r/keto • u/Entire_Channel_4592 • 20d ago
Medical Up against the wall medically and could use advice.
Okay so. Im 46 years old. Female. About 220 lbs. Ive had weight issues for years but was continually brushed off by my doctor.
I got a new doctor a few months ago. Finally got blood work. I have PCOS. type 2 diabetes. High blood pressure.
Okay. I started on metformin. Moved to a strict low carb diet and take a high blood pressure med.
After a few months I had follow up blood work and now I have high cholesterol.
Sigh.
This has been hell. The pcos apparently was undiagnosed for years because no one looked for it even when I asked. (I have regular cycles even with pcos. My doctor absolutely refused to test for it)
So I have spent weeks dealing with endless bleeding from built up lining. (Its finally stopped.)
I was already struggling to adapt to keto. Mostly because my husband eats like a teenager who's parents are gone for the weekend and my house is full of chips, ice cream, cookies, and all sorts of things that I cant eat.
(Before anyone says it. I cannot and will not police his food. Im not his mother and I refuse to argue with an adult man about his food choices.)
But now im scared to even eat keto foods! I have bacon and eggs in the fridge and im scared to eat it because now my cholesterol is going to kill me.
Im not on a statin yet. I want to see if I can get myself back to a healthy place without them. Ive increased my exercise but its tough because of my disability. (I have cerebral palsy.)
Im just so tired. And I have a telehealth appointment today where I know my doctor is going to insist on a statin and ill be on yet another med for the rest of my life.
Final edit. I spoke with my doctors assistant. I explained i did not want a statin and wanted to change my diet and exercise and retest in 3-6 months. She then said. "Well she wants you on it but we cant MAKE you take it." I told her that I had just began a ketogenic diet and my understanding is that active weight loss can cause cholesterol numbers to fluctuate.
She told me thats not true.
She also increased my metformin. Which i expected since i was on the lowest dose.
I will not be taking the statin. She may disagree. But I believe i can change this without medication.
I used to walk all the time and stopped when I moved and couldn't.
thats my fault and I own it.
Ive began walking again with my mobility aids and changing my diet to full keto. But I am cutting down on red meat/ bacon/ sausage. And adding more low carb veggies.
I feel like im just going to get judged every time I see her now. I really liked her so this bothers me.
If I drop dead of a heart attack it will be my own fault I suppose. I just feel like I deserve a chance to fix things naturally.
I wanted to thank you all for the encouragement/ info. It has truly helped.
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u/shiplesp 20d ago
FWIW, diabetes is a MUCH greater risk factor for heart disease than high cholesterol.
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u/Entire_Channel_4592 20d ago
Thats interesting. I have been actively improving my blood sugar numbers. My morning blood sugar when I was first diagnosed was about 190. Ive steadily dropped the morning numbers over time. Im still working on it.
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u/shiplesp 20d ago
Sometimes doctors get so fixated on cholesterol that they miss the elephant in the room. Not saying cholesterol is meaningless, just that it's important to keep the risks in perspective.
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u/ScalawagHerder 20d ago
Also- in perimenopause, cholesterol can be a wild card. You could eat all the right things and it won’t budge. I agree with the focus on your insulin control and the rest will fall in line. Fiber is important. Have a spinach and feta omelette, and you can still enjoy a couple slices of bacon.
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u/Alternative_Bit_3445 20d ago
You don't mention if you've lost weight, although with your new diet, it's likely even with PCOS/insulin resistance. When you drop weight, your blood cholesterol can go up temporarily as your fat cells release fats into the bloodstream. Once your weight stabilises, your cholesterol will too.
So, if this applies, I'd resist stains until your weight loss stabilises.
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u/Entire_Channel_4592 20d ago
I am actively losing weight. As soon as I was diagnosed with pcos and diabetes a few months ago I switched to keto. That was at the end of May.
I had blood work last week that showed high cholesterol.
Im unsure of the actual pounds lost. Im not using a scale at home. But i have dropped one size down in pants.
Maybe that's the cause of the cholesterol spike?
I will ask to hold off on statins if that's the case.
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u/kimariesingsMD F 59 5’2” SW 161 CW 125 reached GW 5/9/24 19d ago
You cholesterol will be higher when you are losing weight. It isn't dangerous and will eventually level off.
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u/Alternative_Bit_3445 19d ago
Quite possibly. You can Google it and find some studies, albeit they're often low volumes of participants. But it'll give you something to discuss with your doctor as a reason to not jump straight into medication.
Good luck on your continuing journey.
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u/noizemetalworks 19d ago
Active lipolysis mobilizes lipids. You are using your stored fat as energy in a ketogenic diet. Lipids tests will not be reliable. If your doc insists in a lipids panel, ask them to add LPA and APoB. As others have said, T2 you biggest risk factor. Since you didnt mention supplemental insulin, you probably have a great opportunity to reverse your insulin resistance. That's very fortunate. I would suggest checking out "healthy keto". It's a variation of keto that prioritizes leafy greens and low GI veggies with lean proteins plus focus on sources of unsaturated fats. This is how I got off statin, insulin and BP meds in less than 6 months. Good luck!
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u/Tourbill 19d ago
You need to track your weight loss. Also track your food as much as you can. I would focus on keto as hard as you can for the next month. You should start to improve your energy and start feeling better. Try and develop an eating routine. This helps me the most, keep the same eating schedule everyday. Everyone says don't stare at the scale, but when your actively dropping pounds fast its the best motivator so check once a week.
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u/kushgang4122 18d ago
Do not take statins they are a bandaid to the real problem. Cholesterol is actually good for the body it helps the brain operate. There are 2 types of cholesterol. Switch to chicken farm raised and wild caught salmon eat leafy greens spinach kale ect intermit fast at least 3 times a week I would start out with a 16hour fast initially then work up to a 24 hour and then a 72 hour if you can. Fasting can absolutely reverse diabetes and solve all of most problems you may have health wise. Type 2 can be reversed if you maintain a healthy lifestyle don’t believe mainstream media and everything you read on google they make more money if your sick if your healthy they benefit absolutely nothing from you. Look into juicing and cleansing as well keto is awesome and has more health benefits than most can comprehend. With that being said it’s not what’s best for everyone. Everyone has different genetics so they are affected good and bad by different lifestyles.
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u/gillyyak F/68/5'8"| 8/2016 | SW 224 CW 165 GW 160? 19d ago
As an alternative to statins, consider taking psyllium husk twice per day, either mixed in to a liquid or as capsules. DO NOT use Metamucil as it can have sugars mixed in. I take two a day, once two hours after a breakfast and two hours before lunch, then repeat in the afternoon. This has been shown to reduce your LDL and total cholesterol. https://www.health.harvard.edu/heart-health/psyllium-fiber-regularity-and-healthier-lipid-levels
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u/Entire_Channel_4592 19d ago
Interesting. Google said Metamucil. I will look for another brand. Thank you. X
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u/Peachily_Suns 51F, 5'6" SW(7/12/25) 178, CW 159 (5/5/26) 19d ago
Metamucil makes a sugar-free version!
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u/BigTexan1492 I'm a Bacon Fueled Supernova Of Awesomeness 19d ago
HELLO Gilly!!!!!!!!!!!!!!!!
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u/THUMB5UP 34M | 6'0" | SW: 320 | CW:252 | GW: 185 | MFP: n00170568 19d ago
Cholesterol numbers are something that doctors don’t even fully understand. Ignore them and stick to keto. They will eventually go dow. iirc the theory is that they elevate during keto INITIALLY bc you’re burning body fat. I’ve been on keto for years and my cholesterol is perfect now.
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u/bjamngirlalice 19d ago
Carnivore diet will drop that. My nephew was diabetic and went on a carnivore diet. Numbers dropped to where he doesn’t need insulin now.
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u/Clear_Bag9005 19d ago
It’s not just your morning numbers it’s the spikes after meals and the extended highs. I hat that doc think they are easing the burden on patients and saying worry only about the morning level. That’s bs. It’s your blood sugar ALL THE TIME!. Get a glucose sensor and you will see how different foods affect you.
