Ep:382 RAISE YOUR HDL - MOST IMPORTANT METABOLIC HEALTH MARKER
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- čas přidán 1. 07. 2024
- “the little engine that should” DR CYWES EXPLAINS WHY HDL IS THE MOST IMPORTANT MARKER OF METABOLIC HEALTH AND WHAT YOU CAN DO TO RAISE YOUR HDL LEVELS. HDL is the body’s “CLEANIUP CREW” Treat inflammation BY getting into glucagon-controlled fat utilization. There is NO PILL FOR HDL. TREATING INFLAMMATION over LIPIDS YOU HAVE BEEN LIED TO #insulinresistance CAUSES #inflammation. Low Carb Healthy Fat eating restores INSULIN SENSITIVITY and reduces INFLAMMATION AND RAISES HDL. MEDICATIONS CANNOT DO THIS. Pt 3 TRANSFORMATION ABOUT DIET AND INFLAMMATION AND HOW THE BODY RESPONDS. Please leave comments.
Know the scientific truth about how your body works. Ask and answer the right questions to optimize your health! Whether you agree or disagree with our content, if we’ve made you think and ask questions, we’ve done our job. Leave comments below. #HDL #inflammation #heart #plaque #vessels #cleanup #statins #keto #immunesystem #protection #learn #insulin #metabolichealth #diabetes #obesity #ketosis #sugar #carbohydrate #carbs #lowcarb #fat #glucagon
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ROBERT CYWES M.D., PhD, ERIN SMITH PSYCHNP and SHERYL FOX RD ARE clinical PRACTITIONERS in Florida and COVER THE ENTIRE USA AND WORLD VIA TELEHEALTH. Our mission is to educate and treat CARBOHYDRATE ADDICTION in obesity, diabetes and metabolic syndrome. Replacing carbs with REAL FOOD while simultaneously replacing carbs as a toxic, harmful response to emotional tension with a diverse healthy set of emotion management tools for lifelong sustainability of mental and physical health, happiness and well-being. Converting people from toxic sugar burners to healthy fat (keto) burners while addressing the CAUSE of addiction to carbs from an emotion management perspective. Sometimes using medications such as GLP-1 agonists and obesity surgery/devices to help people including those who have had bariatric surgery.
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I just had my yearly checkup and my triglycerides were 58 and HDL was 78!!! 🎯🎯🎯 I'm 72 and have been strictly carnivore for over a year. I didn't exercise over the winter, but recently started walking a mile each day. I also lay out in the sun for at least 45 min a day when it's sunny.
Excellent
That's great!
I hate you Dr. Cywes... because you are always right! At the age of 85 (male), and after being diagnosed with hyperinsulinemia and pre-diabetes, after a year on keto my markers are exactly where you wanted me to be (well, you do not know me personally)!
And kudos to Google, CZcams, and similar sources where I can access the best doctors in the world... for free. I love it!
Recent blood work 59yoa male 195lbs ... total cholesterol 246, hdl 92, Triglycerides 50, fasting glucose 80
😊
Great explanation of HDL effects
I dream of a day when I am a lean mass hyper responder. LMHRs have high HDL, high LDL and low triglycerides, which I believe is the state humans are supposed to be in.
I am working on this goal by becoming lean from a very unlean state.
I'm VERY low carb/ketovore. Latest blood work: LDL 159 HDL 104 Triglycerides 38
Nice!
Excellent!
What do you eat for low carb? Do you eat fruit or some starch?
@@CubitaLola No starch. No fruits. However, I will indulge in some blue berries on a seasonal basis (summer months) ..but when I do it's once or twice per month.
Basically, it's triple B & E including ground lamb, some chicken once or twice a month, fish when I catch it. I'll eat bell peppers a few days a week, well cooked & mixed with my beef or lamb some days. Maybe 3 small onions a month. I will buy 4 or 5 small tomatoes on the vine per month to add to my eggs,etc. Some days I'm at zero carb, other days 10 to 15 but RARELY over 20 carbs daily. Other than the seasonal blue berries, all the carbs come from the few veggies and/or whole milk Greek yogurt (plain) once a month.
I do eat a fair amount of aged cheeses, but have cut WAY back to 3 or 4 ounces daily. It's WAY easy to over eat cheese as I LOVE the stuff!
@@tvtonite79 Wow, this sounds great. How are you feeling? Do you add butter to your meals? I think/feel Im missing something as I dont feel very satiated after some meals. I also like bell peppers a few times a week and berries.
