Hello!

I just got my lab results and would like your input. My new provider that I just established with sent me a message and basically told me I should really consider going on a statin and yes my A1C is prediabetic. I have been doing the Carnivore Life Style since 05/13/2024 (858 days). I did put in my information into Copilot to help me explain my lifestyle and the results to my doctor.

1. LDL: 175 mg/dL

2. ApoB: 129 mg/dL

3. HDL: 120 mg/dL

4. Triglycerides: 51 mg/dL

5. Insulin: 2.6 µIU/mL

6. A1C: 5.8%

7. Fructosamine: 245 µmol/L

8. hs-CRP: 1.0 mg/L

9. BMI: 22.46

My overall pattern aligns with what is described in the literature as a Lean Mass Hyper-Responder (LMHR) profile. Individuals who are lean, insulin-sensitive, and follow a very low-carbohydrate or ketogenic diet often demonstrate elevated LDL and ApoB despite excellent triglycerides, HDL, inflammation markers, and insulin levels. In this context, LDL elevations may reflect changes in cholesterol transport and lipid metabolism rather than the metabolic dysfunction commonly associated with insulin resistance.

My A1C is slightly elevated, but my fasting insulin and fructosamine suggest good glycemic control. It has been proposed that low-carbohydrate diets may contribute to mildly elevated A1C values through longer red blood cell lifespan and physiological adaptations to carbohydrate restriction, potentially making A1C appear somewhat higher than expected relative to other markers of glucose metabolism.

I'm considering taking Berberine to see if this helps lower by A1C. My daily diet consists of OMAD, most days, Beef, Butter, Bacon and Eggs. I do incorporate some salmon and lamb. I do drink black coffee, water and some plain no flavor sparkling water. (Please don't take my Carnivore card away)

Bob-thank you for your weekly live streams, I do listen to it on play back on my way to work daily and really enjoy your content!

Mary@Greek Carnivore

I did have the pleasure meeting Bob at The Healing Humanity Meatup in Columbus August 2025.

Your numbers are very normal for a carnivore as far as the cholesterol. Your doctor is ignorant and doesn’t understand what cholesterol is and how it works in the body. He also doesn’t seem to understand the real cardiovascular risk factor and that is your Tryglyceeides to HDL ratio. Yours is stellar. Tell your doctor to go pound sand.

Yes, your A1C is high but that can be many things including what were you doing before your blood test. Exercise, eating, poor sleep, stress…these can affect your test results. Do you eat a strict carnivore diet or do you allow carbs, even hidden carbs into your diet? These can factor in. Do you eat or drink dairy? Are you eating too much protein and not enough fat?

Review your eating habits to see if there are any carbs that are getting in.

On 9/18/2026 at 3:07 PM, Mary said:

I did have the pleasure meeting Bob at The Healing Humanity Meatup in Columbus August 2025.

Hey Mary. Sorry for the late reply. I've been busy with my in-real-life tile and remodeling business and this post got buried before I could see it. If I organized a meetup up here in the Northeastern Ohio area, would you be interested?

It looks like you've done your homework. I am not alarmed by the numbers you shared. The red blood cells living longer is one of the reasons why the A1C might creep up. It's using a calculation that assumes a 90 day lifespan for a red blood cell. If you don't eat sugar, you can't be a type 2 diabetic, plain and simple.

With the absolutely beautiful HDL and Trigs, the LDL doesn't concern me either. Trust me, mine is much higher. Nick Norwitz is even way higher. Have you watch "The Cholesterol Code" which he and Dave Feldman produced? It's free on YouTube now.

The protective barrier of the arterial lining is called the glycocalyx. It's a protective slimy lining. It's vulnerable to damage from sugars, and when the glycocalyx is damaged then it's easier for inflammation to occur in the arteries and LDL to get lodged in the arterial wall.

If you have a healthy slimy glycocalyx, the LDL is just going to bounce right off it and keep circulating.

Hi Bob,

First, yes I would be interested on attending a Northeastern Ohio Meatup!!!

Update: Last week I went and got the Coronary Artery Calcium CT and my score was ZERO!! I'm so excited and my PCP states, that with this score it's reasonable to continue holding off on statin medications, (I had no intentions on taking any medications, including a statin). Bob-you should schedule yours, it's painless, easy and doesn't cost us anything.

I'm glad that you had mentioned that The Cholesterol Code is available free on YouTube during your Monday night live streams, I did watch it and may send the link to my PCP. Dave Feldman did an amazing job on this documentary.

Thanks for all you do for our Carnivore Community!