vitamin-d-sourcesFew people are aware of the relationship between vitamin d and cholesterol, but it’s an important one and it shouldn’t be ignored. Although it’s called a vitamin, it’s actually a hormone and a deficiency of it can be life threatening!

It’s Actually a Hormone

Vitamin d refers to a number of is a fat soluble steroid molecules that are involved in the absorption of important minerals in your intestinal tract.

The two most important factors are:
vitamin D3 (cholecalciferol) and vitamin D2 (ergocalciferol)

It’s also called the “sunshine vitamin” because it can be bio synthesized in your body when your skin is exposed to natural sunlight. This is especially important to people of African ancestry that live in temperate climates that have long winters.

Since their darker skin pigmentation filters out some of the suns rays, they are at increased risk of deficiency because of their skin filtering out natural sunlight (especially during long winters.)

For black people, supplements are a MUST! It appears that pretty much every disease that people of African descent suffer from disproportionately is linked with vitamin d deficiency. This is not widely known, but can still cause lots of health problems that could be avoided with wise use of supplementation.

The Cholesterol Connection

The human body is amazingly resourceful at bio synthesizing what it needs from what we put into our bodies. Thus when we have a deficiency of vitamin d the body will make it from cholesterol. This can cause your cholesterol levels to rise, because your body needs the extra cholesterol in order to synthesize this vitamin/hormone.

You have read in this blog that lowering cholesterol is not necessarily needed to prevent heart disease because it has been found not to be a direct causative factor. However if your cholesterol levels are elevated because of a lack of vitamin d then you need to take steps to supply your body with this nutrient by getting more sun exposure and taking supplements when you can’t get enough sun, such as in the winter.

Elevated cholesterol levels can indicate other problems in your body that you need to address. This is another reason why statin use can be problematic. It can mask the symptom (elevated cholesterol) that is being caused by another problem (like vitamin d deficiency).

Effects of Vitamin D Deficiency

  • increased risk of heart attack and stroke
  • depression
  • Parkinson’s Disease
  • increased risk of cancer
  • increased risk of infection
  • increased risk of multiple sclerosis

Some Food Sources of Vitamin D

  • Cod liver oil
  • Butter from grass fed cows
  • Beef or Calves liver
  • Egg yolks
  • Cheese
  • Water packed tuna
  • Oil packed sardines

Supplementing Vitamin D

Supplementary forms of this vitamin can be found in any health food store. My favorite is Jarrow Formulas D3. I opt for 5,000 units per day in the winter and half that dosage in the summer. It is difficult to overdose on this vitamin, as long as you are not using a synthetic version of it.

The ideal situation is that you get your levels tested by a doctor and do follow ups until the levels are where they are supposed to be. This is a fat soluble vitamin and so should be taken with a meal that contains healthy fats.

Vitamin k2 should be taken with vitamin d as those two nutrients work togegher to ewnsure that your body handles calcium properly. One of the top experts on vitamin K2 Dr. Rheaume Bleue suggests a ratio of 100-200 micrograms of K2 for every 1,000 IUs of vitamin d.   Again I would go with Jarrow Formulas MK-7, combined with their D3 product.

Sun Expose is Healthy

It’s been said before, but bears repeating…sun exposure is HEALTHY! Human beings evolved on the surface of the Earth. We NEED sun exposure in order for out bodies to function properly. Don’t avoid getting sunlight, because if you do, you are undermining your health in a critical way.

sunshine vitamin

sunshine helps your body synthesize vitamin D

Use common sense of course. Don’t overdo it, as too much of anything can be a problem, but remember that getting out in the sun and fresh air has benefits that go far beyond making you feel good and improving your mood.

How Much Sun Exposure?

This depends on how dark your skin is. Light skinned people should avoid prolonged exposure such as beyond 10-15 minutes in the sun. Darker skinned people of course can tolerate longer exposure, but you should be conservative with your time in the sun and gradually build a tolerance to sun exposure over time as you get more tanned.

