Hi everyone, I'm Sarah, 43, live in Ohio with my husband and two kids. I work part-time at a preschool and spend most of my free time chasing our rescue dog or trying to keep up with my teenagers. I've been lurking for a few weeks and finally decided to say hello. I'm not a numbers person, but I've been trying to eat better and move more over the past winter, plus keeping a loose log of food and sleep mostly so I stop guessing. Energy is better and my clothes fit differently, but my last bloodwork confused me a little. Mostly I'm here to listen and learn, not to give advice.
Hi from Sarah, new here and figuring things out
#1
#2
Welcome. Opposite A1c/LDL moves are super common when weight is dropping. I'd log waist and fasting insulin before panicking.
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#3
Fasting insulin is the missing piece for me. Mine fell before A1c budged.
#4
Same, but my LDL climbed for about 8 weeks after I lost 12 lb, then settled.
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#5
Did yours settle without changing fat intake? I'm in week 10 and my LDL is still creeping.
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#6
Mine settled when I added more soluble fiber, but that's just my n=1.
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#7
n=1 is all we have in this section lol.
#8
What was your starting trig/HDL ratio? That context changes how I'd read an LDL bump.
#9
Mine went 2.1 to 1.6 with similar changes. LDL still bumped up, though.
#10
A1c lagged behind my fasting glucose by weeks. The LDL bump calmed down after that.
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#11
That lag thing messed with my head for a whole quarter.
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#12
I'd also track apoB if you can. My LDL went up but apoB barely moved.
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#13
ApoB barely moved on my labs too, but trigs dropped a lot. Anyone else seeing the same pattern?
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#14
Yeah, trgis fell 130 to 78. ApoB was flat. My doc still side-eyed the LDL.
#15
The weight-loss LDL bump is one of those things forums argue about forever. Some of it is cholesterol mobilization from fat loss, some is diet composition, some is just assay noise. I wouldn't overhaul a plan that's improving A1c, CRP, sleep, and waist based on one LDL draw. I'd repeat the panel fasted, same lab, after a stable week. And I'd log food for 3 days before the draw. That gave me way more signal than guessing. For me, the repeat draw was the difference between panic and a shrug. Context beats a single number every time.
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#16
Stable week before labs is huge. My last draw was after a 24h fast and heavy training, numbers were garbage.
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#17
Welcome. Post the next panel when u get it. The opposite-direction thing usually gets less spooky with a trend.
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