Natural Blood Pressure Management – My Interview with Dr …

http://www.healthquestpodcast.com/ Sun, 26 Jul 2015 16:02:49 -0700

Lower_BP_in_8_weeks In this interview Dr. Stephen Sinatra discusses how to manage blood pressure naturally. As a metabolic cardiologist Dr. Sinatra is well qualified to discuss how you can use lifestyle and nutrition to naturally improve and …

Read more …

cholesterol-particlesHow did we arrive at the conclusion that LDL cholesterol is the villain in heart disease?

Well…once again we see the mistakes made by researchers that lead us to think of LDL as the culprit.

A little history…

It had to do with a machine used in the laboratory, called an analytical centrifuge that created evidence that ultimately mislead researchers and clouded the issue of cholesterol sub-particles.

Invented in 1949 and used until 2004, this device was used to spin blood plasma samples at 40,000 rpm to separate out the cholesterol fractions such as HDL and LDL.

However this spinning process cannot separate the particles with the precision required to identify all of the sub-fractions of cholesterol that are present in the blood. It may have been state of the art when it was first used, but still fell far short in the accuracy required to actually identify all the sub-fractions of cholesterol.

This started the characterization of cholesterol particles as either good or bad cholesterol, depending on the particle density. This was a gross oversimplification that stuck in the minds of the public.

For many years this simplified version of a person’s risk of heart disease based on their ratio of good and bad cholesterol stood as the cutting edge of cholesterol testing and heart disease prevention.

This was accompanied by the now debunked view that saturated fats caused heart disease because of their association with cholesterol. People avoided saturated fats out of a fear that was not founded in good science.

They also consumed statins, the most prescribed class of drugs on Earth due to the same fear of cholesterol and it’s supposed relationship to heart attacks.

Americans have consumed some 14 billion dollars in cholesterol lowering drugs, which some health experts have advocated be given to people of all ages including children allegedly to prevent heart disease.

John Abramson argues in his book Overdosed America that lowering LDL cholesterol has inadvertently become the main focus of preventative medical care in the United States.

Cutting edge thinking about LDL cholesterol

Yet a more recent breakthrough utilizing a new technology called ion mobility analysis has shaken the traditional concept of cholesterol’s role in heart disease to the core, and called the entire LDL cholesterol theory into question.

Ronald M. Krauss, of the Children’s Hospital Oakland Research Institute, is using ion mobility analysis to count cholesterol particles such as LDL and HDL down to the smallest sub particle types using principles of physics.

Even though it’s extremely expensive and not widely available, this technology has helped to rewrite the rules on how we think about cholesterol and heart disease.

Rather than continuing to believe that LDL cholesterol is the bad cholesterol here, we now know that there are four types of LDL particles that factor into the risk of heart disease.

Some LDL particles are benign and others more dangerous. Thus it makes no sense to continue to base diet and drug recommendations on an outdated theory when the science regarding cholesterol particle types is far more precise now.

We could be using drugs that target the wrong particles, and making dietary recommendations that are doing more harm than good at this point, all while dramatically escalating health care costs and actually making treatment less effective!

Low Density Lipoproteins

LDL comes in four sizes:

  • Large (big fluffy particles)
  • Medium
  • Small
  • Very Small

As the LDL particle size decreases the particles become more dense, (and more dangerous). This is because the large fluffy particles can’t lodge in your artery walls as plaque, while smaller dense LDLs CAN!

High fat diets tend to increase the large fluffy LDL particles, while low-fat high carbohydrate diets increase the smaller more dense particles.

From this you can see why the standard medical advice about how we should eat to avoid heart disease is seriously flawed! It was all based on an oversimplified and outmoded concept of the nature of cholesterol particles.

Typical cholesterol tests can’t differentiate between large and small LDL particles. There are also genetic, environmental, and lifestyle factors that affect LDL particle size.

