The Good and Bad of Cholesterol in Fish

Low Density Lipoprotein - The Good and Bad of Cholesterol in Fish.
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When speaking about fish oil cholesterol levels, it is prominent to begin with clarifying the divergence between "good" and "bad" cholesterol. Without this clarification, terms can get confusing.

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How is The Good and Bad of Cholesterol in Fish

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Low-density lipoprotein (Ldl)="bad" cholesterol

High-density lipoprotein (Hdl)="good" cholesterol

Along with triglycerides, which are a form of fat made in the body, and Lp(a) cholesterol, a genetic divergence of Ldl (bad) cholesterol, these tow lipids make up your total cholesterol count.

Whereas Ldl's build up in the inner walls of the arteries, high levels of Hdl seem to safe against heart attacks, because doctors believe they carry cholesterol to the liver, where it is passed from the body. new studies have recommend that "good" cholesterol also prevents memory loss. Quarterly exercise, eliminating trans-fats, attractive monounsaturated fats all help raise Hdl and lower Ldl cholesterol. 

Now where does fish oil cholesterol come into play?

In epidemiological and clinical trials Omega-3 fatty acids, Dha and Epa, in the form of fish or fish oil supplements lower triglycerides. However, for patients needing to lower triglycerides it is recommended that they take 2 to 4 grams of Epa+Dha per day. However, taking more than 3 grams daily of omega-3 fatty acids should be done only under a physician's care since high intakes can cause immoderate bleeding in some people. Fish oils don't directly sway Ldl cholesterol.

Recent studies propose that coupled with lifestyle changes including improved diet and practice habits, supplements of fish oil and red yeast rice, can sacrifice cholesterol as much as statins, or approved cholesterol-lowering medications. Increased bodily practice also is correlated to weight loss, improved mental and heart health. The clear advantage of former medicine is that there are governing bodies who regulate it, whereas supplements like red yeast and fish oil are largely unregulated. Though with the increased request of omega-3 fatty acids, organizations like The Council for Responsible nourishment (Crn) has an Omega-3 Monograph, which is considered even more stringent than the standards set by Epa. It verifies that supplements are free of containment.

Fish oil cholesterol alternatives are attractive to patients concerned in more homeopathic treatments, but as always, patients should first consult a physician before self-medicating. Any way scientific studies citing the benefits of natural and homeopathic options are encouraging. 

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Vitamin B Complex, A Useful Hand in Decreasing the Sugar Level in Blood

Ldl Goals For Diabetics - Vitamin B Complex, A Useful Hand in Decreasing the Sugar Level in Blood.
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For those who suffer of diabetes, besides following an active lifestyle and an accurate diet, doctors recommend certain vitamins and minerals that can lower the sugar level in blood, therefore controlling the diabetes.

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How is Vitamin B Complex, A Useful Hand in Decreasing the Sugar Level in Blood

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The vitamins from the B complex are useful in the treatment of diabetes because they reduce the cholesterol and blood fat and they should be administered at all times. A person who has diabetes generally loses a large quantity of vitamins of the B complex when going to the bathroom to urinate. Therefore it is recommended to take at least 16000 units of vitamin B complex daily.

Vitamin B1, also known as Thiamine has a special value in managing diabetes. The lack of vitamin B1, leads to the installation of neuritis, but this consequence can be relieved after administrating large amounts of vitamin B1. Also, vitamin B1 has an important role in preventing brain damages during diabetic acidosis.

Scientists have proved that when the need of insulin rises, also the need of vitamin B1, B5 (pantothenic acid) and B8 (biotin) rises.

Diabetics must have a proper diet, so that they can satisfy the body's need of vitamin B complex.

We can find vitamin B1 in natural vegetables like: wheat germ, brewer's yeast, pulses, the outer layers of rice, wheat and other whole grain cereals, legumes, nuts, peas, lime, dark green leafy vegetables, banana and apple.

By eating wheat germ, whole grain bread, green vegetables and peanuts we enlarge our deposits of vitamin B5.

Vitamin B8 is naturally found in: rice bran, rice germ, rice polishing, peanut butter and brewer's yeast.

Having a lack of vitamin B6 is very dangerous because of the essential amino acid tryptophan which is transformed into xanthurenic acid, which affects the pancreatic tissue.

A test showed that administering 50 mg of vitamin B6 daily to diabetics, the urine level of xanthurenic acid decreased. After a while, administering 10 to 20 mg of vitamin B6 daily it has been observed that the xanthurenic acid was no longer formed in the body.

Vitamin B6 is found in: brewer's yeast, legumes, milk, green leafy vegetables, cereals and carrot.

Therefore, a proper diet, can supply the needed quantity of vitamin B complex, absolving us from the troubles that can occur during diabetes.

For more information about diabetes diet, treatment and causes visit http://www.diabetesmellitus-information.com

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Guggulsterone Benefits

Ldl Goal - Guggulsterone Benefits.
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Native to India, guggulsterone can be found in the sap of the guggul tree. Like other herbal remedies, the resin from this tree has been used for thousands of years to treat many ailments. Generally used to treat joint pain and sore throats, many uses have been found for this element.

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How is Guggulsterone Benefits

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Recently, however, newer and more sufficient uses for the resin have been determined. Western medicine has found that guggulsterone is sufficient in lowering cholesterol. Studies show that guggulsterone is able to bind to the Ldl cholesterol in the blood stream and remove it from the body.

Research conducted showed that diets supplemented with guggulsterone were able to lower levels of cholesterol in the blood when monitored over a three month period. Those who were monitored also showed an growth in good cholesterol, or Hdl. Additionally, studies show that guggulsterones may be able to forestall blood clots as well as safe the heart. Guggulsterone can affect the thyroid gland, so those with thyroid problems should be aware and closely monitored by a physician.

