I Gave Up Steak, Cheese and Beer. My LDL Went Up Anyway.
I Gave Up Steak, Cheese and Beer. My LDL Went Up Anyway.
You didn't cheat on the diet. About 80% of the cholesterol in your blood is made by your own body, mostly your liver. Nobody put that on the diet sheet.
Posted 4 days ago · 6 min read

I'm 56. Here are the ten seconds I can't stop replaying.
Your LDL Is Still Elevated
The nurse called my name. I followed her down the hall and sat on the crinkly paper. I tried to breathe normal. I'd even skipped my coffee that morning, like that would help. My pulse was thumping in my ears.
My doctor came in, flipped through my file, and said it.
"Your LDL is still elevated."
Still.
After everything.

The number was 162. She slid a diet handout across the desk. It was the same handout she gave me six months earlier. The first one was still stuck to my fridge. Then she said the word I'd been dreading.
"Lipitor."
I nodded. I wasn't listening. My brother-in-law has been on Crestor for six years. My old boss keeps his next to the coffee maker. Now it was my turn. One pill a night until they bury me.
I wasn't against the pill. I was pissed that I'd given up everything I liked and was getting handed one anyway.
I drove home with the handout on the passenger seat. I didn't turn the radio on.
Six Months of Doing Everything Right
I did what the handout said. All of it.
Oatmeal every morning. Egg whites, never the yolk. Chicken breast and a plain salad while my brother-in-law grilled ribeyes. No steak. No cheese. No beer. Seltzer with lime at the ballgame. It sucked. I read labels in the grocery aisle like I was defusing something. My grocery bill went up $40 a week, and nobody warns you about that.
I even started walking after dinner. Two laps around the block, rain or not.

At my wife's birthday dinner, the waiter rolled the cheese board past our table. I watched it go like a guy watching his old truck get towed.
My wife started cooking two dinners, mine and hers. I hated that more than the oatmeal.

When new results hit my patient portal, I'd sit in the driveway for ten minutes before I opened them.
Six months of that crap. And the number didn't just sit there. It went up.
What I Typed at 11:47 PM
The house was quiet. My wife was asleep. I sat at the kitchen table and typed into my phone: why does my cholesterol go up when I eat better.
I felt like an idiot typing that at 56. But it was 11:47, and nobody was watching.
The first result was a page from Harvard Health. I read one line six times.
About 80% of the cholesterol in your blood is made by your own body, mostly in your liver. Only about 20% comes from food.
Source: Harvard Health Publishing.
I put the phone down. Eighty percent. The handout never said it. One page of foods to avoid. Not one word about where the other 80% comes from.
Every lecture I'd ever gotten was about the food. Food still counts. It's just the smaller piece.
I had spent six months fixing the 20%. It was like mopping the floor while the pipe kept leaking.

The Fruit Too Sour to Eat
I kept reading, and one word kept coming up. Bergamot.
I did not want another bottle collecting dust in the cabinet above the fridge. I've been there. Fish oil. Garlic pills. A "cholesterol formula" from the drugstore that did nothing I could point to.
But I only knew bergamot as the flavor in Earl Grey tea. The fruit itself is so sour that almost nobody eats it.

Most of it grows on one narrow strip of coast in Calabria, the toe of Italy's boot.