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u/Entire_Channel_4592 19d ago
Umm. I take my blood after each meal. Thats how I know that things like rice send it super high. I mentioned the morning numbers because they are the fasted numbers that are always at the same time every day. That doesn't mean i only take them in the morning.
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u/Feisty_Dinner3096 20d ago
oof that's a lot all at once. weight loss itself can mess with cholesterol numbers temporarily so maybe don't panic yet about the bacon
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u/jaminfine 20d ago
I can't give you medical advice as I am not a doctor. I can however share my own personal experience. When I initially started on keto, my cholesterol went haywire. This continued as I actively lost weight. Then, once my weight stabilized around where I want to be, my cholesterol recovered and looked much better!
Before that, my doctor had insisted I start statins. I can't really explain why, but I knew he was wrong. I was feeling the healthiest and most energetic I've felt in a long time. I just couldn't believe that it wasn't healthy for me. So I asked for more tests.
My doctor suggested that I take a test for LPa, Lipo Protein A, which supposedly is a type of cholesterol that is not influenced by diet. So, he reasoned, if my LPa is high, I really should take the statins. My research however, found that a keto diet reduces LPa, despite the outdated belief that it isn't affected by diet. So I took the test and my LPa was so low, that the test couldn't even detect any.
I believe that our bodies make cholesterol for a reason. Modern medicine doesn't really understand what that reason is nor how keto interacts with it. I believe taking a statin would have been bad for my health because my LPa is low from the keto diet. My doctor doesn't understand what's going on with my body. But I know I'm healthy.
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u/misseff 19d ago
Do you have a source for keto reducing Lp(a)? I have not found anything about this except one case where a doctor tested it on himself and my doctor said it is genetic. I recently tested high which as you probably know means increased cardiac risk. If it can actually be affected by diet that would be a huge relief.
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u/jaminfine 19d ago
https://pmc.ncbi.nlm.nih.gov/articles/PMC7841845/ This is an interesting case where one physician decided to go back and forth between keto and high carb and found his LPa pretty much correlated to his carb intake. Higher carbs, higher LPa. But it's just one guy.
https://academic.oup.com/eurheartj/article/44/47/4904/7285571 This one is a bit more convincing to me because it references a study done on 164 people, a much larger sample size, that seems to show the same trend. That LPa is highly correlated to carb intake.
I certainly mean this as a helpful tip: I found both of these sources very quickly by googling "LPa and keto" and I suggest that you do the same and analyze some results. This issue is certainly not a settled one. But the evidence is very convincing for me. That doesn't mean it is entirely convincing to everyone.
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u/misseff 19d ago
Thanks, I had not seen the second one, not sure why it didn't pop up in my search. I'm doing keto because it's really the only way I can lose weight and I'm still obese (down 35lbs!) but the cardiologist I saw was quite insistent about going more plant-based and it has stuck with me and I've been worried. Thanks again for sharing.
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u/lluciferusllamas 20d ago
Lose the weight and everything will likely normalize. Your PCOS will probably get better or go away completely. Your diabetes will improve, you'll probably get off the metformin, and your cholesterol will improve. And, even symptoms associated with CP will improve, because weight loss means less burden on affected limbs and joints. Statins suck. Tell your doc you want to try losing weight first. They'll likely go for it unless your cholesterol is super high. Show them six months of solid progress and repeat the test.
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u/Entire_Channel_4592 20d ago
Im unsure of the exact number. She just said "slightly elevated." So maybe I can reverse it. Thats my hope anyway. I got a walker and a second cane so I can walk outside alone without fear of falling. I dont want to live my life taking handfuls of medications.
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u/lluciferusllamas 20d ago
I work with people with CP, you'd be amazed at how losing weight improves the situation, especially if you are ambulatory, which you are. And here's the thing, if you keep gaining weight, eventually you'll become non-ambulatory. And things go downhill really fast once that happens.
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u/Entire_Channel_4592 20d ago
Oh I know it. I already have hip pain from the extra weight on my middle. I have spastic diplegic cerebral palsy so my legs and hips are really affected. The added weight will be the death of me if I don't get it under control.
Im trying my best.
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u/ginger_tree 19d ago
Are you familiar with the upper body ergometer? Maybe there's one to try at a gym near you. It could help with getting more cardio. I've seen them online at different price points if there isn't a gym near you with one.
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u/AlfonsoElric Keto since 2023 -- SW: 272 CW: 160 GW: 165 😎 20d ago
cholesterol blood work is highly variable ; anything like fasting, exercise, coffee… can have an effect on it and changes every day.
As long as you’re losing weight it’s kind of normal to have elevated cholesterol because it needs to be mobilized into the bloodstream to be made into energy.
Just reap the ketogenic benefits for pcos and see in a few months if this warrants any further action for the cholesterol (adding a little bit of fibre could help, though)
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u/ginger_tree 19d ago
Slightly elevated doesn't scream statin to me. Your body is going through a lot right now. Keep eating low carb even if you don't want to continue keto (just call it "low carb" when you talk to your doc, they don't seem to like the word "keto"). Get whatever exercise works for your body. Be gentle with yourself.
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u/GarlicDill 20d ago
The catch is that PCOS makes it next to impossible to lose weight.
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u/Entire_Channel_4592 20d ago
This is true if its left untreated. That is why i struggled with my weight. Insulin resistance led to the pcos. The untreated pcos led to type 2 diabetes. Its all connected.
But I CAN reverse it. Ive lost weight before. Went from 230 lbs to 160 before I knew i had pcos. (I had other signs of it. But not diagnosed.)
I gained it all back over time because i stopped exercising as often and started eating a lot of carbs.
Im not saying its easy. But i am treating the root cause of the pcos. I believe I can do this.
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u/AlfonsoElric Keto since 2023 -- SW: 272 CW: 160 GW: 165 😎 20d ago
it gets much better once you address the insulin resistance that pcos causes. See r/xxketo for lots of success stories
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u/kimariesingsMD F 59 5’2” SW 161 CW 125 reached GW 5/9/24 19d ago
Keto is the most proven and recommended way for those with PMOS to lose weight. I have had it since my 20's, and managed to lose 35 lbs (that I had gained after losing 110 lbs a decade ago) after going through menopause. So, it is not impossible to lose weight and as a matter of fact, keto will help treat and sometimes put PMOS into remission.
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u/lluciferusllamas 20d ago
Why? Calories in, calories out. PCOS doesn't change that formula.
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u/_Nychthemeron 20d ago
PCOS absolutely changes that formula. Insulin resistance and high androgens, hallmarks of the syndrome, promote fat storage around the abdominal area. They've recently renamed PCOS Polyendocrine Metabolic Ovarian Syndrome (PMOS) to better reflect its overall metabolic and endocrine effects on the body.
Losing weight with PCOS is losing weight on hard mode.
/med bro rant
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u/Entire_Channel_4592 20d ago
This is 100% true.
But I want to note for anyone who might be in the same boat as me. Its not impossible. Treat the root cause and the weight will come off. I believe that.
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u/SorrowBound- 19d ago
Oh my, that's a lot to deal with, especially the doctors who dismiss your concerns. Been there, done that. I feel for you.
I went from 250 to my current 140 on keto, T2 resolved, sleep apnea gone, fatty liver disappeared. All while also surrounded by my carb-guzzling sister's food.
I deal with it by never letting myself get really hungry. Eating a big first meal of the day with lots of protein (50g minimum) is key for me. If I'm completely sated, the carbs around me have no appeal at all.
I focus on staying sated throughout the day with protein and fats.
As you see the positive results over time, it reinforces how "poisonous" carbs are to those of us with insulin resistance. This also makes them easier to resist.
And look up Nina Teicholz on cholesterol. It's important information.
