How do I know if my cholesterol level is ok?

How do I know if my cholesterol level is ok?

This post will serve to shed light and find out if your Cholesterol is at the correct levels

Many people still live in fear of the possibility of having high cholesterol, a fear almost always unfounded.

But we should not be afraid of cholesterol even if it is high, it is essential for the proper functioning of our body

It all started with a totally biased study

I’m not going to go into much detail about how all this bad cholesterol hoax was set up, we should know that the spark was lit by the German pathologist Rudolph Virchow who found a thickening in the arteries of the people he performed the autopsies and attributed them, without further ado, to a collection of cholesterol.

Physiologist Ancel Keys later published his paper called Seven Countries Study which served as the basis for this myth, where the study on which it was based linked the consumption of saturated fat with coronary heart disease.

Of course, the study was rigged since of the 22 countries in the study, only the 7 with which their statement was proven were used, since analyzing the 22 countries, no correlation could be found.

Study on the cholesterol

Many doctors at the time scoffed at the very biased and poorly formulated study, but Ancel Keys was a member of the advisory committee of the American Heart Association, and used his contacts to promote the recommendation to reduce , and from there all this deception began, very well used by pharmaceutical companies to insert statins left and right and earn billions of dollars.

It is incredible that as a result of this meaningless study the great business of the 20th century has been set up, which is still in full swing in this 21st century, supported by the medical consensus out of self-interest, and seconded by most health professionals for fear of not respecting medical guidelines, even though they know it is a scam

Studies dismantling the bad cholesterol theory

I personally have been talking about the great cholesterol scam for years, in fact 4 years ago

During my time as a blogger at Vitónica, I compiled a series of studies on the great lie of bad cholesterol (2,3), they were very controversial posts, and I was labelled as an alarmist, but the studies had been done other doctors, not me, I just compiled and divulged the findings in one big compilation to show that we were being misled.

And it is that every day there are more and more studies that dismantle the theory of bad cholesterol, studies carried out by good medical professionals who do not have subsidies from any brand behind, not like many of the studies that saw a direct relationship between cholesterol and coronary diseases where large pharmaceutical companies were economically behind.

There is no point in having to show who has a real interest in this invented disease, anyone with half a brain sees that the only ones who benefit from all this are the pharmaceutical companies , and if this disease does not exist, no one wins, they just stop winning

The first problem comes from the medical consensus

I perfectly understand the medical professionals who are guided by the medical consensus, it is normal that they prefer to follow the guidelines that are set for them from above than to investigate and update their knowledge and that with this they can make a mistake, I I imagine they think: “I do what they tell me and I wash my hands of the problem”, so statins are prescribed.

Medical consensus and cholesterol

This does not brand them as bad professionals, since medicine is not mathematics and is based on statistics and if “those at the top” have decided that a pill should be given to those with a total cholesterol of 200 (although those who decide are managers of large pharmaceutical companies) are given, period.

But you couldn’t call them good professionals either, wouldn’t you think so?

Being a Good Professional

The good professional is the one who investigates, documents and updates himself, the one who doubts when there are reasons to doubt, the one who does not stay with the superficial, the one who when he sees many studies that confirm that there is no direct relationship between high cholesterol and coronary problems does not say: “that will be because someone with money has paid for that study”, because the truth is I would like to know who is interested in paying for a study of this type with which they will not get any economic benefit , but he is going to try to help us see the harsh reality.

The good professional has been learning and discovering that cardiovascular disease has an inflammatory origin and is not due to high levels of cholesterol in the blood.

You know that the real culprits are always:

  • sugar
  • overweight
  • cortisol,
  • free radicals,
  • trans fats,
  • sedentary lifestyle,
  • alcohol,
  • stress,
  • tobacco…

And he is clear that lowering cholesterol with statins has many detrimental effects on health

So we forgot to check our cholesterol?

Sometimes we jump to conclusions that can be hasty for our health

And one of them would be to leave cholesterol aside in the analysis, but what is clear is that it is not worth looking at total cholesterol, much less LDL cholesterol, which they called cholesterol bad, something nonsense because a molecule cannot be bad or good, or perhaps a red blood cell is good or bad.

Cholesterol HDL and LDL

The only problem in knowing how to interpret whether there is a risk of cardiovascular disease as a result of an analysis is not to focus only on cholesterol, but rather to look at a series of values and calculate whether that risk is real or not. simply one more value within a routine analysis.

The first thing you have to know is that LDL cholesterol (which is an insignificant value only used to “sell” statins) that appears in your analysis is not the real one, since as it is quite expensive analyze it what they do is take the total cholesterol and subtract the HDL cholesterol and triglycerides.

