether this  

band-aid that’s created from calcium protein  and cholesterol is going to start to form a clot  

and as that artery becomes more obstructed  the blood flow backs up and you start getting  

a diminished flow of blood so what does blood  do it carries oxygen and nutrition so now we  

not only starve off oxygen to the tissues we  starve off nutrition and if that blood vessel  

turns into a capillary and ends up in the bottom  of your feet you’ll get peripheral neuropathy  

numbness burning tingling if that artery is  the coronary artery that goes to your heart  

your heart muscle will start to cramp as an angina  and eventually a heart attack if that clot breaks  

off goes up to your brain and starts shutting  off oxygen into your brain you get a stroke and  

so all of this can be completely prevented  just by getting the sugar out of the diet  

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