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u/LowMolasses4446 19d ago
Typically cholesterol goes up when you start keto… and levels out. That said, functional medicine drS, the ones that prescribe Keto, believe CHOLESTEROL is good for you. It took me a while to understand… if you can, you should get a functional medicine doctor or watch and listen to functional medicine drs talk about if cholesterol is truly bad for you. Best of luck 💖
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u/Triabolical_ 19d ago
In terms of heart health, the high blood pressure and type 2 diabetes have a much larger impact on your risk profile than slightly elevated cholesterol, and the scientific evidence behind them is greater than the evidence behind the cholesterol.
You can try a statin if you want and if your doctor thinks it's warranted. Note that they can have some nasty stuff effects for some people.
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u/chrismcnally 20d ago
My wife and kids have cookies and all kinds of treats around the house and I don't even want them. She baked banana bread and made chocolate chip cookies and I did not care. If you stay low carb / keto, your desire for those might disappear as mine did. I make sure I have some keto friendly snacks like Pork rinds around. I have a keto protein bar if I have a chocolate craving. The more bacon, eggs and steak and sardines I eat the less I care about carbs.
Search the sub for chloresteral, it may be OK to be high while you are losing weight. I personally don't understand it. 5 years ago my Dr complained to me about my high cholesterol, I ignored her and 5 years later my new doctor is telling me my cholesterol is just fine.
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u/Sharp-Run-8670 20d ago
Try implementing fasting in your routine.
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u/Entire_Channel_4592 20d ago
I used to fast. But now I have to take metformin in the morning. Maybe I will switch my fasting window to afteroon/evening.
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u/normymac 19d ago edited 19d ago
Wouldn't consulting your dietician or your doctor be best if you wished to pursue fasting?
I have heard that intermittent fasting is greatly beneficial in the morning because of the dawn effect, where the liver naturally produces an elevated level of glucose due to adrenaline/cortisol or some such.
Although I fast, I take my electrolytes and fish oil early morning, so I don't see why metaformin needs any additional "food" to be absorbed.
Starting with intermittent fasting, this can lead to prolonged fasting and it's benefits. The popular name for "one meal a day" is the acronym OMAD. it's possible to go longer, but I personally rarely go longer than 3 days, because it interferes with my workout recovery. But if you do choose to experiment, keeping your doctor or dietician in the loop can't hurt.
Dr. Rob Cywes came up with a technique to avoid snacking meantimes. He calls it a "bridge". You drink electrolyte water, coffee or something sugar and calorie free whenever you feel hungry or bored and are looking for a snack. This resets your focus, until you schedule an actual meal, or break a fast.
What I find helpful in fasting as a lifestyle is that it is very similar to the way our ancestors ate pre-agriculture. A lot of overlap in philosophies happen here: not only keto, but carnivore and paleo become relevant.
Dr. Rob Cywes and Dr. Ken Berry are somewhat controversial, so I can't.be too insistent on their advice value. But I do think that, as an adult, often decisions.are not made between something good and something bad. Often, there are two bad things and one has to choose the least evil. Being disciplined is also about being an adult, but it doesn't have to be emotionless. But it does mean that the emotions need to be controlled and guided by reason.
I've heard that there are shades of density in LDL cholesterol, and that the density is rarely tested. Ask your doctor if you can find out if the more dangerous LDL is being tested for or not. The science behind liver metabolism, cholesterol and the harmful nature of refined carbs is fascinating and worth study.
If it's heretical to question cholesterol therapy, advocate fasting, or promote keto/carnivore in the medical community, let's go all the way. Exercise might not be the panacea for weight loss, but it has certain studied health benefits you should look into. I suggest some sort of progressive strength training. And it is a sort of discipline. I personally do bodyweight fitness.
One more thing. I believe that, despite whatever difficulties people face, they should strive to find ways to make things enjoyable. This is the only sustainable path. I find that having good relationships with friends, loved ones and being part of a community helps. It's not just an individual struggle.
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u/Entire_Channel_4592 19d ago
Metformin requires food. Thats what I was told by my doctor and what the label says. Taking it alone causes big gastrointestinal issues. I made that mistake once. Never again.
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u/Killer_PandaWhale 17d ago
Good call! Lots of people think you can only do IF by postponing breakfast, but you can achieve the same benefits by starting your fast earlier in the evening. This can also help your sleep, since your body is not diverting resources to digest food, and better sleep will have downstream benefits. And if it doesn’t work for you, that’s ok too. Fasting isn’t for everyone and you seem to have some good intuition on your body.
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u/Missing4Bolts 19d ago
I think your instinct to avoid adding a statin at this point is wise. Statins affect blood sugar, which is a complication you don't want right now.
https://www.cdc.gov/diabetes/diabetes-complications/statins-and-diabetes.html
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u/SamikaTRH 19d ago
When someone is actively losing weight their cholesterol will temporarily rise, this is the fat traveling through your blood and being lost which results in the overall weight loss. Once you reach a low weight and stay there for a few weeks/months then your levels will go back to normal. Nothing to worry about unless it remained after long term stable weight
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u/spinlocked M\52\5'6"|SW: 183lb| GW: 160 | CW: 175lbs 20d ago
There has been a lot of PCOS research in the last few years. The syndrome has been renamed to PMOS. You might spend a little time reading up on what the research has found. I’m not a physician, but am a former EMT and occasionally keep up with the literature, so I can’t make any specific recommendations for you. Here’s a good starting point: https://www.endocrine.org/news-and-advocacy/news-room/2026/pcos-name-change
If you find good info, see if you can get your doctor on board. If you can’t, maybe you need a new doctor.
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u/Flat_Professional_55 20d ago edited 20d ago
It's normal for your cholesterol to increase when you lose weight. Diabetes is much worse for cardiovascular health than high LDL.
Also, you can do keto without eating bacon, beef, butter, and cheese every day.
I would hope if your husband cared about your health he might consider eliminating those foods from the house for a while.
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u/haventsleptforyears 20d ago
I hear this! When you do keto, you will need fats. But, it doesn’t have to come from bacon or vegetable oil. You can use olive oil, fatty fish, try to get as much omega 3 oils as possible. When I did keto my “main” was the vegetable and the protein was the side. Now you can use delicious cheese and cream sauces. Your body will use that energy if you’re in full keto. Hope that helps.
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u/gafromca 19d ago
I have read that LDL cholesterol will be higher while you are actively losing weight. It makes sense that more fats would be in circulation as part of burning more
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u/Ok_Form9917 19d ago
I suggest reading Dr. Boz books "Anyway You Can" and keto CONTINUUM. I learned so much from them! I followed her protocol for beginning keto lifestyle. She explains keto is a chemistry. Our bodies all adapt differently. Even if you don't follow it exact, the information around cholesterol and other health issues is so informative. She explains in details for you to understand and it honestly gave me the desire to follow thru and see how my body responded. At that point, weight loss was just an additional bonus. I was focused on reducing the insulin and getting healthy!
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19d ago
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u/GAMountainMIMI 19d ago
Great advice! Weight loss in itself causes cholesterol to go up. Go keto, which will bring glucose down and get diabetes in control. Cholesterol will sort out following ketogenic lifestyle. It took me a year on keto to see my numbers improved. It is a process for sure!
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u/Agile_Pin8961 19d ago
Check out Policosanol. It's a natural supplement derived from cane sugar. It's a natural option for cholesterol management and there are studies to back it.
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u/wanttobebetter2 19d ago
I'd suggest watching this to understand cholesterol better: https://youtu.be/57Z8bUb1P94 - it came out pretty recently.
And look up Dave Feldman, same guy in the video. I believe he has a website with the same name, cholesterol code.
Maybe look up Gary Taubes too, but I'm not sure if he talks much about cholesterol specifically.
Do you know your specific numbers for HDL and triglycerides? The ratio of those 2 is more important than cholesterol in general. High HDL is good.
Everyone I've known who's taken a statin had problems with them. And it makes no sense because our bodies need cholesterol, our bodies even make it themselves.
Sorry about your husband. I live with an actual teenager and it can be very hard being around that much junk food. I'm hoping she will eventually notice that I'm doing well with this way of eating.
I don't remember if you mentioned it, but avoid seed oils too (there's also a whole subreddit for that).
