Well I went and ordered up some blood work the other day and results began coming in today. While my past Lipid Panel was blogged right here, this is the new one.
The past one shows a total serum cholesterol of almost the same (219), while I had an HDL of 106 and a calculated LDL of 104. You know what I think of calculated LDL. Well, this isn't a NMR LipoProfile or a VAP. It's the best I can get from Kaiser and it purports to be a direct measurement of LDL (though not a particle count). However, if accurate, I would expect my particle count to be 660-669 nmol/L, which would be considered optimal in terms of particle number (< 1000). Size is something we can only guess on, but my HDLs make it clear that I'm pretty high in fat consumption and that's highly associated with mostly large fluffy LDL and little to no small dense LDL.
It's interesting to note that if you look at Patrik's NMR LipoProfile and assume my LDL Direct to be accurate (for now — I am still going to do an NMR as well), then calculated LDL overstated our actual LDL by about 50% (45% for him, 56% for me). This is consistent with Dr. Davis' experience. For grain, high-carb, low-fat dieters, calculated LDL usually understates actual LDL particle number (most of the particles small and dense as well) while for Paleo-like, no grain, high-fat, low-carb dieters, calculated LDL usually overstates actual LDL particle number (the vast majority of particles being large and fluffy). Moreover, I predict that as more of these paleo NMRs come in and get published, we're going to find the understated LDL for the grain eaters is going to be a larger percentage on average than the overstated LDLs for the Paleos.
I didn't have Trigs measured. They were 47 before and I'm quite certain they are still under 50 (and probably closer to 40, now, as I'm lower carb than before and have been on it longer. Let's assume the same 47 for ratio calculation. Here's the ratios from before:
- Total/HDL = 2.07 (average is 4-6 and ideal is 2-3; I'm on the extreme end of ideal)
- HDL/LDL = 1.02 (average is .3-.4 and ideal is above .4; again extreme end of ideal)
- Triglyceride/HDL = 0.44 (optimal is less than 2, so again, extreme end of ideal)
- Total/HDL = 1.68 (19% improvement; I'm now off the scale)
- HDL/LDL = 2.02 (98% improvement; again off the scale)
- Triglyceride/HDL = 0.35 (20% improvement; off the scale)
Want to know my "secret?" Click right here.
I may have some additional test results to report on later, after they come in.