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168: Why do I have a high LDL-C when my diet is on point?

Masterjohn Q&A Files Episode 168


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

For the remainder of 2020, I will be working full-time on finishing my Vitamins and Minerals 101 book, while reserving a portion of my time for consulting clients. You can pre-order my book at You can sign up for a consultation at 

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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The Masterjohn Q&A Files
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Chris Masterjohn, PhD