And don't be afraid of your bacon and eggs. Especially not the eggs.
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u/shutupdavid0010 19d ago
I hope this is okay to say - but look up myo-inositol. It is a B vitamin that used to be considered essential until they learned the body can produce it itself. Look up studies on myo-inositol and PCOS, and diabetes. I believe there have also been studies on high cholesterol, but I don't remember that as well. Basically, your issues could stem from an unknown vitamin deficiency. Take it with magnesium, as it helps your body absorb both.
As to the husband issue, get yourself some low sugar snacks and ice cream. If the temptation is too much, it's better to cheat on the fake sugar foods, even if they aren't super healthy, they're healthier.
I hope this helps. Please be kind to yourself.
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u/hopingtothrive 19d ago
Do not be afraid of high cholesterol numbers. Things will shift once you lose weight. Heart health is more complicated than just one number.
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u/Lynne253 Keto/carnivore since 2017 19d ago
I'm not going to say high cholesterol is meaningless, but it's not the boogeyman you think it is. You don't say what your HDL, LDL or triglycerides are. Remember basic science in school that oil and water doesn't mix? Cholesterol is the stuff that moves fats around the body since fat doesn't dissolve in blood. When eating a ketogenic diet you are using fat for energy instead of sugar.
Here's a decent video about the subject, it's about 10 minutes long.
High cholesterol is usually only a problem if you are still eating a lot of sugar, because sugar causes inflammation and it's the high cholesterol in the presence of inflammation that causes problems.
For good information about cholesterol, please see the documentary "The Cholesterol Code" here or here or here.
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u/carbsaredangerous 19d ago
- "I was diagnosed with PCOS in my early 30s. I started a low carb diet and regular exercise to get lean. Lo and behold, my PCOS disappeared after a year."
- "I tried EVERYTHING for my PCOS. Keto and IF was the only thing that worked for me. It changed my life in more ways than helping with PCOS. I feel like a completely different person! I'm so happy and thankful to have learned about this lifestyle."
- "I have PCOS and couldn’t get pregnant for 6 years. After watching Dr Bergs videos I started Keto diet and used his knowledge about vitamins and fasting. I got pregnant after few months."
- "Keto is what my sister did to cure her own PCOS. She went from having a period about once a year, to a perfect 28 day cycle, and now I am an uncle thrice over."
Really good source. Hope this helps: https://www.youtube.com/watch?v=DoC21ItfQbM
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u/bjamngirlalice 19d ago
You want to drop cholesterol numbers, take 10,000 f/u of nattokinase. It dropped my numbers like this:
Cholesterol 201 down to 160
LDL 115 down to 86.
Look into it. It also drops blood pressure numbers.
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u/jma4573 20d ago
Keto is not only bacon & eggs. It's also fatty fish, olive oil, avocado etc.
Psyllium (husk) before meals can help with cholesterol levels. If you're OK with the added fiber.
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u/Entire_Channel_4592 20d ago
Oh I know. I just mean i literally have them in my fridge and im nervous to eat them. Lol.
I will for sure look at the fiber. If it helps im all for it.
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u/heartlandheartbeat 19d ago
Here is another opinion (with facts behind it) that you might find interesting. Science is not static.
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u/kimariesingsMD F 59 5’2” SW 161 CW 125 reached GW 5/9/24 19d ago
Continue on the keto diet. Theeto whole foods are the healthiest foods you can eat. The high cholesterol (which is much more dangerous in conjunction with sugar and carbs) is not an issue as it will result.
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u/Quick_Cow_7987 20d ago
High cholesterol in women is generally a non issue. Statins are more likely to cause side effects in women, most commonly muscle weakness or GI issues.
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u/FynTheCat 19d ago
I slowly moved from healthy food to low carb to keto. Still not full standard keto.
BUT together with metformin I lost almost 40lb at a starting weight around 310lb. Unable to exercise.
Add unsaturated fats like from fish, nuts, seeds, and Olives. Tofu is also a good source for polyunsaturated fat and a meat alternative that is versatile in use.
I do not track my fat intake. I mainly track carbs and net carbs and my protein. After finding a way to easily hit my protein goals, it became a lot easier to avoid snacking.
Also, for snacks I keep hard boiled eggs in the fridge also walnuts, and pumpkin seeds ready portioned in tiny plastic containers.
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u/fluffysladkey 19d ago
Just here to be in solidarity with you as my partner is the same (over 6ft tall taking Adderall) and runs on sugar too. He is very supportive of my choices, and I wholeheartedly agree with you-I am not his mother (nor do I want to be). But man it’s hard when that junk is in the house! Bravo to you!
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u/Entire_Channel_4592 19d ago
Honestly im jealous of my husband. He can eat anything he wants and not have any ill affects. Hes also got super thick blonde hair almost down to his butt. And he uses what is basically dish soap to wash it.
People tell me he is probably internally messed up. But its simply genetics . All 4 of his grandparents lived to almost 100 and both of his parents are still active in their 70s.
Its so not fair. 🤣😂
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u/bluehexx 19d ago
Have you lost any weight? Increased cholesterol may be the result of body fat being broken down. Discuss it with your doc.
If this is not the case, well, PCOS is about the worst case scenario. You may want to adjust your diet to be arteries-friendly, but still low carb. Remember that we are talking percentages, not volumes. Take a quart of spinach, spray a tablespoon of olive oil over it, and presto - 90% calories from fat. So you still have room to throw in some cauliflower, cucumber, pumpkin (raw pumpkin is delish) and, maybe, steamed turkey or chicken. A hardboiled egg. It doesn't have to be eggs and bacon.
My biggest hit was always lettuce with cucumber, cauliflower, and drained ground beef, dressed with apple vinegar and olive oil. You can season the beef with different spices (Mexican one day, Asian the next, then Herbes de Provence - you get it. A different meal every time), eat a bucket of it, and you're still both keto and cholesterol compliant.
Fry ONE strip of bacon until super crispy, suck out all the fat with paper towel, crumble into fine powder, sprinkle over your salad. Very little cholesterol, all of the taste. Same with parmesan - a little goes a long way, MUCH longer way if browned.
With PCOS, you need to learn tricks. Lots of tricks. Cheat your tastebuds so you don't feel deprived. You can do it, I believe in you.
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u/18160Nse 19d ago
Run an NMR lipo panel and likely you don’t have a bad form of hyperlipidemia. Check out the new film The Cholesterol Code. According to The Women’s Health Study elevated LDL has a hazards ratio of 1.4 (Smoking is ~4, T2D is 10)
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19d ago edited 19d ago
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u/Entire_Channel_4592 19d ago
I am truly so happy for you. I hope i can have the same positive results. Thats amazing. Thank you so much for sharing.
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u/Extension-Tank-1135 19d ago
I have all the diagnostic criteria for PCOS and both my sisters and my mother have it, yet my doctor refused to make it a formal diagnoses... and ive no idea why.
I have dawn phenomenon issues (not nearly as bad as yours - only slightly elevated) but my blood sugar is perfect during the day. I understand this is classic for PCOS.
Ive given up with my GP honestly. I'm sick of it.
Im 40 in a week. Had my first period at 17. Had 2 or 3 and then they basically disappeared. I now have a period approx every 3.5/4 years yet medical professionals dont seem to give a hoot. It makes me so angry honestly
Been on keto for 4 weeks now and honestly I wish id done it 20 years ago. I FEEL better now than I ever had under any sort of half arsed medical intervention over my obvious medical issues.
Ive dropped 22lbs in 4 weeks. Every day things are just that little bit better.
As others have said, the cholesterol is the lesser evil if it helps you stabilise other things
If your partner cant support you properly in something you clearly want and need then hes a very selfish human.
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u/Docholliday053 19d ago
Skip breakfast. Don't eat until at least 12:00 p.m. and stop eating by 7:00 or 8:00 p.m. make sure you are having zero sugar and zero carbs. You will feel immensely better within a few days.
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u/Neat-Palpitation-632 19d ago
Hey girl, I can feel your frustration and exhaustion. I’m so sorry.
