Suggest Treatment For High Cholesterol Levels After Following LCHF Diet
LCHF diet
Detailed Answer:
Sorry to learn about your cholesterol challenges.
I do not advise a LCHF diet for managing cholesterol. It helps lose weight for some people but raises cholesterol.
A balanced diet at this stage is more appropriate, now that you have achieved weight loss. Regular physical activity is needed additionally.
Other causes of high cholesterol need to be ruled out first, such as thyroid and kidney problems.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting and can be done at any time of the day Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Kind regards, XXXXXX
Follow up
Detailed Answer:
Yes consider doing so but consult a dietitian in-person to get a fair idea about a balanced diet and specifically to obtain guidance on nutrition for a healthy cholesterol pattern.
I generally recommend the following:
HEALTHFUL EATING (also called MNT = Medical Nutrition Therapy) (A) has proven to reduce HbA1c and result in cost savings
Please see a DIETITIAN at least once to get an Individualized plan based on your nutrition needs, personal and cultural preferences, health literacy and access to healthful foods
GENERAL GUIDELINES:
1 Eat a variety of NUTRIENT dense foods in appropriate PORTION sizes, in order to achieve and maintain the following 4 goals:
TARGET 1 body weight, 2 blood glucose, 3 blood pressure and 4 cholesterol
It is important to maintain the pleasure of eating while making practical food choices.
2 Try to REPLACE refined carbohydrates (like muffins, pastries, cookies, sugary cereals) and added sugars with
Whole grains like whole wheat bread and roti and brown rice
Legumes
Vegetables and
Fruits
3 AVOID sugar sweetened beverages (ie pepsi, coke, thums up, fanta, limca etc ) and sucrose (table sugar) containing foods (examples are frosted cornflakes, chocolate milk, sweetened fruit juices and drinks, sweetened yoghurt and ice cream, popular dessert items like chocolate mousse)
4 Learn from a dietitan how to include Mono Unsaturated Fatty Acids (MUFAs) and long chain omega 3 fatty acids (fatty fish, nuts and seeds) in your daily intake.
5 Alcohol is best avoided but if you must, then moderation is key. (one drink per day for women and two for men)
6 Sodium is to restricted to less than 2300 mg a day and even less if you have high blood pressure
7 Vitamins , minerals , herbs, spices, anti oxidant (vitamin E and C and carotene) or omega 3 dietary supplements have shown no benefit.
if you have high cholesterol levels in your blood (HYPERLIPIDEMIA or DYSLIPIDEMIA), ask the Dietitian how to reduce
SATURATED FAT (BEEF, MUTTON, LAMB, PORK, CHICKEN WITH SKIN, WHOLE MILK, CREAM, BUTTER, CHEESE, ICE CREAM, FRIED AND BAKED FOODS)
, TRANS FAT ( Doughnuts, cookies, crackers, muffins, pies and cakes )
and CHOLESTEROL
And increase
Omega 3 fatty acids (NUTS, SEEDS AND Oily fish LIKE – salmon, tuna, mackerel, herring and trout ),
viscous fiber (BLACK BEANS, asparagus, Brussels sprouts, sweet potatoes, turnips, apricots, mangoes, oranges, legumes and oat bran)
and plant stanols/sterols (grains, vegetables, fruits, legumes, nuts, and seeds)