Wearing a wide brim hat, proper sunglasses, and long sleeve clothing can help protect you as well. Remember also that you can get burned even on a hazy day because enough of the suns rays still get through and you may not be aware of how long you have been exposed.

Remember also that sunblock will prevent your body from making the vitamin d it needs from sun exposure, so If you are using sun screens on your skin you are defeating the purpose of getting sunlight.

fasting blood sugar testThe fasting blood sugar test will actually tell you more about your risk of heart disease than your cholesterol profile. Are you surprised?

Don’t be! While this is not a “cholesterol test,” it IS an important marker for heart disease risk!

Sugar is intimately involved with inflammation, and as we know, it is inflammation that is the real culprit in heart disease, cholesterol is just along for the ride!

According to Dr. Mark Houston associate professor of medicine at Vanderbilt University, for every additional point above 75 on your fasting blood sugar reading, your risk of heart disease goes up!

This is due to the fact that high blood sugar levels in your blood are an independent risk factor for cardiovascular disease.

The impact of elevated blood glucose levels

Sugar is a killer, a serial killer, where your health is concerned. Medical science is just now starting to figure out how damaging sugar can be in your system when the levels are high.

There are a number of reasons for this:

  • High blood sugar causes increased insulin (which is a pro-inflammatory hormone)
  • Elevated sugar levels make your blood more acidic and it tends to clot more readily
  • Sugar causes stiffening of arteries and blood vessels
  • Sugar decreases the oxygen carrying capacity of your blood
  • Nitric oxide is vital for heart health and high sugar levels lower it
  • High sugar levels also cause glycation which is a hardening of tissues in your heart and arteries

For all the reasons above, it’s important to know what your blood sugar levels are, so that if they are high, you can make the necessary changes that will bring the level down and reduce your risk of heart attacks, strokes, and high blood pressure.

How is the test performed?

A fasting blood sugar test, which is also called a fasting plasma glucose, or FPG test, measures your blood glucose level after you have fasted for at least 8 hours.

It’s a very accurate test, and does not vary by age or how physically active you are. It tends to be a physician favorite because it’s easy to do, cheap, and you get the results relatively fast.

The test is done first thing in the morning (so you can get the results by the afternoon), after at least an 8 hour period with no food, and nothing to drink but water.

A nurse or physician assistant will draw your blood and send the sample to the lab. When the results come back your doctor will discuss with you what the results mean, in terms of your risk for both heart disease and diabetes.

Levels for these tests are expressed in “millgrams per deciliter” (a deciliter is one 10th of a liter). Thus a reading of 100mg/dl is read as 100 milligrams per deciliter.

The threshold for normal fasting sugar levels should be below 100mg/dl, but some experts, most notably Dr. Mark Houston, feel the safe level is 70 -75 mg/dl!

What do the scores mean?

Doctors use what are called “reference ranges” to determine exactly what these tests indicate. All of this is of course relative to the results taken of sample populations to determine what is statistically healthy and what is not.

There are cut off points beyond which a clinical diagnosis is made, and these would appear to be splitting hairs so to speak, but of course the line must be drawn somewhere.  Whatever the result, you will have a much better idea of where you stand, and what you have to do to protect your health in the long term.

If your blood sugar measures between 100 mg/dl to 125 mg/dl, the doctor will probably order a follow-up test to eliminate error. This test result indicates “pre-diabetes” and your doctor may want to discuss steps you can take to bring your sugar levels down and prevent diabetes.

If you score 126mg/dl or above, the doctor will want to test you again to eliminate the chance of some anomaly that might have caused an inaccurate reading. If a follow-up test scores the same result, this will confirm that you are diabetic!

Of course it may seem silly to say that if your result on this test is 125mg/dl you don’t have diabetes and at 126 mg/dl you ARE diabetic, but they had to make a cut off point somewhere.