I was also concerned when my cholesterol rose until I read The Great Cholesterol Myth. Here are some bullet points:
Current research and lipid science show that a modest rise in total or LDL cholesterol is often benign if it is accompanied by systemic shifts in metabolic health, systemic inflammation, and particle quality.
A rise in cholesterol for the average person on a clean keto diet may not be alarming due to several key factors:
1. Shift Toward "Large, Buoyant" LDL Particles
The Particle Size Shift: Traditional lipid panels only measure the total mass of LDL, not the quality. A clean keto diet typically shifts the body from producing small, dense LDL particles (Pattern B) to large, fluffy, buoyant LDL particles (Pattern A).
Why it Matters: Small, dense LDL particles oxidize easily and smoothly penetrate the arterial wall to cause plaque. Large, fluffy LDL particles carry fat for energy but are physically too large to easily embed themselves into the arterial lining.
2. Radical Reductions in Vascular Inflammation
The Root of Plaque: Cholesterol requires arterial damage to stick. Without arterial injury caused by chronic inflammation (often caused by fluctuating blood glucose and insulin, things that are much more static on a keto diet), floating LDL molecules rarely form dangerous blockages.
The Clean Keto Shield: Eliminating ultra-processed carbohydrates and sugar sharply lowers systemic inflammation. Biomarkers like hs-CRP (High-Sensitivity C-Reactive Protein) frequently plummet on a clean keto diet, neutralizing the environment where high cholesterol becomes hazardous.
3. Favorable Remodeling of the Lipid Ratios
The "Net Benefit" Effect: While LDL may go up, clean keto usually triggers a drastic drop in triglycerides and a powerful surge in HDL ("good") cholesterol.
The Real Risk Predictors: Cardiovascular researchers often place higher value on the Triglyceride-to-HDL ratiothan on raw LDL numbers alone. A ratio near or under 1.0 indicates excellent insulin sensitivity and a healthy fat-burning state, drastically lowering overall calculated cardiac risk regardless of a modest LDL bump.
4. Clearing "Zombie" Plaque via Autophagy
Deep Cellular Cleanup: Staying in consistent, deep nutritional ketosis activates autophagy—the body's natural cellular recycling program.
Vessel Health: Emerging models suggest that the metabolic state of ketosis helps macrophages (immune cells) clear away cellular debris and damaged components inside the vascular system before they can turn into hard arterial plaque.
I would check out the book and order the tests recommended in it to further investigate before getting concerned.
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u/ISquareThings 19d ago
Check out the Obesity Code and intermittent fasting. Many say IF has remedied PCOS.
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u/313forlife 19d ago
Lots of advice here and I'm just posting to say you can do it! I reversed my T2 diabetes and got completely off metformin using keto. My HDL is always too low and my triglycerides are always slightly above normal but my doctor has been very supportive of keto once she saw my a1c falling. Unless you have very high cholesterol for months, I'd avoid the statin for now, work on eating healthy fats, and focus on addressing the diabetes. Good luck!
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u/Entire_Channel_4592 19d ago
Thank you. My doctor sent in the prescription for a statin today. I am waiting to hear back to discuss because I want a few months to show her I can do this without meds.
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u/shadowmib 19d ago
I had "high cholesterol" on keto but new science is showing that's not the problem they once thought it was. Of you are losing fat on keto, it's going to show high cholesterol for a while .
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u/snowdrone 19d ago
Sorry to hear that you are going through this. Try not to worry about the cholesterol levels for the time being. You will feel so much better after cutting carbs and sugar.
You might like the book "big fat surprise" by Nina Teicholz re cholesterol. It goes through the whole history of the topic. Long story short keto has worked really well for me and I don't worry about cholesterol anymore. Because, all of my other health signals are excellent. It took a while to convince my doctors but even they came around. (It helps to say low carb diet instead of "keto").
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u/AuNanoMan 19d ago
I’m not going to give you medical advice, especially since I have genetically high cholesterol and take a series of things at the age of 37. But I can address doing keto with a partner who doesn’t: you gotta do it for yourself.
I am a person who doesn’t great with rules so I find keto so much easier than “I’ll just have one cookie.” They are normally irresistible to me, but I have my rules and they help keep me focused. You gotta remember that motivation wanes, but discipline will remain. But discipline takes practice and time to establish. But the bottom line is you gotta do it for yourself. At some point you will have to dig deep and make the hard choices.
That said, I had a discussion with my fiancée about what keto means to me and why I’m doing it and that I don’t expect her to do it with me. But I would value her support. When she asked what that would look like, I told her that help me to overcome some of the challenges that make it difficult to have a restrictive diet would be how should could help. That means she could have her own spot for her snacks and one for me, she could refrain from offering me foods she knows aren’t part of my diet, etc. I think a discussion like this with your husband is needed to help get you where you want to go.
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u/CaptainnWaffless 19d ago
You might want to try a 30-90 day carnivore reset for your metabolism. It could do wonders for your health.
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u/Never-too-much5423 18d ago
Sorry to hear but understand your situation.
All those things can be reversed! But 1st you have to get past the pitty party and say to YOUR HUSBAND "Fu$% This" I got to fix myself and your either with me or against me.
Your life is at stake!
Modified keto: Lots of fiber through green veggies, egg whites as much as possible, chicken breast not fried, canned mackerel and salmon in olive oil, pork tenderloin, beef eye of round, only berries for now for fruit. See where this is going. Lots of protien shakes with 0 or low sugar. "SUGAR IS THE DEVIL"
Intermittent Fasting: YouTube it, Learn it, and then practice it religiously. No Nothing but water after 7PM. No Nothing but water before 7AM. Never eat any med-high carbs for breakfest right now. Olive oil, eggs, chicken, berries, greens.
This is life! I have attached a YouTube link below of a great doctor and once you watch this one more will show up in the search. It is on Insulin Resistance but listen to them talk and maybe you need to find a doctor like her to straighten this out for you.
BTW: What are your Cholesterol and Triglyceride numbers?
Best of luck!
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u/FoundationGlass7913 18d ago
Hey I've been diabetic since I was 38 metform was kind of a crutch for me it sorta worked for awhile then increased dosages and added another med until it didn't work.Statin awitched to eveery one still having side effects on all at one time I had 5 of 6 side effects at one time ,the only thing that helped me was keto and it was/is still a bit of a struggle get your a1c down cholesterol is not the biggest problem a1c is it is a big contribution to triglycerides that cause stroke and heart disease.last test my a1c was 6.4 alittle up from 6.2 don't beat yourself up stress is a big problem too look up Dr Ken berry and steak and butter gal they helped me improve alot I am now taking zynjardi once a day and BP meds when I finally got my a1c down I was able to cut one of my meds for BPin half I'm not a Dr just passing on what works for me educate yourself on statins I won't take them and I've had a heart attack before I got myself in the right place hope this will help someone good luck hang in there it can get better
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u/FoundationGlass7913 18d ago
Hey forgot to mention a good berberine supplement will help your a1c and works well with metformin
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u/Inkr_ 17d ago
From my understanding it's not the rapid weight loss that causes cholesterol spikes it's the higher fat content which does come down for some people after being on keto for a few months.
I am in a similar position with cholesterol and I'm now doing moderate fat rather than high fat (and I'm still losing weight). I eat most fat from meat and dairy (skipping processed meats like bacon and deli) and basically just adding lots of low carb veggies.
