This was an amazing video! Thank you for sharing. My ldl sky rocketed after doing low carb. But my hdl and tri are normal. So I got the fractionation test and confirmed my small ldl is below 90. So I’m good.

LDL-P is not that important. Too simplistic. Please watch Dr Boz on understanding cholesterol.

nice presentation. I came here to see if I can find how to convert my LDL particle number which is given in nmo/L to the US unit of mg/dL because when I do it the number is so huge it doesn't make sense. I got an nmr panel done but not the regular lipid panel as I assumed you could easily convert LDL, HDL.

Im confused and frankly a little scared. My LDLP = 2246, but my tri/HDL = 1.82 so is this reason for concern? I do high fat/zero carb carnivore

Well done. Excellent presentation

Well done. Excellent presentation

Fantastic video and graphics! Easy to understand 👍🏻👍🏻👍🏻👍🏻

Thanks for this. I found you while trying to research and interpret my fractionated lipid panel. I'm currently discordant in a bad way with my LDL-P : LDL-C. But I also have insulin resistance for now. I'd never heard of the Triglyceride : HDL-C ratio before. That was valuable. Another good marker to watch. After hearing your description, I was happy to see that mine (over months of keto) has gone from 10.7 down to 4.9.

Wow you did this 6 yrs ago. Long before Rhonda Patrick.

Glad I found out not to do a heavy ruck more than once a week.

This is a fantastic explanation of how a ketogenic diet can be incredibly harmful for some people. His standard lipid panels and advanced lipid panel confirm this. That keto test was a bad LDL-P result. And pattern A does not prevent cardiovascular risk. People with FH are universally pattern A. Meaning they have large fluffy particles, and they have more cardiovascular disease than any other population type. The only difference is they have lifelong exposure whereas he only had 4.5 months. But if he had continued a ketogenic diet for the next 10-20 years, then he would have had a similar outcome. The new ketogenic diet with higher carbs was better, but the old non-keto diet was better still.

Great video. I am seeing the exact the same things.

Thi gs in the medical field is so complicated it difficult to follow. Dr Cywes says if you are a carnivore you will never get diabetes, well in the morning my sugar was 6.9. I had meat only for breakfast just to check things out. After 1 hr my sugar went to 10.4. So I have come to the conclusion no one has the answer.

you are still alive? and healthy? the numbers at @14:30 are not good, even if you like to declare them as good. TG is too high, absolute, and in relation to HDL, and LDL is way too low. You total cis iini fact so low that your risk for ACM is 2x increased. Keto improved your numbers,, but then re-introducing the carbs in the range of 40..50% of calories worsened it again. and there you have it. TG/HDL of 1.3 is not good, it is bad average. it should be less than 0.7 to be good ... which is underlined by the chart @26.00. you would certainly be interested in the new finding about LMHR = lean mass hyper responder phenotype, presented in the channel of nick norwitz

If I'm 40lbs overweight, can that be considered 'pack weight' when it comes to calculating this data?

This is the best video and every doctor should watch before prescribing statin.

If I remember correctly, it's been a couple decades Running guru influencer/ Jim Fixx, was out running one day and had a fatal heart attack

Great explanation. Wondering why you stop posting. Love your channel and the way you explain things.

In a nutshell this is how it all sounds: Possibly, could be, maybe, chances are. Those are the lingos used to describe the various numbers. In other words nobody knows.

If I am discordant bad then how to I get the LDL-P number down?

Too bad no LDL-P at the end instead of speculation.

Beware of rucking if you're over 50 yo as it's not good to compress your discs. Talk to your chiropractor to see what he/she thinks before taking up rucking.

I have been studying lipid metabolism and NMR testing. Having said that, you have put together an excellent presentation. I have learned quite a lot about particle numbers that I did not know. I’ve been on a low carb diet (not sure if it’s keto but basically no bread, pasta, pastries, high carb vegetables). I now have excellent markers for low CVD risk (no longer pre diabetic, no longer over weight, no longer have metabolic syndrome, no hypertension, never smoked). However my NMR results are lousy. After starting my diet, my LDL-C and cholesterol doubled. Prior to my diet, all of my lipid results were normal (NMR lousy). So what am I supposed to do? Go back and starting eating crap again?!

This was awesome information. I'm one of those who jacked up my knees by locking my legs out.

Does rucking affect the hips especially being older? 70+?

Super interesting, very informative. Thanks

on the hand pretty interesting, on the other lots of errors: km to mi is NOT 2:1. so 8km are not 4mi, it‘s 5mi (slighty rounded). same with the chart about different surfaces: 12km with 34kg in 104min on dirt vs on soft snow in 180min shows a factor of 1.73, which is more or less exact the same with higher load of 61kg, and NOT - as you state - diverging.

