Don’t worry if your LDL and cholesterol spike on the ketogenic diet.

Timestamps:
0:00 Stop worrying about LDL and high cholesterol on the ketogenic diet
0:55 If your cholesterol and LDL spike on keto, this is temporary
5:20 I explain what remnant cholesterol is

In this video, I explain whether you should be concerned if your LDL and cholesterol are high when you’re on the ketogenic diet.

I understand your concern. There’s a lot of data telling you to stop consuming cholesterol. You’re on keto, eating a lot of fat, your cholesterol is high, and your doctor wants to put you on statins.

Most people’s cholesterol and LDL are lower on keto. Others are hyper responders to a higher fat diet, and their cholesterol and LDL will spike. But this is temporary.

When you ingest more fat, more fat will be released into your body. Then, when you get into a fat-burning, more fat is released. Your fat cells are made up of triglycerides and cholesterol, which get released when you burn fat instead of glucose.

You may know that your body makes a lot of cholesterol, about 3,000mg per day, most of which your liver makes. You need cholesterol for the membranes of your cells, and to make hormones, bile, and vitamin D. You also need it to help repair your body.

As for LDL, low-density lipoprotein, it’s a protein that carries cholesterol, triglycerides, and vitamin E. Its purpose is to carry energy in the form of triglycerides because your body is now running off of fat. You likely need more LDL to carry more energy and cholesterol to repair the damage, destroy pathogens, and supply raw materials for your cell membranes and hormones. Then HDL (high-density lipoprotein) carries whatever is left of the triglycerides and cholesterol back to your liver for recycling.

Let’s consider remnant cholesterol, calculated by subtracting LDL and HDL from your total cholesterol value. The amount left is remnant cholesterol. It’s one of the best predictors of heart disease. If your remnant cholesterol is 17 or lower, that’s optimal. 18-23 is okay. 23-29 is concerning. Over 30 is a problem. When your insulin is too high, you’ll have higher amounts of remnant cholesterol. On keto, your insulin will drop, and so will your remnant cholesterol.

You can ask your doctor for an NMR lipo profile test. It measures the particle size of LDL. Pattern A particles are not concerning. Pattern B particles are smaller and denser and are more likely to create plaquing and clogged arteries. You’ll see more Pattern B if you’re eating refined carbs, with resulting high insulin.

Now you see why your LDL and cholesterol may temporarily spike on the ketogenic diet.

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Dr. Eric Berg DC Bio:
Dr. Berg, age 56, is a chiropractor who specializes in Healthy Ketosis & Intermittent Fasting. He is the author of the best-selling book The Healthy Keto Plan, and is the Director of Dr. Berg Nutritionals. He no longer practices, but focuses on health education through social media.

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Dr. Eric Berg received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1988. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Berg is a licensed chiropractor in Virginia, California, and Louisiana, but he no longer practices chiropractic in any state and does not see patients so he can focus on educating people as a full time activity, yet he maintains an active license. This video is for general informational purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, cure, treatment, diagnosis, and prescription or recommendation. It does not create a doctor-patient relationship between Dr. Berg and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition.


Thanks for watching!

Sometimes LDL and cholesterol temporarily spike on the ketogenic diet.