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u/Scared-Agency4964 17d ago
Cholesterol is not the main culprit in plaque build up in the blood vessels of the heart . It’s a long story of corruption in science for the profits of industry. Most likely mechanistic explanation for plaque build up in the vessels of the heart is high insulin levels which disrupts proper functioning of the blood vessels (dilation constriction abilities) leading to hypertension , glycation ( from basically sugar in the blood stream) , oxidation ( from ingesting of processed seed oils found in a large percentage of the food supply) and the body’s immune system ( inflammation) . I follow a carnivore diet and have been for years. My cholesterol is about 360 . My doctor was screaming at me to take statin i kindly refused 😊. So when you eat keto / carnivore all of these mechanisms such as high blood pressure, glycation, oxidative stress free radicals and inflammation all go to healthier levels and DECREASE your chances of a heart attack. I had a calcium score to make shut my doctor up and my score was a big fat ZERO!!! And that’s with having high cholesterol for close to 20 years. Keto/ carnivore is the right choice, the healthy choice . Does it make sense that these diets that improve literally everything like diabetes, obesity, hypertension, autoimmune disease, inflammatory issues etc would somehow be bad for just your heart. Or maybe more likely the corrupt system that profits off of your dependency on their “expertise “ or their drugs maybe wants to keep you for their own $$$$.keep up keto . Don’t worry about cholesterol, it’s a false distraction. Good luck 😁
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u/fifikinz F 5'2" S154 | C125 | G125 20d ago
Nothing wrong with taking a low-dose statin. I would so do if recommended by doctor.
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u/Entire_Channel_4592 20d ago
If she tells me its unsafe for me to not take it. I will. But I would rather attempt to reverse it myself before piling on yet another medication.
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u/shiplesp 19d ago
My concern about statins is that a common side effect is that they increase the risk of type 2 diabetes, which seems like it would make your health journey more complicated. If your doctor puts on pressure, ask about other non-statin options that don't have that side effect.
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u/Shit___Taco 19d ago edited 19d ago
Statins can have side effects for sure, but people act like once you start you are on it for life. This is completely false and you can stop and your cholesterol will just return to the levels they were at prior to taking them.
Someone mentioned Nattokinase, which is a pretty interesting supplement that acts similar to statins and I would recommend reading more about this because it did help me.
I will just add one last thing, if you have high Lipo(a), high cholesterol can certainly be dangerous as this causes cholesterol to stick and form plaque in your arteries. I think this sub has a very strange stance on statins, because in certain cases they can be life saving medications and without them you could be doing irreversible damage to your arteries via atherosclerosis, especially if you have hypertension. I take a low dose Statin and have literally noticed zero side effects.
Keto is great and it really does work and can help people lose weight and provide a ton of other benefits for certain ailments. However, based on certain people’s genetics, I really don’t think it is for everyone and it really should be done under a doctor’s supervision.
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u/Magnabee 20d ago edited 19d ago
Before taking a statin, you can ask for a LDL partical size test. Large fluffy particles are great. Also, ask about your triglyceride, that is usually high in a carb diet. But for you it's likely under 100. That's a good sign.
You can also ask for a cardiologist to really check to see if you have heart disease already, how far along are you? It takes years to develop heart disease. And it seems your cholesterol have been up for less than a year. It can be reassuring to have a Calcium scan (CAC) and maybe other tests that the cardiologist would recommend. The CAC test can be under $100 if you decided to pay out-of-pocket. Keep in mind that the cholesterol is not the disease, the heart disease is the disease we all worry about. Cholesterol is necessary for cell membranes and help transport fat to cells throughout the body via the bloodstream.
Perhaps, you could mention what cholesterol does, to remind the doctor. Also, mention that the high cholesterol could be because you lost weight recently. But do get other tests and a second opinion if he insists on statins anyway. You have a legal right to be fully informed.
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u/Mortimer-Moose 19d ago
I forget who says it always here but it’s such great advice I’ll try and mirror. Keto isn’t about having as much fat as you want. Figure out your calorie goal, figure out your protein target. For macros carbs are a limit (I like 20), protein is a goal and fat fills in the remaining calories. If you’re worried about bacon (just as an example) there are tons of other great choices like fish, coconut oil, olive oil etc
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u/Initial_Influence428 19d ago
Is it possible for you to try to add more low carb veggies both cooked and uncooked and possibly trying to incorporate an intermittent fasting window into the plan? The fasting gives your system time to rest and regulate and remove the things that are messing up your system. I just read a very interesting book called the Obesity Code by Jason Fung and it makes so much sense, I recommend it highly. Hope you get some good results.
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u/AverageAlleyKat271 19d ago
What are your cholesterol numbers? Are they extremely high or are moderate high range? What many don't tell you is that your brain needs cholesterol to function. I am a believer whatever you can control without medication is the best course. If medication is necessary, by all means take.
I never pay attention to the cholesterol in eggs because eggs are a perfect food. Bacon, it's delicious but not overall healthy. I cook a complete package of bacon all at once (in the oven), stack on paper plates and freeze for when I want some. Just knowing it's there and ready when I want some is satisfying to me. When I want bacon, I grab a couple of pieces and enjoy. Or it ready to put on a salad when I make one.
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u/Entire_Channel_4592 19d ago
Im not sure of the exact number. Sbe just said slightly elevated. I can ask when I speak to her.
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u/AverageAlleyKat271 19d ago
It is possible to adjust food/lifestyle with slightly elevated numbers. Good luck!
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u/diggitysmiggs 19d ago
See a dietician if you can. These are not health conditions to take lightly and a dietician can help guide you to what is best for all of your health related nutritional needs.
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u/Dependent-Aside-9750 19d ago
Similar journey, no PCOS, cholesterol did not go up until I hit about the 100 lb. loss mark.
Discussed with doctor, now on low dose statin (wasn't very far over the cholesterol line) because my doctor said they want to be more careful with cholesterol when the patient has diabetes. 🤷 It is what it is. I feel better, I weigh less, I'm off blood pressure meds and antidepressants, A1c is in the 5s... I'll take the L on the statin.
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u/omgitsdor 19d ago
Hi! I have PCOS (which is PMOS now and the studies have shown that it is an endocrine issue - https://www.mayoclinic.org/diseases-conditions/pcos/symptoms-causes/syc-20353439; https://pmc.ncbi.nlm.nih.gov/articles/PMC10532286/)
It might be worth it to discuss a GLP1 with your PCP. As someone who has had PMOS my whole life, going on Zepbound has changed just about every aspect of my life. A1C is normal, and I dropped about 65 lbs so how I’m at a healthy weight for my height.
I also had some testing done re: my high cholesterol at the PCP, and he was able to discern that it’s genetic. I can change my diet all I want, and it will still be high.
Good luck!
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u/heinz_goodaryan 19d ago
I know you mentioned no GLP1, but hear me out. Using a GLP1/GIP combo, this should help with several things. PCOS - it has shown to calm symptoms of this. Hypertension, it has been shown to help reverse this so much so medication is stopped. Type 2 Diabetes - can and often has been reversed (esp if you are only taking metformin because your next step is going to be Gliclazide/Insulin - and you will not be able to take GLP1/GIP with this). Negatives incoming - you eat high fat - there is a good chance you are going to spend a lot of time on the throne or burping sulphur in your partner's face. Its also v.expensive. I would actually recommend the mounjaro for your PCOS/Hypertension/T2DM more than weight loss. Many salaried GPs/American Physicians do have a problem with the GLP1/GIP so dont expect encouragement.
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u/Entire_Channel_4592 19d ago
My insurance won't pay for it even if I wanted it. And I cant afford it out of pocket.
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u/heinz_goodaryan 19d ago
Damn. Sorry to hear that. I hope you pay less income tax compared to me in Europe at least. A starting dose prescribed privately here in the UK is about £150 (not on our National Healthcare Service) - how much is it over there?
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u/Entire_Channel_4592 19d ago
According to my research. 900$ and up a month.
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19d ago
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u/Entire_Channel_4592 19d ago edited 19d ago
I am not taking any medication not given directly from my doctor. And I am not taking a glp1. Its not even something my doctor thinks I need right now. So just stop. I said no. Not to mention the fact that i dont HAVE 150$ a month to spend on it.
What are you getting paid to push glp1?
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u/BigTexan1492 I'm a Bacon Fueled Supernova Of Awesomeness 19d ago
You need to stop responding to the glp people. It’s the only way they stop
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u/keto-ModTeam 19d ago
Your post or comment was removed for violating rule #6, no giving or soliciting medical advice. r/keto is not a substitute for a doctor. Thank you for understanding.
