I agree with Algebragirl. Losing weight is a big factor. I'm not sure if exactly what you eat matters as much. She says she eats vegetarian, and I eat low carb, with 4 XL eggs and butter every day.
What I can say, is losing weight will drop total cholesterol, and triglycerides. Increased exercise will help raise HDL.
As far as the particular diet you want to follow, SP has their plan, or you should head back to your doctor, and ask what she means by the guidelines she told you to follow. Since you eat a set amount of protein, and that isn't going to change, the rest is fat and carbs. If protein stays at 20 % ( example ), then 80 % of your diet is fat/carbs ( energy ).
So if you cut fat, AND carbs both, then you will just be dropping overall calories, since the protein levels will stay the same. Unless you plan to eat 40 % protein, dropping the other two macros leaves you with less food. She may think that you are currently eating too much fat, and carbs, AND calories, but has she actually discussed this with you?
If you are eating 50/20/30, and 1250 calories a day, then cutting fat and carbs might be bad advice. Doctors tend to just repeat what they perceive as standard advice. They say the same things over and over. They are overworked, and while their advice is okay in general terms, they don't individualize their help.
Ask your doctor for ranges of all 3 macronutrients, so that you have an idea of what she intends for you to eat. Ask her if certain foods might help with either problem. Ask her how many calories you should eat in a day. If you sense that she is kind of just aiming you towards what she thinks is good advice, with no conviction, ask for a referral to a dietitian. They will have more time to sit down, and work with you one on one, and address YOUR health concerns, instead of general guidelines. They can give you a menu to follow.. meal by meal. That is something a doctor just doesn't have time to do. You need a specialist. A doctor is knowledgeable in many areas, but specializes in one, usually not nutrition.
Edited by: RUSSELL_40 at: 11/26/2013 (09:18)
Russell - current BMI 28.6
197 - bmi 30 - done
164 - bmi-25
| current weight: 183.4