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

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

July 29, 2019 14 By William Morgan


– How do triglycerides, LDL
and HDL typically change
when on a ketogenic diet?
– So I’ll just review this quickly,
since we’ve answered
this quite a bit before,
but triglycerides generally
drop dramatically.
HDL, or good cholesterol,
goes up significantly.
And those two things lead
to an improved triglyceride
HDL ratio, which has been
shown in many studies
to be the most important
cardiac risk factor.
And again, those are the common
changes we see with that,
and again, triglycerides HDL together
are actually called
atherogenic dyslipidemia.
So if they’re off,
atherogenic dyslipidemia,
which means atherosclerosis
causing lipids.
Triglycerides and HDL can
improve significantly.
LDL cholesterol, again, for most people
it doesn’t change or decreases.
There can be a temporary
rise in some people
with significant weight
loss that then goes back
to normal when the weight loss plateaus.
But in the few people
that have an elevated LDL
cholesterol after their
weight has plateaued,
see your physician.
– And a two to one ratio
of triglycerides to HDL
is pretty much considered
a lower risk, right?
And it’s not uncommon
to see HDL being higher
than triglycerides.
– I know,
there’s nothing greater than
sitting down with a patient
and saying, you know what,
your triglyceride HDL ratio
is less than one.
Because believe it or
not, we see people coming
into the clinic all the time
with triglyceride HDL ratios
of 30, even 40.
I mean, you wouldn’t even believe,
that can have just this
unbelievably dramatic change
when starting a ketogenic diet.