There are no reported side-effects of guggulsterones other than rare cases of thyroid issues and digestive law annoyances. Guggulsterone can be found in diet pills, as well as other dietary supplements such as protein shakes to name a few.

Some other data on guggulsterone is that it is most potent in the fall, and should be harvested at that time for maximum potency. To eliminate the harmful toxins that are linked with guggulsterone, it is diluted in cow milk. The good parts are then separated from the bad. It regularly takes 3-4 weeks for the full effects to come to be effective.

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10 Foods That Are High In Protein And Low In Calories

Ldl Goals 70 - 10 Foods That Are High In Protein And Low In Calories.
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If you're trying to lose weight then protein is an important part of your weight loss plan. It makes the hunger pangs go away plus supplies vital nutrients to your muscles and organs. Too much of it can be harmful but in your are on a diet - especially a calorie restriction diet - then you run the risk of taking in too little.

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What is the right amount of protein? Here's what Dr. Steven Pratt says in his book SuperFoods RX: "In 2002, the National Academy of Sciences published a new Dietary Reference Intake on everything from fiber to fatty acids...What does [it] translate to in everyday terms? Well, adult women need at least 46 grams of protein; adult men, 56 grams (very active and elderly people may well need more). It's very easy to achieve this protein recommendation. A woman can reach her daily goal with 3 ounces of tuna (20 grams of protein) plus 3 ounces of turkey breast (26 grams of protein)...A few dangers in an exceptionally high protein intake: the more protein you take in, the more calcium you excrete in your urine, raising your risk for osteoporosis."

Here is a list of 10 foods that are low in calories but have a good amount of protein:

Hard-boiled egg whites have 16 calories each and 3 grams of protein each.

Egg beaters have 60 calories per serving and 12 grams of protein

Hormel canned chicken breast in little cans has 50 calories per serving and 11 grams of protein

Albacore tuna in foil packet (expensive) has 90 calories per serving and 19 grams of protein

Fat free cheese slices (also a bit expensive, but worth it) have 30 calories per slice (3 slices almost 100 cals) and 5 grams of protein per slice (would be 15 grams of protein if 3 slices eaten)

(This one is weird, I know) A jar of baby meat sticks has just 70 to 100 calories, and there are 9 meat sticks in the jar! There are 8 grams of protein per jar.

Skim milk has 90 calories in a whole cup and 8 grams of protein (Hot or cold, mixed with sugar free Hershey's syrup-yum!)

Swiss Miss diet hot chocolate mix - only 25 calories in a whole packet! - 2 grams of protein (make it with skim milk and it's even more protein and SO good!)

Cottage cheese in half cup servings is 100 calories for 4 percent (lower fat versions have less calories) and a bit less than 12 grams of protein

Kidney beans or garbanza beans or similar - 100 calories per serving (about a third of a can) and 8 grams of protein. Beans are very healthy but need something zippy. They're great hot with raw onion on top and vinegar or ketchup.

Refried beans have 100 calories per 1/2 cup serving and 8 grams of protein.

As you can see, there are a number of low cost options for high protein mini meals that don't break the calorie budget. Incorporating small amounts of protein into your diet all throughout the day is a guaranteed way to cut down on hunger and lose weight quicker.

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Cholesterolosis of the Gall Bladder - A Common Gall Bladder Disorder

Ldl Goals For Diabetics - Cholesterolosis of the Gall Bladder - A Common Gall Bladder Disorder.
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Cholesterolosis is a common affection of the biliary system, characterized by the accumulation and deposition of cholesterol inside the gall bladder and in its mucosal membranes. Cholesterolosis usually occurs due to chemical imbalances at the level of the biliary system and the disorder is rarely associated with high serum cholesterol levels, diabetes mellitus or atherosclerosis. Cholesterolosis generally occurs on the premises of inappropriate activity of the gall bladder and changes in the composition of bile, facilitating the deposition of cholesterol inside the gall bladder and biliary ducts. In the absence of an appropriate treatment, cholesterolosis can lead to serious complications, including gall bladder cancer.

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How is Cholesterolosis of the Gall Bladder - A Common Gall Bladder Disorder

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Although this type of gall bladder disorder can occur in both sexes, cholesterolosis commonly affects women. Also, cholesterolosis has the highest incidence in people with ages over 50. Most patients with cholesterolosis are asymptomatic, rarely experiencing symptoms such as diffuse abdominal pain or discomfort. While the disorder is treatable in its early stages, advanced forms of cholesterolosis require surgical intervention. Medical reports indicate that cholesterolosis is responsible for more than 50 percent of cholecystectomies (surgical procedure that involves removal of the diseased gall bladder).

Cholesterolosis can affect the gall bladder locally or generally. General forms of cholesterolosis appear as inflammation of the gall bladder mucosa, corroborated with yellow staining of the gall bladder tissues and membranes (due to deposition of fat). Localized forms of cholesterolosis are characterized by the formation of small polyps, soft prominences that emerge from the gall bladder interior walls. The size of these polyps varies from 1 to 10 mm.

Cholesterolosis can be only be revealed by modern scanning techniques such as ultrasound imaging. Ultrasound tests can quickly unveil the presence of polyps and lipidic masses associated with cholesterolosis. Polyps appear as immobile prominences attached to gall bladder mucosal walls. The presence of these prominences rarely involves hardening or thickening of the gall bladder interior membranes. Patients who present smaller polyps usually receive medication treatments for overcoming the disorder. However, the presence of larger polyps often involves cholecystectomy. Patients confronted with such gall bladder problems may also receive biopsies before surgery. Although gall bladder polyps are usually benign, cholesterolosis can also lead to malignant activity at the level of the biliary system.

