Dr. Ben Bikman

Yeah.

So LDL, as you mentioned, and I actually described this in my book, Why We Get Sick.

I talk about the, like, why is it that we have such conflicting data across LDL?

Some studies say it predicts, some studies say it doesn't at all.

Maybe it's because we're not accounting for the diameter

differences.

Even then, most people won't have had their diameter measured.

The triglyceride to HDL ratio is an awesome surrogate.

There's a beautiful figure of a study.

I can't remember the citation, but I can recall the figure perfectly.

It actually looks at the difference in population of the big LDL, the buoyant, versus the small, dense LDL.

And wouldn't you know it, right around that triglyceride to HDL ratio on the x-axis of 1.5 is that crossover.

So as the triglyceride to HDL ratio was higher, it reflected a higher particle B, or pattern B rather, LDL.

The lower the triglyceride to HDL ratio was, the more it reflected a pattern A, the large, buoyant, apparently less atherogenic.

So once again, we could come back to that pretty reliable surrogate.

Yeah.

Yeah.

So I would say the simplest strategy would just be change breakfast tomorrow.

overnight fasting is incredibly therapeutic um insulin will come down during a fasted state and that sort of re-sensitizes the body to insulin so in the morning you've finally been fasting overnight insulin has come down the last thing you want to do is spike your insulin with a starchy sugary breakfast and of course tragically breakfast is almost just a dessert nowadays it

all over the world, where it is just like pure dessert.