Triglyceride/HDL Ratio - A Better CV Risk Predictor than LDL? (Part 1)

Looking to improve your health and add decades to your life?

Join me and the PrevMed team Dec 1st & 2nd in Tampa for the Heart Attack and Stroke Prevention Conference.

You’ll not only learn how to prevent heart attacks and strokes using my battle tested system, but also access accurate, predictive testing the majority of physicians NEVER USE (because they don’t know how).

All you need to do is click the link below to sign up.

Or if you’d like to see the PrevMed team virtually and reverse your chronic disease, Dr. Ford and the PrevMed staff are currently accepting new patients for a limited time.

[a.g.hustlegarland]

I'm 37
my LDL is 59
My HDL is 35
Triglycerides 80
A1C is 4.8
Should I be worried about the low HDL of 35?? I'm not over weight I don't smoke.

[hailygirllivingston]

From those of us who lost our jobs and are struggling to feel our families, we so greatly appreciate you giving us this information freely to help us stay healthy! Thank you!

[stevec]

After 5 months on keto, my HDL number nearly doubled to 76 while my triglycerides dropped from 76 to 56, so my triglyceride/HDL ration dropped from 1.86 to 0.74. My dr. was so happy with that & the weight I lost he didn't care that my LDL was high. I also got off of 4 hypertension meds, some I had been on for 20 years.

[Craig]

I dropped 80 lbs in 8 months. Dr wanted to Rx a statin, oral insulin, BP meds and a CPAP. Asked her to give me 6 months. Better nutrition choices, no alcohol, no sugar, calorie deficit, and intermittent fasting daily exercise. In one year my Triglyceride went from 173 down to 54. HDL went up from 38 to 57. Oh, and didn't completely eliminate carbs other than cut out bread, pasta, not much rice.

[livincincy]

The Dogmatic practice of ignoring elevated insulin and treating elevated glucose & cholesterol with medication is a heavily marketed concept in the Medical Community.

Thanks for this presentation.

[YouTuber-epxx]

I had a heart attack at 56 two years ago. Helicopter ride, 3 stents, survived. Got CAC score, high. My triglycerides/HDL was around 8x. I then went LCHF, and my ratio dropped to 1.1x, and is in the 1-2 range today. My Mayo cardiologist is fixated on LDL, wants me on PCSK9 inhibitor. No way. To his credit, when I told him about tri/HDL, he looked it up on the internet. I hate statins, they mess with my head, and I consider LDL to be good. sdLDL not so much. Anyway, I am sticking with low carb for life and will remain focused on tri/HDL. Hopefully that'll help me keep that CAC score from growing. My understanding is that stabilizing the CAC score equates to sharp lessening of risk of another heart attack....

[Jill.Carter.]

Thank you for stating the UK measuring format too.

[joefil]

Feb Annual Physical: 96/59 = 1.6 Three weeks ago after 4mo Clean Keto: 57/78 = 0.7 Sweet!

[sapelesteve]

Terrific discussion & presentation Dr. Brewer! I hope that you are going to cover plaque formation of the endothelial lining at some point. No one has explained why LDL (which is a much larger molecule than HDL) is taken up & deposited in the walls over HDL. Since the HDL molecule is much smaller, you would think that it would more easily diffuse across the membrane & be preferentially deposited. In any event, keep up the great work that you are well & stay

[Part_]

Ugh.. Lost 80 lbs over the course of 5 years, reversed Type 2 Diabetes, have a current Trig /HDL ratio of .56 (HDL=88, Trigs=49) and my Dr. wants to kill me because my LDL is very high (Type A fluffy). Never had much of a cholesterol problem until I lost all that weight. Ordered my own NMR lipid profile and tried to go over it with my Dr.. His response was, "you probably know more about this than I do." Great, appreciate the honesty but can't get any straight answers in this world of corporate medicine!

[BLRGBattlemaster]

I've read this study before. But, there are some serious exceptions to it. In my case, my TG are below 100, and my HDL is in the 70's. My calculated ratio is around 1.35, which is way below the 3.0 ratio which indicates severe risk for CAD. It's always been around that level. And, yet, at 47, I have REALLY BAD CAD. I don't smoke either. I used to know an older Pakistani guy who had familial hypercholestemia and unreal high TG. He told me his whole story. Great runner too, by the way, and I used to run hills and long runs with the guy. When he was in his 30's, he had a blood test, and the nurses immediately called his wife and told her he needs to get into the hospital ASAP. His TG were literally in the thousands. He also had high cholesterol levels. He said he tried dieting and stopped eating anything with fats or cholesterol, and he said his #'s barely went down 10%. But, he kept trying that and exercising and eventually started Niacin therapy. He did this for 20 years, and finally gave into statins. But, he had a stress echo and carotid IMT and they said his carotids were clean. Not sure what his coronaries looked like, but at 55 years of age, he had no real sign of heart disease.

So, anyways, there's always exceptions to these studies.

[rjrnj]

2 years ketovore. My trig:hdl is 68:57 or 1.19. I'm delighted.

[aek]

God bless Dr Brewer I really appreciate your enlightenment in these lectures regarding Triglycerides. Thank you.

[stevec]

My TRG was never high at around 60, but my HDL would be around 40. My first physical after 4 months on keto, my TRG dropped to 40 while my HDL went up to 60 making my TRG/HDL ratio under 1.

[MalleusDei]

Total cholesterol- 480
Triglycerides- 104
HDL- 64
VLVD CAL-17
LDL CHOL CAL -399.
lean mass hyper reponder?
6 months on strick carnivore and havent felt this good in year's.

[georgebradley]

Really appreciate the colored Slides & written explanation, much easier to understand by going back to match hearingv& written word. Hearing language from 50 years ago does not compute as fast in a 73 yo brain.
I was very upset with you on Saturday when I could only listen & not see the printed words.
A big THANK YOU❤

[TO-psqq]

My heart went out of rhythm and I was prescribed 13 different meds. My triglycerides went to 2150. My cholesterol went to 135, hdl was 29, ldi was in the 50s. My blood sugar was in the 90s.

Last doctor visit my triglycerides were at 65. My cholesterol was 159. My hdl was at 58. My ldl was at 99. My blood sugar was 153.

[charleshughbryan]

Another great video !!
I've recently had my AAA repaired after discovering it 12 years ago.
I had to have a Cardiologist do an angioplasty to rule out a blockage but found none and so he oked the surgery for the AAA.
I'd like to add that the blockage was 50% in 2002 but clear now as are my caroids that were 49 and 47 % blocked but now are less than 12%.
I had a Y branch stent in my aorta and femal arteries and although I was sore for a bit I'm back to working building my sand bag house carrying 50 pound bags up the ladder and I'm 75 now.
I've gotten a release from my Vascular surgeon a month ago after 10 months of no workouts and working and not lifting over 10 pounds.
She said be prepared to spend 5 days for recovery but was released in 24 hours as my health was excellent after changing my entire lifestyle for the past 20 yrars.
I've explained that I worked for Abbotts and don't take meds of any kind and I'm very proactive about my health.
I've been watching your channel for years now and admire your no nonsense delivery to us who need direction.
Keep the videos coming and touching many lives.
GOD bless you.

[Shadow-bsiu]

it’s good that these videos use uk and us units interchangeably

[NoFeeRE]

Here are 3 questions, for everyone's benefit:

1. What is the ideal ratio, and how does it vary based on race or culture/region?

2. When calculating the ratio, should we use TG/HDL or HDL/TG?

3. What other test results should be considered when determining the final ratio, such as T4 and others?

Your expertise, and videos, are greatly appreciated.