Similar to cholesterolosis, adenomyomatosis is a disorder that can also lead to malignant cellular activity at the level of the gall bladder. Unlike most forms of cholesterolosis, adenomyomatosis is characterized by thickening of the gall bladder mucosal walls. In order to distinguish between the two disorders, doctors commonly inspect the integrity and the general aspect of the gall bladder walls before deciding upon the final diagnosis. Speed is vital in diagnosing and treating gall bladder disorders such as cholesterolosis and adenomyomatosis, as both these affections can lead to malignancies. Prompt medical intervention can easily make the difference between complete recovery and partial recovery that exposes patients to a high risk of malignant disease.

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To Lower Cholesterol and Lose Weight, Go Macadamia Nuts

Cholesterol Guidelines - To Lower Cholesterol and Lose Weight, Go Macadamia Nuts.
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No food is a good source of monounsaturated fatty acids (Mufas) than macadamia nuts. Every 100 g of macadamias contains 60 g of Mufas. These useful fats are known to sell out Ldl cholesterol levels without reducing Hdl cholesterol levels, and to sell out the body's need for antioxidants. Macadamias also comprise a limited more than 0.1 percent plant sterols, the compounds added to "smart" margarines used to lower cholesterol.

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How is To Lower Cholesterol and Lose Weight, Go Macadamia Nuts

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For these reasons, eating macadamias lowers total cholesterol and Ldl and raises Hdl, even though they are a high-fat food. Australian researchers Manohar Garg, Robert Blake, and Ron Wills recruited seventeen middle-aged men with total cholesterol levels of 237 to 300 mg/dl. They instructed them to utter their diet and lifestyle but also to eat 40 to 90 g (1-1/2 to about 3 oz) of macadamias every day, the men who commonly consumed the most fat given the most nuts. At the end of four weeks, the men's average total cholesterol had been lowered by 3.0 percent. Ldl cholesterol was down 5.3 percent, and Hdl cholesterol was up 7.9 percent.

Eating macadamias also slightly lowered concentrations of n-6 fatty acids (which the body uses to make hormones that raise blood pressure) and slightly raised concentrations of n-3 fatty acids (which the body uses to make hormones that lower blood pressure). Triglycerides and homocysteine were unaffected. Despite expanding their total daily food consumption by about 160 fat and expanding the ration of fat in their diet from 31 percent to 37 percent, the men lost weight, an average of 0.54 kg (a limited more than a pound), and their body mass indices (Bmis) also were reduced.

The Australian researchers explained these results by the unusual composition of useful nutrients in the nuts. Cholesterol-lowering margarines are made with 1000 times more sterols than occur naturally in macadamias, but the composition of Mufas, sterols, and other fats in the nuts makes them as useful as synthetic margarine-with the added advantage of lowering weight.

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Foods to Eat to Lower Your Cholesterol

Cholesterol Guidelines - Foods to Eat to Lower Your Cholesterol.
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Lowering your cholesterol can be difficult because you do not always know what you should and should not eat. You may think you're eating the right thing, but it may include secret cholesterol in the form of palm or coconut oils. However, there are foods that you can eat that will lower your cholesterol.

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Are you one of the population that cringe whenever man suggests that they eat tofu? The goods news is that tofu recipes have significantly improved since the 1970's. Soy is one of the foods that have man condition benefits, along with the ability to lower cholesterol. You do not need to just eat tofu. perfect sources of soy include textured vegetable proteins, soy milk, and soy cheese.

Garlic is other food that can help lower elevated cholesterol levels. If you love Italian food, this is very easy for you. Fresh garlic can be added to approximately all types of cuisine. It is especially easy to add to soups, stews, and vegetables. If you do not like that taste of garlic, you can take a garlic supplement. These supplements are widely ready in pharmacies and grocery stores.

Many meats are very high in saturated fats. For that reason, many doctors and nutritionists are recommending that their patients eat more vegetarian meals per week. This is becoming a very beloved trend. As a result, there are more and more appetizing vegetarian recipes available. Be aware, however, that you should avoid meals that include fried vegetables along with tempura and the primary preparing for eggplant parmesan.

We've all seen those commercials that encourage population to eat oatmeal because it lowers cholesterol. This is true. expanding the whole of soluble fiber in your diet will significantly lower your cholesterol levels. Good sources of soluble fiber include oats, barley, flaxseed, sweet potatoes, apples, and carrots. If you do not care for these foods, you can also add fiber powder to your daily coffee or tea. This is a "painless" way to add more soluble fiber to your diet.

Drinking apple juice every day can also help to lower elevated cholesterol levels. Apple juice contains a high level of phenols. These phenols prevent the oxidation of Ldl, meaning that the Ldl will not be able to attach to the blood vessels. Instead, they will pass through the excretory system.

Changing you diet can be difficult, but the added benefits to your condition will be well worth any reduce you make. You can even ask your doctor to refer you to a nutritionist in order to integrate more healthy changes to your diet.

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continuing Kidney Disease (Chronic Renal Failure/End Stage Renal Disease) And Its Dietary management

Low Density Lipoprotein - continuing Kidney Disease (Chronic Renal Failure/End Stage Renal Disease) And Its Dietary management.
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End stage renal disease (Esrd) occurs when persisting kidney disease worsens to the point at which kidney function is less than 10% of normal. The kidneys fail to function at a level needed for day-to-day life. Kidneys main function is to remove wastes and excess of water from the body, which gets accumulated in renal failure leading to toxicity. The treatment includes kidney transplant or dialysis with dietary management.

