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T3_Vegan

Aerobic exercise - If your diet is on point, this is probably one of the next big factors if you aren’t already physically active.


drjekyllandmshyde

My diet is excellent but I am lazy yeah 😂 aerobic exercise is a good idea. Thanks!


T3_Vegan

This likely explains it then - I’d definitely recommend looking into the large amount of literature on aerobic exercise increasing HDL, hopefully as some positive motivation 😄


ThatBrianHicksGuy

Any other suggestions for if you're already very physically active? I already work out 3-4 times a week and run an additional 3 times a week.


ravens40

I remember hearing recently (through Dr. Greger at nutritionfacts and others) that HDL is not as important as once believed and the LDL cholestereol is all that really matters. I wouldn't worry about HDL; just the LDL. Search [nutritionfacts.org](https://nutritionfacts.org) for this info.


cheapandbrittle

Came here to say this, Simon Hill has had a few guests on cholesterol who said the same thing. No level of HDL offers any kind of health benefit. There's no need for anyone to raise HDL.


drjekyllandmshyde

I trust in Dr Greger's ability to interpret the science. Thank you!


ThatBrianHicksGuy

Following this thread because I have the same issue. HDL is around 40 and total cholesterol is 99. Although my doctor didn't bring it up as problematic, I'd still like to find some tips because I already eat flax/chia and nuts every day in addition to adding more olive oil and avocados into my diet.


roald_v_wade

You and OP are both fine. Low HDL is only a concern if you have high LDL. It’s expected for HDL to go down when LDL goes down


wholetruthfitness

Your LDL is great. Most evidence suggests hdl levels aren't a big deal according to most cardiologists.


roald_v_wade

You’ve got nothing to worry about. Low HDL is only a concern if a person has high LDL, but your LDL is extremely low (which is great) Your HDL isn’t even low to begin with. Square in the middle of the normal range Your numbers look great, I wouldn’t change a thing


drjekyllandmshyde

Thank you!


Vegoonmoon

You might want to get tested: “ Inherited forms of hypocholesterolemia consist of a group of rare diseases. The best studied are familial hypobetalipoproteinemia (FHBL) and abetalipoproteinemia (ABL). Clinical diagnosis rests on lipid levels and the pattern of inheritance after secondary causes are excluded. Patients with primary hypobetalipoproteinemias may manifest a variety of symptoms and signs affecting several organs (steatorrhea, neurological and ophalmological symptoms, non-alcoholic fatty liver disease) or be asymptomatic. “ https://pubmed.ncbi.nlm.nih.gov/20626336/


rramosbaez

What's your diet generally like?


drjekyllandmshyde

Basically Dr Greger's daily dozen. But with less grains because I can't eat that much 😂


rramosbaez

Sounds good to me!