So if you have low triglycerides your LDL cholesterol will be higher and with (the really serious thing since this usually indicates an excess of sugars and refined carbohydrates in the diet that are converted into fat in the liver through De novo hepatic lipogenesis)

The most realistic value of LDL

As we have said, most laboratories directly measure triglycerides, total cholesterol, and while LDL cholesterol is calculated indirectly using a mathematical equation called Friedewald that dates back to 1972 and is inaccurate when triglycerides exceed 400mg/dL or do not reach 100mg/dL, overestimating the results obtained.

There is a formula from 2008 known as the «Iranian Equation» (LDL = TC/1.19 + TG/1.9 – HDL/1.1 – 38 (mg/dL) that corrects Friedewall’s errors based on a linear regression model, offering much more adjusted values ​​for those with low triglyceride values

On the “I like to be well” website you can estimate your LDL better by entering your total cholesterol, HDL cholesterol and triglycerides and you will see that it gives you a lower value, for example here is my latest analysis and its values:

Cholesterol Values

As you can see, my total cholesterol is “through the roof”, that’s what you have to do , but triglycerides are low and HDL cholesterol is high, so LDL is very high.

If we use the Iranian formula, I get an LDL of 171, somewhat lower but still higher according to the binomial “medical consensus and cholesterol big lie”, but it really is something that does not worry me since my profile lipid is perfect (as we will see shortly), this only worries my endocrinologist who has suggested I take statins, which I have obviously rejected.

He has also suggested that I stop eating so much saturated fat, which I have also declined, and of course he has asked me to please stop doing ketosis since being I can fall into ketoacidosis, which has not occurred in the 5 weeks that I have tried to be without eating hydrates.

But I will talk about this in the post «Ketosis vs ketoacidosis: the experience of a diabetic»

How do you know if you have a good lipid profile?

If you’ve read this far, it’s clear to you that LDL cholesterol won’t help much, we need to focus on HDL cholesterol and triglyceride levels

But since the value of triglycerides is inversely linked to the level of HDL and, since the value of triglycerides is more fluctuating and that of HDL is more stable, HDL will be the most reliable value of all in the analysis, that is, a low HDL will translate to us that we have high triglycerides and vice versa.

Test Cholesterol

TC/HDL ratio

So, since HDL is a stable indirect but very reliable indicator of triglyceride levels, the best way to know if we have a good lipid profile is to divide Total Cholesterol by HDL Cholesterol, according to what has been studied, if the result is lower 4.5 this indicates that you have a good lipid profile.

In my case, I have a Total Cholesterol of 297 mg/dl (something perfectly normal), with an HDL of 73 mg/dl, my TC/HDL ratio is 4.07, totally healthy

Having triglycerides below 100 mg/dl tells me that my LDL cholesterol is pattern A, subtypes 1 and 2, large particle, which is a completely harmless cholesterol (not like types 3, 4 and 5, called Small Dense, which would be the harmful ones.

Triglycerides/HDL

Another of the ratios that we can investigate and analyze to find out if our lipid profile is correct is to divide triglycerides by HDL cholesterol, which, according to what has been studied, should be less than 2.

In my case it is the result of dividing 50 by 73, giving a result of 0.68

Note that if your total cholesterol is 195, with an HDL of 28, some triglycerides of 109, you would have an LDL of 58, everything seems correct, but this triglycerides/HDL ratio would be 3.89, well above the recommended 2 . All because triglycerides are too high for how low cholesterol is.

LDL/HDL

And a third ratio, which has been studied, must be less than 4.3 to indicate that our lipid profile is correct, which comes from dividing the two cholesterols, LDL (with the Iranian formula) by HDL.

Continuing with my current analysis, it would result from dividing 172 by 73, giving a value of 2.35, even if I use the cholesterol calculated in the analysis, which is 214, it gives me a ratio of 2.93, very far from the maximum marked in 4.3

Conclusions

So I don’t have to worry about my cholesterol at all if:

  • My HDL is high,
  • My triglycerides are low,
  • I am a person who does sports every day,
  • My fat % is below 12%,
  • I have no family history of coronary problems,
  • I don’t smoke,
  • I don’t drink,
  • I try not to have high stress…

Another thing altogether is that fate is very tricky and hard to determine and genetics can cause you to have cardiovascular disease, but this has nothing to do with cholesterol.

And you, do you really know if your ratios are within normal limits? Calculate them and don’t get carried away by the great cholesterol scam

Fonts

  1. Cholesterol is our friend Blog: The coming weather Author: Jorge García-Dihinx Villanova Pediatrician Hospital San Jorge de Huesca Year: 2018
  2. The great lie of bad cholesterol (I). Vitonic. Author: David Díaz Gil Year: 2015
  3. The big bad cholesterol lie (and II). Vitonic. Author: David Díaz Gil Year: 2015

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About David Diaz Gil
David Diaz Gil
David Díaz Gil contributes with excellent articles in which he deposits the essence of his experience as well as scientific rigor.
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