What is important is that if you are in the range 100-125 you need to make changes to your nutrition and exercise habits to get your blood sugar down to healthy levels.

Insulin is a factor too!

When your blood sugar levels spike, your body produces insulin to lower the sugar level. So if your fasting blood sugar test indicates higher than normal blood sugar levels, you can be sure your insulin levels are high as well.

Insulin is a very pro-inflammatory hormone that causes a lot of problems in your body when it is chronically elevated. This is another reason why you would want to get your sugar levels down to what is considered healthy.

Insulin causes inflammation and damage to the endothelial lining of your arteries, which is how the process of atherosclerosis begins. Thus your sugar levels have a direct bearing on the development of heart disease.

Connection with heart disease

If your blood glucose levels are chronically elevated, a process called glycation comes into play, which causes tissues like the heart and blood vessels to lose elasticity and become stiff.

This stiffening process, along with the damage from inflammation, makes you susceptible to heart attacks, high blood pressure and strokes.

To make it really simple and clear, elevated blood sugar=heart disease! This connection is far more important than cholesterol which does not directly cause heart disease. High blood glucose levels are also a factor in many other chronic diseases as well.

The fasting blood sugar test, by measuring how high your blood sugar is on average gives you a clear indication that your risk for heart disease is elevated, which in turn gives you a chance to lower your risk and avoid heart disease, by bringing your blood sugar levels down.

pantethine-capsulesGood cholesterol levels can be achieved easily and naturally using pantethine, which is what I call a heart healthy nutritional supplement.

It is a derivative of vitamin b5 and it’s made up of two molecules of pantothenic acid linked together by what’s called a cysteamine bridge.

It is an intermediate step in the synthesis of  Coenzyme A, which in turn is involved in various enzymatic reactions including the production and oxidation of fatty acids.

pantethine molecule

Pantethine is what’s called the “active” (more biologically available) form of the vitamin b5, but unlike the more well known form calcium pantothenate, it is less stable and will degrade if not refrigerated.

The theory is that since it’s closer biochemically to coenzyme A, it is more beneficial than pantothenic acid. It’s involved in the activation of coenzyme A and helps transport fatty acids across the cell membrane into the mitochondria to be used to make ATP, (a key component in health).

However as you will see it’s benefits go far beyond improving your cholesterol hdl ratio!

How does it work and what does it do?

Biochemistry details aside, the bottom line for the average person is “what does it do?” Dr. Stephen Sinatra has stated that in every type of heart disease, what we find is an energy starved heart! The role of pantethine in cellular energy production is a big part of it’s beneficial effect on heart health.

The heart is a very energy intense organ, and the ability for the cells of the heart to produce  energy in the form of ATP affects every aspect of your heart function, from contraction to the electrical signaling that keeps your heart beating strongly and evenly.

Pantethine is right in the middle of all of this because it is a key player in the production of ATP in the mitochondria of your cells. In plain English, it boosts energy not only to your heart, but all the organs and systems of your body!

It  has been shown (in animal experiments) to lower LDL cholesterol and raise hdl cholesterol, improving the cholesterol hdl ratio, as well as decreasing triglycerides. The ability of pantethine to promote good cholesterol levels is highly beneficial to heart health.

In addition is increases levels of apolipoprotein A1, which is the component of HDL responsible for transporting cholesterol away from the arteries and back to the liver. Pantethine also functions as an anti stress nutrient, due to the fact that it supports the health of your adrenal glands and protects the health of your hormonal system particularly when you are under stress.

Pantethione also protects your brain in several ways. It promotes the synthesis of Coenzyme A (CoA) which in turn is used in the production of the neurotransmitter acetylcholine, which is critical for healthy brain function, and a lack of this neurotransmitter can lead to Alzheimer’s Disease.

It’s positive effect on the synthesis of CoA improves the efficiency of your heart and in turn improves blood flow to the brain. Pantethine has also been shown to be beneficial for the immune system, detoxification, arthritis, and wound healing. It is used also to treat acne, and also for gout and CFS (chronic fatigue syndrome).

