Even although high cholesterol isn’t necessarily a bad thing, why might someone have high cholesterol on a Paleo type diet?
As I concluded in the previous post, the HDL: triglyceride ratio is more predictive of heart disease and is actually relevant to the underlying biological process.
It would make sense when considering risk factors for heart disease for them to be relevant. Currently total cholesterol, HDL-C, LDL-C, HDL-C:LDL-C and triglycerides are used, with much emphasis on total cholesterol.
Total cholesterol isn’t an important risk factor, because it’s intended to be a negative measurement based on the sum of other measurements some are considered good, neutral and bad, nor is it based on the actual process of atherosclerosis (it’s possible that an increase in HDL-C, a good thing, puts one over the threshold for high cholesterol and then the doctor prescribes a statin). HDL-C:LDL-C is closer. Pretty much all disease (including atherosclerosis) is based on the damage: repair ratio. It assumes HDL-C is repair and LDL-C is damage. Although not all LDL-C will do damage, only the pattern B LDL does, pattern A LDL is neutral. Unfortunately many blood tests don’t differentiate between the different types of LDL. Triglycerides and carbohydrates as a percentage of total calories can be used to predict the amount of pattern B LDL. Since triglycerides predicts something that damages it could be used in the damage side of the ratio, making the ideal risk factor the HDL: triglyceride ratio.