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How is continuing Kidney Disease (Chronic Renal Failure/End Stage Renal Disease) And Its Dietary management

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Esrd always follows a persisting kidney disease; the most coarse cause is diabetes and high blood pressure. Other causes are -

1. Diseases affecting arteries reaching or leaving the kidneys.
2. Congenital abnormalities of kidneys
3. Polycystic kidney disease
4. Too much abuse of pain medications or other drugs
5. Toxic chemicals
6. Autoimmune disorders like systemic lupus erythematosus (Sle), scleroderma
7. Injury
8. Glomerulonephritis
9. Kidney stones and secondary infections
10. Reflux nephropathy
11. Various other kidney diseases

Symptoms include -

1. Normal ill feeling and fatigue
2. Pruritis (itching) and dry skin
3. Weight loss without effort
4. Headache
5. Loss of appetite
6. Nausea and vomiting
7. Swelling
8. Bone pains
9. Bad breath
10. Abnormally dark skin
11. Changes in nails
12. Bleeding as a matter of fact - bruises, nosebleed, blood in stool
13. Impotence
14. Restless leg syndrome
15. Sleeplessness
16. Inordinate thirst
17. Frequent hiccups
18. Amenorrhea
19. Drowsy and confused state
20. Cannot combine or think clearly
21. Numbness in separate parts of the body
22. Cramps or twitching of muscles.
23. Abnormal health and lung sounds
24. Diminished or no urine production

Esrd leads to buildup of waste products and fluid in the body, which affects most body systems and functions, including, blood pressure control, red blood cell production, electrolyte balance, vitamin D and calcium levels and thus bone health. Hence the patient on dialysis needs to endure Various tests often to conduct the health -

1. Sodium
2. Potassium
3. Phosphorus
4. Calcium
5. Magnesium
6. Albumin
7. Cholesterol
8. Electrolyte
9. Complete blood count (Cbc)
10. Erythropoietin
11. Parathyroid hormone (Pth)
12. Bone density test

Treatment and management -

Management and treatment of Esrd includes kidney transplant or dialysis and dietary management, it is requisite for the patient to know and understand all things about the treatment especially about dialysis and its types.

Why dialysis - dialysis helps to remove and allege waste products, fluid and the electrolyte equilibrium in the body. A extra diet is leading as dialysis alone does not effectively remove all the waste products. And dietary management also helps minimize the whole of waste build up and to allege the fluid, electrolyte and mineral equilibrium in the body between the dialysis.

One needs to do lots of changes in their diet -

Esrd patients need high protein, low sodium, potassium and phosphorus diet and a restricted fluid intake. Lets reconsider each in microscopic details -

Fluid -

Urine out put drops during kidney failure. Most dialysis patients urinate very microscopic or not at all, and therefore fluid restriction between treatments is very important. Without urination, fluid will build up in the body and cause excess fluid in the heart, lungs, and ankles.

Your nutritionist will suspect the daily required whole of fluid on the basis of -
• The whole of urine yield in 24 hours
• The whole of weight gain between the dialysis treatment
• whole of fluid retention
• Levels of dietary sodium
• whether you are suffering from congestive heart failure.

Tips -
• Avoid or minimize eating food with too much of water like - soups, jell-o, popsicles, ice creams, grapes, melons, palm fruit, coconut water, lettuce, tomatoes and celery.
• Use smaller glasses.
• Take sips of water
• Minimize sodium intake. Avoid salty food
• frost juices in an ice tray and suck them to minimize thirst (do count these ice cubes in your daily fluid intake)
• Avoid getting too hot, going out in sun.

Sodium equilibrium -

As said above Esrd patient need to avoid high sodium diet. Hypertension in Esrd is mostly due to inescapable sodium equilibrium and volume expansion (accumulation of too much of fluid in the body). Esrd patients on dialysis can effectively treat or control hypertension without antihypertensive drugs just by having a low sodium diet (2 g/day). Also low sodium diet will make you feel less thirsty and thus help avoid gulping extra fluids.

Tips -
• Avoid - canned, processed food, processed smoked meat.
• Avoid food with salt topping viz - chips, nuts etc.
• Read labels carefully - settle on one that reads - low sodium, no salt added, sodium free, unsalted.
• Avoid foods that list salt near the starting of the ingredient list.
• select food which contains salt less than 100 mg per serving.
• remove salt shaker from the table.
• Cook food without salt instead use herbs for flavoring.
• Avoid preserved foods - ketchups, sauces, pickles, popadums
• Do not use salt substitutes, they include potassium. And potassium is also restricted in kidney disease.

Potassium equilibrium -

Normally a high potassium diet is recommended to control hypertension and thus minimize the risk of stroke and heart failure, but in case of Esrd, they cannot tolerate high potassium diet as they cannot excrete potassium from their body. High potassium levels in blood will lead to life threatening hyperkalemia induced arrhythmia.

Tips -

• Avoid fruits high in potassium - banana, musk melons, cantaloupes, kiwis, honeydew, prunes, nectarines, coconut water, tomatoes, avocado, oranges and orange juice, raisins and dried fruits.
• Have fruits like - peaches, grapes, pears, cherries, apples, berries, pineapple, plums, tangerines and watermelon.
• Avoid vegetables high in potassium - spinach, pumpkin, winter squash, sweet potato, potatoes, asparagus.
• select vegetables like - broccoli, cabbage, carrots, cauliflower, celery, cucumber, eggplant (aubergine/brinjal), green and waxed beans, lettuce, onion, peppers, watercress, zucchini and yellow squash.
• Avoid legumes, milk and bran cereal.
• Limit intake of potassium up to 2 gm per day.

Iron -

Patients with Esrd will also need extra iron.