Great and timely video for me. Just had yearly bloodwork as 67-year old female recovering T2 diabetic. HDL was 97.5 and I was concerned about that and total cholesterol being 280! Trigs. are 70 and Hba1c is 5.2. My Dr is crying statins because of TC and LDL almost 190. I eat low-carb/keto for 4 1/2 years now and I feel/look great.
Really wish I could afford you because your information is critical and is helping me make changes as I learned from you
Very informative video. Thank you soooo much for teaching us about hdl
Watching while waiting for appt. Will check my HDL when I get home. Seeing you in Sept!!!
Three months ago had a total knee replacement now my cholesterol , bad cholesterol has dropped my hcl is in range 👍
When this doc speaks, I listen with great interest, especially that my HDL'S are at 2.85mmol/L - fantastic news; thank you.
Great
What I like about this video is that you explain the process behind HDL and how to actually work with it to make it. better, where my docs have always said "Your HDL is low; that's bad. We need to get those numbers up. Here's a pill." Thank you so much!!
Usually the pill is for some other issue, like diabetes, cholesterol, etc.
I have one(Lipodema)on my back (trapezius)due to a bruise. I then did trapezius exercises, (shrugs). The next day it appeared.
Oh, I have Psoriasis. When I eat less carbs… It goes away. The skin on my face tells me when I’m high inflammation.
So lucky.
A friend of mine went in to hospital for op, on the liver. When in hospital his psoriasis cleared up. No high carbs & eating little. This was not carry on when back at home. Back came the psoriasis.
Yet another brilliant video! Thank you!
Thank you sir. Great stuff.
Great information. Thank you.
Thanks Doc! I really appreciate how you explain everything instead of just telling people what to do .
Spot on!
Where were you when I was diagnosed with Type 2. Me, a person that avoided pills entirely, suddenly thrust a bag of pills to "cure" my T2. Fasting got me away from the pills. But my HDL is low. I think my last test was 38. Always been low as long as I have been being tested.
Great video!
Thank You😊👍
Had bloodwork done… cholesterol was 300ish, ldl 200ish but triglycerides are 52 and HDL is 72. Doc wants me on Lipitor 😢
Ask your doc to order a CAC test...if that's good...I would not take a statin. I was on a statin for years and now have muscle issues.
Following your protocol now for 6 mo, HDL still stuck around 40 as it has been even with the sugar habit. And still dont get a ketosis reading on the keto-mojo. Good show topic.
My husband is 52 and already has a CAC score of 250. His triglycerides are 163, HDL 70, LDL 200. He has had similar numbers for most of his adult life. He is 6 ft 3 and weighs 188. Hemoglobin A1C is 5.7 and fasting glucose is 96. Last year he went low carb, but for someone like him I don’t believe he went low carb enough. I don’t believe he processes carbs well at all. His doctor is solely focused on lowering LDL and is pushing for him to get on statins. I am against that and and pushing my husband to go more towards Keto. I realize that may raise his LDL but I also know that it will lower his triglycerides and I’m hoping that will prevent further damage to the arteries. His LDL is the small type which I know is bad and so I’m thinking he already has some insulin resistance, and yet the doctor says no because his triglycerides aren’t that much over normal and his glucose is good. I know you can’t diagnose him, but could you please let me know if I’m heading in the right direction with keeping pushing him to go even more low carb? I would really appreciate any guidance. I feel he is way too young to already have this much plaque build up in his arteries. Makes me wonder if he has some other inflammatory condition going on or can triglycerides at that level do that much damage to the arteries? Thank you!
Strongly suggest a consult
Trigs. and glucose still too high! Must go high-protein/low carb < 80g per day.
Thank you! I agree!
LOVE!
Thanks Dr. C….. great video, in fact every video you have done is fantastic!
QUESTION- I take a very good Whey Isolate on my gym days …. I recently started putting organic wild blueberries in the blender with the whey. Even though berries are on the lower end of the sugar scale, is it ok to do this or should I just do Whey and water? Thanks !!!
Need to review ur bloodwork. Xs whey becomes glucose
I believe statins reduced ldl and total cholesterol. Does this also mean it slows down the production of Hdl?
