Dr. Sarah Hallberg on triglycerides, LDL and HDL cholesterol on a ketogenic diet

Dr. Sarah Hallberg is a physician, board-certified lipidologist, Medical Director at Virta Health, Medical Director at the Indiana University Health Medical Weight Loss Program, and Executive Director at The Nutrition Coalition. She is the primary investigator on a recent clinical trial examining a technology-supported and medically-supervised ketogenic intervention that reverses type 2 diabetes and prediabetes.

[hikedayley]

RIP Dr Hallberg. You were one of the best MDs I ever listened to.

[Vahe]

My triglycerides shot up my ldl shot up and my hdl dropped a lot. I've done keto before many times and my cholesterol has always been great. What does it mean now since I've done a paleo-ketogenic very high fat diet losing weight and my cholesterol ratios are terrible. Does it mean there is a disease process going on? Does it mean my body is clearing fat stored in the liver or heavy metals. What is causing this? How could I have high triglycerides I only have 1 to 3 apples peeled per day that's all the carbs I ever have. I'm always in ketosis according to ketone testing ( blood/keto mojo)

[aubreytrue]

I got my blood work back after 1 year on keto/IF. It was all within normal limits except iron, which is an eternal struggle. My tri/HDL=0.7 and remnant cholesterol was 13. Triglycerides went way down from 1 year ago and my HDL went from below normal to normal range.

[PatriotMarine]

SADLY what I've SEEN by reading a lot of comments about KETO is that MOST people who said KETO did not work for them is that they were NOT doing 'KETO" they were doing THEIR WAY of keto.

[drobertjacobs]

My TRG and HDL went sky high after 1 year no weight loss why?

[janispaquette]

I've been on keto for 8 months. On a recent lipids panel, my HDL increased from 81 to 103! My doctor says he's never had a patient with HDL of 81, let alone 103. Total cholesterol 208 (103 of which are HDL) and triglycerides went from 143 to 52. Can HDL be too high?? And if so, what is too high for a women? I tried Googling and get conflicting views on this subject.

[GuitarsAndSynths]

oddly on keto, my HDL and LDL went way up as well as cholesterol but my triglicerides went down as well as lowered VLDL cholesterol after starting keto a month ago, WTF?

[DanScottChannel]

I began eating a HFLC ketogenic diet on August 23rd 2018 where my total cholesterol was 156 months earlier. The reason for going on keto was not so much to lose weight but inflammation where I've had a history of diabetes with a kidney/pancreas transplant x 2. A few months after going strict "ketovore", eating 50-70% of my TDEE ub fat I had another lipid test on December 13th revealing a total of 770 where LDL was 658!

I'm 52 years old and in pretty good shape with a BMI of 23. I work out with resistance training 5-6 days per week. I've not heard anyone yet who has had their numbers go this high after going on a HFLC diet?

[michelephelps]

I’m one of those few people with continually rising LDL on Keto. It’s now up to 388 and total cholesterol 499. I’ve resisted my PCPs request to go on a statin, but now I have a cardiologist telling me he thinks it’s genetic and is pushing for a statin. I’ve stopped Keto to increase fiber with healthy carbs, and have repeat labs this week. So much conflicting information makes it very distressing. 🙁

[skeptivore]

I did keto for 6 weeks focusing on healthy fats (nuts, avocados, salmon, nut/olive oils, etc) and at the end got my blood work done. Not only is my total cholesterol extremely high now (275), but it's also very high LDL (223) very low HDL (31), and on top of that, my triglyceride levels are also high, 105. Why is this happening? If keto is supposed to lower triglycerides and increase HDL, why has the opposite happened to me (plus a huge increase in total cholesterol and LDL cholesterol)? Bloodwork from a while prior to keto my total cholesterol was literally in the lower 100s.

[alchemy]

my TG/HDL 50/75. LDL 350 after 8 months on Keto. I suspect it will hit 1000 in another year if I keep going.
Went from 210 lbs to 165. A1C from 5.7 to 5.3.
Total cholesterol went from 150 or so to 500.
Blood pressure dropped and way too many other symptoms dissapeared. Too many to list.
I guess in no time I will drop dead feeling good.
Now what?

[MistsOfRaine]

I have had no gallbladder for 40 years and also have had Hep C for 40 years with near normal numbers. When I did Keto a few years ago my Cholesterol went from 150 to nearly 400 and my triglycerides doubled in just a year from 75 to 144. I went off Keto for a couple of years and my Cholesterol returned to normal. I have gained significant weight and am borderline diabetic, so I’ve started Keto again, I’m keeping my net carbs below 20gm. What can I do to produce bile so my cholesterol doesn’t go up so high and stay on Keto? Any help would be appreciated! Do you think bile salts would be helpful?

[Anthony-wize]

People always talk about getting a six pack, I just wanted a flat stomach. But the keto diet was unbearable for me. I tried the Agoge diet and so far have amazing results. Highly recommended!

[xfggxdx]

My triglyceride went down HDL raised, but LDL sky high! I don't know should I continue or not. My doctor wants to stop me.

[jbone]

How do you find out your triglyceride hdl ratio?

[nathanielswan]

I am diabetic.on intermittent fasting, play tennis 4 hours a week, walk one hour every day, not taking any meds for diabetes as I am maintaining A1_C 6 by diet. My triglycerides have risen 200 points in the past 3 months 299-507. Taking 4000 units omega's COQ10 200 mg/day

[matthewrogowski]

I went on a 12-day water-fast and had my labs done the last day of the fast. My LDL went optimal, but my Triglycerides went from 265 down only to 199. Why would my Tg still be high?

[debralee]

My tri is 170 and my LDL is 144 my doctor jump me saying this was horrible I don't understand

[muchasalud]

What do you mean by healthy carbs, and what do you regard as keto. I'm asking because many of the popular keto diets are not at all ketogenic due to way too much recommended plant food. True ketosis is attained via meat and water; it's really quite simple and you won't have any ill effects. Read Kevin Stock's take on blood labs, and watch Dr. Nadir Ali (cardialogist; he covers all you are concerned about).

[ranapratapsingh]

Dr. Sarah Hallberg my triglycerides have gone to 496 in Keto diet ?. Please investigate this .