Enter “Ion Mobility Analysis”

Using ion mobility analysis, Dr. Krauss and his colleagues determined that there are some 11 different particles. This was done using a sample of 4,600 healthy men and women volunteers.

Eight percent of the test subjects went on to develop heart disease, and using statistical algorithms the researchers developed a series of three very accurate predictors for who would go on to develop heart disease.

Here are the correlations that Dr. Kraus’s team found:

    1. High levels of small and medium LDL particles with low HDL (called atherogenic lipoprotein phenotype) Also known as pattern B
    2. Low HDL levels
    3. High total LDL cholesterol

So as it turns out LDL cholesterol and the risk of heart disease is a complex relationship that standard cholesterol tests are almost useless to predict.

The PLAC Test

There is one test however that can give you a better idea of what your risk is. You can read about it in my article called “The PLAC Test.” This is the latest test that really utilizes our new knowledge of LDL to make more accurate predictions about what your real risk for heart disease is.

Using this test you can make better choices about lifestyle and diet, because they are based upon a more complete understanding of the science of cholesterol particles.

The PLAC test is a cutting edge medical screening test that identifies arterial The PLAC Testplaque that is in danger of rupturing. This test, used in conjunction with other cholesterol screening tests can pinpoint your risk of a sudden heart attack with a much greater degree of certainty.

The test actually measures levels of an enzyme in your blood known as lipoprotein phospholipase A2. This enzyme is responsible for a process that can cause damage to your endothelial layer and set the stage for atherosclerotic plaques which can rupture and trigger a heart attack.

When your levels of Lp-PLA2 are elevated, it indicates that you have plaque that can rupture and create a blood clot that results in a heart attack or stroke.

The most current information we have tells us that using cholesterol levels to determine your risk of heart attack is not very accurate. However medical science has identified a process where LDLs (low density lipoproteins) and Lp-PLA2 particles undergo oxidation by free radicals.

These oxidized particles then attack the blood vessel wall causing damage and making the plaque deposits hard and brittle. This oxidized brittle plaque can then break off and cause life threatening problems such as a heart attack or stroke.

Lp-PLA2 is actually created in atherosclerotic plaques and thus can serve as a marker for inflammation in the artery wall. People who have heart disease show high levels of this marker (Lp-PLA2) which not only indicates they have plaque buildup, but also that the plaque is oxidized and can cause severe cardiovascular events.

Autopsies on patients who died suddenly of heart attacks showed ruptured plaques and high levels of Lp-PLA2 in their arteries.

This has also been see in patients who undergo surgery for carotid artery atherosclerosis. They show the same high levels of Lp-PLA2 that indicates a danger of rupturing plaque.

Those people who showed atherosclerosis of the carotid artery but did not show symptoms had much lower levels of Lp_PLA2. It’s clear from this evidence that this is a very significant and useful marker for predicting sudden cardiovascular events.

Studies done at the May Clinic also found that Lp-PLA2 was a specific indicator of dangerous plaques even in the absence of other risk factors. This indicates that it is inflammation and not merely cholesterol levels that create the risk of sudden heart attacks and stokes, so it is inflammation that we should address in our efforts to prevent heart disease.

Advantages of the PLAC test:

  • The test more accurately predicts the risk of sudden heart attack or stroke than other lipid screening tests.
  • The test directly measure lipoprotein phospholipase levels, a very accurate inflammation marker.
  • The PLAC test is the only medical screening approved by the FDA that indicates both heart attack and stroke risk in patients.
  • The test is relatively inexpensive and convenient.
  • The test can also be used to monitor a patients response to treatment and lifestyle changes.
  • The test is covered by Medicare and private insurance companies.
  • The test does not have to be taken in a fasting state.
  • The test can be used in patients that are currently using Pravachol, Benadryl, and Tylenol

Who should get the PLAC test and when?

