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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes An Increase In The Cholesterol Levels?

After 10 days of an almost no fat weight loss diet, fasting blood test showed 70 points INCREASE in LDL level. Is that possible? (The first test was 30 days before the diet began). I'm a healthy female, about 40 pounds overweight - moderate exercise - always watching intake but trying to loose weight now. The increase in cholesterol has me puzzled and worried.
Mon, 8 Feb 2016
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Dietitian & Nutritionist 's  Response
Good Day, Please stop worrying. Perhaps if I try to explain the cholesterol issue a little clearer, you will understand. Your 70 mg increase is quite a jump in your LDLs, which is undesirable as you know. Limiting fat is not the only answer to lowering your lipids.

You say you have eaten almost 0 fat gram, perhaps if you had some guidelines it would help you. The formal recommendations now do not focus on total fat as much as they do on the elimination of trans fat, increasing good fats in place such as virgin olive oil, canola oil, etc. I don't like my clients to eat more than 7% of their calories as saturated fat because saturated fat is used in the body to make its own bad fats. I cannot give specific guidelines as I do not have a height, weight or age on you.

Switch your starch intake over to substituting oat based fiber for as many things as you can as soluble fiber will help decrease LDLs, cholesterol and many other things we dont want in our blood. Switch to cheerios, oatmeal, oat bread,etc. If you can take fish oil, studies have proven that fish oil will help you lower your blood fats.

When you get your follow-up lipid profile, please send in all the values not just one, note your blood sugar as well, how much weight you have lost and lets take a look at how your lipids vs. weight have progressed. Please include medications, supplements and a sample one day food intake and ask for me.

I am willing to follow you and assist as I can after I receive more information. It would be best if you could come through the specialty virtual clinic office I have here. Thank you for choosing HCM. Kathryn Shattler, MS,RDN



Sometimes it is not what we take out of our diet, but what we fail to put in.
To calculate how much total fat would be a balance for you, take .3 and multiply by total caloric intake. Take that amount and divide it by 9 kcal/gram and that will give you your grams total fat. Less than 7% of that should come from saturated fat alone.
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Dietitian & Nutritionist Kathy Shattler's  Response
Welcome to HCM,
Please, no need for concern at this point. It is possible that with weight loss you had an unusually high level of circulating fat as the fat was being mobilized out of storage due to the fasting.

I would wait until you were back on a normal eating pattern (following a low fat, weight reduction diet, abstain from fasting) and then make certain the next time you have a fasting profile done it isn't after a fast. That will give you a better idea of your true LDL value.

Many professionals are advising patients with hyperlipidemia to follow a weight reduction plan that mirrors that of the Mediterrean Diet.

I hope I have resolved your worries. Sincerely, Kathryn Shattler, MS,RDN
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What Causes An Increase In The Cholesterol Levels?

Good Day, Please stop worrying. Perhaps if I try to explain the cholesterol issue a little clearer, you will understand. Your 70 mg increase is quite a jump in your LDLs, which is undesirable as you know. Limiting fat is not the only answer to lowering your lipids. You say you have eaten almost 0 fat gram, perhaps if you had some guidelines it would help you. The formal recommendations now do not focus on total fat as much as they do on the elimination of trans fat, increasing good fats in place such as virgin olive oil, canola oil, etc. I don t like my clients to eat more than 7% of their calories as saturated fat because saturated fat is used in the body to make its own bad fats. I cannot give specific guidelines as I do not have a height, weight or age on you. Switch your starch intake over to substituting oat based fiber for as many things as you can as soluble fiber will help decrease LDLs, cholesterol and many other things we dont want in our blood. Switch to cheerios, oatmeal, oat bread,etc. If you can take fish oil, studies have proven that fish oil will help you lower your blood fats. When you get your follow-up lipid profile, please send in all the values not just one, note your blood sugar as well, how much weight you have lost and lets take a look at how your lipids vs. weight have progressed. Please include medications, supplements and a sample one day food intake and ask for me. I am willing to follow you and assist as I can after I receive more information. It would be best if you could come through the specialty virtual clinic office I have here. Thank you for choosing HCM. Kathryn Shattler, MS,RDN Sometimes it is not what we take out of our diet, but what we fail to put in. To calculate how much total fat would be a balance for you, take .3 and multiply by total caloric intake. Take that amount and divide it by 9 kcal/gram and that will give you your grams total fat. Less than 7% of that should come from saturated fat alone.