Video

Transcript

all right so today we’re going to talk

about what happens if you get your blood

test back and your cholesterol is high

or your LDL is high should you be

concerned or not let’s discuss this

topic and listen I do understand the

concern because you have all this data

out there telling you to stop consuming

cholesterol and here you are on a

ketogenic diet eating a ton of fat and

all of a sudden your cholesterol is high

and your doctor wants to put you on

statins and maybe your family is like oh

my gosh are you sure you should be doing

that puts a lot of doubt in your mind so

let me just cover some key facts about

this so you are not concerned most

people that do keto get a lower

cholesterol level in a lower LDL other

people are hyper responders to a higher

fat diet so basically they’re gonna have

a spike in cholesterol and a spike of

LDL but realize that is temporary it’s

not a long-term thing so there’s two

things happening when you do keto number

one you’re increasing more dietary fat

that fat has to be digested it has to go

through your body and that’s one reason

why cholesterol will increase number two

you’re getting more fat burning more fat

released because your insulin is down

because your carbs are lower now think

about it your fat cell are made up of

triglycerides and cholesterol that’s

what’s in the fat cell well guess what

when we burn this both of these have to

be released right so you because you’re

no longer running on glucose as much

you’re running primarily on fat fuel

well guess what these two are going to

be released and they have to come out

through the body okay so now let’s talk

about total cholesterol not sure if you

know this maybe you do maybe you don’t

but cholesterol is made by your body

your body makes 3,000 milligrams per day

your liver produces most of it okay so

if your body makes it is it really that

bad so the reason why your body makes so

much is this is a necessary

substance that you need to make the

membranes or outer coating or walls of

your cells so the the cellular walls of

your cells are made out of cholesterol

cholesterol is needed to make hormones

cholesterol is needed to make bile to

help you digest cholesterol is needed to

make vitamin D cholesterol is needed to

repair the body so cholesterol is not

just this thing that clogs up the

arteries and causes a heart attack okay

so that’s the purpose of cholesterol but

then what is LDL okay low-density

lipoprotein okay so LDL is not

cholesterol it’s a protein LDL is a boat

a cargo ship that carries cholesterol

okay and triglycerides that’s what it is

now LDL has a primary function I don’t

know if you ever thought about it like

why do we have LDL what’s the purpose of

LDL it’d be a really good question to

ask your doctor to see what he or she

says because a lot of people don’t even

know it LDL all they know is that LDL is

bad okay bad cholesterol

it’s not even cholesterol it’s a boat

that carries cholesterol and

triglycerides in vitamin E okay so LDL

has a primary function of caring energy

what’s the energy it’s the triglycerides

because now your body is running off of

fat this is the fuel source you’re no

longer using glucose you’re using fat

triglyceride is the main fuel source so

LDL has to carry that energy now if your

body is now running on fat fuel is it

possible that you might need more boats

to carry more of this around to the

cells that’s what happens so LDL has a

primary function of carrying energy and

nutrients to the cell and it provides

the triglycerides for energy now the

cholesterol that is being carried with

it on this little boat is there to

repair anything that’s damaged in along

for the ride so here we have this little

boat that

delivering the triglycerides to the cell

cholesterol to the cells that need it

and other functions too like destroying

pathogens acting as an antioxidant

supplying raw material for the cell

membranes and the hormones and the bile

and the vitamin D so it’s doing all

those actions and then once it unloads

all this cargo HDL comes from the

vascular system and brings it back into

the liver to recycle it so we have this

great exchange of this LDL boat bringing

things to the cell and then HDL taking

what’s left and bringing it back to the

liver to recycle that’s the simplicity

of it

so as LDL really bad and HDL really good

now you they’re both good they both are

necessary for this thing to happen now

there’s another term I want to define

it’s called remnant cholesterol what is

that well most people think that when

they get their cholesterol values back

that their total cholesterol really is

just LDL plus HDL that would give the

total cholesterol but that’s not

entirely true there’s something called

remnant cholesterol which is basically

taking the total cholesterol and -

seeing the LDL and the HDL and then you

get an amount that’s the extra

cholesterol that doesn’t make up LDL and

HDL and remnant cholesterol is one of

the best predictors of heart disease way

more important than LDL or HDL and it’s

very easy to figure this out all you do

is you take your total cholesterol

• LDL and HDL and you get this number if

the number is less than 17 that’s

optimal if the number is between 18 to

23 it’s okay

the number is between 23 to 29 that’s

concerning if the number is over 30

there is a problem but you’re gonna have

higher amounts of remnant cholesterol

when your insulin is too high so you’re

really only going to see higher numbers

of remnant cholesterol when you’re

consuming the wrong foods and your

insulin is too high

you’re doing keto your insulin is gonna

go down and you’re gonna see remnant

cholesterol very low so that’s one point

the next point I want to talk about is

that there are two different types of

LDL called particles okay now if you’re

concerned you can go to your doctor and

get an advanced test

it’s called n/m our lipid profile okay

and what that will measure is the

particle size of the LDL and there’s two

patterns pattern a and pattern B pattern

a is the buoyant big fluffy LDL

particles okay that’s the large ones

those are non concerning they’re

floating around and they’re not going to

create damage okay then you have the

pattern B which are small dense type

particles and those are the ones that

are more likely to create plaquing and a

clogged artery okay and of course you’re

gonna see this when you have high

insulin and you’re at a high refined

carbohydrate diet when you keto you’ll

see more of this so I just wanted to

cover several points on why your

cholesterol and LDL may spike

temporarily when you do keto and it’s

not just a simple answer you have to

really understand the whole picture of

what’s happening and really understand

what cholesterol is and what LDL is in

what it’s doing and I highly recommend

that you watch all the videos that I

have on cholesterol as well as the

videos from a guy by the name of Dave

Feldman which I put a link down below

and he’ll give you additional data on

the topic and also include a few links

down below of some keto friendly

cardiologists all right guys thanks for

watching so if you want more knowledge

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