Dr. Paul Mason - 'Blood tests on a ketogenic diet - what your cholesterol results mean'

Dr Paul Mason obtained his medical degree with honours from the University of Sydney, and also holds degrees in Physiotherapy and Occupational Health. He is a Specialist Sports Medicine and Exercise Physician.
Dr Mason developed an interest in low carbohydrate diets in 2011. Since then he has spent hundreds of hours reading and analysing the scientific literature.
For the last two years, Dr. Mason has been applying this knowledge in treating metabolic and arthritis patients who have achieved dramatic and sustained weight loss and reductions in joint pain.

[@7173mach1]

I learned more in this video than all my doctors taught me in 40yrs. Thank you!

[@terry2346]

Never during PA school ( one of the three top ones in the US) or during all of my years of practice, and I went to a lot of Cardiology seminars since I worked in Cardiac surgery division, have I heard such an excellent lecture on Cholesterol and the effect of sugar on the lipid profile! Excellent and beautifully presented!

[@Will-ql5db]

What is 'PA', physician assistant?

[@catchristo9406]

​@@Will-ql5dbyes

[@jimsturt]

you never heard this there because everything in the video is bunk

[@AK_Catholic_Traditional]

@@jimsturtok boomer

[@Tinkerdevil74]

@@jimsturt and your medical degree is from where?

[@michaelmoore6287]

Yesterday I had an annual check up. I am 68, in very good health, train at least 4 times a week, and walk 10,000 steps every day minimum. I don't smoke and rarely drink. I'm 1.70 and weigh 70 kg. The report I received suggests I should lose weight by eating less calories and less fat. My blood pressure is 110/70. My pulse rate 50 bpm. The report has clearly just been based on my high total cholesterol and ignored the low triglyceride levels and HDL levels. The lack of knowledge about cholesterol in the medical profession is nothing short of pathetic

[@pepper419]

The doctors are being brainwashed by the drug companies. Believe it. If you want to see the truth of this watch this: Too Much Medicine & The Great Statin Con - Dr Aseem Malhotra.

[@BigDmunz]

You should have high HDL and low triglycerides not low for both fyi.

[@dsa4931]

Low hdl is bad

[@alc6799]

If the endothelial layer is breached by the oxidised LDL particles and ultimately cause plaque to build up, then why does that same process not occur in our veins? Does anyone know?

[@naughtyorgneiss]

A healthy LDL-C is 125 to 150, and less than 77 dramatically increases mortality risk as shown by dr mason. Modern medicine is a joke.

[@perugino25]

This gentleman as Dr. Jason Fung, and others doctors deserve our respect for helping all of us!!!! thank you for opening my eyes

[@ukmark9211]

Don't forget Pradeep Jamnadas. He's the main man in my opinion.

[@grettafahey3890]

Dr Paul Mason and many other medical professionals who make online videos for the purposes of educating and helping the general public with their health issues are true heroes and they are men and women of high integrity. Thanks to all of you.

[@phyycxis1159]

I’m 22 years old I’m at a healthy weight throughout my life I have always been moderately active. I had a little chocolate addiction but last year my mindset changed to “if the food doesn’t benefit my body it’s very unecessary for me to eat it” but I would have pizza or hamburger or cake like once a week. No alcohol, no smoking. Last month I stumbled upon keto and for 2-3 weeks I searched what it was all about and decided to change to a LCHF diet after. So like a week before I was on the second day of keto took a blood test. Everything was normal except my cholesterol and ldl was high. The doctor said “we need to put you o meds!!” but I refused and left. Now watching this I checked my results again and happy to see I’m phenotype A 🙆🏼

[@somedude2748]

Similar experience here, but as a type 1 diabetic, doc tried to put me on statins despite me losing 15kg in a year, using less than half the insulin I used to (from 45-50units/day to 18-20units/day), lower hba1c etc. Honestly shocking that they not look at much besides cholesterol.

[@gabriels335]

@ 22 the doctor told you need meds? My doc told me i had high cholesterol but i'm too young to need it (risk factor). He said if i was middle-aged he'd put me on medication.

[@melisand8295]

Tarzan keto is far from extreme. Eat good quality fresh foods. A bit of dairy, no chemically produced ‘vegetable’ oils, small amount of protein naturally occurring fats. Avoid processed rubbish. It is such an easy way to live and for the few compromises the health benefits are outstanding.

[@charlieclark2609]

@Towelie haha yeah , eating things that dont give you chest pain or make you fat is extreme to Tarzan.

[@ilkerkarakaya5903]

Hiç bilmediğimden soruyorum. Klasik kolestrol testlerinde phenotype a değeri gösteriliyor mu Türkiye'de acaba?

[@MirexDevonRex]

WOW.. BLOODY WOW! My Dr wanted to double my statin to 10mg based on my cholesterol results. I refused and advised that I would come back to her once I had done 'my' research. I'm a 52yo who has been morbidly obese for 40 years. I've been eating keto for 4 months and by this video, I surfing close to type A.. winning!!