Experts recommend a formula for determining who should get the test based on other risk factors and their estimate risk of sudden heart attack within a ten year period. This makes no sense to me at all. We have a test that can specifically identify people who are a high risk for a heart attack or stroke, before this actually happens and give them a chance to lower their risk.

I believe the PLAC test should be used as a standard cardiovascular screen test, because it targets the process that is actually dangerous, rather than cholesterol levels which don’t really give an accurate measure of your risk. Once the test has been done, all that’s left is to determine how to go about lowering the risk, by reducing the inflammation in your arteries.

As to who should have it done, it makes sense to me that anyone approaching middle age would be a candidate for it. Autopsies of US soldiers killed during the Korean War showed atherosclerotic plaques in the arteries of young men in their 20’s. Based on this it seems reasonable that the test could even be done on people in their early 20’s as a way of identifying people who may be at risk and giving them plenty of time to make the lifestyle changes needed to protect themselves.

People with metabolic syndrome which consists of the following:

  • obesity
  • abnormal blood lipid profile
  • elevated blood sugar
  • high blood pressure

are prime candidates for the PLAC test, as it is known that metabolic syndrome involves inflammation and thus raises the risk of heart disease.

The test can be done at followup intervals to verify the success of lifestyle changes and other interventions in terms of lowering the patient’s risk. While I claim no medical expertise, common sense suggests that this test be done early and the person then adapt their lifestyle, nutritional and exercise habits to mitigate this risk. That approach makes the most sense.

How to interpret the test results:

Even though the Lp-PLA2 test is much different than cholesterol screening tests, the levels are somewhat similar:

The 3 risk levels are:

Low:   under 200 ng/mL

Borderline:  200 to 235 ng/mL

High:  over 235 ng/mL.

Lp-PLA2 levels over 200 to 220 ng/mL indicate a very high risk of endothelial damage which in turn presents a very high risk of atherosclerosis.

Medical Interventions:

The PLAC test can be used to identify the magnitude of risk and also to determine how well the treatments used to combat it are working. This is why followup tests are important.

Statin drugs are said to provide a 20-30% reduction in Lp-PLA2 levels. The risk to benefit ration of statins is something you will have to discuss with your doctor.

Niacin used in combination with statins is reported to provide an additional 5 to 20% further reduction of the Lp-PLA2 enzyme.

Angiotensin-converting enzyme (ACE) inhibitors are also reported to lower Lp-PLA2 levels, and medical scientists have speculated that the effectiveness of all cardiovascular drugs may actually depend on their ability to successfully lower Lp-PLA2 levels

Niacin and omega 3 fatty acids (fish oil) also show an ability to reduce levels of Lp-PLA2.

Tumeric spice (also called circumin) has been found to reduce a form of phospholipase in animals, and thus may be of value to humans in reducing Lp-PLA2 levels, but the study results are not in on this yet. My guess is however that turmeric is most probably of value in human as well.

Conclusion:

Since heart disease is the nation’s number one killer, preventing it is vitally important to a long and health life. Medical screening tests such as blood pressure and cholesterol are not enough to accurately predict who is a risk for a heart attack or stroke.

The PLAC test is relatively inexpensive, non invasive, and very accurate in predicting who is at high risk for a sudden cardiac event like a heart attack or stroke. It really represents a cutting edge approach to identifying people at high risk and helping them make the changes that can save their lives.

By – Eve Pierce

Heart disease is a huge concern in the US at present. On average, 600,000 people per year die in this country as a result or to put it more starkly, 1 in 4 per annum; a quarter of the country’s annual deaths.

healthy-heartIt is America’s most significant killer and incidences of the condition are on the rise. But, for many, the facts of heart disease are shrouded in mystery. What exactly causes it? Is there any way it can it be avoided? Are the causes obvious, or are there causes that are lesser known?

And most importantly; what can be done in terms of lifestyle and dietary change, to ensure that the illness is avoided? For those seeking to promote longevity in their lives, it is vital to address these issues, in order to maintain a healthy heart and to live a long and fulfilling life.

