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Abdullah Al-Badri
Licensed Doctor
الأسئلة المجابة 11916 | نسبة الرضا 97.5%
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Hi Doctor, I am a male of 48.9 years. Height is...
Hi Doctor,
I am a male of 48.9 years. Height is 193 cm weight is 108 Kg.
There were two blocks in my artery and I underwent angioplasty and implanted two stents in 2019 March.
Since then I was controlling my food and walking 3 to 4 days a week for 60 to 66 minutes briskly. I was having Crestor 20 mg, Brillianta and aspirin 75. I managed to reduce my weight from 134Kg to 117 Kg. Cholesterol levels dropped to 90 and sugar was 96. Please note that I never had my sugar levels crossed 100. Since March 2020 I have started Keto diet. In two months, I have managed to reduce another 9 Kg and my current weight is 108Kg.
Yesterday (02/05/2020), I did a blood test. Following attributes are showing high.
Glycated Haemoglobin (HbA1c) is 6.30 (but fasting sugar is 94.50).
Serum Cholesterol is 248.77 mg/dl
Serum Triglycerides is 151.00 mg/dl
Low Density Lipoprotein (LDL) in Serum is 178 mg/dl
Creatinine in Urine is 279.4 mg/dl
All other elements are within the normal reference range. Such as
Albumin/creatinine ratio = 3.75 mg/g
Albumin = 4.40 g/dl
Alkaline Phosphate in Serum = 72.00 U/L
Bilirubin (Total) in Serum = 0.80 mg/dl
Bilirubin (Direct) in Serum = 0.09 mg/dl
AST = 17 U/L
ALT = 14.0 U/L
I can understand that my cholesterol levels are going up due to the Keto diet. I am consuming fat as the energy source and I have stopped taking Crestor. My query is why is the creatinine level so high? Is it normal when we shift to ketosis?
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إجابة الخبير: Abdullah Al-Badri

Abdullah Al-Badri
Licensed Doctor
الأسئلة المجابة 11916 | نسبة الرضا 98%
my urin creat is high .... why is that ?
its well known that creatinin is a waste product of our body and one of its main source is protien ( meat ) that is usually consumed alot by the keto fellwos so its absolutly norma to find your creat in urin a little bit higher than upper limit and you can fix it by just adding more water into your diet to help clean you body from waste and dilute your urine so creatinin levels will be back again to the regular values ( which is from 36 -250 in females and up to 300 in males ) and so you dont even have a high creatinin urine levels problem
is keto cuasing high levels of cholesterol ?
yes infact as studies suggested that keto rais the level of the good cholesterol ( hdl ) and even sometimes bad one ( ldl ) and your cholesterol level is high but i advice you to take LDL serum test and HDL serum test to chek for the levels of what kind of cholesterol is raising up in your case
what is the treatment of the high levels of cholesterol levels ?
what is the advice ?
keto diet in your case is better to be monitored by a nutritionist and we advice you also to stick with a healthy lifestyle and continue following up with your doctor
its well known that creatinin is a waste product of our body and one of its main source is protien ( meat ) that is usually consumed alot by the keto fellwos so its absolutly norma to find your creat in urin a little bit higher than upper limit and you can fix it by just adding more water into your diet to help clean you body from waste and dilute your urine so creatinin levels will be back again to the regular values ( which is from 36 -250 in females and up to 300 in males ) and so you dont even have a high creatinin urine levels problem
is keto cuasing high levels of cholesterol ?
yes infact as studies suggested that keto rais the level of the good cholesterol ( hdl ) and even sometimes bad one ( ldl ) and your cholesterol level is high but i advice you to take LDL serum test and HDL serum test to chek for the levels of what kind of cholesterol is raising up in your case
what is the treatment of the high levels of cholesterol levels ?
- you allready have a good lifestyle according to your prescription and a think with more hard work and some dietery changes you can reduce the cholesterol levels without medications and as you know the high cholesterol levels are treated with statin drugs family such as simvastatin
what is the advice ?
keto diet in your case is better to be monitored by a nutritionist and we advice you also to stick with a healthy lifestyle and continue following up with your doctor
إسأل Licensed Doctor

Abdullah Al-Badri
Licensed Doctor
الأسئلة المجابة 11916 | نسبة الرضا 97.5%
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