In 2009, chemists at the University of Calabria took the fruit apart. They isolated two molecules from it. Brutieridin and melitidin. Then they titled their paper "Statin-like principles of bergamot fruit."
I'm not a chemist. I'm a guy at a kitchen table. But I read that title out loud, twice. My wife found me there at 1 a.m. and asked if I was okay. I said I think I found something.
In a 2021 lab study, liver cells given bergamot extract made less of the enzyme that builds cholesterol. It was the first thing I'd read that pointed at the other 80%.
Sources: Di Donna et al., J Nat Prod, 2009. Huang et al., Nutrients, 2021.
One Tip Before You Buy Any Bergamot
If you look at bergamot, flip the bottle over and check that the label lists flavanones. Those are the compounds in the fruit that the research looks at. A label that only gives the weight of the extract, or a ratio like 25:1, doesn't tell you how much of them is inside.
Then I Found the Human Trial
In 2024, researchers ran a randomized, double-blind, placebo-controlled trial. They split 64 adults, ages 40 to 70, with high LDL into two groups. One group took a standardized bergamot extract. The other took a placebo. Nobody knew who got which.
After four months, the bergamot group's LDL dropped 11.5%.* The placebo group's went up a little.
Source: Spina et al., Foods, 2024.
The placebo group is what makes it a fair test. It's not a testimonial and it's not a before-and-after photo. It's not a guy on the internet like me.
What I Put in My Cart
I went looking for a bottle that printed its number. I found Enerra Calabrian Citrus Bergamot.
The label lists 1,000mg of bergamot extract, standardized to 38% flavanones. That's 380mg of flavanones, including brutieridin and melitidin, the two molecules from that 2009 paper. I wrote the three numbers on a sticky note. 1,000. 38. 380. It passed my own tip: it lists the flavanones, and it lists the amount.

From the makers of Enerra Milk Thistle, 53,000+ customers.
My Plan: Day 0 to Day 90
I ordered the Buy 2, Get 1 Free deal that week. I also picked a lab near my office that takes walk-ins, so I'd have no excuse later. Here's my plan, so you can copy it.
Day 0: Baseline panel. That's the 162.
Day 1: I started.
Inside 90 days: The retest. Same lab. Same fasting. Same printout, side by side.
I'm keeping the oatmeal and the walks the same, so the comparison is fair. I can't tell you how I feel, because you can't feel cholesterol. A mirror won't tell you. A blood test will. That's why the retest date is circled on the calendar by the fridge.
For six months, the next lab date felt like a court date. Now it's a date I want to get to. I know what I'm testing, and the answer fits on one sheet of paper.

What I Wish Someone Had Told Me
At that appointment, I wish someone had said this: your number can go up when you do everything right. It was never only your fork. You're not weak, and you're not lying about the cheese. Most of it is made by your own liver, and the handout never mentioned it.
If your number went up after you cleaned up your diet, ask the question the handout never answered. Where does the other 80% come from?
You don't have to give up another thing to go after it. You've given up enough. Just stop making every meal a test you're failing.
Ninety Days From Now, You'll Be in One of Two Places
Same oatmeal.
Same handout.
Same ten minutes in the driveway before you open the results.
Same knot in your stomach the morning of the next checkup.
Same six-month wait for the same number.
You went after the 80%, not just the 20%.
You have two printouts to lay side by side.
You open your results at the kitchen table, not in the driveway.
You stop arguing with a handout in the glove box.
Which path do you want?
Buy Two, Get One Free
Enerra Calabrian Citrus Bergamot comes in a Buy 2, Get 1 Free bundle. Buy two bottles, the third one's free. That's three bottles for the price of two.
It's backed by a 90-day money-back guarantee, even on empty bottles.

If your next checkup is six months out, 90 days fits before it.
You already gave the 20% six months. The button below takes you to the product page, where the bundle is ready.
Quick Questions
I already take Lipitor, Crestor, or another statin. Or my doctor just brought one up.
Keep taking it, and show your doctor the label before you start. Never stop or change a prescription on your own.
How will I know if it's working?
Not by how you feel. Cholesterol has no feeling. Write down your numbers on day 0. Get the same lipid panel inside 90 days, then compare the two.
What is bergamot?
A citrus fruit that grows mostly on the coast of Calabria, Italy. Its peel oil flavors Earl Grey tea. The fruit is too sour to eat, so Enerra uses an extract of it. It's the fruit, not the essential oil in candles and diffusers.
Can I take it with Enerra Milk Thistle?
Yes. They share no ingredients and do different jobs, so they sit side by side.