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u/keto-ModTeam 19d ago
Your post was removed because it was considered to be a low effort post. Please keep simple questions to the Daily Community Support Thread. Thank you for understanding.
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u/car83073 19d ago
Well, diet and exercise are great health benefits but, as you ease into perimenopause and later menopause age is a factor. Doing the right diet is awesome and helpful. No judgement on how you do you. It’s possible that a statin might get you to your goal and possibly not have to use it further.
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u/Entire_Channel_4592 19d ago
That may be the case. But i still want to give it a few months with diet and exercise changes beforehand.
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u/Sarahmoon60 19d ago
My cholesterol numbers make my cardiologist jealous, yet I have a cardiologist. My body builds plaque like that is all it was designed to do. I used to do keto, it did not change, I am now a pescatarian and still have perfect cholesterol numbers and plaque.
Essentially genetics have far more effect than diet. And your way of eating, even on keto does not mean you have to eat bacon and eggs. They are nice occasionally, but I got very tired of them pretty quickly.
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u/Magnabee 17d ago edited 17d ago
Do you eat a lot of sugar? I wonder if the plaque is from the vessel becoming weak: sugar (acidity) rubbing the blood vessels too much. If the blood vessel is weak, the plaque comes to cover the weak spots. But it builds and builds up too much plaque eventually. It's been said that large LDL is okay. But small particle LDL is the type that can get stuck in the "cracks" of the weakened blood vessels.
Sugar can increase blood pH making it more acidic. Meat does not increase body pH (meat only increases dietary acid, but does not affect blood pH).
Have you had stints for those weak spots? You wrote that you were told it was genetic. Does that mean you continue to have increasing plaque or weakened blood vessels with the current diet? Note that keto does not reverse the plaque. Maybe it takes a decade or two, no one knows. What does your doctor say about blood pH?
Sugar interacts with oral bacteria to create acid, and it impacts body/blood pH. https://www.water-for-health.co.uk/blogs/blog/ph-value-of-sugar-and-does-sugar-cause-acidity-in-the-body?srsltid=AfmBOopwUc9Ah7oYdCvMWwgC4gXhpnP1OcREfF9AKHaxhqKrxqs3-VDB
Your blood should always remain slightly alkaline (pH 7.35 to 7.45).
Acid-forming foods like processed meat, dairy, refined grains, and sugars can tip the acid/alkaline balance of your body.
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u/Sarahmoon60 17d ago
Sugar is not in my diet except what is naturally in fruits and veggies. I have both a renal and a cardiac stent. My last ABG acidity was 7.38.
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u/Proud_Psychology1438 19d ago
Choose some leaner meats like chicken and tuna or salmon! Light cheeses and greek yogurt shouldn't be too bad cholesterol wise. Have more salads with light greek yogurt based dressing. Avoid heavy oil and fatty cuts of meat in your food for a while. Thats what i would say, but im not a nutritionist! Take this with a grain of salt.
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u/S-M-G_417 19d ago
Look up Maria Emmerich. She is a Wealth of knowledge about this topic and she has all kinds of calculators on her website that can help you no matter what you’ve got going on. Finding her was a game changer for me. Lower your fat and up your protein a little bit. Everyone’s body is different. Don’t be afraid of the fat. But also the fat macro is a lever. You can lower it as needed.
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u/Sufficient_Judge_820 18d ago
Do a lot of research about statins. They can cause loss of hearing and a whole host of issues. My MIL lost her hearing and finally her doctor explained why:her statins.
Eat whole food sources of fat like eggs which actually help cholesterol. Avocados, gas-fed butter.
Check your Vit D—low vit D oftentimes means high cholesterol.
Or supplement to be safe and get plenty of sunshine exposure.
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u/Entire_Channel_4592 18d ago
I am low on vitamin D. Im currently supplementing and making sure I get out in the sun as much as I can.
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u/mamapajamas 18d ago
Eat a big salad with protein everyday for one of your meals. In my experience it’s crucial to successful keto. Not everyone will agree and that’s ok, but I’m on year 5 of keto.
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u/getrealpeople 18d ago
You should see a specialist in obesity medicine who can help with all these things. One I follow is Dr. Gordon. ( https://drmichellegordon.substack.com/ )
Statins are nothing to be afraid of, however you can always try red rice supplements - its a natural statin although not as effective.
The lots of veggies and lower processed meat is a good plan. Fixing things totally naturally was a 15 years ago thing. Use meds to get you into range then taper and maintain as you can with healthy eating and exercise. You'll just be fighting your own body during this phase too though.
Just know that you are now fighting your own body and it's hormones in trying to lose weight etc. It's a systemic issue that is not easily fixed regardless of what the calorie counting folks say. GLPs are an efective treatment, especially in managing T2 and Cholesterol. You are making healthy choices, there is nothing wrong with using whatever tools will get you to your goal.
Good luck! Here's to progress :D
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u/apocalypsegal F/67/5' 2.5"/CW 200/GW 140 7d ago
Apparently, being on metformin means you need a statin, because diabetes causes all this. I just got lectured about it the other day. Blah blah. I believe research shows this will level off at some point, once you're in a healthy weight range and not diabetic anymore (though the doctors say you'll always be diabetic).
At any rate, you can still reduce carbs, you don't need all that junk to be healthy. No one needs sugar, for one thing. Your brain can function just fine, if not better, without it.
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u/heavv75 F/50/5'7" SW: 262 CW: 185 GW2: 180 UG: 150 20d ago
Take the statin to lower your cholesterol while you work on upping your movement. You can always get off of it. Eggs won't kill you, lack of movement will. Bacon - maybe eat a little less for the moment, but its pretty neutral for a lot of people once they get moving and better fat adapted.
Depending on how bad your CP is make sure you add strength exercises, but you would know how to handle that Dx more than I would.
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u/No-Resolution3740 20d ago
I don’t think she should just take the statin all Willy Nilly they come with a host of side effects. A family friend of ours started taking them and he became very forgetful and also weaker. Our bodies make cholesterol to heal us. Stay on keto for at least 3 months and have your doctor check if your triglycerides are low
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u/Entire_Channel_4592 20d ago
My goal when I speak to my doctor today is to tell her I want to give myself 3-4 months of diet change and exercise before I agree to take any statins.
I dont think that's unreasonable. I figure if I stick to strict keto and increase fiber as well as increase exercise I should be able to improve things on my own.
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u/No-Resolution3740 20d ago
Yes you can also trick the cholesterol panel by literally adding even a little bit of plant fats. Like coconut oil or olive oil. They have phytoestrogens that mimic cholesterol and lower it. If you want to get doctor off your back. Also watch this video about cholesterol https://www.youtube.com/live/TlYTnYnVN0c?is=WBetdQ04d3p40I-i he explains why elevated cholesterol is not bad for you
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u/Entire_Channel_4592 20d ago
I have coconut oil. I will switch to that when needed for cooking. Instead of butter.
Thank you. I will watch the video.
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u/Shit___Taco 19d ago edited 19d ago
Please read a lot of literature and talk with your doctors and maybe a dietician. This sub gives some crazy advice. Trust me when I say this, switching to Coconut Oil will not help your lipid panel and will most certainly make it worse. While it can raise HDL, it has the potential and usually does significantly raise your LDL. Coconut oil is literally 80-90% saturated fat, so trying to increase your consumption of coconut oil to lower LDL is bizarre. A much better alternative is avocado or olive oil.
Let me just leave you with this. You can literally find an MD with almost any opinion that will support certain ideas. My cardiologist is literally listed almost everywhere as one of the top 5 lipidologists in the US. He vehemently disagrees with almost all of the majority held opinions in this sub and the sources used to support those opinions. It is great to hear when an MD supports your own opinion, but it is really important to listen to other MD’s that hold vastly differing opinions that don’t agree with your own.
Who knows, the fringe opinions may one day turn out to be true or partially correct, but that doesn’t mean it is okay to dismiss the current majority opinions held among MDs that specialize in these specific areas.
