IMPORTANT UPDATE: This is the original LMHR page, but we have since published several peer reviewed papers on both the Lean Mass Hyper-responder phenotype and the Lipid Energy Model, which you can find here.
Lean Mass Hyper-responder Overview
Generally speaking, Lean Mass Hyper-responders (LMHRs) have the following lipid profile:
- LDL of 200 mg/dL (5.17 mmol/L) or higher
- HDL of 80 mg/dL (2.07 mmol/L) or higher
- Triglycerides of 70 mg/dL (0.79 mmol/L) or lower
This pattern was first discussed in the original Are You a Lean Mass Hyper-responder articles from July of 2017.
Common Characteristics of a Lean Mass Hyper-responder
- Often lean, with low body fat (≤20% men, ≤23% women).
- Usually moderate to very fit. Many are very athletic.
- Usually very low carb (typically <25g net carbs)
Other possible commonalities:
- Often lower BHB (Blood Ketones) levels than sedentary low carbers (often 0.3-1.0 mmol/L)
- Generally higher fasting glucose, possibly through adaptive glucose sparing (often 90-105 mg/dL)
- Greater difficulty doing multi-day fasting
Why This Profile Might Make Sense
On this blog and through many articles I discuss the Lipid Energy Model. Fairly soon I’ll have a streamlined post that will tie it together for lay people. For now, you may want to watch the linked video above as I describe it briefly.
Or for a more layperson-friendly series, check out A Simple Guide to Cholesterol on Low Carb
Also check out our FAQ as well for more information.
Is This Profile Risky
The short answer is: we don’t know.
I’m currently working with several different people across many disciplines to initiate studies with LMHRs in particular, as I think they may hold the answer to some very important questions on the subject of cholesterol.
Facebook Group
We also have a LMHR Facebook group that we invite everyone to join, whether you are a LMHR or just interested in the research.


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