[@exoticspeedefy7916]

Have you had high cholesterol and triglycerides for 40 years?

[@sheralync5854]

it's now a year later.... what happened to the cholesterol conversation with the doctor

[@lindamcneil711]

I was getting my bloodwork done quarterly for the first two years I was in keto. I had a great doc who was curious and wanted to learn more about what this would do to my body, we sat and watched my ldl flip to type a and improve. He is now recommending keto to his patients. Fast forward, we moved and I now have a new doc to break in, wish me luck.

[@whiteflagrage]

And surfing too! Double winning! Jokes aside congrats on getting your life back.

[@johnow7]

I just go my latest blood work results back today and I am type A by ratio. Along with the results was a note from the doctor requesting me to go on statins. No thank you. The next time we met, I will bring her the research if she cares to review it.

[@kimorr5753]

Thank you so much for your excellent explanation of this subject. After a recent blood test my results came back with a high LDL result. I was so frustrated as I’ve been off sugar for 3 years and followed a keto diet for a year. I very nearly gave up on a diet I love but now after watching this and doing the ratio I can breathe easily knowing I’m doing the best for my body. You are a very gifted public speaker Thank you from the bottom of my heart !

[@CF542]

I recently had the same experience myself after a good fast before my blood tests. Goes to show how flawed (or incomplete) the testing methods we use and how they are interoperated.

[@Alecmcq]

Dr Paul, this is brilliant, especially the last few minutes where you explained exactly why people who fast or on very low carb diets tend to get high LDL readings: our insulin is low, this reduces the liver LDL receptors, resulting in higher LDL in the blood. BRILLIANT! I have never understood this before… but it makes perfect sense! Thank you so much. I reckon this video needs to be shown to every GP in the world. Imagine what would happen if it did… just WOW!

[@Mo-yj3wf]

Thank you for this post.

[@mossoconnor4417]

There is another possibly factor, the plant sterols are lower in the high fat and animal product dieter, therefore they have more of a natural cholesterol profile, which is higher than the reference range

[@OneManBandWoodworks]

I’m a cabinetmaker and I understood this perfectly which means the doctor is a genius. I was able to work out that I just slipped into the middle section between A & B type but very close to A. I can also see from my previous result over 12 months ago that I’m moving towards a type A since starting the carnivore diet 7 months ago. I recklessly chose not to go to a cardiologist based on my most recent result but rather to research cholesterol and this particular video has been a breakthrough for me. I will book another blood test this week and this time I won’t fast 24 hours and see how I go. Thank you Doctor you are awesome

[@migi7787]

Indeed @One Man Band Woodworks , I think is one of the best explanations and empowers you to actually monitor everything and be in control. I am also in the middle, Thank you @ Doctor Paul for excellent medical explanations, you are awesome, continue the good work! There;s a lot of confusion out there...

[@JeanBarib]

I have been on a keto diet for 2-3 years and just had my cholesterol levels measured. My doctor has prescribed me statins and thanks to this helpful lecture I can identify myself as a Pattern A patient so I will not be taking statins. I am extremely thankful for this information.

[@VFatalis]

Statins = poison. It only does good for pharma industry

[@julianlak1017]

You dodged a massive bullet mate!!!

[@lindamcneil711]

You just consolidated the last few months of my learning in 30 minutes. Great job

[@judgedredd9546]

Really nice and clear lecture. Every UK GP should be asked to view this as part of their ongoing training.

[@ladysingstheblues2285]

Only our Dr. Mason can make a 'scary' subject like High Total Cholesterol a laugh out loud term. Thanks Paul.

[@EarthIncompatible]

The most useful explanation of lipoproteins I've seen yet. Thank you for making this available for us non-medical professionals who are trying to understand our own health!

[@fuckyoutube8747]

The food and pharma industry relies on us not understanding health.

[@geraldmarcyk524]

Yep, I went on a Keto diet and lost 20 pounds in 2 months. My primary care doctor saw that my cholesterol levels went up, and immediately advised that I drop Keto and increase 'healthy carbohydrates" in my diet. I have now found a cardiologist who advocates for a low-carb diet instead of prescribing more statins.

