High cholesterol

[rayzzzz82]

Your profile is almost like mine except that I'm only 30+. High HDL, very low trig, borderline high LDL. Your diet and exercise regime seems very healthy to me. I assume you have gone for health screenings and all other health markers are fine EXCEPT LDL. You can try going for apo-b blood test (it cost $100+ and not part of regular package).

Not sure whether you are low carb because you mentioned quinoa or millet. For me, when I was doing IF (16-8, skip breakfast), low carb (<100g) per day + fasted exercise, my LDL shot up from 100 to 200 within 1 year. I simply stopped that by eating a light breakfast (no more fasted exercise since I workout before lunch), and eating more carbs. Now my LDL is 136 (ref range for my age is 100-129), so slightly borderline high.

Did your doctor tell you to go on LDL lowering drugs? Mine just said eat healthy diet (which I am already doing). Maybe you can try cutting eggs out for a month or two. Or cut down on meat. I admit, it would be very hard for me to do that, I love eggs and meat. Personally I am just monitoring for now. I am still skeptical of the LDL paradigm. Especially when mine is just borderline and my apob test is fine.

Hi,

thanks for sharing and advise. I only go for my yearly SAF HSP screening and I was recommend for CT calcium scan this year which I have gotten zero for the scan. About APO-b blood test, may I please ask which clinic do you do for the test and if I need to be referred by polyclinc?

Me is not Keto diet as I feel that there are still many unknown regarding this diet. it is more towards to the Mediterranean diet which comprises of full grains, lots of veg, oily fish and heathy oil.

The medical officer did not advise me on any type of medication even though my LDL is on the high side. I was referred to Heart Centre and undergo both treadmill and CT calcium and again, there is no follow up after going through the scan. Not sure if I should go for further consultation at a polyclinic or private doctor.

 

[eternalxiii]

Hi,

thanks for sharing and advise. I only go for my yearly SAF HSP screening and I was recommend for CT calcium scan this year which I have gotten zero for the scan. About APO-b blood test, may I please ask which clinic do you do for the test and if I need to be referred by polyclinc?

Me is not Keto diet as I feel that there are still many unknown regarding this diet. it is more towards to the Mediterranean diet which comprises of full grains, lots of veg, oily fish and heathy oil.

The medical officer did not advise me on any type of medication even though my LDL is on the high side. I was referred to Heart Centre and undergo both treadmill and CT calcium and again, there is no follow up after going through the scan. Not sure if I should go for further consultation at a polyclinic or private doctor.

I went for company subsidized private health screening at Fullerton. You can go for any test you want even at government hospital.... the issue is whether you get subsidized or pay full price. Since apob test is not part of standard tests and not subsidized, it makes no difference.

I mean, your treadmill ECG was probably fine, and calcium scan 0, means all cleared, dont need follow-up according to playbook. Only when you have symptoms like shortness of breath, fatigue etc, and your LDL goes from borderline to HIGH, then they will ask for more comprehensive tests like ultrasound or angiogram, and maybe ask you to take low dose statin.

 

[rayzzzz82]

I went for company subsidized private health screening at Fullerton. You can go for any test you want even at government hospital.... the issue is whether you get subsidized or pay full price. Since apob test is not part of standard tests and not subsidized, it makes no difference.

I mean, your treadmill ECG was probably fine, and calcium scan 0, means all cleared, dont need follow-up according to playbook. Only when you have symptoms like shortness of breath, fatigue etc, and your LDL goes from borderline to HIGH, then they will ask for more comprehensive tests like ultrasound or angiogram, and maybe ask you to take low dose statin.

Understood.

Thanks so much for the sharing and advice

 

[walu55]

doctor also mentioned mine is genetic cause people usually only have heart attack their 60s. On the bright side I am young/healthy enough to survive it without major heart damage. Albeit long term medication now. I also see a lot of relatives with low LDL or high HDL despite their diet.
genes matter

Well the youngest documented heart attack in kids with familial hypercholesterolaemia is 4.5 yrs old. Note - LP(a) -ve in that particular study which one can easily google.