What is Heart Disease?

Considering how often the phrase is used in society, it is often one of the most misunderstood medical terms. Heart disease does not simply refer to heart attack (though coronary disease still remains the most common; killing on average, 385,000 people per annum).

It can refer to a whole range of conditions affecting the heart, including heart rhythm problems and infections. Alarmingly, few Americans are aware of the symptoms; which is a contributing factor to the high rate of death among sufferers. Symptoms include:

  •     Shortness of breath.
  •     Pain in the upper body, particularly in the arms, neck, back or upper stomach.
  •     Cold sweats, dizziness or nausea.
  •     Chest pain.

It is a good idea to be aware of the symptoms, but a far better idea is to be aware of the preventative measures that can be taken to ensure that heart disease never occurs.

Causes of Heart Disease

As might be expected, major contributory factors are diet and lifestyle. A major cause of heart disease has been attributed to foods that are high in polyunsaturated oils and processed carbohydrates; foods which are still sadly all too prevalent in the US. In addition to this, food that is high in processed salt content, and trans fats are considered to be large contributors to heart disease.

Exercise (or lack of) is also a considerable factor, as is smoking. However, there are some lesser known and rarer causes; such as spasms of the arteries caused by certain drugs and medications, trauma to the chest and even other diseases, such as Kawasaki disease.

Recent research has also uncovered other interesting suggestions of lesser known causes, such as the link between cardiovascular disease and baldness in males. However, all experts agree that, with appropriate adjustments to lifestyle and eating habits, heart disease can be avoided by a significant proportion of the US population.

How to Avoid Heart Disease and Promote Longevity

When making lifestyle changes, sometimes it can be difficult to know where to start. When making plans to change your way of living to avoid heart disease, an excellent place to start is with diet. Avoid fried foods and anything that contains trans fats. Start cutting down on processed table salt, which can cause problems for those people with elevated blood pressure

Avoid adding unnecessary amounts of salt to your cooking and avoid eating heavily salted products, such as potato chips and fries. When considering introducing exercise into your life, aim for little and often, at the start, rather than less frequently but more intensively. When you become more fit, you can increase the intensity of your exercise as appropriate.

Experts recommend taking a brisk walk for ten minutes, three times a day; at least five days of the week. Sometimes, introducing this can be as simple as opting to walk to the local store rather than drive there; or choosing to walk the dog three times a day, rather than once. If you are a smoker, try quitting (smokefree.gov has great tips to get you started) and it is also advised to cut down on alcoholic intake.

Healthy Heart; Happy Head

Focus on developing a positive attitude when changing your lifestyle for the better. For those who are used to viewing exercise as unpleasant and fast food and candy as a ‘treat’, having the willpower to make the changes can be tough. Rather than focusing on what you’re missing, think forwards and visualize where you want to be in the future; fit, healthy and heart disease free.

A home cholesterol test is one way that you can begin taking more responsibility for your health, and understanding just how your diet and lifestyle affect your cholesterol values. A cholesterol blood test will determine if you have normal cholesterol levels, and if not, the cholesterol test results can be read and further interpreted by your doctor.

Testing in a home environment is just not as accurate as the tests performed in your doctor’s office. Home test kits are just not engineered to replace a full diagnostic lab, but they don’t have to. These tests are meant to help you keep track of your cholesterol values, and make adjustments to your diet and lifestyle when you need to.

Caution: Never substitute a home cholesterol test, or home testing (of any kind) for proper diagnosis and treatment from your doctor. Your physician can measure cholesterol levels much more precisely using lab tests that you can with a home test, so the lab work your doctor orders on your blood samples is the most accurate and best way to establish what your levels really are.

Home tests help you keep track of markers like cholesterol or blood sugar, but they are not meant to be substitutes for a proper medical test or diagnosis!

