Introduction
Question: Why do I have a high LDL-C when my diet is on point?
Generally in the presence of insulin sensitivity, more carbohydrates, less fat will lower LDL, but in the presence of insulin resistance, more carbohydrate will sometimes raise LDL.
And if the LDL is only a little bit out of range and the HDL is good, I wouldn't worry too much about it. If the total to HDL cholesterol ratio is under four, especially if it's close to 2.0 or underneath that, then I would be worrying about all the elements a little bit out of the range. But I would look at coconut oil, reducing it, body composition, normalizing insulin sensitivity, optimizing it. And if all those things are done, substituting some more carbohydrate, less fat may help.
This Q&A can also be found as part of a much longer episode, here:
078: Ask Me Anything About Nutrition, August 19, 2020
DISCLAIMER: I have a PhD in Nutritional Sciences and my expertise is in performing and evaluating nutritional research. I am not a medical doctor and nothing herein is medical advice.
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