Try telling their families .. LDL doesn't matter.

 

[maikichai]

I am camping here to wait for your results, can share?

I login health Hub check result online, have not see doctor, LDL 3.42, was about 3.55 in Feb. I guess is improving bah. Friday see dr see what she says. Is it ok level? Dropped 3.55 to 3.42 is acceptable? If the trajetory is maintain, can reach 3.3 in jun/jul bah?

 

[power_range]

I login health Hub check result online, have not see doctor, LDL 3.42, was about 3.55 in Feb. I guess is improving bah. Friday see dr see what she says. Is it ok level? Dropped 3.55 to 3.42 is acceptable? If the trajetory is maintain, can reach 3.3 in jun/jul bah?

you on the oats meal for how long?

 

[16/8IF]

Wah, looks interesting. Hopefully they share the discussion on youtube.
I very seldom see doctor here openly talk about LP(A). They always discuss the HDL and LDL only.

You seem interested in this area, I just saw there will be a webinar on May 27 on
Clinical Implementation Pilot: Familial Hypercholesterolemia Interventions in Singapore.

you can google to find how to register for the webinar.

 

[Evcats]

I login health Hub check result online, have not see doctor, LDL 3.42, was about 3.55 in Feb. I guess is improving bah. Friday see dr see what she says. Is it ok level? Dropped 3.55 to 3.42 is acceptable? If the trajetory is maintain, can reach 3.3 in jun/jul bah?

Did you change your lifestyle or diet? The impact will take around 3 mths to take effect typically. If lifestyle and diet don’t change much it’s probably just some fluctuation that might go up or down…. The movement is quite minimal

 

[maikichai]

you on the oats meal for how long?

1 month plus bah, I think i started after you post u ate for 1 mth and then the cholesterol drop. A few days after that post.

 

[maikichai]

Did you change your lifestyle or diet? The impact will take around 3 mths to take effect typically. If lifestyle and diet don’t change much it’s probably just some fluctuation that might go up or down…. The movement is quite minimal

I started running almost everyday instead of just walking. So far, drop 2kg.

 

[Evcats]

I started running almost everyday instead of just walking. So far, drop 2kg.

all the best. Unfortunately exercise has little impact on my bad cholesterol level. Recently I went back to 2 medication as single is not good enough to keep my levels to an extremely low level (Recommended for person with heart incident).

 

[Mecisteus]

all the best. Unfortunately exercise has little impact on my bad cholesterol level. Recently I went back to 2 medication as single is not good enough to keep my levels to an extremely low level (Recommended for person with heart incident).

Ezetimibe ?

 

[Evcats]

Ezetimibe ?

Yup was on atorvastatin + ezetimibe earlier. LDL was very low then doc allowed me to drop ezetimibe but after a year probably my more relaxed diet cause it to rise again so now going back to both .

 

[maikichai]

dr says no need eat med, come back 6 mths later. Then he continue type on his computer. Perferred the korean female doctor i met once at polyclinic. She even do blood pressure test herself just to confirm the reading.

 

[tomb]

any recommended place to do a calcium scan?

 

[rarenick]

dr says no need eat med, come back 6 mths later. Then he continue type on his computer.

Perferred the korean female doctor i met once at polyclinic. She even do blood pressure test herself just to confirm the reading.

Your heart got beat faster?

 

[win_man]

Anyone taking statin and probiotics? i seem to have started having high heart rate 85-120 at resting for 3 hours after 5 hours of taking probiotics. Polyclinic doctor said no need to take probiotic even if i need to.

 

[rarenick]

Anyone taking statin and probiotics? i seem to have started having high heart rate 85-120 at resting for 3 hours after 5 hours of taking probiotics. Polyclinic doctor said no need to take probiotic even if i need to.

Your last sentence oxymoron. Can't understand

 

[maikichai]

Your heart got beat faster?

no, calmness comes with age

 

[Mecisteus]

Another nail in the coffin video for keto diet.