Likely ALL of that is (poor) diet related. High carb high sugar diet brought back the weight, made you insulin resistant, and is likely the cause in the rise of your triglycerides. Your eGFR indicates you are on the cusp of Stage 3a Chronic Kidney Disease. You had success before on a keto-carnivore diet, and you can have success again. I would make returning to and sticking to a proper human diet (carnivore or carnivore-centric keto/ketovore) your primary goal. Yes, cholesterol may go up. We do not worry about that. Trigs usually drop dramatically, but in my case they actually went up because of my kidney disease. I no longer recommend fenofibrate. I was on it for a year, and it tanked my kidneys, and I was deep into stage 5 renal failure for a while. I am currently reversing the damage done. If you remain on fenofibrate, get blood labs regularly and watch that creatinine and eGFR. If creatinine rises and eGFR comes down, get off if it immediately. Those trigs might go up during active weight loss but will eventually come down when you reach a goal weight and remain weight stable for several months. Omega-3 supplementation (fish oil) has been known to help lower trigs. I should have recognized the adverse effects of fenofibrates such as muscle twitching, late night leg cramps, and more, but I passed it off as an electrolyte imbalance due to my kidneys. I don't take fenofibrate nor any electrolytes anymore and I am fine. But you want to eat fatty meat, not lean meat. In the absence of carbs, fat is your energy, and your goal is to become fat adapted. The vegetables are optional. Either eliminate them altogether or only eat the low carb cruciferous kind while weight loss and healing are your goals. Later in life you can occasionally treat yourself/toy with a few more single-ingredient plants or fruits, but you have goals to reach first and one of them is getting the addiction to carbs and sweet tasting things under control. So my experience with fenofibrate ended in a nightmare. There is a part of me that wants to take the video down, but at the same time the explanation of what's happening in the body and everything else is still good information. Now I would do diet first. Today I only take meds for blood pressure and that's it. My LDL varies between 200 and 300 and I am not worried. My trigs were up to 2887 at their highest as you know from the video. Fenofribrate brought them down to about 555. And believe it or not, I just tested again 2 days ago after being off fenofibrate since last November (6 months now) and my trigs were 222, proving they would have come down on their own eventually (I do take fish oil). Yes, they say high trigs increases your "risk" of heart disease, but I am still alive and well. "Risk" is relative and so much goes into "risk". Most people who have high trigs eat candy, cakes, cookies, pies, chips, donuts, and other high carb junk foods. But that's not me. My trigs are high for an entirely different reason (most likely that I spill lipoprotein lipase in my urine due to my CKD). So were my trigs still a relative higher "risk". Maybe. I'm not so sure. Now with that said, I know people who take fenofibrate with no issues at all, such as my father. And I know doctors who take statins. For example, Dr. Ford Brewer takes a very low dose rosuvastatin, not for it's LDL lowering effects, but because it helps keep down inflammation. Sure there is a time and a place for these things, but I personally believe that most medications should be temporary, not lifelong, and one's goal is to get to the root cause and fix the issue, which is usually diet and nutrition.
Today marks one full year on carnivore. It has been quite the journey and more amazingly beneficial than anything I could have ever imagined.
I started off with carnivore as being just a weight loss hack. I had no idea there would be benefits other than those associated with weight loss. I didn't bother with any of the research on carnivore, the best ways to go about things, I just plunged right in headfirst. It didn't take too long to start learning and figuring things out. (some even the hard way)
I am extremely happy with the measurables. I started at 306lbs with my pant size 44-46. This morning, I weighed 213lbs, losing 93lbs in 12 months and a pant size of 38. If I hadn't started eating for grams of protein per pound the loss would have been well under 100 but I'm good with where and how I landed at 12 months. I have never had blood pressure or glucose issues and the only movement there is my blood sugar is now in the 80's most everyday whereas it was in the 90's before carnivore. My blood pressure has been a consistent 110/60. My cholesterol has improved some as my HDL is staying sort of constant, but my LDL dropped by 35 points on my last visit.
The biggest benefit is that I have NMO/SD, an autoimmune disease that had me on pain and inflammation medicine for just over six years. The prednisone and Neurontin sort of got me thru some rough times when the pain/inflammation was slowing me down. After 4-6 weeks on a strict carnivore diet I found I didn't need the medicine anymore. By the end of that sixth week, I had stopped taking the pain and inflammation medicine altogether. Being pain free is an incredible thing to experience and to get there without a daily medication is really hard to describe. I could not have been any more surprised and could not have been any more pleased with the first six weeks of carnivore.
I'm in the gym three to four times per week and the lifting is starting to grow both in weight and volume. It feels like I am performing better at 55 than 25.
A big thanks to the members of the board and sharing their experiences and thoughts. I'm a bigger fan of hearing someone's personal experiences over a medical study where I have to wonder if the backer had a monetary interest in the outcome of the research or whether the control subjects were really controlled subjects. I can relate to another person's story more than that of a bunch of doctors and control subjects. I really appreciate the exchange of information as it has helped me get over some obstacles here and there.
I'm still learning. After 12 months I think I am easing into carnivore becoming a life style vs. being a weight loss hack. Still, there is work to be done.
Scott