[@skt4711]

So then here's my take-away: 1. Listening to your other lectures, high levels of of good LDL are desirable for many reasons, including the prevention of cancers. However, high levels of LDLlevels can also be caused by a build up of bad LDL. Standard blood tests do not discriminate between the two and uses some "Kentucky windage" in its calculation as well. This also makes total cholesterol is a useless number. E.G. add a lot of HDL to the mix, and now you are over the top. 2. Low Triglycerides would mean that it is likely that a low amount of the LDL would be damaged by glycation and oxidized. Not mentioned here but is in other lectures is the A1C test, which measures glycation of red blood cells, and is inexpensive. A1C is not transient and gives a long-term picture of overall glycation. Therefore, I would think that any cholesterol evaluation should include it. These together, with some research, it should be possible to establish parameters to determine normal ranges for bad/oxidized LDL. This would be established without the presence of Statins. Logically, good A1C ranges should be independent of current diabetic acceptable ranges for purposes of cardiovascular risk assessment. 3. Statins increase the the uptake of good LDL by the liver making the blood test and total cholesterol look good while increasing the concentration of oxidized LDL. More unusable LDL means a reduction in good LDL benefits. So in that respect Statins are like putting tape over the check engine light. Statins benefit is it reduces the lifespan of LDL before being recycled so there are fewer to get oxidized. However as pointed out in your other lectures, Statins only increase your lifespan on average of 3.1 days if you have not had a heart attack, and 5.1 days if you have, and demonstrates adverse side effects in 25% of patients. Moreover, the linkage between Statins and the small increased lifespan may be unrelated to blood lipids. However, when diet is changed to ketogenic, there is a big difference in mortality after a heart attack as shown in your other lectures, and those who haven't had a heart attack would reap benefits as well. Statins allow you continue without making diet changes. With it come metabolic syndrome, diabetes, and joint issues from being overweight. If glycation affects the blood cells, it affects more cells than that. 4. In any case, in the title, "Blood tests on a ketogenic diet", the "on a ketogenic diet" is important. Oxidized LDL at high levels is not likely to occur on a ketogenic diet. However, statistically, people doctors encounter are not on ketogenic diets. However, their flag should be low triglycerides and low A1C, and especially when combined with good HDL levels. 5. The next problem is is big pharma, who will fight you using your money. I watch big pharma visit doctors all the time to "educate" them. 6. "Health" organizations only make money when you have health problems. These organizations make it attractive for a doctor to work for them. They make more money, they provide him his office space, and they hire and train his staff. They specialize in cheating insurance companies. Your left and right toe and are two different visits for insurance purposes. They have lawyers working for them to establish precedents with purchased judges so they have to pay. 7. Guidelines are established for doctors by their malpractice insurance that dictate what they must tell you. Their license to practice medicine depends on it. You do not have a doctor-patient relationship, there are puppet masters present. Those guidelines are based are not based on objective science and further tainted by tainted insurance reporting requirements. Good doctors are hard to find and in demand. Good doctors will tell you the guidelines and listen to your arguments and you can have a candid conversations. They are getting in shorter and shorter supply. This is the first president we've ever had who doesn't need other people's money and thus not on someone's pocket. He is already anathema to big pharma after going after opioids and price gouging in the US. Hopefully the Food Guide Pyramid, obesity, and valid blood lipid testing is next, and expose the actual benefits and drawbacks of statins. He would probably draft people like Dr. Paul Mason to create a real strategy. Not everything came about by bad motives. We've seen studies by respected scientists who buried results that were contrary to their desired outcome, but support for what Dr. Atkins and Dr. Paul Mason is saying. When you see fat in an artery, you want to see fat as the cause. People took their word for it and today it is the dogma. People used to believe you get warts from handling toads too because it looks like toads have warts too, but there was no resistance to reversing myth because there weren't huge industries attached to them.

[@cavestify]

SKT, you seem very intelligent. What diet do you subscribe to or think is best?

[@geoffreystone1598]

@@cavestify any diet you can stick to that gives you better health. Weight & body shape will come. Do a DXA scan of body composition to see how much fat and where it lies will give a holistic doctor a starting point. Research HOMA-IR value to see if you are insulin resistant. Ref Dr Sten Ekberg. The keto diet is great to meet short term goals. Then the mental aspects kick in. You are out with friends at restaurants, pubs and clubs. You like a freak with all the negatives about their eating and drinking habits. Do you change friends? You can change family, well easily anyhow. If you try and educate them you will be disrespected, ignored and abused. Get some counselling and new friends. Otherwise you will yo-yo. Keep watching these videos for your mental strength.

[@drott150]

Great post. One note though pertaining to #2 above - the doctor in this presentation does address A1C. He refers to it by its full name of HbA1C with an Aussie accent that slightly throws off an American ear. And he says more or less what you do in #2. That the time averaged blood sugar level A1C reports is proportional to glycation levels upon all cells in the body including LDL. Otherwise, I'm still learning, but one thing at least some statins have are anti-inflammatory properties. Up until I saw this video just now, my understanding was that the epithelium layer inside your arteries is damaged by the repeated tug of war between blood sugar spikes and insulin to pull it back down. That sugar-insulin cycle over and over is inflammatory and damages the epithelium which is then "healed" by plaque your body deposits to protect it (like a scab). But in this video the doctor says it's all caused by damaged (glycated) LDL particles which find their way under the epithelium and are then captured by macrophages which then become foam cells which eventually results in arterial plaque. So this was a very interesting video indeed. The learning continues. One thing I know to do now is to try my best to get my triglycerides down, my HDL way up and my A1C down below 5.0 if I can. LDL seems of little importance if I get the others in line.

