Can your low-carb diet increase your LDL cholesterol? How to lose weight, yet keep LDL at bay?


Switching to a low-carb diet, especially something like the keto diet, may have become popular due to its visible results in weight loss. Elevated LDL (bad cholesterol) levels.

There have been many studies on the effectiveness of low-carbohydrate diets like keto for heart health, with mixed results as to their effect on cholesterol, but there seems to be a common consensus. Low-carbohydrate diets can lead to sudden spikes in LDL and triglycerides (“bad” cholesterol) that can only plateau weeks to months after the diet is started, increasing risk. And apparently people lose more fat mass than fat-free mass, but LDL cholesterol levels did not change. Dr. Itolikar suggests dos and don’ts if you’re stuck in certain eating patterns.

Do low carb diets increase cholesterol?

A low-carbohydrate diet refers to one in which the consumption of carbohydrates is restricted and, to that effect, is high in protein, fiber, and/or fat. It aims to limit the caloric intake of high “sugar” foods such as rice and other foods with a high glycemic index. , legumes, meat, fish, and poultry. These meals switch our body’s fuel-burning engine from being glucose-dependent to being fat-dependent. A basic low-carbohydrate diet, as opposed to a low-carbohydrate, high-fat diet, has favorable results on cholesterol levels, the latter of which contributes to LDL (bad cholesterol). Negatively affects lipid profile by increasing levels and particles.

How do elevated LDL cholesterol relate to elevated (and more important) markers like LDL particles?

LDL particle count (LDL-P) tells us about the burden of bad cholesterol (LDL) that is present in the bloodstream and can deposit in tissues and arteries leading to future heart attacks and strokes. Low-carbohydrate diets increase LDL levels primarily because dietary fat is included in the meal plan.

How can I lower my LDL cholesterol if I am on a low carb diet?

Incorporating the following categories of foods into your meal plan can help keep your LDL cholesterol in check.

(1) Soluble fibers like oats.
(2) It was rich in non-starchy vegetables and pectin-rich fruits, and liked citrus fruits, apples, grapefruits and strawberries.
(3) Healthy fats such as mono- and polyunsaturated fats found in nuts, fish, chia seeds, flaxseeds, olives, avocados, etc.
(4) Plenty of water.
(5) Avoid saturated and trans fats.

What kind of lipid test should I take?

Fasting (9–12 hours) lipid profile, including measurement of apolipoprotein B levels, a direct laboratory measure of LDL particle counts, for those 65 years and older, with or without pre-existing cholesterol abnormalities must undergo an annual evaluation of People aged 45 to 65 with risk factors such as obesity, hyperlipidemia, diabetes, or a strong family history of vascular disease should also undergo annual screening.

What are the do’s and don’ts of a low carb diet?

To be effective on a low-carb diet, it’s important to do certain things and avoid others.

(1) Inculcate discipline in eating, sleeping, and exercising.
(2) Reduce smoking and drinking.
(3) Eat wisely, slowly, and in moderation.
(4) Avoid white foods such as sugar, rice, bread, potatoes, pasta, biscuits and margarine.
(5) Follow a low-carbohydrate, low-fat diet instead of a low-carbohydrate, high-fat diet.
(6) regular assessment of body weight, blood glucose, blood pressure and lipid profile;
(7) Low carb does not mean no carb. It can lead to a “carb crash”.
(8) Use your appetite as a guide. Don’t eat too many “acceptable foods”.




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