So the evidence is that pantethine…

  • Improves hdl cholesterol levels
  • Improves ldl cholesterol level
  • Protects the brain by boosting acetylcholine
  • Improves heart function and blood flow
  • Can be used to treat acne
  • Is helpful in Chronic Fatigue Syndrome
  • Improves detoxification
  • Strengthens the immune system
  • Combats arthritis
  • Can be used to treat gout

How is it taken (form and dosage)

Pantethine as a nutritional supplement is taken orally in capsule form. Clinical research protocols have used as little as 300mg per day with statistically significant result. Levels of 600mg to 900mg have been used in research and yielded very significant reductions in LDL levels for subjects with elevated cholesterol levels. In general though there is little information to use as a guide for precise dosage levels.

Remember that where dosages are concerned, more is not necessarily better. The best course of action would be to use this supplement under the guidance of a complementary physician who can do follow up blood work and determine the correct dosage based on that.

This supplement should work at a relatively low dose, even as low as 5mg to 50mg per day. Start with the lowest dosage and work upwards until you find what works for you.

There are home cholesterol tests that you could use to establish a baseline reference and follow up test would tell you if the pantethine was having an effect. You would have to be careful to account for all the variables in your diet and activity level, and even at that it would not be a “scientifically accurate” result, but enough for you to determine whether pantethine was actually promoting good cholesterol levels.

Side effects

Large amounts of this supplement could potentially block absorption of other b vitamins. It could also cause fatigue, numbness in your hands and feet, or headaches. It’s effect on peristalsis could cause more frequent bowel movements or diarrhea.

The toxicity of this supplement is extremely low, and it has been termed “well tolerated” which is medical jargon for having few side effects. It is not likely that toxicity would be a problem at the dosages that would have benefit.

Brands to look for

Brands I like are:  Jarrow Formulas, Life Extension, and Pure Encapsulations. You really can’t go wrong with these companies when it comes to the quality of the supplements they sell. To be sure there are other good brands, but these are the ones I know of to be top notch.

To Sum Up

This is a supplement that can be helpful in many conditions due to it’s vital role in cellular energy production. Think of it less as something “medicinal” and more as a substance your body needs to create energy that powers all of your biochemical reactions.

Pantethine can be a powerful addition to your nutritional arsenal when it comes to promoting good cholesterol levels, combating heart disease and protecting your brain function. This article should be a starting point for your investigation and use of this fascinating supplement!

The MTHFR gene is a hidden culprit in heart disease and explains much in the reasons why cholesterol numbers don’t tell you what your real risk for heart disease is. Understanding how this gene defect affects your good cholesterol levels and how to treat it is essential to protecting yourself from heart attacks.

MTHFR geneWhat is the MTHFR Gene?

This gene is responsible for operating what are called “methylation pathways” that involve your body’s ability to convert certain substances into their reduced or active form. If this gene is defective in your body, these vitally important methylation processes cannot be completed properly, and certain substances (vitamins and amino acids) can’t be absorbed by your body and you develop deficiencies.

Some of these substances are:

  • vitamin b-12
  • folic acid
  • cystiene

In the case of b-12 and folic acid, these substances are converted to their active forms of methylfolate and methylcobalamin. These active forms are what your body can actually use, and so if you can’t convert them properly, you end up with a deficiency.

Cystiene is converted to the toxic amino acid homocysteine and then to methionine. If your methylation pathways are not working properly due to the MTHFR gene defect, then you end up with an accumulation of homocystiene which is highly inflammatory and causes damage to your arteries.

How is Your Good Cholesterol Level Affected?

HDL-C also called the “good cholesterol,” can be effectively lowered by a certain type of MTHFR gene defect called: C677T polymorphism.  Since HDL is protective and lowers your risk of heart disease, this gene defect can raise your risk by lowering your good cholesterol level.

