Sarah Taylor

Sarah Taylor

Posted February 1, 2013

Published in Health

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Vegans with High Cholesterol

Read More: cholesterol, vegan

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My cholesterol has always been high - around 233 – even after 12 years on a vegan diet.  How can a 12-year vegan have such high cholesterol?  Genetics, of course. 

We love to use genetics as an excuse.  We blame so many things on genetics, yet most of us have never actually had a genetic test done to solidify our excuse!  So I did. I flew to Denver, and went to Dr. Ian Levenson who tested me for the Apolipoprotein E (often called “Apo-E”) genotype.  Sure enough, I tested positive for the ApoE 4 allele.  The ApoE 4 genotype, which 14% of the population has, puts me at a high risk of heart disease and early dementia, and I certainly don’t want to be getting coloring books for Christmas when I’m 50.

Having this genotype makes the body hyper-respond to fat.  Thus, my cholesterol is sky-high, even though I don’t eat any; my body takes the fat I have eaten and over-produces cholesterol.  While having this genotype puts me at a higher risk for heart disease and dementias, the good news is that I should respond very well to a very, very low-fat diet. 

Although I know fatty diets are bad – and in a vegan diet, most fat comes from oil – I have procrastinated going completely low-fat, only because it is soooo hard when I’m traveling!!  Being on the road every week makes it very hard to eat vegan with no oil.  But I certainly have no intention of taking cholesterol-lowering medications for the rest of my life, so I decided to suck it up and do it.  I’m only 3 weeks in, so I can’t claim long-term success yet, but today was a motivating day: My company offered a free health screening today, and (drum roll) the results after just three weeks of vegan-no-oil? 

Decrease in Total Cholesterol:  -67

Decrease in LDL (bad) Cholesterol:  -67

Decrease in Triglycerides:  -79

So, the moral of the story is that sometimes we have to make a commitment, and do what’s best for our health, even if it’s hard.  The payoff, although hard to imagine, could be life or death!


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I am so glad to have this information, I too have high cholesterol. We started on the vegan diet in March of this year and after 8 days, my husband had bloodwork done and his cholesterol had dropped 30 points. I had bloodwork done yesterday and my cholesterol is 250. I have lost 28 lbs. and was excited to find out what my level is. I am going to cut out oils completely and ask for another test after a month or so. My Mom who passed away 14 years ago had very high cholesterol 434 and was very tiny and ate next to nothing.


I had been concerned with my cholesterol for many years. My doctor put me on statin drug to which I had a strange reaction, so I'm off. It's been one year since I have been vegan. I lost 20 pounds, and my cholesterol that used to be in the high 200s and at one point 300-something is down to lower 200s...but still in the 200s. I'll try your suggestion of going very very low fat vegan. If you have more suggestions, please share.
Thank you for your post!

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