why triglycerides high on carnivore?

[susu]

Hi I've been doing carnivore almost 6 month and got worse triglycerides,, 

I'm 36F, 5'4. Before carnivore, I was doing keto (barely no meat, keto bread/keto dessert/daily/nuts/avocado/olive oil and vegetable based) and Triglyceride was perfect like around 50-60, HDL 80, ldl 180

After carnivore, fatty beef/lamb 1lb, butter and sometimes salmon or sardine (my macro 70/30, fat 130g protein 100-110g). After 4 month, I gained 10lb even I was normal weight but now little got fatty, Triglyceride sky high 165, HDL decreased to 70 and ldl 400 (15hr fasted)

I heard coffee can affect on triglyceride so ditched coffee and butter (I thought I'm eating too much fat) and worse blood work month after.. HDL dropped to 60, Triglycerides 210 and LDL 500..

So I saw keto doctor, he said I might eating too much protein, which could be cause, so I switched to 80/20 macro (fat 150g/protein 70-80g). No weightloss, waiting another blood work in a month.

I'm really concerned about the increasing triglyceride/dropping HDL even though I'm not eating any carb. FYI, my fasting glucose is 74, Hba1c 5.1, hscrp 0.5 and no insulin resistance.

Don't really know what am i doing wrong. Any comment would be appreciated. Thanks

[Geezy]

Welcome Susie. I’m glad you could join us. 

Triglycerides going up after starting carnivore while rare could be caused by several things. 

Loss of triglyceride clearance pathways when carbs are restricted

Low fiber intake failing to lower triglyceride absorption

Too high of intake of saturated fat

Weight loss releasing triglycerides from fat cells

Underlying conditions like genetics, hypothyroidism, or fatty liver

A triglyceride level below 150 mg/dL is considered ideal. Levels between 150-199 mg/dL are borderline high. Having levels between 200-499 mg/dL is considered elevated and higher than 500 mg/dL is very concerning.

Some things that you might consider trying is increasing your omega 3 intake  Eating more high omega-3 foods like fatty fish, fish roe, oysters, and beef liver can help combat high triglycerides. Omega-3 fats help improve triglycerides, 

Reducing your intake of saturated fats. Limiting intake of high saturated fat animal foods like pork, lamb, beef ribeye, cheese, and butter may help lower triglyceride levels. I know you’ve already tried this but maybe look at what kind of fats you are eating. Mostly ruminant fat or pork?

Try more monounsaturated fats.
Focusing on fattier cuts of meat that are high in monounsaturated fat like beef tenderloin, chicken thighs, and salmon can help improve  triglycerides.

As much as it pains me to say this, maybe add some fiber back in.
 Although fiber is limited on carnivore, options like chia seeds and avocado can help bind to triglycerides and reduce their absorption.

Exercise regularly.                                  Engaging in aerobic exercise and strength training most days of the week can help lower triglyceride levels over time.

Losing weight if overweight.
Excess weight is tied to high triglycerides. Losing weight through the carnivore diet can lower triglyceride levels.

Manage any underlying conditions you may have.
Getting conditions like hypothyroidism, diabetes, and fatty liver under control can all help lower excessive triglycerides. If you don’t have any of those you might aught to get checked out to make sure.

Lowering your protein intake.
Overeating protein can raise triglycerides in some people. Try reducing protein portions if levels remain very elevated.

Consider taking a supplement.
Like fish oil, berberine, curcumin, and vitamin E may help support healthy triglyceride levels.

I hope some of this helps. 

[susu]

Hi Geezy Thanks for the reply! I already added omega 3 fish oil and no thyroid issue, Also lowered much protein from 100 to 70.. (not sure how it helps though). I've been working out 3 days a week, but seemingly not working that well,, I thought carnivore is mainly saturated fat, so do I have to go down for this..?

Seemingly most of people have success on the carnivore even no fiber.. I'm feel like a carnivore failure lol

[Geezy]

2 hours ago, susu said:

Hi Geezy Thanks for the reply! I already added omega 3 fish oil and no thyroid issue, Also lowered much protein from 100 to 70.. (not sure how it helps though). I've been working out 3 days a week, but seemingly not working that well,, I thought carnivore is mainly saturated fat, so do I have to go down for this..?

Seemingly most of people have success on the carnivore even no fiber.. I'm feel like a carnivore failure lol

Audi, do not feel like you are a failure. You are an individual just like we all are and as such you cannot compare yourself to anyone else in this lifestyle.  Because we all have different physiology’s this WOE affects us each differently. You have to find your own path. What works for one may not work for another. We see this all of the time. I’m sorry but there just isn’t a cookie cutter approach to this. 
 

How does the rest of your blood work look?  
 

I think Bob has some knowledge on triglycerides and hopefully he’ll be along soon to give you some input.