There are several variants of this gene defect, and they affect cardiovascular risk in different ways, but it’s important to be aware of their impact so that you can protect yourself. Remember that 50% of heart attacks occur in people who have what’s considered normal cholesterol levels.

The affect of the MTHFR gene is seen by many researchers as the missing piece of the puzzle in trying to determine why this is so. With this information you can go about protecting yourself by applying this new knowledge and lowering your risk not only for heart disease, but also for other chronic diseases that are caused by inflammation.

What Other Problems Can This Lead To?

A defect in the MTHFR gene can also result in increase risk for the following diseases:

  • Cancer
  • Stroke
  • Fibromyalgia
  • Polyneuropathy

How Do You Know if You Have it?

This is a very important question, because once you detect this, then you can guard against it’s effects. The most simple test you can do is to eat asparagus and note if your urine has a strong odor in the hours following your meal.

If this odor is present when you urinate, (you can’t miss it), then you can be sure that you do in fact have a defect (called a polymorphism) in the way your MTHFR gene operates. There are also lab tests that your doctor can do to detect this problem.
It may be necessary to have formal lab tests done so that this problem can be medically verified. It’s also important because your doctor has to order it for your insurance to cover it. The best and most responsible advice I can give you is to go through your doctor and get tested for this.

Fortunately there are ways to treat this problem, that will work and help to protect your health, but of course the first step is to determine whether you have it or not, and your doctor can order the tests to confirm it.

What Can I Do?

A defect in the MTHFR gene results in failure to operate certain methylation pathways and convert amino acids properly. However, forms of critical b-vitamins, vitamin B-12, and Folic acid, in their “active” forms, which means they do not have to be converted or methylated, CAN be absorbed by your body and help ensure these critical chemical reactions happen as they are supposed to.

Thus instead of taking folic acid, you would take “methyl-folate.” Instead of taking vitamin B-12 (cyanocobalamin) you would take “methylcobalamin.”

There are other substances that can help. They are called “methyl donors” because they donate or provide what’s called a “methyl group” to help the chemical reaction complete properly. There are foods that contain “methyl donors,” such as garlic, onions, avocadoes, ect.

There are also nutritional supplements such as trimethylglycine, and SAMe, as well as special formulations that contain combinations of these methyl donors to help provide what your body needs to do these conversions properly.

None of these substances are drugs, nor are they prohibitively expensive. However, most mainstream doctors do not know about them, nor about defects in the MTHFR gene, and so you may have to search for a physician that is up on the latest genetic research, that can help you safely manage this problem.

The website I recommend is:

http://mthfr.net/

which is a website run by Dr. Benjamin Lynch. There is a wealth of information on this website regarding methylation issues and the MTHFR gene. If you have this gene defect, I would highly recommend that you visit this website and educate yourself.

You can also click on this video:

to learn more about this topic, and start arming yourself with powerful information that will allow you to protect yourself against heart disease, cancer, strokes, Alzheimers, and other effects of methylation problems.

My reasons for delving into this topic is that it fills in the missing information that cholesterol numbers leave out. The effects of this gene defect on your good cholesterol level is probably one of the main reasons for the increased risk of heart disease.

Defects in the MTHFR gene are one of the most significant drivers of chronic disease, and by knowing if you carry this defect, you can takes very strong steps to protect your health and to live better and longer.

references:

Cardiovasc Diabetol. 2012 Oct 8;11:123. doi: 10.1186/1475-2840-11-123.
Several genetic polymorphisms interact with overweight/obesity to influence serum lipid levels.

J Atheroscler Thromb. 2009;16(6):815-20. Epub 2010 Jan 9.
Association of C677T polymorphism in MTHFR gene, high homocysteine and low HDL cholesterol plasma values in heterozygous familial hypercholesterolemia.

J Hum Genet. 2001;46(9):506-10.
An association of 5,10-methylenetetrahydrofolate reductase (MTHFR) gene polymorphism and common carotid atherosclerosis.

