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Jim the Geek's avatar

My Medicare Advantage HMO plan mandates two exams per year, which I call the "Are you still alive?" visits. My cholesterol is always a bit north of 200, which causes my doctor great angst. This in spite of the fact that I am probably one of very few "old" patients she has (I am 76) that have no prescriptions, no metabolic diseases, and start each day with 100 push-ups and a 5k walk. Dr. Robert Lustig says that the triglyceride to HDL ratio is a predictor of heart disease, and a value of 1.5 means "you will live forever". I'm at 1.6, and proceeding on the assumption that I have ¼ of my life yet to be lived. I'm a firm believer in Dr. Peter Attia's concept of "Medicine 3.0" in his book 'Outlive', which is based on your root cause approach.

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The Menta1ist's avatar

"LDL levels can be elevated in individuals with low thyroid activity because T3 helps sensitize the LDL receptor on the cell membrane. Lower active T3 will cause an inability of the LDL particles to dock on the cell membrane drop the cholesterol and fat soluble nutrients into the cell. So the body adapts and increases the amount of overall LDL cholesterol similar to how insulin goes up in response to insulin resistance." -- Dr David Jockers

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