Tip -
• Consume food high in iron levels - lima and kidney beans, beet root, green leafy vegetables (avoid spinach), finger millet, chicken, liver, pork.
• Eat iron fortified cereals
• Take iron supplements as advised by your doctor or dietician.

Calcium and phosphorus -

In Esrd phosphorous levels are high as it cannot be excreted from our body. Even in early stages of renal disease, phosphorus levels can come to be too high. High phosphorus levels will lead to itching, vascular calcifications, secondary hyperparathyroidism and low calcium levels. Thus the calcium deposited in the bones is used up leading to osteoporosis. Hence a phosphate restricted diet is recommended.

Tips -
• Limit intake of dairy foods - milk, yogurt and cheese.
• Can consume dairy products like - margarine, butter, cream cheese, full fat cream, brie cheese, and sherbet as they are low in phosphorus.
• Consult your dietician and take calcium and vitamin D supplement, helps control calcium phosphate levels.
• Avoid caned processed food.

If phosphorus levels are not managed with diet, your doctor may prescription you phosphorus binders.

Weight management -

Esrd patient's loose weight without any reason, thus their weight needs to be monitored and managed with proper balanced diet. Esrd patients average calorie intake reduces to lower than 30-35 kcal/kg/day leading to malnutrition. To forestall malnutrition connected morbidity and mortality, Esrd patients on dialysis need to endure a periodic nutrition screening and tests, comparing initials body weight with usual and ideal body weight, dietary reviews, and food diary assessment.

Protein -

You must be confused when I say Esrd patients need high protein, as most known fact is patients with renal diseases should limit their protein intake. True as when protein breaks down in our body urea is formed this cannot be excreted in urine and is toxic when it builds up in the blood stream. This microscopic protein diet is until patient is put on dialysis. As protein losses are higher in patients undergoing dialysis, they need to consume a high protein diet. Recommended dietary protein in hemodialysis patients is 1.2 g/kg body weight/day and 1.2-1.3 g/kg body weight /day for patients on peritoneal dialysis. If dietary protein - calorie intake is not adequate, patients should take dietary supplements under the advice of a nutritionist, and if required they should be tube feed or parenteral nutrition should be provided.

Tips -

• Eat high ability protein - fish, pork, eggs, kidney beans, Bengal gram, and soy for every meal.
• Add egg white or egg white powder or protein powder to your diet.

Carbohydrates -

If you are overweight and have diabetes, then you have to limit your carbohydrate intake, any way if you are losing weight you need to take high carbohydrate diet. As carbohydrates are good source of energy. Your doctor or dietician will recommended the whole of carbs required in your diet.

Tips -

• include - fruits, vegetables, breads and grains, as they are high in fiber, minerals, vitamins and a good source of energy.
• If you are advised a high calorie diet, consume - hard candies, sugar, honey, jelly, pies, cakes, cookies.
• Avoid desserts made from dairy, chocolate, nuts and bananas.

Fats -

Esrd patients on dialysis are recommended to limit intake of saturated fats and cholesterol as they are at high risk of developing coronary artery disease. They mostly have high triglyceride levels, high Ldl (low density lipoproteins) and low Hdl (high density lipoproteins). Though you are recommended to eat a high calorie diet, you need to avoid foods that raise your triglycerides and cholesterol levels

Tips -
• include foods that are high in monounsaturated and polyunsaturated fats and microscopic of saturated fats. Like - sesame seed oil, flaxseeds, olive oil, and cotton seed oil.
• Avoid canola oil, coconut oil, fats, poultry and chicken with skin.

Micronutrients -

Esrds patients are recommended to have low fat diet and restricted fluid intake. Thus many patients need to take a vitamin supplement as fat soluble (A, D, E and K) vitamins and water soluble vitamins cannot be absorbed adequately form the diet and water soluble vitamins are also lost during dialysis treatment. Mostly these vitamins are given through vein during the dialysis treatment.

To conduct all the above nutrients in the right quantity to suit your needs is not an easy task and it cannot be done own your own. Do Not Self Diet it can risk your health. This report is for your data and knowledge. Consult a nutritionist who can found a diet fit for your extra needs. always take your house along to understand your dietary needs so they can help you supervene your diet. If you supervene proper diet and physical operation as recommended by your doctor and your nutritionist will help you feel good and lead a relatively healthy life with the Esrd.

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Getting in Shape After 50 - Easier Than You May Think

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You're over 50. No sense talking to you about what happens when you get older. You're there. You've been around the block; been there, done that.

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How is Getting in Shape After 50 - Easier Than You May Think

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Now you're thinking you'll get in shape but when you come home after a long day you're too tired. Excuses have become your specialty. Sure, once you were in shape but that was when you had no troubles, or fewer troubles. Maybe you were never in shape. You'd like to be but you don't know where to start.

There is some good news but you have to turn off the TV. That insidious box is stealing your life away. Before you know it, you'll be dead and you'll be sorry. Turn the life sucking, brain vaporizing thing off. You may need a week or two to decide. That's OK but make the decision. Does it mean you'll never turn the silly thing on again? No, of course not. But it does mean it gets last priority. LAST priority. We'll pretend you made the decision to pull the plug and move onto the next decision. It's about your attitude. It sucks. I know, you're 50 years old or maybe even worse, 60. Could it be you're 70? Egads.

Who cares? Nobody but you. If you were looking and feeling like Jack Lalanne you'd be proud of your old age. It all starts with a great attitude; not a good attitude, a great attitude. Some of you take solace in being like Garfield and his dark depressed humor. I think he's funny too. But, when it comes to getting into shape, I'll kick his little cat ass every time.

So we'll make believe again. You turned off the TV and you made the decision to get fit. Your attitude is not great yet but you're willing to work on it. It will get better. Who feels great when their body is falling apart?