 

High cholesterol symptoms are not something you are going to notice. In fact they are almost non existent! The real relationship between cholesterol and heart disease kind of forced me to write this article backwards.

high cholesterol symptomsThe truth is that high cholesterol (let’s call anything beyond about 280 mg/dl high) is itself a symptom of other medical problems. You see, cholesterol is made by the body and used in all sorts of important biochemical reactions, some having to do with healing and the immune system.

Cholesterol also serves as an antioxidant as well, and your body will make more of it when you are faced with any kind of a health crisis or trauma, because it’s part of the protective and healing systems of the body.

So when cholesterol is elevated, it can be an indicator that something is wrong in the body, and that the body is attempting to heal or correct the problem.

Are there any real high cholesterol symptoms?

The answer is yes, although it’s not something that you would feel or notice on a day to day basis. It can show up during an eye examination. Your eye doctor may notice a buildup of cholesterol deposits in your eyes.

This CAN be an indicator of high cholesterol (kind of a “silent symptom”) that is itself, a symptom of other medical problems.

Arcus Senilis

There is a condition that affects the eyes called Arcus Senilis where a white or gray ring develops around the cornea of the eye.  It CAN be caused by elevated cholesterol, but not always. The rings come from cholesterol deposits but may be due to a metabolic disorder, rather than very high levels of cholesterol.

If you notice these rings, of course you should have your eyes checked, but again, this does not mean that you necessarily have a high cholesterol level. You eye doctor may recommend that you see another specialist and have the necessary tests done to determine if indeed your lipid profile (fat levels) are really elevated.

In people over 40, this condition is not all that uncommon, but really isn’t a reason for concern. In younger people it can be due to something called familial hyperlipidemia, which is a genetic condition where the person tends to have high levels of fats in their blood. In any case, if you have this condition, the best strategy is to have an eye exam and a full blood lipid screening.

The bottom line is that Arcus Senilis is a normal occurrence after 40 years of age. It’s nothing to get stressed about, but just follow up and get your blood lipids tested by your doctor. If you are a young person, it may indicate a problem with cholesterol metabolism and again should be checked out and dealt with accordingly.

High Cholesterol Symptoms That Are Silent

Again, try not to think of “high cholesterol” in and of itself as THE problem. For the most part, it’s an indicator that your body is trying to deal with another problem and the elevation in cholesterol is just it’s way of doing so. This is known in medicine as “acquired hyperlipidemia,” which means high blood fats due to some medical condition that is causing elevations in your cholesterol levels.

Your body may increase it’s cholesterol levels in response to health issues like:

  • Vitamin-D deficiency
  • Hypothyroid (sluggish thyroid function)
  • Cushings Disease (which causes chronically elevated cortisol levels)
  • Anorexia
  • Problems with your hormones and metabolism
  • Kidney disease
  • Alcoholism and alcohol toxicity
  • Diabetes and pre-diabetes

Obviously these are serious medical conditions and if you have any of these issues, your doctor should be monitoring your blood lipid profile (cholesterol and triglycerides) on a constant basis.

Drugs that Affect Cholesterol Levels

  • Estrogen and Corticosteroids (can raise HDL and Triglycerides)
  • Oral Anabolic steroids ( lower HDL)
  • Birth Control (can raise cholesterol)
  • Beta Blockers (can raise triglycerides and lower HDL)
  • Thiazide Diuretics (can raise cholesterol and triglycerides)
  • Retinoids (can increase LDL and triglycerides)

Of course if you are on any of these medications, you will have to discuss the side effects and risk to benefit ratio with your doctor. Don’t just go off medications without consulting your doctor, because this can have serious consequences.

If you are searching for an healthier or less risky alternative to drugs, that’s great, but you have to do that under the guidance of a physician who knows your medical history and can help you do so safely.