[@gregnixon1296]

Eating is so complicated. I would rather be autotrophic.

[@dorinakohler]

Thank you so much for your long, wonderful explanation! Much appreciated!

[@cevisuals]

This is an epiphany for me! I just went for a physical with my new PCP and when I told her I was on a Keto diet - she said she is concerned about my cholesterol levels - I'm not. I had 14 vials of blood drawn for my requested FULLl blood work. This information thoroughly explains in layman's terms that I now can go to my follow up appointment informed. KETO has changed my life for the better!

[@DCTexas22]

Cliff Etzel how did the follow up go?

[@violettecortez699]

Please let us know how your results were?

[@UwUPLAYZ.]

whats the update? been 2 years

[@cassandrasmom]

Amazingly explained! Re-affirms that we don’t have to fear cholesterol if we are eating a proper human diet, low in sugar & carbohydrates.

[@micsierra806]

I'm not a medical professional and I am into Keto and doc, I have to say you have a talent for presenting information to a broad audience in a manner that is easy to understand. Thank you for posting and sharing your expertise and perspective.

[@osvaldovillarreal8750]

Awesome. Wish I learned this in medical school or residency 20 yrs ago!

[@marklowe7431]

Better late than never. At least you're watching.

[@KnowOne111]

Maybe it’s a sign that what he’s saying isn’t worth being taught…

[@toni4729]

@@KnowOne111 Maybe you're not a doctor.

[@bluewaters3100]

Wish my doctor would be as open to new knowledge as you are.

[@aWomanFreed]

Wonder why you didn't? Cuz they are using you docs to secretly kill ppl

[@MerrylBustin]

Re-watching this once again. Wonderful information, well presented for all to understand. Excellent video, one of the best!! Confirmed my numbers are still on track.

[@poe5418]

Wow. This is by far the best video I have seen on this subject. Explained so clearly and with a touch of humour. Well done and thanks for uploading it!

[@ahsansc]

Kudos to this man for explaining such things in a manner understandable to the non-medical community and more importantly reaffirming my belief in a low carb or ketogenic diet, as he perfectly explained why my cholesterol results were high out of the blue after about 5 months of keto/low carb/IF. Hats off to you sir!

[@DameFairy]

Hello from France, Thank you so much Dr. Mason, I've been having high LDL in my test results for almost 10 years, even though my doctors never seem to care to treat it, they never explain to me why I don't need medical treatment for high cholesterol because I have low triglyceride. I used your calculation and the result of Triglyceride :HDL ratio = 0.4 mmol :-)

[@michaelchoi8044]

Wow, outstanding presentation. A comprehensive theory of cholesterol metabolism and pathogenesis. Never got anything close to this in medical school.

[@Angel_Dinev]

Deep RESPECT for Dr. Mason for presenting and explaining so nicely such vital concepts regarding understanding and misconceptions related to LDL/HDL/triglycerides theory and practice. Please, keep the great work! 🙏

[@kimgaugemusic]

One of the best discussions on the whole cholesterol/LDL subject. Thank you greatly for posting. Subscribed!

[@ellisonketovore]

56 YO male here, super athletic and keto, lean / muscular, workout daily, long distance runner and my Cholesterol test produced almost the same results. Thank you for this Dr. Mason!

[@richardhoulton4016]

62 years old here. Had high total cholesterol all my life (250-300 or 6.5 to 7). I have a BMI of 20.8 (always been around that), always been a gym goer (3-4 times a week and I still do boot camps with heart in the 140-160 range twice a week). I’ve been on a low-GI diet for 15 years. I have no family history of cardiac disease or hypertension. My new doctor freaked out at my bloodwork despite perfect (very low) triglycerides and insulin and BP. So I did a CAC Scan and the score was zero. If you have no other indications other than the cholesterol itself, and you know you are leaving a healthy clean life, ignore any doctor that wants you on statins!

[@rmsywharton]

Thank you for helping me wrap my head around my high cholesterol numbers while on a ketogenic diet and losing weight. I thought maybe I’d been doing something wrong. Now it all makes sense. I wish more insurance companies, labs, and doctors would get educated on this so they can better evaluate heart disease risk factors. Thank you for your work!

[@kianKermanshahi1972]

same here when I got my cholesterol results from my doctor. She scream "you will dieeee on a heart attack" I am so glad I found this channel and Dr Berg. Big win!

[@yeeshanhing6758]

same as me, Dr see my medical report and say you should take med to control your cholesterol!!!

[@billbimson2408]

Absolutely excellent! Great description of so many processes I have been trying to understand, but which have not been explained by many so called 'experts' and it now all makes sense to a layman like me.

[@mdillon61]

This was unbelievably helpful in understanding that my elevated LDL was not a concern by itself and that using Dr. Mason's calculations I am clearly considered within the Pattern A category! Woo hoo! Keto on!

