Triglyceride, Remnant Cholesterol & Why We Get Fat (Part 1)

Is anything sounded familiar as we get
deeper into this series on triglycerides? Where have you heard triglycerides
before recently? Remnant cholesterol remnant cholesterol… where have you heard
that? Well, there’s a fellow named Dave Feldman who’s making a lot of waves on
the on YouTube and some other places talking about “lean mass hyper-responders”
and remnant cholesterol. If you go to the again to the standard
of medicine Journal of American College of Cardiology for example recently in
February 2019. “Triglycerides, Remnant Cholesterol and
Atherosclerotic Cardiovascular Disease.” It’s a great article for drawing in some
of the current research. Some of the things that they’re looking at in the
standards of medicine and again continuing to maybe ignore a lot of the
focus that’s really hot right now fortunately prevention and controlling
this through diet. And as you may know from me, mentioning David Feldman, he’s
all over low-carb diet, low-carb Down Under. So this is all about keto diets.
Here’s the thing. As you go on a keto diet or drop the carbs in your diet, you
tend to decrease the triglycerides in your bloodstream. You’ve heard me talk
about it in a different space multiple times before – the triglyceride / HDL
ratio. Remember what we talked about in terms of mechanisms? Insulin, of course,
decreases blood sugar by opening up channels. Channels that become resistant
in our muscle cells and our liver cells as we get older. Insulin resistance. But
most people don’t know that insulin also decreases fat burning. So that’s where
you get this statement that you hear in a lot of books. Books that have been
around for a few years like, “Why we we get fat and what to do about it.” This
whole concept of it’s not that we’re getting fat because we’re eating more.
It’s that we’re eating more as we go into middle-age because we’re getting
fat. And why are we getting fat? Because we’re getting insulin resistant. In other
words, our insulin values are just creeping up and up and up… basal insulin…
insulin values. So we’re stopping the fat-burning mechanism. What does that do
in our blood stream? Our triglycerides go up well. There’s a number for
triglycerides, but there’s also some numbers that reflect triglycerides and
the cholesterol values as well. Besides cholesterol itself, they’re called VLDLs and IDLs. VLDL stands for “very low
density lipoprotein.” IDL stands for “intermediate density lipoprotein.” And
chylomicrons… chylomicrons are actually the lipoproteins carrying triglycerides
from food, VLDLs are deliver what their liver makes full of triglyceride and
it’s sort of a counterpart to chylomicrons. So I hope that starts to
connect some of the dots that you may have been hearing in multiple times,
multiple different ways, about insulin resistance, high triglycerides, triglyceride over HDL ratio, remnant cholesterol, David Feldman, and then the
recent research going into triglycerides, remnant cholesterol, increased risk
associated with a thorough heart attack and stroke. Again, this was just a short
one to try to connect some dots for you. I’ll continue on in the series. Thank you If plaque is the number one cause of
heart attack, stroke, dementia, blindness, kidney disease, you think we know how to
evaluate it, screen for it? Unfortunately, the state of the art right
now is a guess and a bad one at that – Framingham. The most common thing that
you do is you say, “Well, hey Doc, why don’t we do a stress test.” They don’t work
either. Then you go into the cath lab and get a definitive test but that revolves
getting a needle in the groin. It just goes downhill from there. Now
there are better ways. Take a look at our plaque evaluation course.

6 thoughts on “Triglyceride, Remnant Cholesterol & Why We Get Fat (Part 1)

  1. I'm 70 and a few years ago I noticed I was getting fat. I went on a high fat diet ate less and did other things and lost 50 pounds of mostly fat.

  2. So, Dr. Brewer, is this another significant number that we should be monitoring (triglycerides over HDL Ratio)? I just looked up my latest blood work results and it shows my LDL/HDL ratio as 0.6. I just looked up and figured up my Triglycerides over HDL ratio and it is 1.0. But I don't have a range to know if that is good or I need to work on it.

  3. Jack in the Box is the reason you are fat. Cheese fries cooked in corn oil with lots of salt. The potatoes are saturated with persistent pesticides so that they don't have any knots on them. Then there is the industrial waste (soda) that we get free refills on to drink. And don't get me started on the chemicals added to American bread.
    My social security is not that much but apparently the FDA feels that is the reason we are 73 Trillion in debt and if they can just kill me the debt problem will be resolved.

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