You need to be tested by your doctor to establish what is called a “baseline,” and once you know what this is, then home testing can tell you whether your levels are going up or down. These measurements are “relative” and their real value is helping you to track how your cholesterol levels are responding to diet and exercise.

Although the home cholesterol test is fairly accurate, it should be calibrated with the cholesterol blood test that you have in your doctor’s office. Take your home test kit with you and test yourself at the same time your doctor draws your blood for the full laboratory test.

That way you can see how the results of the two tests differ, and will be able to get an idea of just how far off the cholesterol test results are between the cholesterol blood test you get in the doctor’s office and the home cholesterol test.

When you buy online, read reviews carefully, do a little research into the product you are buying. Some of these cholesterol testing systems are expensive (over $100.00) dollars, require you to buy a testing unit, and additional test strips for it. This can run well over $100.00 for both.

Obviously you would not use a home cholesterol test as often as you would use a glucose monitor for instance. You are merely trying to track your normal cholesterol levels, and see how they respond to changes you make in your diet and lifestyle.

Here are some brands:

  •     CholesTrak, Home Access Instant Cholesterol Test
  •     Cardio Check (gives you both HDL and LDL level)
  •     Lifestream Personal Cholesterol Monitor (give you both HDL and LDL)

“Cardio Check” seemed to have by far the highest customer satisfaction ratings online.

A home cholesterol test should can run between $10.00 and $150.00 depending on how comprehensive the test is. Some tests only give you total cholesterol, which is not a very useful indicator. It may tell you how your total cholesterol levels is responding to diet or exercise, but it does not indicate real risk factors.

For that you need to know your HDL level, and a test that gives you both LDL and HDL levels will give you the information to assess risk factors more clearly. When you know both your LDL and HDL levels, you can calculate total cholesterol, as well as HDL/LDL ratio which is the best cholesterol values which indicate your heart disease risk.

The home cholesterol test to look for is one that at least gives you both HDL and LDL levels. These should run you about $30-$50 and are available online. Again you will have to check it for accuracy against the cholesterol blood test from your doctor, but if it gives you a somewhat reliable indicator of your cholesterol values, then it’s doing it’s job.

C-Reactive Protein  or CRP,  is what is called an inflammatory marker. It measures levels of a particular protein that indicate increased inflammation in your body. Along with homocysteine, it completes the picture of heart disease risk that begins with your cholesterol profile.

c-reactie proteinWhile optimizing your cholesterol profile is important, medical researchers noticed that half of all heart attack victims had normal cholesterol levels.

They realized that there were risk factors other than just cholesterol. This is where the c-reactive protein test comes in.

The test is a measure of inflammation and infection in your body, both of which are significant risk factors for heart disease that are largely ignored by mainstream medicine. Inflammatory markers like CRP are necessary in order to get an accurate idea of what your heart disease risk really is!

The test is part of that missing piece of the puzzle that explains heart disease risk, beyond just your cholesterol numbers. If your levels are high, then lowering them will definitely lessen your risk of heart disease. When you attempt to lower cholesterol naturally, you will have to pay attention to
CRP as well. The good news is that the same strategies will work for both!

What elevates CRP?

Your levels of c-reactive protein are elevated by increased inflammation in your body. Many things can cause this, so it is important to have the test done when you are feeling well and not suffering from illness or unusual stress, so that you can get an accurate reading of your levels, without
having the level elevated due to some injury, illness, or trauma.

For instance oral bacteria from dental cavities can elevate CRP levels, because those bacteria also cause inflammation. This is why dental health is correlated with heart disease risk. Bacterial infections of any kind will raise inflammation as your immune system attempts to fight off the bacteria.

What are healthy levels of c-reactive protein?

The CRP test measures results in milligrams per liter of blood.

The following guidelines for are recommended by the
American Heart Association (AHA) to determine heart disease risk:

  •     Low risk: CRP is 1 milligram/per liter or less
  •     Moderate risk: CRP is 1 to 3 milligrams/ per liter
  •     High risk: CRP is greater than 3 milligrams/ per liter

Lowering Inflammation

How do you lower inflammation and get the levels on the c-reactive protein test into the healthy range?  Since all these heart disease risk factors respond to the same lifestyle changes, you can address them all by doing a few simple things.