Will you have a video on insulin suppression any time soon? In one of your videos I saw, you said it was still being researched and there was still a lot to learn about it. Being a carnivore I have queries about that. For example, whether insulin suppression is generally occurring in carnivores? Is it only for a certain group of people? Is there any new development in that area? I really enjoyed this video, I just would like to know more about insulin suppression. Thank you for making the video!
Already done. Google the title in my videos
Doc. Can you comment on this reading:-
Total Cholesterol:- 5.7mmol/litre
HDL:- 1.5 mmol/litre
LDL:- 3.8mmol/litre
Triglyceride:- 0.7mmol/litre
I took 2-3 eggs a day. Less carbs.
Got a high-ish CAC score, I realize now due to a high inflammatory diet while taking statins, and the doc wanted me to take statins because I had a positive CAC. Circular logic?
Illogical
Long story, beware.
I'm 65. At 60 I requested a CAC after unhealthy life and saw a cardiologist to get it. She reluctantly allowed for it.
Score 312 and first thing she said: "I want you on statins". I refused and that was the end of our "relationship".
I never was able to get another CAC. Perhaps I should look outside the country (I live in the Netherlands).
My own approach:
Intermittent fasting, 18:6 or so. Low carbs, little industrial products, no industrial seed oils. Love steak and it's an important part in my food.
Magnesium,
Vitamins D3 and B2 (I have elevated homocysteine),
vit K2 and Boron to control calcium,
Berberine and Chrome picolinate to control insulin (I discovered that I am pre-diabetic using a continuous glucose monitor)
Fatty fish, cod liver and pure fish oil high in EPA and DHA. My omega6:3 ratio is around 2 now :)
A few months ago I started with Natto kinase, now I'm on Lumbrokinase, I hope it'll be effective against plaque.
NAC and MELATONIN, Taurine and Glycine.
It's a lot, but thank God am only on Losartan as a drug.
I hope I'll have a CAC again and I can then lower on supplements when I'm happy with the score.
So, my hdl at last count was 95. My triglycerides were within range, LDL was high but down from last year, total cholesterol slightly high. I'm 63, have a pretty healthy diet, exercise, weights...but also have Hashimotos/hypothyroidism. I'm considered "prediabetic" too. Would love to believe my nice high HDL number was a good thing but have a sense I'm not winning the battle. (To...live forever?)
I just had a Hart By Past. Can I still due my Carnivore diet ? All my doctors are telling me no. No red meat, No saturated fat. What to do ? I don`t agree with them.
Cartoon graphics would be a big help to some of us.😊
Thanks Doc! I have a consultation scheduled with you for October.
Question ... what about high HDL, high LDL *and* high TG? On strict carnivore, my TG went from 110 to 380! hsCRP and ferritin were also both high (10.5 and 1200+)
Over the past six months I developed xanthoma throughout my hands and xanthelasma on my eyelids. (The formation of xanthoma really kicked into high gear in late April - it's now very uncomfortable to do any work with my hands without gloves as anything I pickup hits a xantoma deposit and it hurts). Also wresting with pruritus for the past 8 weeks.
I've taken the approach that this is an extreme case of insulin suppression gone on too long based on my habit of eating a large meal of protein and fat taken once a day, greatly in excess of what the body needed - in particularly as I was not exercising much at all.
SInce then, I've added sardines and fish oils, split my meals into smaller ones (and am simply working to eat less overall as well), added exercise (fast walks of 3-9 miles) and even hit of something insulin stimulating from time to time with the hope of pulling the excess energy (TG) from the blood and into fat cells.
After three weeks of that, my follow up tests showed TG down to 150. hs CRP down to 3.5, ferritin down to 750.
However, the pruritus continues and I feel like the xanthoma are continuing to build.
I"m due for another set of blood tests to see where I currently stand.
Looking to see if I am on the right course and hoping for any tips or suggestions before my consult in October. Right now the pruritus is the day to day villain. Other than the pruritus, I don't have any symptoms of a biliary blockage (no pain, nausea, vomiting or fever, no jaundice) so, lacking other information, I'm operating with the thought that I've induced a condition of "nutritional hepatitis" based on the inflammatory effects of too much protein in an insulin suppressed state. Can I have taken in so much excess protein and nutrients that I inflamed my liver and impaired its bile handling?
TG are an issue. Will discuss at our visit. Check ur HbA1c
@@robertcywes2966in April, when TGs were 380, A1c was 4.5.
In May, when TGs were 150, A1c was 5.3. I hit hard with some carbs for about a week, then dialed back again.
