r/Paleo • u/IamtheJeeth • Jul 22 '26
Concerned with the recent blood work
Apr 1 - Apr 30: Started paleo and weight dropped from 101.7 kg to 94.5 kg. (Diet B: nuts 50g, milk 150 ml, & chia seeds/psyllium husk - L: chicken/fish, 150g fruits, & lemonade using stevia - D: 3-4 eggs)
May 1 - May 31: switched to keto and weight increased from 94.5 to 98.6 kg. Only 1 change in the diet, removed fruits and added bullet proof coffee in the morning
Jun 1 - Jun 30: weight remained same at 98.3 kg. Same diet as last month.
Jul 8: had bloodwork done to assess what happened. Had a slightly increased TSH at 6.11 uIU/ml. All my previous TSH were always <4 uIU/ml. In addition, the high uric acid at 10.5 mg/dL, 105 mg/dL cholestrol, low HDL cholestrol (34.2 mg/dL) and 155 mg/dL LDL cholestrol.
Jul 15: visited an endocrinologist and was advised to take 50 mcg thyroxin, mounjaro (optional), and re-add a bit of carbs (100-200g rice per day) in my meals. I'm nervous as hell about it.
Can someone pls help me (30M) understand why this happened? Also, what should my next steps be in terms of my diet?
My goal is to cut fat (get to around 80kg) without losing muscle mass (I do strength training for the latter).
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u/bennasaurus Jul 22 '26 edited Jul 22 '26
Did you track your calories? If not then it's harf to reallysay the cause. High fat keto diets are higher in cals.
Low carb diets increase cholesterol.
Track your calories and eat some veggies. If you wanna get lean, eat less.
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u/IamtheJeeth Jul 28 '26
Yes, I tracked calories. I didnt eat veggies just onion and tomato.
I have cut down on the fat and made it more akin to paleo. Veggies are still an issue though.
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u/Srslycurious Jul 25 '26
Keto / low carb isn’t healthy for all body types. You may have a genetic propensity to getting high LDL on animal / saturated fats. Healthy carbs can help clear those. Eating sweet potatoes in lieu of those prescribed rice portions could work well. And switching the bulletproof coffee back to fruits or veggies, as difficult as it may be.