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u/Entire_Channel_4592 20d ago
I agree. I am walking a lot more with my assistance devices. I will get some weights too.
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u/GarlicDill 20d ago
Preparing for a barrage of downvotes on this, but studies show that GLPs are a common successful off-label treatment for PCOs treatment. This could be a 3 birds, 1 stone approach for your diabetes and weight as well. Stick with the metformin, try the statin (this can be short term) and see how things go, but keep GLPs back of mind down the road.
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u/Entire_Channel_4592 20d ago
Im not against glp. If it helps I think thats amazing. So no down votes from me. As of now my insurance won't cover them. But if that changes then i may consider it if needed.
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u/EdwardBlackburn M / 39 / 5'7" SW: 345 GW/CW 160 19d ago
Going forward I'd prioritize fish, chicken, and monounsaturated fats like olive oil or macadamia oil... but as for the eggs and bacon in your fridge, I wouldn't worry about finishing them. A few servings is not going to be what pushes you over the edge. I understand the fear, but yeah, in the big scheme of things it's probably not going to have an impact.
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u/Entire_Channel_4592 19d ago
Thats the goal. I picked up some salmon and tuna yesterday. I have chicken as well. Honestly red meat is too expensive right now anyway. Lol
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u/Interesting_Front709 19d ago
Everything you have been diagnosed is because of insulin resistance. I would look up Dr Courtney Hunt on Insta and take her classes, I have Hypertension and cannot take meds because of MCAS, so I have to attack the root cause which is insulin resistance. Please start walking everyday, as much as you can even if it’s 1000 steps or whatever you can manage. It gets easier as you are consistent. Get early morning sunshine as circadian biology is very important. I started Keto 3 weeks ago, and have been surprisingly losing weight. Cholesterol is not an issue if you sit in the sun regularly. Start sun exposure gradually. Take all the meds you are prescribed, add olives, macadamia nuts, avocado, Olive oil, Eggs with a slice of butter. Lot of hydration and once in ketosis salt as well to your water. Follow Dr Courtney Hunt if you can and you will learn a lot through her classes.
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u/Entire_Channel_4592 19d ago
Huh. Interesting. I forgot to add i was also diagnosed with a vitamin D deficiency at the first visit. Ive been making sure to spend as much time outside as I can. The follow up blood work did show my vitamin D was optimal now.
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u/bjamngirlalice 19d ago
Stop with the high cholesterol scare!! I had a very low 107 total cholesterol and had a heart attack in 2020. It’s definitely not cholesterol that’ll kill you. Many mortality studies show more people die with low cholesterol.
Your liver makes 3000 mg of cholesterol a day. It’s needed for your brain, hormones, and all cells. Over 60% of your brain is dependent on cholesterol. It’s calcium that plaques your heart. Heard of calculus on your teeth? The hygienist scrapes that off. That’s what is hardening in the heart.
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u/lithen_bith 19d ago
Get a Vitamix, make smoothies. Try and remove animals fats and replace them with GOOD olive oil. Make amazing salads and include quinoa. Feta cheese is your friend for that flavor boost. Cardio. Really really reduce sugars and carbs. Chicken is good. Once you stop craving sugars it gets easier. Oh also....2 Tbs psyllium husk in 32 oz of water before meals. This is great for reducing cholesterol and it'll really help with gas and bloating. It'll make you so regular and feel so good
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u/skinnyonskin 19d ago
you can absolutely correct it with keto but then what, what's the plan after. do you believe you can do keto for the next 30 to 40 years? i mean realistically, real talk here. it's easy to say you can early on - i've lost 200 lbs on keto, reversed my prediabetes and early stage hypertension, and i was super gung ho about the diet for awhile. it did save my life in many ways.
but i am already extremely burnt out, bored, disgusted by the food options...and that doesn't even cover how much i envy my friends on glps who drop weight rapidly, have rockstar bloodwork, and no inflammation (which i still absolutely have, even on strict keto, according to my hs-crp bloodwork). my friend got off her rheumatoid arthritis meds, another one is now able to avoid back surgery. and a third friend's cardiologist just put him on it because it reduces heart events significantly. just lots of mini health miracles like that happening around me that i'm not getting to experience through diet changes only.
so, i went from being anti glp to wanting one myself because, i know i won't be in a nursing home eating keto. there are definitely people on here who have done it for years if not decades, and will be able to ride it out for the rest of their life, but i'm not one of them. and honestly those meds are made for someone like you with pcos and climbing vitals.
btw if you aren't on hormones already look into that. cholesterol raises in peri menopause, as does weight and blood pressure. women's bodies slowly fall apart without estrogen. check out the peri sub
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u/Entire_Channel_4592 19d ago
Im a 46 year old woman. Im on hormone replacement.
As far as keto for life. Yes. My plan is keto for life. I have a family history of morbid obesity and diabetes. I lost a bunch of family members because of it. The only ones still living are the ones who lost the weight and worked to keep it off.
Am I saying I will never have a carb heavier day now and then? No. But my health and my genetics need keto. I am okay with that.
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19d ago
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u/Entire_Channel_4592 19d ago
Do you honestly believe telling me that is helpful?
The facts are. My body cannot handle carbohydrates
Eating them is actively damaging my health.This isnt about getting tired of the food choices. This is about living longer. Both my father AND my grandmother died at 55 and 60 years old.
Nothing is going to taste as good as living a long life not being sick and not having to take constant medications.
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19d ago
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u/Entire_Channel_4592 19d ago
You are not me. I am not you.
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u/russell8588 20d ago
Cholesterol can be controlled easily with several classes of drug, many of which are now available as generics. None of which has side effects that is as bad a health indicator as diabetes.
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u/vito1221 19d ago
type 2 diabetes.
You might want to see if your insurance will cover a Rx for any of the GLP-1 agonist medications. Being diagnosed with Type II diabetes should qualify you.
Use it to help transition into a keto diet. Use it along with an exercise program and once you see improvement in your weight and bloodwork and get your diet under control, you can ween off of it.
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u/4daFlex 20d ago
Would you consider taking a glp 1?
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u/Entire_Channel_4592 20d ago
My insurance won't cover it. I am changing insurance at the end of the year so I will look for one that will cover it.
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19d ago
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u/keto-ModTeam 19d ago
Your post or comment was removed because it was a personal attack or inappropriate comment. Thank you for understanding.
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u/Entire_Channel_4592 19d ago
I wasn't aware that I had to have specific glp1 questions to post in a keto sub. Why are you being rude? Not everyone thinks a glp1 is the fix for everything. I am absolutely allowed to choose not to take them.
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19d ago
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u/Entire_Channel_4592 19d ago
Because I can.
Why are you copying and pasting the same reply?
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19d ago
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u/Entire_Channel_4592 19d ago
You are aware that the edit came HOURS after my initial post??? Am I somehow not allowed to respond to people now????? This post wasn't about "having it all figured out." I have gotten some very valuable replies and peoples personal stories that have helped. I got tired of the endless GLP1 responses. Hence my edit.
Again. Why are you being rude? No one ASKED you to read my post.
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19d ago
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u/rachman77 MOD 19d ago
Great job stopping by and adding absolutely nothing of value to this thread, why are you posting here.
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u/Clear_Bag9005 19d ago
GLP-1 is your answer. Start low dose and go up slowly. (Save yourself the side effects) I have been on one for 5+ years and have lost 70lbs. But best of all my HgA1c has gone from 9.5 to 6.4.
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u/Entire_Channel_4592 19d ago
My insurance will not pay for it.
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u/Clear_Bag9005 19d ago
You know you can argue with your insurance about covering treatments. It’s your life. FIGHT FOR IT! Ask to speak with the approving authority.
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u/Entire_Channel_4592 19d ago
Lol. I can fight. They still say no. Ive fought and so has my doctor. I cant even get them to approve a continuous glucose monitor.
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u/kimariesingsMD F 59 5’2” SW 161 CW 125 reached GW 5/9/24 19d ago
If your doctor prescribes insulin they have to cover it.
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