I'll get another measurement with my next set of tests.
Ok but how do you get there .
My trigylcerides are 55, LDL 95, total cholesterol 162 but my BUN/Creatinine was elevated and glucose 89. This is 4 months post ketovore. Not sure what those mean. HDL went up from 38 to 58. My BUN is on the higher end and uric acid went up from 3.8 to 4.4
Are those concerning numbers?
Lately I have been feeling fatigued and depleted so I added a little bit of starch. I workout too. Im a 36 y/o female. Do I just need to increase my fat? I have hashimotos as well. I dont want to overdue the protein if thats why my BUN/Creatinine ratio is high.
So HOW do we raise it?
He says how in the show notes above: "Low Carb Healthy Fat eating restores INSULIN SENSITIVITY and reduces INFLAMMATION AND RAISES HDL. MEDICATIONS CANNOT DO THIS. "
Dr Berry says eat fatty red meat and lift heavy things.
Ketogenic diet with intermittent fasting to become insulin sensitive
Mainly by getting insulin sensitive and then fasting. This combination ensures that you need to get fat out of adipose tissue for the bodies energy use and the liver generates HDL particles at this point. Don't think there is a short cut. That is the reason you tend to see high HDL in healthy people and low HDL in unhealthy people. One of the best markers of health is the HDL to triglyceride ratio.
dry fast
I am wondering when the book comes out that you wrote 2 chapters on. In the previous interview you mentioned March this year. Would love to buy it. And what is the name of this book produced by 63 experts.
Your hypothesis is almost correct doc but doesn't apply to everyone. My hdl is low yet ldo always low too without statin. My hscrp is always below 1!
Possible but we shd review cac and bloodwork. Suggest a visit
My HDL is always between 115-120 and its always tagged with a red H saying it too high! I thought I read somwhere that it is bad if too high? My Trigs are under 50.
Unlikely but need to review more details
found out i have CAC score of 402...absolutely shocked. Of course immediately put on statins but I think its more insulin resistance & I had a VERY bad reaction to Covid vaccine. My HDL is high. Its all so very confusing.
don't all doctors have this understanding??....why not?
Im on low carbs last 15 years.
Now im 63. HDL was 90-95.
I started TRT about a year ago.
Now my HDL is 50-55.
I do not know what to do about it.
Need to adjust diet on T
Slowly get off trt. Zero alcohol, and resistance training. I don't have a gym but use kitty litter buckets as weights. Also go slowly up and down steps w a bucket in each hand. Don't overdo the weights: one good session every 3 days ok.
Erections like magic came back as I started drinking smoothies I made in my kitchen w beet juice. Just over 1/3 beet per day. I blend 3 beets at a time and store that in 2 32oz mason jars. Lasts just over a week. Good luck.
Dr. Lustig says that red meat is inflammatory neutral but dairy is anti inflammatory.
Neither are pro inflammatory
Been on Carnivore 3 months and shocked to see my Tryglicerides shot up from 79 to 167 and LDL from 190 to 565. HDL went up from 59 to 71. I did not expect my Tryglicerides and LDL to increase. I am 50, 139 lbs and 4% body fat. Lift weights and 25K-30K steps a day. I eat 80/20 hamburger, 4 oz chucke eye, chicken wings, 4 oz salmon, 9 eggs and 6 tablespoons of butter a day. I did do a lot of cardio that morning before my fasting bloodwork. Also, I do bake on Saturdays with Erythritol. Don't know what caused the increase. Should I retake my blood work?
I found a source that says no extreme exercise for 3 days prior to blood work. Perhaps try to find sources of what to avoid prior to bloodwork that can skew your results. I do resistance training 2 times a week, and my blood glucose is always elevated for a couple hours after my work out. Normal morning fasting BG is 95. after exercise it spikes up 20 points. This might have effects on lipo proteins as well.
@@gardenchickster1if i know well, Hard exercise can only influence the creatine levél, by that eGFR too.
I Live in the UK
And I have very very high HDL
My dr said I have to try to Lower
It by cutting out all cream milk cheese and meat he said my HDL
Is a sign of inflammation
I just don't know who to believe anymore.
Could you have misheard him? Surely he would only talk in that way about high *LDL*, not HDL! In any case, he's obviously wrong, because low HDL is a worry, not high, and LDL rarely has anything at all to do with heart disease, so doctors shouldn't even be looking at that! (unless someone has the familial hypercholesterolemia, but even then, maybe not). Get the doctor to clarify what he meant!