High cholesterol symptoms are a sign that there are important health issues that you and your doctor need to be dealing with. Since most people get routine lipid screenings your doctor should be aware of your lipid profile and it’s implications, but always do your own research and work with your doctor to identify problem areas and find the healthiest solutions you can for them.

Lowering triglycerides can significantly improve heart health! Your body is an totally integrated system. Knowing the cause of high triglycerides and learning how to reduce your levels will decease your risk of heart disease.

lowering triglyceridesWhile cholesterol is most often blamed for heart disease, recent scientific evidence does not support the theory that cholesterol causes cardiovascular disease. Fully half of all heart attacks occur in patients who have what are considered normal cholesterol levels. The evidence more strongly points toward triglycerides.

Triglycerides are a major factor in heart disease. An estimate two thirds of heart disease cases are at least partly a result of abnormal triglyceride levels.

There are two types of high triglycerides:

  • Familial (genetic) – usually over 400mg/dl this is not
    thought to be a cause of heart disease
  • Insulin resistant – usually 150-400mg/dl this is dangerous,
    associated with pre-diabetes and increased risk of heart disease

What are triglycerides and why are they important?

Triglycerides are lipids that are made from fats or carbohydrates you eat and are stored in the body. The higher their levels, the greater your risk for heart disease, which is why lowering triglycerides is so critical for your cardiovascular health.

Here is why elevated triglycerides are dangerous, and why lowering triglycerides is so important.

  • They are deposited in various organs including the heart
  • They can alter gene expression and increases heart disease
  • They can cause insulin resistance leading to diabetes
  • They can accumulate on artery walls causing plaque buildup
  • They thicken blood causing strokes and other circulatory
    problems
  • They contribute to abdominal obesity

What is a normal triglyceride level?

Before you go about lowering triglycerides, you need to check your levels to get a baseline so that you can tell how effective your efforts to lower them are!

The guidelines of the American Heart Association recommend that a normal triglyceride level is under 149 mg/dl.

However the Life Extension Foundation recommends an even lower level of 80-100 mg/dl measured in a fasting state.

The “fasting state” is when you have not eaten for at least 12 hours.

Unlike cholesterol, you really don’t have to worry about triglycerides going too low, so lowering triglycerides will have positive benefits for your health.  Doing the right things will bring the levels down naturally, to what is optimal for you.

Cause of high triglycerides

Just what causes these levels to become too high?

There are several factors:

  • Eating carbohydrates that raise your blood sugar rapidly
  • Problems with carbohydrate metabolism
  • Heavy drinking
  • Insulin resistance (poor insulin sensitivity)
  • A diet that consists of over 60% carbohydrate
  • Smoking
  • Lack of exercise – low physical activity
  • Obesity
  • Metabolic Syndrome
  • Kidney disease
  • Certain prescription medications (estrogen, birth control pills, tamoxifen, steroids, beta-blockers, and diuretics)

Lowering triglycerides

Lowering triglycerides really comes down to two things, restricting sugars, and getting regular exercise. Of course there is more to it than that, but those are the two most effective things.

Most people eat too many refined carbohydrates, and that is the cause of high triglycerides.

A “low glycemic diet” high in fiber will help in lowering triglycerides. This is because fiber slows down the entry of sugars into the bloodstream. Rapid entry of sugar into the bloodstream causes insulin to rise, and this promotes inflammation which in turn causes triglyceride levels to go up!

Nutritional supplements such as circumin, and green coffee extract, can also help by lowering inflammation, and helping the body manage blood sugar levels more efficiently.

Exercise also helps in lowering triglycerides  because it increases insulin sensitivity, maintains lean muscle, and mobilizes fatty acids to be burned for energy.

Below are some short simple steps for lowering triglycerides:

  • Limit your carbohydrates to mostly fresh vegetables – go easy on fruits
  • Eat what is known as a low glycemic diet
  • Avoid over consuming grains, and eating sweets
  • Eat lean proteins
  • Use nutritional supplements as you need them
  • Get some kind of brisk exercise each day

That’s pretty much it! Lowering triglycerides willboost heart health and improve the health of your entire cardiovascular system.  It’s probably the best things you can do to put yourself on a path to better health!

