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so the question I want to answer today is why would your LDL or even total

cholesterol go up when you start the ketogenic diet it’s supposed to go down

okay so let’s answer that first thing you need to know is that if it goes up

realize first thing you need to know is that the majority of the time it will go

down it doesn’t go up so if it goes up for you it’s not as common but it’s not

a problem one thing you have to realize is that LDL is not cholesterol LDL is

low-density lipoprotein it’s the carrier boat that travels the cholesterol

through the blood and the second thing you need to know is that LDL is not bad

so LDL takes the cholesterol from your liver into the tissues HDL takes the

cholesterol from your tissues back on up to the liver

so we have this exchange with cholesterol we need cholesterol for our

hormones specifically sex hormones testosterone cortisol which is an anti

inflammatory hormone estrogen and we also need cholesterol for all of the

cellular membranes because if you don’t have cholesterol for that nothing works

so your body makes cholesterol it makes a lot of it and you also get cholesterol

from the diet typically what happens when you consume more fat or cholesterol

your body makes less cholesterol but then why would it go up when you would

do the ketogenic diet so there’s a really interesting study done by Stephen

Phinney MD and PhD so what he did is he did biopsies on fat cells through a

person’s ketogenic plan to identify what happens inside the fat cell during this

process and he found some really interesting data one thing he talked

about one thing you talked about is this cholesterol is also stored in the fat

cell in a certain amount and when you do a ketogenic plant and you lose weight

the fat cell shrinks but in the first phases of this process you release the

triglycerides which can be used for energy but the body tends to retain or

hold on to the cholesterol till a certain point which explains why you may

start the ketogenic Plan and your cholesterol or even LDL is good but then

it spikes weeks or even months later what you have to realize is cholesterol

is not used as fuel in the body so the fat cell is mostly triglycerides and

triglycerides are used as fuel in the body but not the cholesterol so here you

have the situation where you start the ketogenic Plan you’re losing weight but

the cholesterol in that cell is being retained until a certain point that then

it’s released and at that point he found in certain people that release of 300

milligrams of cholesterol that came out and then what happens it goes into the

liver it combines with bile gets dissolved and then it kind of goes

out through the intestine so that would be one reason why your LDL or even

cholesterol can go up during a program now the other reason it can go up is

just for the fact that you’re consuming a higher fat diet and you have more fat

circulating throughout the body but this is what you need to know as far

as LDL okay which is consider the bad cholesterol which it’s not and you

normally shouldn’t even be concerned about this but if you are there’s two

types of LDL and these two types are basically the size of this particle okay

so type A is a very large type it’s called large buoyant because it floats

type B is more of a small dense type okay this is the type that can

potentially invade the artery walls and create inflammation and damage and then

the response from that the immune response kicks in and then your body

starts laying down calcium cholesterol plaquing and even fibrin which is a

protein to start to form a clot this type which is a small dense type

okay that comes from consuming a high carbohydrate diet this type comes from

doing a high fat diet low carb diet so when you get on a high fat diet you

lower your carbs you may have more of this and so if your LDL is really really

high and you do a regular cholesterol test

they’re not gonna differentiate that LDL they’re just going to give you the total

number what you want to do is you want to get an advanced lipid panel or a test

to measure the particle size and you’re gonna find that most of that is type A

not type B in fact my own wife Karen had high very high LDL and so we got this

advanced test and sure enough it was the majority of it was type A and how the

any type B so do you have to be concerned no but if you are concerned

get this advanced test done so you have the knowledge of really what’s happening

and if you’re still concerned that it’s high in general and you want to lower it

there’s a couple things you can do number one you can actually consume more

fiber in the form of vegetables because fiber tends to find with some of these

fats and allow them to be transported through the body

you could also reduce some of the extra fat that you’re consuming like butter or

some other fats you can start reducing some of that to some degree but not

below 75 grams I don’t recommend that all right so the bottom line is you

don’t have to be concerned about this you should get this test and really

understand what’s really happening all right thanks for watching