Good morning, what's your stance on Vascepa? My last triglyceride level was 788! HDL 37, CAC 160. Baby aspirin? P.S. since losing you, I've been circling the drain.😭
Set up a visit w Sheryl. She takes ur ins
Fishoil over vascepa
@@robertcywes2966 THANK YOU 🙏💖
I was waiting for what to eat, not to eat, supplements, meds.....
Too obvious on this channel😊
@@robertcywes2966 , thanks for your reply, doc. So low carb should increase my HDL? I never had HDL over 30.
- a dude with chronically high trigs, low HDL, insulin resistant, 5-V CABG
@@jacko3423 Low carb. Getting into ketosis would be better.
If you were on the sad diet how long would it take if you went on carnivore to have “optimal blood work” ?
About 2 yrs
Great question. Most think it's instant
@@robertcywes2966 … I have heard that for how you feel but I would think lab work would take a little longer especially if your body needs a lot of healing.
Can you address aggressive and recurring hairloss on keto and carnivore?
Anytime one loses a significant amount of weight in a relatively short timeframe, hair loss is to be expected. It should correct itself with time.
Already did around Xmas last yr
@@robertcywes2966 did it include cases like androgenic alopecia and telogen effluvium or it was generic?
I wonder why men usually have lower HDL than women. As a woman, mine has always been great (4 years ago it was 109, currently 87). As you can see, it has gone down a tad in recent years, but I'm 65 yo. I have observed that men of all ages have lower levels in general. Studies have shown it's not hormone related, but why then? 🧐
Because women have to protect a baby and a uterus
Great question
Estrogen
I was hoping for some how to raise HDL other than eat red meat and lift heavy things.
Isn't niacin a pill for hdl?
Don't think it is a magic bullet like a statin is to LDL. Niacin in a healthy person may (or may not) help generate HDL. Niacin in someone with metabolic syndrome is likely to not do anything.
I see my comment on niacin and it's effect on hdl along with an attached article got removed in less than 5 minutes. How disingenuously pharma-like.
The folks that sell it try to say so😊
@@miked373wasn't me!!! Likely youtube
How do you know who was behind the comment removal?
So I have a question. I was diagnosed with high cholesterol years ago and was told I should take statins. I refused the statins. However I wonder if high cholesterol has anything to do with lipodema... I developed a big fatty lump " lipodema " on my back, between my armpit region and upper shoulder blade, just next to my armpit and it's getting bigger. It's almost the size of a golf ball. I also have a smaller one on my " jawline" . Are these fatty lumps related to high cholesterol and am I able to naturally get rid of them? Shrink them through ( exercise ) and perhaps fasting ?
My hubby has one on the back of his neck. When he eats more like I do (zero to low carbohydrate) over a few weeks it actually gets smaller. For awhile it was totally gone 😮 but when he is at work he makes different nourishment choices than when he is at home… fried foods, frozen coffee drinks, sandwiches and burgers with the bun and all. So for him, that’s when it all changes… refined carbs, added sugars, and seed oils. He also tells me how terrible he feels after a couple days. 😢 he’s getting more conscious of what he feeds himself now and has decided on his own what not to put in his body. Hope that helps in some way.
I imagine subcutaneous fat and cholesterol are of different makeup but I have nothing to base it on.
@@Sweetest_of_Seven My Achilles heel are sweets .. I have sugar cravings a lot but I barely touch anything else but meat and coffee... But the candy I munch on too much 😞...
Lipoma is different to lipedema
Look up vids on allulose. It may help you.
HDL has been injected directly on an experimental basis, but was found to be ineffective. Of course, a single study can yield anomalous results, and maybe endogenous HDL works differently from exogenous LDL.
My HDL is stuck at between 70 and 77. TGs between 35 and 43 with LDL between 200 and 250. I am almost a LMHR, adding carbs
Set up a visit w Sheryl in our office. Likely nuances in ur diet
I didn't think California was smart enough to get rid of the underbrush!
Must have been BROUGHT IN FROM ANOTHER STATE!
😊
Get help.
He needs to hire a graphics artists to illustrate with cartoons/graphics to give visuals to what he is saying. Too dense. I couldn't follow him. And I was a bio-chem student.
me too i gave up and reading comments to figure out what he said.