Why Might LDL Cholesterol Go Up on Keto?

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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