Was telling my wife about this thread and she sent me this:
She's a freaking biochemist. It's awesome.Plant sterols can bind to cholesterol and prevent them from being reabsorbed into your body and taken out in the stool thereby lowering cholesterol. Taking 2 grams of plant sterols/day can lower LDL chol by 10%. Found in beans, legumes, nuts, seeds. If LDL is not reducing then add in vegetable sources of protein ex. beans, legumes, nuts, seeds. Fish oil can lower LDL chol and tags. If has low HDL and high Tags then use fish oil supplement. Use 2-4 grams/day. Keep in the fridge. Can also use ground flaxseed as well. One ounce of nuts (24 almonds, 15 walnut halves, 15 pecan halves) 5 days/week can help cholesterol. Keep them in your freezer.
Also tell your friend that he might be a lean mass hyper-responder: people who are athletic and thin, and they are very, very low carb, and therefore see very high levels of LDL-C and LDL-P, but they also have very high levels of HDL-C and low levels of triglycerides.
About testing, remember standard cholesterol tests only tell us the weight of cholesterol in the blood, so a “normal” LDL of 100 mg/dL doesn’t tell us much because the same amount of cholesterol could consist of a few large, fluffy particles or hundreds of dense, dangerous particles. In contrast, lipoprotein fractionation is the gold standard of lipid tests because it shows us how our cholesterol is packaged: breaking down the distribution of LDL, HDL, and triglycerides by size, particle number, and density. Most primary care physicians and even cardiologists simply aren’t caught up on the technology or are stuck in old ways of practicing medicine.