Jim Clark good morning from Marietta Georgia would you please explain the
importance of remnant cholesterol values longer in blood system is bad so the
lower the better I simplified it but is that acceptable
that that's correct
Dave Feldman has a good section on remnant cholesterol
there are a couple of other places where if you look up remnant cholesterol and
actually I talked about it in I think one of my
most recent blogs I've also got a couple of videos on remnant cholesterol
here's what it is it's VLDL and IDL now that doesn't help very much does it
but let's think back through it and you understand what it is
VLDL is very low density lipoprotein IDL is intermediate density lipoprotein
in fact I'm going to go back and share I think I have
an image that will show this so these are VLDL
very low density lipoproteins IDL is intermediate density lipoproteins
then LDL and HDL now you see the VLDLs are by far the
biggest the IDL are also big now as you mentioned
these don't last in the bloodstream very long they are
very triglyceride-laden particles tend to come from the gut where
triglyceride is being absorbed from a meal so the body works very
quickly to try to get those VLDL numbers down and the
IDL numbers down now if your triglycerides are really
high and if you have problems with your lipid and insulin metabolism
you don't have as many places to put the triglycerides as we mentioned before
your insulin resistance is cranking up it's stimulating your lipase your
hormone-sensitive lipase and you're getting too much activity too
much push of fatty acids into this transport
system once you decrease your carbs you don't get all those fatty acids being
pushed in and so then you have these large fluffy
HDLs and large fluffy LDLs that the
cholesterol ester transferase protein can use to transfer and other mechanisms can use
to transfer that triglyceride out of your system
so again hope I didn't butcher that explanation too much
bottom line is yep you want to get those triglyceride-laden
particles the VLDL and IDL out of the system
now wait a minute we thought we were talking about remnant cholesterol why
did you go to VLDL and IDL VLDL and IDL are
remnant cholesterol how do you calculate it well you take your
HDL and your LDL you add those together and you subtract that from your total
cholesterol and the goal numbers the lower you get
the better and again below most people will say
below 20 is a good number and yes you'll see people
up in the 40s and 50s and that's not a good
remnant cholesterol number to have thank you so much Jim
great question gave me a great opportunity for another bunny trail
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