What are optimal cholesterol numbers? Doesn’t this contradict the latest theory that cholesterol does NOT cause heart disease. The truth is that it is a “factor” but not the “cause”!

cholesterol numbersHow do we establish what the optimal levels for LDL and HDL are? These are important questions because the idea that cholesterol specifically causes heart disease is so deeply ingrained in the average person (and most doctors as well).

This is a difficult question to answer definitively because the issue is just so complex. I can tell you what some of the guidelines are, and of course they vary from one source to another. There is a generally accepted “optimal range” for cholesterol numbers.

Here are the guidelines issued by the American Heart Association.

 

Desirable Borderline Risk High Risk
Total Cholesterol 200 or less 200-239 240 and over
HDL 60 or higher 40-59 40 or less (men)
HDL 60 or higher 50-59 50 or less (women)
LDL less than 100 130-159 160-189
Triglycerides less than 150 150-199 200-499

 

 

 

 

 

Keep in mind that these guidelines somewhat reflect the influence of the drug industry and their attempts to increase their market for cholesterol lowering drugs called “statins.”

The recommended cholesterol numbers keep being adjusted downward, in my opinion in order to get doctors to prescribe more statin drugs which of course boots revenues of the drug industry.

In addition, there are other tests which are called “inflammatory markers,” that have a direct bearing on your risk for developing heart disease, and these tests should also be used to more accurately determine what your overall risk of cardiovascular disease is.

Once you know your level of risk based on the latest tests and analysis of particle types, then you can target your lifestyle strategies (exercise, diet, and stress reduction) to protect your heart health. This should always be the end point of ANY testing…a program to address whatever risks the tests have identified.

What really DOES Causes Heart Disease?

Here’s a simplified explanation. Heart disease is caused by inflammation. That is what actually damages the lining of your arteries. As Dr. Stephen Sinatra likes to say “Cholesterol is found at the scene of the crime, but it’s not the perpetrator!”

When arteries are damaged, your body uses LDL to try and repair the damage, kind of like patching holes in a wall. Obviously the LDL did not cause the damage, but gets attached to the artery walls and accumulates eventually clogging the artery. This is called an “occlusion.”

When the LDL particles that stick to your arteries become oxidized and thus inflammatory, the process of arteriosclerosis begins. This is where the small highly inflammatory LDL particles called HP(a) come in.

So again, the cholesterol did not initiate the process of heart disease, but it IS an important factor in the progression of heart disease. With that out of the way, lets move on…

Focus on Particle Size and Type, Not Just Cholesterol Numbers

The real focus should be on the type and particle size NOT just the levels. According to Dr. Stephen Sinatra, an integrative cardiologist who is board certified by the American College of Cardiology, if your LDL particles are large and fluffy then you really don’t need to worry so much about your LDL levels.

However if the LDL’s are small dense highly inflammatory particles, then your risk is greatly elevated. There is a test that measures for these small inflammatory particles (HP(a)), called the Lipoprotein Particle Profile (LPP) test.

The LPP test measures the level of HP(a) which is a small dense LDL particle which is very toxic and inflammatory to the blood, potentially causing your blood to become “hyper-coagulated” which is another word for sticky and more likely to clot.

The takeaway message is that if you have this dangerous inflammatory LDL particle, then obviously the higher your total cholesterol numbers, the more of this dangerous particle you have, and the greater your risk. Simply stated, high levels matter when you have dangerous LDL particles in your blood.

So in closing, optimal cholesterol numbers are totally dependent on particle size and type. If your cholesterol particles are the small dense inflammatory type, then you need to make a greater effort to lower your levels.

If your LDL type is large and non-inflammatory, then your total levels are not something to be overly concerned about. You should take the time to consult with an integrative cardiologist to determine how best to manage your heart health.