This number doesn’t mean much.
Total Cholesterol = HDL 40 + LDL 177 + (Triglycerides 76/5)
Football Game Analogy
Total Cholesterol is similar to “Time of Possession” in a football game. You add up the amount of time each team had the ball and you end up with 60 minutes.
The amount of points scored is more important than the “Time Of Possession”.
That means there are other number that are more important than you Total Cholesterol number.
LDL has been vilified as the evil number. You LDL number is high.
However, that doesn’t necessarily mean it is bad.
The determinate factor of if you LDL is good or bad is the percentage of your Sub Particle LDL.
Particle A LDL
If you have a large percentage of Particle A LDL, that good.
Particle B LDL
If you have a large percentage of Particle B, that bad.
Particle Size Test
Physicians can have your LDL Particle Size tested. However, they never do nor do that educate you about it. There a variety of reason that they don’t; none or are good reasons.
With that said, there is an anecdotal method, based on your present numbers that can tell you about your LDL Particle Size. However, we first need to look at your other numbers.
It okay. Higher is better.
Your Triglyceride number is great.
Triglycerides are driven by high carbohydrate intake; evidently, you carbohydrate intake is fairly low.
One of the most dominate factors in determining your cardiovascular health is this ratio.
Good: 2.0 or less is very good; indicating you have more good Particle A LDL.
Bad: 4.0 or higher is bad; indicating you have more bad Particle B LDL
Your Triglycerides 76 divided by HDL 40 = 1.9…very good.
This is another factor that determines your cardiovascular health; few physician know about it.
Remnant Cholesterol = Total Cholesterol - (LDL 177 + HDL 40).
Based on the formula, your Remnant Cholesterol is: 18
A reading of 20 or less is good.
What;s Driving Your LDL Number
Saturated Fat increases LDL. Ironically, Saturated Fat also increases your HDL.
Based on your Triglycerides:HDL Ratio and your Remnant Cholesterol Numbers, you’re fine.
However, if you want to decrease your LDL Number…
Decrease your Saturated Fat Intake.
Replace your Saturated Fat Intake with Monounsaturated Fats, Omega 9’s: Olive Oil, Avocado Oil, Avocados, Nuts (fairly high to high in Monounsaturated Fats, depend on the nut), etc.
Cardio is very effective at increasing your HDL.
However, it is not going to do much to decrease your LDL; your LDL is 75% of your Total Cholesterol, something to remember.
HDL: 80. His HDL is being close to off the grid. It is a great reading.
Based on his number, I’d suspect that his cardio is driving the number; probably High Intensity Interval Training.
Based on the answer to his questions…
“If you answered no to these, then your numbers may very well be ideal. Lowering your cholesterol might not even be good for you.”
The majority of physicians, for some reason, are up today on how to correctly interpret a Blood Lipid Panel.