What are your goals? Is your goal to lose 50 lbs.? Maybe your goal is too get off insulin or blood pressure medicine. Whatever your goal is, write it down. Write it down. When do you want to reach your goal? Remember you didn't put the weight on in a week, so don't expect to take it off in a week. Figure losing about a pound a week if you're doing it right. Doing it right means losing the fat but keeping the muscle. Kabish? Since muscle weighs three times more than fat, it ain't going to be that easy to lose 50 lbs, right? That's all right. If your blood sugar is down and your pressure along with it, and you're fitting into those 36 to 38s, then you're doing all right. Nonetheless, we all like the scale to lighten up a little, y'know.

Ok, so if we're going to lose 50 lbs. and it takes a week a pound your goal statement should look something like this: "I am losing 50 pounds by March 1, 2010."

Now you can rest. Yeah, right.

Now you can get to work to make this happen. Forget about every "try this, try that" solution out there. Here's your plan. Exercise more and eat less. Do you understand? Exercise more and eat less.

The details should flush out something like this. Eat breakfast like a king, lunch like a prince, dinner like a pauper. Drink 8 glasses of water throughout the day. Eat your fruits in the morning and veggies in the afternoon. Walk 1 hour at least 4 times a week. Now, here's the tough part. Get a partner. I walk with my daughter. With 16 year old girls being what they are today, I don't expect you'll have much success. I started years ago so she's brainwashed by now. How about your spouse? You can talk....or not. After a few months you'll need a partner. Get one.

There's lots more but those are the basics.

Here's the wrap up: I live in health care whether I like it or not. I have been in the healthcare industry for 20 years first as a personal trainer who owned a fitness center and then as an owner of ten multi-disciplinary clinics. Now I run a personal training company run a training association for health care trainers. My head hurts. Let me tell you that your health care coverage is going to get worse, a lot worse. Your health care plan is going to start encouraging you a lot more aggressively to get into shape because health care costs are going through the roof. You better get in shape. Yeah, I know, it's funny how you're allergic to exercise and all that but it ain't too funny when your doctor tells you that you have diabetes or you better not get too upset because your blood pressure is so high that you'll risk a heart attack.

Get into shape. You'll love it and once you're half way there your family will love it to. Get off the couch, turn off the TV and start moving. One more thing, eat less, but not too much less. A little bit over and over again.

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6 Elements of Wellness

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We often feel that if we are not ill then we have wellness. I personally believe that there is more to wellness than just not being sick. First believe me that I really do not know everything, we'll leave that for the teenagers. The following article is more about the way I view life and the way I view Wellness. It is virtually all my opinion and you are free to agree or disagree with all or part, but if it makes you think about your own wellness and helps you evaluate your own elements of wellness then it is well worth it.

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How is 6 Elements of Wellness

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When I speak of wellness I speak of more than just having a healthy body. True wellness to me includes balance in the following six elements.

First is Fitness. That is physical fitness or we could say physical wellness. How well are you physically? The terms wellness and fitness are sometimes used interchangeably. I would definitely disagree with that. You can have a person that is very fit but quite unhealthy. I read not long ago where a pro basketball player who was extremely physically fit died on the court because he had a heart condition. I would say that a person with a heart condition does not fit being well. He had fitness but not wellness.

You cannot however have wellness without at least some amount of fitness. That does not mean that you have to be able to run a marathon, play pro basketball or even ride a bicycle 100 miles in a day as I often do. That simply means you have to be fit enough to get your through a normal workday. There are many that have trouble doing that, people with what is known as fibromyalgia or those with chronic fatigue syndrome often have a great deal of problem just making it through the day.

But as I said before true total wellness revolves for me at least around 6 parameters or elements. The first we have just examined is the physical wellness or fitness. Here is how I define physical wellness. It is the ability to apply knowledge, motivation and commitment toward achieving a goal of being physically healthy and fit. This may require removing destructive behavior such as smoking, overeating, drinking, doing drugs or any number of other incorrect behaviors while replacing them with behavior that is beneficial to your life and living. Physical wellness would be enhanced by improving your diet and your exercise program as well.

Social Wellness is the second element in my 6 elements theory. Social wellness I define as the ability to interact with others, establish and maintain relationships and have friendships that last and improve the quality of your live. My wife and I have been married for 36 years and will celebrate our 37th on September 18, 2007. If you look at some of the things we have done with our lives you may or not be impressed, but we did many of them simply because we wanted to let people know where we stand and what we stand for. People that are socially well have friends they may not even know about. In 2000 and again in 2005 I did bicycle rides for the Cystic Fibrosis Foundation. In late 2006 I was injured in a bicycle crash when I had to stop suddenly for a small child that ran into the road. The CFF people in Atlanta heard about it and sent me a get well card signed by the office staff and the coordinators. I do not know half of the names on the card, but they know me and Ruth. Socially well people are also active in the community, possibly church groups, book clubs or even the Chamber of Commerce.

The third element in my theory is Spiritual Wellness. My grandfather was a Cherokee Indian. He was not my grandfather by blood but the only grandpa I ever knew. He was extremely "spiritual" and often told stories. I recently met a man named "Eagle Feather" that reminds me a great deal of my Grandpa "Gus." Of course Gus died many years ago not long after I returned from the Navy. Spiritual wellness means to me to establish your beliefs, values and actions, as well as lifetime goals, clear the mind and listen to your own thoughts. Riding the bicycle helps me a great deal with that. It is said that Einstein himself came up with the theory of relativity while riding his bike. I am not Einstein but I do come up with some pretty good ideas when riding. It clears the mind and allows a free flow of information, sometimes.