  •     Eating an “anti-inflammatory diet”
  •     Practice good oral hygiene
  •     Getting regular exercise
  •     Grounding
  •     Stress reduction
  •     Proper nutritional supplements

The Bottom Line

All of the various risk factors for heart disease may seem bewildering and overly technical. That is how medical science functions. Every factor must be measured and accounted for. The good part is that when you lower cholesterol naturally, you will be addressing these other factors as well.

However as I mentioned before, all of these factors are related, and they are just various manifestations of inflammation. Lowering inflammation will bring CRP and these other heart disease indicators to a better level. So that should be your goal, to use diet, exercise and nutritional supplementation in lowering inflammation.

C-reactive protein, homocysteine, and cholesterol profile are all necessary tests to precisely and accurately determine what your risk for heart disease really is. Work to lower your inflammatory markers, and you will be much healthier for it!

Cholesterol lowering exercise has three basic functions, to lower triglycerides and LDL, lower blood sugar, and to raise HDL cholesterol. Any form of exercise that does those three things will help.

kettlebell exerciseExercise and cholesterol are inversely related. This simply means that the more exercise you do, the more you can reduce your cholesterol levels, provided you are exercising correctly.

Most of the studies on exercise and cholesterol were done on aerobic exercise like  running or jogging. These activities are reported to lower LDL between 5-10%, and raise HDL cholesterol from 3-6%. These are estimates in a range of results, so your individual results may be more or less than this.

The important thing is that any activity is beneficial, and you have to modify the type of cholesterol lowering exercise to suit your individual circumstances. For instance, if you have injuries or orthopedic problems, you might want to do some kind of exercise in a pool that is non impact like swimming, or other water exercise. Even walking is preferable to being idle.

With that said, lets look at what types of cholesterol lowering exercise is best  and what makes these forms of exercise so effective.

Aerobic Exercise

This form of exercise utilizes oxygen as you go and will raise HDL cholesterol. It is the most studied form of exercise to help prevent heart disease. However I would caution that aerobics can be overdone, and have negative effects on your hormonal system if you do them too long at a slow steady pace because it raises cortisol which is a stress hormone that is bad for the heart.

Interval Training

Interval training is a great compromise as it can increase heart and lung function, but will not negatively effect your hormonal system. Interval training utilizes short intense bursts of exercise followed by a slowdown or rest period.

Heavyhands and kettlebell training are two examples of exercise that use interval training rather than steady state cardiovascular exercise. Intervals are not specific to the exercise device or equipment, rather it is exercise pace and timing that makes interval training so effective.

A good example of this is the PACE program of Dr. Al Sears M.D. This program utilizes a form of interval training to raise peak fitness and prepare the heart and lungs for occasional bursts of intense activity.

It is the stress of sudden intense activity in an unconditioned person that is most likely to trigger a heart attack, so getting the body used to handling this stress can protect against it.

Kettlebells

Kettlebell training is my favorite form of cholesterol lowering exercise,  because it combines strength training with cardiovascular exercise at the same time. It will help maintain muscle mass, which will lower triglycerides by keeping blood sugar low.

As I mentioned previously, you can do interval training  very effectively with kettlebells but you have to be cautious and make sure you use proper technique as these exercise implements can be tricky to handle.  I strongly suggest you either get professional instruction, or purchase a good book or DVD that teaches how to do these exercises properly.

Kettlebell training can help raise HDL cholesterol because of the cardiovascular aspects of this exercise. Since you cannot adjust the weight of a kettlebell, you will need to come up with creative ways to make the exercises more intense and physically demanding. This form of training seems to be very effective for burning stored bodyfat , which is important when exercising for heart health.