[@Danzabyron]

This was explained in a easy to understand way , thank you Dr Paul Mason 😊

[@D3K018]

This is the best and most complete presentation I've seen about cholesterol so far, thank u so much for sharing your great knowledge, Dr. Mason!

[@jalbhagwagar3353]

Dr.Paul Mason delivers Top Value every single time he presents. With authentic research to back it all up. I am subscribed to his own and the LCDU channels. Thank you, Dr. Paul 😊🙏🏼

[@meicarr1385]

Bravo Dr Mason! Crystal clear presentation. A masterclass.

[@elenikiroy]

Quite brilliant

[@markmiller5004]

Thank you for this demonstration. I have been on Keto for about 15 months and have lost about 115 pounds. I feel amazing. Just went to the doctor for the first time, because the company I work for went for cheaper insurance plan and I had to get money in a medical savings account in order to pay for all of my out of pocket expenses. And my ldl and overall cholesterol numbers though a flag. I ran my numbers with this video, and others. And I am clearly pattern A. I often do OMAD and 48 hours fasts. This clearly explains what is happening with my chloresterol.

[@kokopelli314]

One of the best talks on Cholesterol blood screening I've seen.

[@chyla1]

The most helpful discussion of cholesterol blood work I’ve ever experienced. Helped me understand the change in my results after recently starting a low carb diet/IF lifestyle. Was concerned about the LDL increase this time. Now I have a better understanding of what is transpiring. Can’t wait to see the results next test! Hope to move from intermediate to optimal results! Thank you 😊

[@ShipCreek]

👍 This type of info is much appreciated.

[@tunghoang2372]

The best about anything Cholesterol and Triglyceride I have seen! Thanks

[@dansykes4965]

Thank you Dr Mason for helping me understand my test results. I'm happy to say they reflect everything you say about keto. Love the way you explain everything so clearly.

[@sandyyap5279]

Imagine the number of patients who got Pattern A but with high cholestrol, and taking the medicine prescribed by their doctors. Imagine the side effects of those unnecasary medicines.. Gosh!

[@inmalealmendez8716]

I am one of those poor patients... with TRG in 50, HDL 80 and 200 LDL i started taking statins 3 years ago 🤦🏼‍♀️🤦🏼‍♀️🤦🏼‍♀️

[@TrishLester]

@@inmalealmendez8716 Have you stopped taking them?

[@Meritumas]

Imagine that this is what the big pharma wants...

[@BrendonVS80]

So very scary yes 😕

[@elizabethwinsor5140]

I had to watch this at least twice to get all the information out as it is complex - Dr Mason thank you for your work and great explanation I am indebted to you.

[@geoffsharp2436]

The liver receptor bit at the end had me watching it again, was confusing the LDL receptor/key

[@njbright8626]

Game changing info. Doc wanted me on Statins and my levels were similar to the patient in this example! Now to find a doc that understands this stuff...

[@bluewaters3100]

All you need to do is say "no" to any drugs your doctor recommends afterdoing your own research. That is how I have stayed off medications for the last ten years. First I was very vitamin D deficient..level 6 (U.S) and never took the thyroid or blood pressure meds. I changed my diet and got my vitamin D to 80. Felt great.

[@ksbary23]

Great job Dr. Paul Mason, nobody can explain it better than this. thanks.

[@TopgunB]

Just watched this again 3 years later still the best lecture on understanding lipid panels.

[@deborahnarendorf7106]

Thank you for making this easy to understand! A lot of good information to digest and understand.

[@fbluejay4194]

Amazing, I always wait for Dr. Paul Mason's presentations, he is my favourite, thank you for sharing, this should be on TED Talk!

[@stevencole4602]

Doc Paul Mason...A1 could listen to him all day. Amazing doctor. Thank you 👍🏻

[@drewdreiling8823]

This man is brilliant! Well done Dr. Mason. I think I need to watch this several times and take notes to really let what you're saying sink in.

[@kyefang8278]

This is my at least 3rd time watch of this video in past several years. I watched it again today as I just received my test result yesterday, with almost identical indice to the example Dr. Mason demostrated in the video: total cholesterol 8.8, LDL 6.2, HDL 2.1 and triglyceride 1.0. My GP strongly recommended me on statin again but now I must think it triple. I am not on keto, but have significantly cut down carb intake for a while. And I fasted 17 hours before my last test, which is too long according to the blood sampling nurse and this may well explain why the LDL is so high. Thanks Dr Mason.

[@jano3157]

I too had almost the same results. This is the best video I have seen explaining how it all works. A big thumbs up.

[@akanecortich8197]

they ought give this info to kids before they leave high school.

[@aWomanFreed]

That would destroy Big pharma & big Agriculture so....

[@alex_j]

So much great information packed into a 26m presentation. Awesome!