This is great info. I appreciate your depth and breadth .

After going from standard American Diet to carnivore diet (zero carbs), my LDL went from about 125 to 250. My HDL went from about 45 to 66 …. My triglycerides went from 150 to 65. Trig:HDL ratio of 0.98. This was after about 4 months on carnivore diet. I didn’t do particle size testing at the time… but will pay out of pocket for it on my next evaluation in a few months. My weight dropped 30 pounds as well! BP dropped a lot too: avg BP has been 110/65. I also bike 200 miles a week. Avid cyclist. Oddly enough, I never take along carbs while biking.. I never seem to run out of energy. Maybe I’m fat adapted. Btw- I’m retired USN: 1987-2007

And when you upped your carbs to over 100gr per day your triglyceride:HDL went up to 1.3. Still under 1.5. But I feel you were better at 1. I’m basing this on Dr’s Ive listened to at various leto congregations. Good video

Your triglyceride to HDL ratio is below 1.5.. and it is 1 which is excellent. To me.. nothing else to look at :) It indicates large fluffy ldl particle size.

Great presentation only one of its kind I could find, thanks Mike. Also 8km is very close 5 to miles more so then 4 miles.

The problem is; what is the Keto diet........? Also in the video that is not clear, which food has been consumed? which is crucial. Was it 100% red meat or was it 20% meat/fish plus veggies etc., ? A Mediterranean diet is still the best diet in my opinion, make sure you consume at least 40ml EVOO, it is an enormous help to lower your risk of getting Cancer ( 30%) and or Heart problems. ( 50% ) I think the overconsumption of animal Saturated fat might be the problem for many on Keto.

It's a great video, very straightforward, and nonbias, thank you.

Great overview on LDL but without measuring APOB and LPa you will never have an accurate understanding of true atherogenic risk. You could have LDL C of 200 and LDL P of 1800 but if your APOB is 30 and your LPa of 20 you have virtually zero CVD risk. Please know your APOB and LPa before judging ASCVD risk.

Best video out there 💯

Excellent recap of the study

Great analysis but I disagree with some of your final conclusions! I think the TG/HDL is simply a marker for metabolic disorder and if you do not have metabolic disorder that ratio means nothing. Same thing with the LP-IR test. HDL has been shown to be a marker only and changing HDL using drugs does not change the CV out come of the test populations. For somebody who has been healthy his whole life, like yourself, I doubt those tests are meaningful. I need to go review that last study you quoted....do you have a link? I'll say it again....GREAT ANALYSIS! 🙂👍

Great breakdown of rucking. Especially that part of biomechanics. I've would've never figured out why I'm having pain in my knees and hip if I hadn't seen this. I'm locked knees walker and will now consciously shorten my stride and land softly. Very helpful video, thanks .

The clearest explanation I've ever seen.

Thanks a lot, it is great work, great effort.

Hell yeah you said fire fighters!

This is a really data driven presentation, the most useful I’ve seen. Just bought my ruck system and needed this.

Mind blowing explanation.. god bless

Regarding your improved results going back to a balanced diet vs the all over the place results on ldl averaging out to zero, you are probably more representative of a reasonable person, than people coming from a completely random junk diet going keto.

Some comment on the heavy weight, well, think about basic personal gear load, plus water, ammo, comms equipment, crew served weapons ammo, anti-vehicle rockets (AT-4), mortar rounds, and so on. These are total light infantry loads-combat load out. Light Infantry Isn’t 😊. So yeah, this shows the impact of distance, speed, and load. The biomechanics discussion is great! Remember, your pain and injury is not service related says the VA😂

What was your normal diet?

My ldl is high so I stay away from keto diet. I focus on Mediterranean and plant based

How do I figure out my Triglyceride/HDL ratio. My cholesterol is 12.82 mmol/L. triglycerides 1.57 mmol/L, HDL2.39 mmol/L. LDL 9.72 mmol/L. A1C is 5.4%. I have been on keto for 1 1/2 years and feel good but now I am being called in to see the Dr for high cholesterol 😩.

My problem is the minute I add in more carbohydrates I become addicted to sugar, and gain weight. Not to mention insulin resistant. By eating carbs I increase my small dense LDL particles. I'm on the carnivore diet. My LDL particle count is some 2000, but all are large size 22. From what I understand insulin resistance is some 10 times more predictive in CVD risk than LDL. I guess I need to pick my poison...