Dr. Sarah Hallberg: Are high LDL-P numbers on a ketogenic diet dangerous?

Dr. Sarah Hallberg: Are high LDL-P numbers on a ketogenic diet dangerous?

August 1, 2019 12 By William Morgan


– For our next question, how
concerned should I be about
high LDLP numbers if my HDL
numbers are in a normal range
while I’m in nutritional ketosis?
– So LDLP is again going
back to what we talked about
a little while ago, a
much better assessment of
cardiovascular risk than LDLC.
And so if someone has got
really great improvements
decreasing triglycerides,
increasing good cholesterol,
but struggled with an elevated
LDLP, what do they do?
And this is not a solidly
certain answer yet.
We don’t, there has
been no evidence one way
or the other 100%.
So this is one of those
places that you really need to
work with your physician on.
So again, the Virta physicians
may ask other questions.
What are other risk
factors that you may have,
and how are those controlled?
Or this is another place where
we may say let’s go ahead
and get something called
a coronary calcium score
to assess is there really
any burden of cardiovascular
disease already present.
But once again, this
is an individual call,
and this needs to be worked
out one on one between
patients and their physicians.
And Virta physicians are all
very, very expert in this area
to be able to ensure that
they are doing whatever
we need to do to promote
cardiovascular risk factor
reduction for each and
every patient individually.
– So do you say it’s fair
that it’s not just one number
that’s driving that you’re in
bad health or great health?
It’s really a big picture of everything.
– Absolutely, it is, Catherine.
There’s not one biomarker when
it comes to cardiovascular
health that we can point
to and say if this is good
or if this is bad, you’re in
the clear or you’re doomed.
It’s not like that.
You know, what we have is we
have a whole bunch of things
that we know are associated
with increased cardiovascular
risks, and we have to look
at the larger picture.
You can’t get lost in
the forest for the trees.
So each one of those and
taking a look at the whole
in each individual patient
is really important,
and that take personalization.
– I think that’s an excellent
reminder because it’s very
easy to get caught up on that one number.