[@mariahenne3145]

ABSOLUTELY BRILLIANT!! AM SO GRATEFUL FOR DEDICATED SCIENTISTS LIKE DR PAUL MASON

[@dancoll8166]

Now I finally understand. Thank you, Dr. Mason. Great job!

[@gabriel65304]

Please, explain me what you understood? my cholesterol levels after 2 months of keto diet, august 2021 HDL- 50 LDL - 275 Try. - 85 Man 53 old, I got a stent in February 2021 , I have stopped all medication after 1 week. Is dangerous my LDL ? Thanks

[@DPSDeucalion]

I assume the thumbs down are Australian thumbs ups.

[@chavebomber]

Eddie Saeng lol

[@PaulKruskamp]

Bwahahaha

[@lucyburr5516]

That is really funny, Eddie 😂

[@poppy-rose1999]

Lol

[@truthseeker9975]

Brilliant.

[@ktkktlzubi]

great video, explaining all this conundrum around my cholesterol test results, Thank you for uploading and teaching the world .

[@attilawerner9366]

Thank you for the clear, yet scientifically brilliantly backed up explenation. Although I'm not on a keto diet yet, I have very similar numbers to the patient who got declined by the insurance company, with even lower triglycerides, which makes me feel very comfortable and relieved now.

[@TInyK12]

Wow thank you. My doctor urged me to stop keto based on my lipid panel. My LDL went from 63 to 121, but my HDL was 79 mg/dl and TG at 57. I actually did stop keto but I’ve never felt the same cognitively. I’ll be going back on keto. It’s so convenient too. I don’t spend much time eating on keto.

[@pepper419]

I'm seventy and my cholesterol is very high according to my doctor. I'm on keto and wouldn't change for the world.

[@hgc1581]

Love this doctor, great speech

[@mra682]

Thanks for the upload watching again to refresh my knowledge. Excellent talk and information. Thank you

[@bcjaliu]

Brilliant presentation. Thank you so much for posting. It explains the high LDL level, and its significance vis a vis CVD risk or lack there of, esp. in LMHR’s and IM fasters in a most satisfactory manner.

[@grahammckinney5705]

Just watched this with my blood work print out. Triglycerides. 0.7, HDL 2.9, LDL 3.8, tri to HDL ratio 0.2. My doc seemed happy. LCHF for the win.

[@Goobie77]

Awesome presentation! I too have gone low sugar low carb for the past 6 months along with higher fat diet and counting calories and macros. I’ve lost 31 lbs and my recent blood test indicated great results except high LDL. Triglycerides are low and HDL is high so I feel pretty good about it after watching this video!

[@peterahlers-nelson2746]

I have watched a lot of videos tryouts no to explain this. I am a chiropractor with a decent premed background. This is the best explanation and video I have seen explaining this topic. Excellent video, thank you. I will be sharing this video often.

[@kepongnoodles]

This is an excellent video. Amalgamates much of what Ivor Cummings talks about together with David Feldman, plus Dr Ford Brewer and really does enhance understanding. Thanks Dr Mason!

[@Simonpt2000]

Such an informative video. Thanks for the upload I learned so much from it.

[@DanScottChannel]

Thanks for this video! I'm definitely taking notes. I've been in high fat carnivore diet for over 3 months and I know my nephrologist is going to freak out when she sees my "cholesterol" numbers. It's time we help educate our doctors because every one of them seem to be completely ignorant of how the lipid system works in conjunction with sugar and omega 6 fatty acids.

[@ellenorbjornsdottir1166]

Have your kidney symptoms improved?

[@robely4560]

what happened? if you cut out the sugar, and the fructose, it's very likely that you can reverse the nephropathy-- over time

[@nafaidni]

Let us know when you get your first stent. I'm guessing age 50 at this rate on carnivore.

[@cidichen]

The best and most clear explanation of cholesterol results. Amazing! 👍👍👍

[@lieslpalmer4165]

I have been doing Keto for 4 years, and was in ketosis when I had my lab work done. My levels were weird (like your example) so I was sent for a calcium cardiac test (mri machine) it came back 0 (excellent). But it still concerned me that my cholesterol was high. Watching your video was a light bulb moment as my triglycerides are a 39 and my HDL is at 90. My cholesterol level was a 242 and my LDL was at 144. Most people in my area aren't familiar with keto diets and their benefits. Thank you for sharing and reinforcing what my body tells me about clean eating!

[@cathydillehay8061]

Thank you, this is going to my Dr.

[@jonthebru]

It all goes back to sugar. The whole highly glycemic carbs thing.

[@DavidBrown-jk2pm]

Correct. Never eat carb. It's a dog eat dog planet. Not a carb planet. People claiming otherwise are lying.

[@raczyk]

@@DavidBrown-jk2pm Well you just can't mis the two. Can you eat carb with protein? How long does it take for fat to no longer be present in the body so carbs can be consumed if one wants to?

[@zissler1]

It’s all this refined carbs, gmo, pesticide. There’s no nutrition and there’s too much, I think it’s good, I’m on a carnivore diet. Probably gonna do it during winter.