The Bottom Line

Cholesterol lowering exercise can range from light simple exercise like walking to intense exercise like intervals or kettlebell training. The most important thing is that it fits your physical limitations, lifestyle, and individual needs.

Start easy and keep it simple, but get moving and make regular exercise a part of your life. You will look and feel better, and will lower cholesterol naturally.

What are normal triglyceride levels and how do they relate to your cholesterol levels? What are the causes of high triglycerides, and how does lowering triglycerides help your cholesterol profile?  These are important questions, and the answers will put you on a path to better cardiovascular health.

What are triglycerides?

Most fats in your body are in the form of triglycerides. They are fat molecules that are created from the fats you eat and also from sugar you eat that is converted to fat and stored in your body. Their levels correspond directly with the risk of heart disease, and thus you can lower your risk by lowering triglycerides.

Although you can have your levels triglyceride levels tested separately, they are typically tested when you get your cholesterol levels profile checked. This is standard when having blood tests done in conjunction with say an annual physical.

What are Considered Normal Levels?

Normal levels of triglycerides are defined as:

Below 150 mg/dl, (Milligrams per Deciliter )

but some experts feel that optimal levels are closer to 50mg/dl, or below, because above 60mg/dl abnormal particles begin to appear in the blood.

This elevates heart disease risk as these particles help form the plaque that narrows arteries and causes heart attacks. Thus normal triglyceride levels are actually closer to the 60mg/dl mark.  The standard of of below 60mg/dl, will lower cholesterol naturally and drastically reduce your risk of heart disease.

Elevated Triglycerides Are Bad

These fatty molecules collect in your organs (and your arteries) and damage them. They have a negative effect on gene expression and promote heart disease. They also increase the tendency of your blood to clot, which increases your risk of strokes. This is even more of a problem in people with diabetes.

Belly fat is mostly made up of triglyceries, and fat in this area of your body is associated with sharply increased risk of heart disease.  Abdominal fat is big risk factor for heart disease, strokes, senile dementia, and other diseases that involve chronic inflammation.

They can also build up in artery walls and are involved in the development of athleroschlerosis. Thuys they are considered one of the primary causes of both elevated cholesterol levels, and the process of plaque development in your arteries.

Causes of High Triglyceries

The typical causes are:

  • Excess sugar  (in the form of starchy carbohydrates, alcohol, candy, pastries, ect.)
  • Diabetes
  • Obesity
  • Metabolic syndrome
  • Lack of exercise or physical activity

All of the above issues are related and making inprovements in one area will help with the others as well. For example, exercise will lower blood sugar which in turn will lower triglycerides. Metabolic syndrome is really a collection of symptoms related to obesity.

The remdy for these issues is a healtheir lifestyle which is outlined in the steps below.

Lowering  Triglycerides

Lowering triglycerides is just as important as optimizing cholesterol.  Several strategies are effective for reaching normal triglyceride levels, and they mirror the things you would do for optimizing cholesterol as well.

They are:

Lowering your sugar intake, including processed carbs and alcohol

  • Exercise – 3 times per week for at least 15 minutes per session
  •  Niacin (vitamin B3) at dosages of 250-500 mg with food
  • Fish oil 4000 mg/day of concentrated fish oil
  •  Eat high fiber foods such as oat bran and raw nuts

Fish oil alone can result in a reduction of triglycerides of 50%, and combined with a low sugar diet and regular exercise it is possible to reach normal triglyceride levels naturally, without using any medications.

There is also new evidence that a class of compounds called tocotrienols can help safely lower both low density lipoproteins and triglycerides. Using natural nutritional and lifestyle approaches should always be your goal, because medications carry dangerous and unwanted side effects which can cause serious health problems and even make some conditions worse!

It’s pretty safe to say that achieving normal triglyceride levels is one of THE most powerfully effective strategies for optimizing your cholesterol profile and protecting yourself from cardiovascular disease!

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.