The fourth element is Emotional wellness. Some people are on emotional roller coaster. To some degree we must deal with whatever life deals out. We cannot always control what life throws at us but we can always control how we react to it. We should learn how to deal with stress in a positive manner.

The fifth is intellectual wellness. We need to be able to adapt to various situations. We should always be expanding our knowledge. My father always told me that the day he stopped learning would be the day he died. I have to believe he was right, he passed away in 1978, he was born in 1900, and he worked oil fields in Texas, railroads in the Midwest and operated a very successful radio record player repair shop in Ohio. He was probably one of the most intelligent men I knew and he got all the way to the 8th grade in school. He was big on education for me and my brother, and was very upset when my sister quit school. Intellectual wellness doesn't mean you need to be a genius, it just means that you open your mind are not afraid of learning new things and never be afraid of making a mistake. Embrace new ideas but question them too; it is also ok to question established ideas. Remember once all the most brilliant scientists thought the earth was flat and the sun revolved around the earth. I remember reading that Alexander Graham Bell was jailed for trying to raise money for a new hair brained worthless invention called the "telephone" and Edison was thrown out of school because he was "too dumb to learn" or something like that.

The 6th and to some the most important is financial wellness. This is also the most elusive for many of us. When we think we have our finances under control an emergency comes up that causes us to borrow money and get us in debt. One person told me that 85% of the population of the US was one illness away from going bankrupt. I would say based on my knowledge and my own financial condition that this is probably a low estimate. With the amount of credit card debt that most Americans carry and the cost of hospitals and insurance it would seem that financial security is a very elusive element. It is one we should all strive for none the less. We should all start some sort of savings and retirement plan. It might be something through our jobs if we have one or if we are self employed we should set up whatever type of investment accounts that the government will allow. We should set a goal to pay off all of our bills and live on the money we make, not on credit then work toward that goal.

There you have my six elements of wellness theory. Virtually everything in your life will fit into one or more of the six elements. You can if you wish also add sub elements under each element. Each of these elements has distinct differences but they work together in a synergistic fashion so that he whole is bigger than the combination of it parts. They all complement each other and if you do not have wellness in all factions then you will not have true "wellness"

Disclaimer: Nothing in this report should be construed as medical advice.It is provided for informational purposes only. If you are ill or injured see a primary healthcare provider as soon as possible. If the injury or illness is severe go to the nearest Emergency Room

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Foods Good For Your Liver

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Working out to heighten a specific part of the body is difficult. Eating for the same purpose is not. When it comes to your liver, there are foods that are good for it.

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How is Foods Good For Your Liver

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Your liver is an organ vital to salutary living. Your liver serves many functions such as storing sugars, vitamins and minerals and finally uses them for vigor and even controls the production of your cholesterol. Additionally, your liver cleanses your blood of any toxins and is helpful in assisting to your uncut wellbeing!

There are many well known suspects that are bad for your liver. Eating and drinking substances that are high in alcohol and caffeine can be detrimental to your liver functions. Additionally, smoking and taking copious amounts of some medicines such as aspirin can have negative effects on your liver. Drink at least eight glasses of water a day to aid in the cleansing process that your body relies on your liver for. Add some fresh squeezed lemon to your water for a detoxifying and cleansing starting and end to your day.

Remember, taking unavoidable medications such as aspirin in excess can cause serious harm to your liver. In addition, unavoidable illicit and street drugs will permanently scar and reduce functions of the organ. Drinking too much alcohol or mixing it with medications can also cause vital damage to the liver. In addition to these harmful chemicals, others such as unavoidable cleaning products and aerosol sprays in surplus can lead to severe damage as well.

Consuming foods rich in antioxidants are important for a salutary liver. Eat foods with great amounts of Vitamin C, Vitamin E and B such as fruits and veggies. Vegetables such as broccoli, cauliflower and cabbage are vital and useful detoxification agents. Cleansing fruits such as fresh berries, prunes, raisins, apples and pears are good choices for a salutary liver. Avoiding foods that are high in fat and cholesterol can also keep your liver salutary and aid in maintaining long persisting functionality. In addition, foods high in fiber such as whole grain breads, rice and cereals are vital to liver health. Cooking with lots of garlic and onion is a fabulous way to keep your liver salutary while still eating foods that taste great. Both are great antioxidants!

Taking small but uncomplicated steps when selecting foods to add to your diet can make a world of contrast in the long term health of your liver. Whole and naturally organic foods that act as antioxidants are all the time a salutary selection and will aid in maintaining your uncut health as well as your vital organ- your liver.

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Ldl Cholesterol - What is Low Density Lipoprotein?

Low Density Lipoprotein - Ldl Cholesterol - What is Low Density Lipoprotein?.
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Ldl cholesterol stands for low-density lipoprotein, which is a form of lipoprotein that moves triglycerides and cholesterol to peripheral tissues, from the liver. It is at times given the nickname of "bad cholesterol." High levels of Ldl may direct the view of a patient's curative health to an fundamental disease, in some cases cardiovascular issues.

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Along with this form, there are four others to make a total of five kinds of lipoproteins: chylomicrons, high-density lipoprotein (Hdl), intermediate-density lipoprotein (Idl), and very low-density lipoprotein (Vldl). All lipoproteins, along with low-density lipoprotein, can be used to move fat and cholesterol straight through the bloodstream by its water-based solution.

As cholesterol is carefully a "silent killer," some people with high Ldl may have no apparent symptoms, despite the elevated levels. Xanthelasma, in which cholesterol collects below the skin, may be noticed in some individuals with this condition. They are similar to yellow in color, and often show up near the eyelids. Even with these, however, elevated Ldl cholesterol may not be the fundamental curative cause, as other issues could also have brought on the xanthelasma in the patient.