[@marcusdavis2208]

Vegetable oils are as big a culprit. Watch Paul Saladino on you tube. Mason mentions this at 9min 30 sec mark.

[@tomasareas]

Thats one if the best videos in LDL I ever saw! These 3 graphs should be public knowledge.

[@BoringFighter3000]

This was an excellent explanation on how to make sense of cholesterol numbers: clear, rooted in science, logical flow. Thanks!

[@andreadinevski9335]

Thank you very much for the clarity your explanation brings into this so often debated subject!

[@momilager7812]

Thanks for posting this. I have been on ketogenic diet for over a year. I have lost 15lbs and now I am 109lbs. I am super healthy and active with good body condition score and good muscle mass. I took blood work after fasting 24 hours and my LDL level was a bit high 122mg (normal goes up to 100mg in the US). Now I understand why fasting longer than 6-8 hours resulted in the elevated LDL number! Thanks so much!!! Very educational video!

[@Doudoustein]

Brilliant demonstration!

[@williamkolesar2790]

The best explanation I have seen on why a high cholesterol is OK, and why the plaque forms. Thank you.

[@nikkiclasper9472]

This is so helpful I calculated my ratio as 0.36. I had bloods repeated following a keto and fasting change of diet. I feel armed now when I’m offered statins.

[@nigelwiseman8644]

Very clear explanation of particle sizes, apo B100, and receptor cells. Most videos by experts don't explain this for the lay. Thank you.

[@Combat_Pyro]

Nigel Wiseman that’s simply because most “experts” don’t know this info.

[@nolanbooker5461]

This is a wealth of invaluable information! Thanks.

[@SladkaPritomnost]

Dr. Manson, great load of info, thanks a lot for the presentation!

[@864038swimmer]

I feel much better now. After I did low carb diet (Keto diet wanna be) and intermittent fasting for 6 months and I did my last blood blood test and learned that my LDL was 20 points higher than the blood test prior to that test. My triglycerides is still low. After watching this video, I am more confident in keep going on my keto (or low carb journey)

[@UwUPLAYZ.]

any change on the LDL?

[@billbailey3761]

Excellent, I have just received my blood test results. ( panic attack) , have been strict keto for months and can exercise relentlessly with lots of energy, I now have High total cholesterol but my tricycerides and Hdl ratio are good , I feel /look better than ever, my doctor wanted to put me on Statins, ,no way. This video has eased my anxiety , thank you

[@alvinamendist3109]

You erased my anxiety.... Thank you for sharing ur story

[@wanda01141]

Yeah I was scared as hell. I feel a little comfort now

[@paularejas1887]

I think you need to share your numbers cuz high can mean anything above 100 for ldl

[@amandasmith4084]

My Dr kept scaring me with predictions of what would happen if I did not lower my cholesterol and wanted to put me on statins, which I refused point blank. When I discovered this excellent KZbin presentation by Dr Mason I have realised I actually have very healthy cholesterol levels, firmly in Type A. We all need to do our own research when it comes to our health. Thanks Dr Mason. This explanation is helping so many of us out here trying to understand our health within a medical system that is just not up to date.

[@AnneFS]

Brilliant. As usual Dr Paul Mason does a great job explaining things so they are easily understood. Love Dr Paul Mason. I wish doctors doing cholesterol tests for their patients knew about how to interpret them properly as most seem ignorant and freak out and put people on statins when they are actually doing harm to their patients.

[@amusingmyslf]

Im in the US.This time last year I was on the high end of my ideal weight (140 lbs and 5'5") and my cholesterol levels were borderline high. Since January, I've been doing a fairly loose keto diet, mainly cutting sugar completely and keeping carbs to 20 to 40 per day with moderate fat and protein plus green vegetables. At this time now, I've dropped 23 lbs and all of my cholesterol levels are optimal. Total cholesterol at 181, triglycerides at 127, LDL at 88, and HDL at 68!

[@sheilaforde836]

Thank you for this video. It has helped me put meaning to my results. My doctor had advised that my cholesterol level was 'elevated' and suggested that statins were in order. I resisted and he sent me to see the lipids consultant who suggested I try the teeniest dose of statins to bring my LDL down. I had worked out my ratios before, but I did not know how to evaluate the figures. I know now and I am impressed with my figures, thanks to you. I started intermittent fasting at the beginning of 2019 to lose a few pounds after Christmas, however, I was still eating carbs. 3 weeks later I went to have a wellness check-up and everything came back fine except cholesterol, which was 'elevated'. The results were: 25 Jan 2019: Total Cholesterol 7.8, Triglycerides 0.88, LDL 5.6 Trig/HDL ratio: 0.4889 I continued intermittent fasting and by June when I took another blood test, I was eating 1.5 meals within a 6-8-hour window. I was still eating carbs. My results frightened my doctor, who called me in for a chat. The results were: 19 Jun 2019: Total Cholesterol 8.4, Triglycerides 0.87, LDL 5.9 Trig/HDL ratio: 0.4143 A few days before I saw the Lipids Consultant in September, I came across the Ketogenic diet and began it. I gave myself just over 4 weeks before I took another blood test. The results came back as follows: 18 Oct 2019: Total CHolesterol 8.09, Triglycerides 0.77, LDL 5.86 Trig/HDL ratio: 0.4096 From what you explained, and from the calculations, I can safely say that my LDL is healthy. I have to go back in January to see the Lipids consultant, who had given me 4 months to bring my LDL down 1 point. It doesn't look like that's going to happen and I hope by that time, he will have found this information about cholesterol and rethink his ideas about prescribing statins to healthy people. The mind boggles! Thank you so much for all you do.

