Hi Robert,
The low fat (no fat) - low cholesterol is not a healthy diet. Avoiding trans-fat is excellent, but low fat (especially low in saturated fat) is not healthy. Please read Dr Graveline's article: "The McCully - Heart Protection Diet"
http://www.spacedoc.net/mccully.htm
I'm not sure what your LDL cholesterol was before your endarterectom, but if it was way below 100, LDL cholesterol doesn't appear to be the cause of your blocked artery. Lowering LDL cholesterol is a bandaid approach, which does not 'correct' the problem. It's when LDL cholesterol becomes 'oxidized'.
Informative article by Dr Malcolm Kendrick:
"Is Heart Disease All Due to Blood Clots?" - [http://www.thincs.org/Malcolm.htm#clots]
Excerpt: " Things that create "free radicals" and oxidized LDL... Smoking, high blood sugar levels (diabetes), stress... Risk factors that damage the "endothelium" include elevated levels of homocysteine, blood sugar, insulin, cortisol (stress hormones), triglycerides, smoking and deficiency in some vitamins, such as C and the B's."
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Increasing saturated fats, specifically coconut oil and butter, increases HDL. Coconut oil, rich in lauric acid, has strong antifungal and antimicrobial properties. Butter contains these beneficial fat soluble vitamins: vitamin A or retinol, vitamin D, vitamin K and vitamin E.
Great article all about fats (and the flawed "evidence" supporting the Lipid Hypothesis) by Dr Mary Enig: "The Skinny on Fats":
[http://www.westonaprice.org/knowyourfats/skinny.html]
Your triglycerides are very good, but just keep as eye on your intake of the 'white foods' (sugar, flour, bread, rice, potato). Pasta is probably the least likely to raise triglyceride levels.
Has your doctor checked your homocysteine (Hcy) levels?
Although most labs say that <11 (and even as high as 15 micromoles per liter of blood) is a healthy level for homocysteine (Hcy), there is no safe "normal range" for (toxic) Hcy. Optimal Hcy levels should be 6.2 or less. For each 3-unit increase above 6.3, there is a 35% increased risk for myocardial-infarction (heart-attack). (American Journal of Epidemiology, 1996, 143[9]:845-59)
Epidemiological data reveal that Hcy levels above 6.3 cause a steep, progressive risk of heart attack.
(American Heart Association's journal Circulation, Nov. 15, 1995, 2825-30)
In addition to folic acid, B6 and B12, some might also need TMG (trimethylglycine), P-5-P (pyridoxyl-5-phosphate), zinc, inositol and/or choline to control Hcy.
Excerpt from an excellent article that explains homocysteine: "There are three biochemical pathways used by the body to reduce homocysteine. In one pathway TMG donates a methyl group which detoxifies homocysteine. In this reaction, TMG is reduced to DMG (dimethylglycine), that familiar-product sold as a supplement for its energizing effects. In the other routes, folic acid, B12 and B6 convert homocysteine into nontoxic substances. Some people can't utilize one or another of these pathways. That is why a combination of all these nutrients is most effective for lowering homocysteine. In some people vitamin B may not be efficiently converted to its active co-enzyme form, pyridoxyl-5-phosphate. In that case supplementing with pyridoxyl-5-phosphate would be necessary. "
Source: "CHOLESTEROL IS NOT THE BAD GUY!!!" ~ by Dr. Deb Baker [http://www.y2khealthanddetox.com/truthchol.html]
Hope this info is beneficial.
Fran