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Is it normal for your bad cholesterol to go up transiently when you lose weight? I'd never heard this until recently I've seen some weight loss experts and doctors say that it's normal for your bad cholesterol to go up transiently when you lose weight. I've never seen that before in my patients. Most people when they're trying to lose weight they eat healthier and then their cholesterol levels improve just like what you'd expect. I did some research to see if there any studies to support this. I didn't find that many studies, only a couple of small studies that showed this could be normal for some people. But most large studies show that when people lose weight, most people's bad cholesterol levels do go down just like what you'd expect because they're eating healthier +/- exercising and that generally improves your cholesterol levels. The reason this could be important to you or you'd want to know about it is that if your bad cholesterol levels are going up even transiently in that time frame you could be potentially forming cholesterol build up or blockages in the arteries of your heart. Your cholesterol levels that you get checked on blood tests are not the best way to tell if there are cholesterol blockages or build up forming in your heart. The best way is tests that look at the arteries of your heart. You're probably not going to get these tests for many years or until you have other health problems. Those are tests like a cardiac catheterization, a cardiac CT or even a calcium score. But most people don't need those tests until they're having symptoms or health problems. Given that you may not need to get any of those tests anytime soon, the next best test for you probably is going to be the cholesterol levels that you get checked with your regular blood work. Since that's the only test you may get to see if you're at risk for forming cholesterol build up or blockages in the arteries of your heart, then it's important to you if those levels are going up even transiently. Especially if you diet on and off a lot then your bad cholesterol levels could be going up and down and up and down. When they're up you're at risk for forming cholesterol build up or blockages in the arteries of your heart which over time will increase your risk of having a heart attack long term. So that's why it's important for you to know what's happening with your cholesterol levels. If you haven't had your cholesterol checked recently, it's definitely worth checking at least once if you've changed the way you're eating, if you're eating healthier, or you're trying a new diet, or you're trying to lose weight, etc. You want to make sure that it's not negatively affecting your cholesterol because that does potentially put you at risk for forming cholesterol build up or blockages in your heart arteries and that long term puts you at risk for having a heart attack. For more science back health and nutrition tips: Follow me on Instagram @healthywithdrmonali Subscribe to my YouTube Channel Dr. Monali Y. Desai