[@toni4729]

My doctor told me my LDL is twice what is should be. I shrugged my shoulders and said "Don't bother suggesting I take something for it, I'm not going to." That was the end of the conversation. I've been Keto for years.

[@MsTony1402]

This is an absolutely fabulous video! Thanks. My GP wanted to put me on a statin but my numbers are excellent in all of the 3 areas you explained.

[@KJT3000]

I just subscribed. This is an amazing channel with amazing lectures. I could watch this stuff all day.

[@andrewtaylor9799]

Really helpful for those of using a Keto diet and wanting to interpret cholesterol markers. Presumably the medical establishment doesn't use these ideas because of some financial calculation.

[@barrycorney3665]

I'm 52 and was keto but now transitioned to full carnivore 3 weeks ago and today blood pressure 109/59 heart rate 48bpm. Blood glucose 86 mg/dL. Total cholesterol 327. HDL 57. LDL 259... so that leaves 11 "unaccounted" for. Triglycerides are 59. So my TGL/HDL is 1.04 which by the graph puts it firmly in Pattern A?? Good god....my doctor would have a tartan hairy fit if she knew my "average" daily diet was 4 large butter fried organic eggs, 6 rashers of fatty streaky bacon, a pound of (12%) beef mince/ground beef made into burgers, half pound of grilled Haloumi cheese and a butter fried half pound Rib-eye....loads of salt and ACV too.... never felt better or stronger...!!!

[@shainareynolds3825]

seriously none of the best lectures I've seen regarding the explanation of lipids. Excellent. Shaina Reynolds, D.O. family physician Missouri, USA

[@gracepark-mercado480]

Wow one of the best explanations of cholesterol, especially related to the ketogenic diet.

[@jean-lucmartin652]

Extremely valuable info. I watched this for the second time today and noticed the obvious: 1) Healthy LDL do not cause atherosclerosis but oxidized LDL particles on the other hand do cause atherosclerosis 2)LDL receptors are taking LDL particles out of the bloodstream, but only the Healthy LDL not the oxidized ones 3) one of the mechanism of statin is to increase the LDL receptors 4) More LDL receptors result in more Healthy LDL taken out of the bloodstream while the real cultprit (oxidized LDL) is left in the bloodstream to eventually cause damage and CVD. I cannot think of a biggest scam. This is disgusting.

[@robertmedak4058]

1) False. www.ncbi.nlm.nih.gov/pmc/articles/PMC2663974/ 2) Okay, any evidence? 3) Correct, and it's effective in preventing another or a first heart attack. If you disagree, do you have any evidence? 4) Again, false. www.ncbi.nlm.nih.gov/pmc/articles/PMC2663974/ I can think of a bigger scam, calling LDL healthy lmao.

[@MrDavidknigge]

@@robertmedak4058 You are full of misinformation. Humble yourself and learn.

[@fredsmit3481]

Fascinating lecture! I've been in Ketosis over 3 years and OMAD for over 3 months. I fasted for 21 hours before my blood test, and I found it very interesting to learn that fasting will cause a higher level of LDL. I have the same condition as your patient. I have low triglycerides, high HDL, and high LDL. In January my doctor was very concerned about the high LDL (193 mg/DL where "standard" is

[@kamals3582]

My doctor also wanted me on statins when my LDL was 173 but he did not pay attention to my HLD at 64 and TG at 80. And A1C at 5.5 and blood glucose at 88 with normal blood pressure. I refused. Besides there is very little evidence of benefits of statins. May be 1out 100 among those taking statins not getting a secondary heart attack but no benefit in mortality. Its a scam. Lowering your insulin a much better approach.

[@geoffsharp2436]

It would seem the 24 hr fast before blood tests is a scam perpetrated by big pharma? Get those LDL levels up so the Doc can prescribe their biggest money maker that does zero.

[@UwUPLAYZ.]

how did it go

[@EatMyDick]

Any update on the story? How are things now?

[@slim_DEE]

Amazing presentation, this is mind-blowing! Thank's for sharing 👊

[@johnstewartvet]

Well done . This is a clear explanation of many lipid concepts