The story on saturated fats is very confusing. There are a number of different types of saturated fats. Some claim that saturated fat from grass feed beef, wild animals, and coconuts are good for you. And that from grain feed beef & dairy is bad for you.
I am not convinced one way or the other one this. So I eat lean cuts of beef, but mostly chicken & fish and low fat/no fat milk and yogurt. But I use real butter and not margarine. But I use less and a tablespoon a week. Likewise I eat regular cheese, although some is naturally lower fat. But I mostly eat stronger/sharper cheeses and it take very little to spice up a dish.
While I don't count the amount of saturated fats that I eat it is a moderate amount. But I get lots of healthy fats from olive & canola oils, nuts, & fish.
But everyone agrees that hydrogenated or partially hydrogenated oils are bad for cholesterol. And LOTS of package foods have these.
The are some ultra low fat diets that some people do good on and reduce their cholesterol. And some high fat ultra low carbs diets that some people do good on.
But most people have problems with such restrictive diets.
Surprisingly high levels of carbohydrates can increase blood cholesterol levels. This is particularly true for refined carbs. Anything with sugar, white flour, or white rice.
Personally I have a limited carbs, but not supper low carbs. My only concentrated source is oatmeal & OJ. But even at that oatmeal has lots of fiber which helps control cholesterol levels.
But I eat lots of fruits and get some carbs from them. For example dinner was grilled red, yellow, & green peppers, onions, mushrooms, & fresh pineapple. Along with some frozen grapes for desert.
And lots of different veggies. So mine diet is similar to a MD. And since I have very very few prepared foods, other than stables such as greek yogurt, it is probably also Eat Clean.View Thread
Yes, there is such a thing as inherited high cholesterol. There are a number of type that range from slightly elevated to blood that is thick as Texas crude and could probably be refined to operate car.
In most people the human body generates most of the cholesterol and not absorbs from the diet. However, there are a few call hyper-absorbers, that get most of their cholesterol from food.
Also some people absorb excessive amounts of phytosterols and make excessive cholesterol. Phytosterols are a plant product that have cholesterol like properties. They are available in supplements and added to some foods (margarine & OJ). In most person they fake out the body and it makes less cholesterol. But in a few person it causes them to make excess cholesterol.
There are special test to determine if some one is a hyper-absorber or sensitive to phytosterols. But I don't know what they are. AFAIK they are not commonly used, but sometimes used if the person doesn't respond to normal therapy.
From your other thread it appears that you father died "young". For a male, under 55 is early for a heart attack. BTW, my father died at 43, but I didn't have a problem until 65. And then that it only a partial blockage & not an heart attack.My cardiologist said that the difference was probably smoking. But my dad died in 1953 so no data on his cholesterol.
Now you did not tell what your cholesterol levels are, if treatments have been helping, etc.
Common lipid test don't give all of the answers. People can still have problems with "normal" cholesterol levels. And other with high levels don't have heart problems. But there are some advanced test that more indicative of heart attack risk.
They include VAP and NMR. They measure sub-fractions of the cholesterol (VAP) and number of particle of cholesterol (NMR).
Lp(a) a sub-set of LDL that can be very high risk.
PLAC (Lp-PLA2) test for products of cholesterol forming plaque.
Test for inflammation.
Test to see if the blood clots easily.
You might want to get a consult with a doctor that specializes in Preventive Cardiology. You might call the local hospital (or medical school) with the biggest heart department and ask they have a preventive cardiology department.
Those numbers are what research has shown that the expected "natural" levels are similar to yours. These are based on people that still live a hunter gather life style, young children, and other mammals.
Mine is very similar, but I am on a statin (along with diet & exercise).
Even lower cholesterol seems to not be a problem unless it is caused by a disease.View Thread
I was on 40 mg simvastatin and when atorvastatin went generic I ask my cardiologist about switching. He though that it was a good idea, slightly more effective and slightly less side effects.
But it was until this year when it became available on my insurance. So I ask my PCP to switch me and I suggested 20 mg as the studies that I had seen implied that was about the same as 40 mg simvastatin.
So I have only had one test since switching and it was LDL 47, HDL 59 and TC 113. And I only had 2 70% blockages, but one was in the Left main which needed the CABG.
So for me I don't see a need to go to a higher dose.View Thread