Duane wrote:
Today my blood work came back.
Total Cholesterol 340
Triglycerides 193
HDL 62
LDL 239
risk ratio LDL/HDL 3.86
I know my cholesterol is through the roof, but is my risk ratio okay?
Duane, I have not read through this entire thread, nor do I plan to. I will give you my take, though I am obviously a sample of one. High cholesterol runs in my family. Mine was over 300 at one point. I was told by my cardiologist that I could eat nothing but lettuce and I wouldn't lower it much, hence the push for statins at the ripe old age of 37 or so.
What I did instead was a week long cleanse on Ultraclear Plus to detox, then introduced certain foods back one at a time, starting with fish and vegetables during week one, then other meats and some low-glycemic fruits, then nuts & legumes, etc. My main starches became sweet potatoes and brown rice. I gave up gluten and cow dairy as well. Lastly, I did some kind of test for food allergies, might have been the Alcat, and eliminated the bad ones. I followed this plan rigorously as I got used to it after 90 days. I also supplemented w/inositol hexaniacinate, though there are other supplements that help.
For the first time in my life, I had reduced my cholesterol below 200 (yes, over a 100-pt drop). My LDL/HDL ratio also normalized. My cardiologist was shocked. I did not exercise either, other than some light walking, as I was and am limited there because of another disability that causes low cardiac output. So, in my experience of one, it can be done if you are committed.
While I agree that the size of LDL particle matters, my current doctor who specializes in my affirmity thinks that blood pressure is a much bigger player. In his 30 years of experience, his patient cohort has almost universally had high cholesterol but low blood pressure, and he has seen only one case of CVD owing to blocked arteries. He thinks extreme oxidative stress, like high mileage running, nicks the arteries along with other issues, setting one up for possible CVD later in life.
Lastly, he is not a fan of statins and thinks the cholesterol/CVD association is merely that, a correlation not a causation based on his reading of the literature and clinical experience. But there are plenty of studies that refute this view. Statins may help if you can't get there with lifestyle changes, though there is scant evidence that they reduce all-cause mortality and may even be linked to other causes of death.
Your LDL is really quite high. Try the diet/exercise/supplement route first, add statins if you have to. My $0.02.