Different cases and patients may call for separate rehabilitation methods. A change to a exact diet is one possibility, however, even that diet itself may vary in one situation as compared to someone else one. Bodily performance is sometimes recommended. Although it authentically has little effect on the levels of Ldl cholesterol in the individual, it is still useful for means such as attaining better insulin sensitivity, reducing triglycerides, and reaching other heart benefits.

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Know Your midpoint Cholesterol Level

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Starting at the age of 20 you should be getting your cholesterol levels tested every five years. Most population don't start looking at these numbers until their 40's and often by then it is too late. If you are able to get a good idea of your cholesterol numbers earlier in life you have more time to do something about it.

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How is Know Your midpoint Cholesterol Level

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Cholesterol Testing

In order to test your cholesterol your blood will be drawn and a test called a lipoprotein profile will be taken. In this test there are three things that will be measured. One is the Ldl median cholesterol level. Ldl stands for low density lipoprotein and this is what is often referred to as the bad cholesterol. The other level is the Hdl median cholesterol level. Hdl is the high density lipoprotein level and this is often referred to as the good cholesterol. The third whole is your triglycerides which is a determination of fat in your blood stream and is used to determine your extensive artery health.

The extensive score is broken down like this:

Less than 200 is optimal 200-239 is borderline 240 and above is high

The Ldl numbers are broken down into any dissimilar categories. There isn't a clear pass or fail when it comes to the median cholesterol level and Ldl. Of policy the lower this whole is the good your cholesterol will be, but it is not as uncomplicated as that.

Here is how the median cholesterol level is broken down for the low density lipoprotein:

Less than 100 is optimal 100 - 120 is above optimal 130-159 is borderline 160-189 is high 190 and above is very high or high risk

Of course, if you have other health complications there are special scores that need to be paid concentration to. For example, if you have heart or blood diseases your Ldl median cholesterol level should be under a score of 70. If you are dealing with diabetes a score of less than 100 is important.

The Hdl median cholesterol level is assuredly much more right forward. extensive you want this whole to be higher because the Hdl is thought about good for you. The high density lipoprotein cholesterol will assuredly help to safe your heart and move the bad cholesterol straight through your arteries.

Here is how the median cholesterol level is broken down for the high density lipoprotein:

60 or above is high to optimal For women less than 50 is low For men less than 40 is low

The triglycerides are also an important whole to pay concentration to. This is other whole that you want to be low. Often higher scores in this determination can lead to artery disease and other serious heart disorders.

Here is how the median triglycerides are broken down:

Less than 150 is normal 150 - 199 is borderline 200-499 is high 500 or higher is very high or dangerous

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Effectively Managing Low Density Lipoproteins

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Low density lipoproteins are tiny molecules that ferry cholesterol to our cells, development life possible. But when too many low density lipoproteins are racing straight through our arteries the determined happens. That inevitability outcome is the accumulation of cholesterol on the inside of the artery walls, which over time starts to sacrifice blood flow to the heart, lungs, liver, kidneys, and every cell in our body. So keeping arteries open by effectively managing low density lipoproteins just makes good sense.

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How is Effectively Managing Low Density Lipoproteins

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According to the National establish of condition a low density lipoprotein count of nearby 100 is considered optimal, with anything over 130 milligrams for each deciliter of blood being too high.

Another prominent point is that once Ldl molecules drop off their load of cholesterol to the cells they come to be leaner and are referred to as Hdl or high density lipoproteins. Hdl is known as good cholesterol because of its potential to reverse existing blockages and to collect excess cholesterol and return it to the liver for disposal. What all this means is if you are sharp less cholesterol straight through diet you will tend to have more lean molecules than fatty ones, thus less occasion of developing arterial plaque deposits in your arteries.

The most basic strategy to accomplish cardiovascular condition is with diet and exercise

Many foods are loaded with cholesterol and fat. The most harmful fats when it comes to cardiovascular condition are what are known as saturated fats, closely followed by trans fats. To conduct these two fats effectively is to conduct cholesterol effectively.

Your goal should be to keep saturated fat nearby 18 grams per day or 8 percent of total fat consumed. This is not very much. For example a package of 83 percent fat free turkey contains 4.5 grams of saturated fat for each 4 ounce serving. So if you were to have a join of 6 ounce burgers (6x2=12) plus cheese you could exhaust your daily allotment in one meal. But it doesn't have to be that way. All you need to do is sacrifice the whole of meat on your burger, skip the cheese, skip the mayo, and have a side order of vegetables or a supper salad topped with a vinaigrette salad dressing and you could genuinely bring in this meal nearby 6 grams of saturated fat. That would be one third of your daily allotment which would be right on schedule. This plan would still contribute plentifulness of work for your low density lipoproteins but not so much as to cause a problem.

Staying physically active is someone else prominent piece of the low density lipoprotein supervision puzzle. Quarterly corporeal action will help to lower Ldl cholesterol and raise the whole of Hdl molecules in the bloodstream. Agreeing to the Ama accomplishing this will need staying physically active for 30 minutes on most days.

What else? Many of those who may not be able to exercise or diet accordingly have found that by adding a natural cholesterol allowance supplement to their cholesterol supervision plan they have been able to sacrifice Ldls (low density lipoproteins), growth Hdls (high density lipoproteins), and decrease hazardous early stage blood fats known as triglycerides. While natural cholesterol allowance supplements are considered to be very safe and efficient they are not for everyone, so talk with your physician to find out if they are right for you.

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High Density Lipoprotein Cholesterol - 7 straightforward Steps For improving Hdl Levels

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Imagine for a moment that there was not trash pickup at your place of business or in the neighborhood where you live but despite this minor question every person continued to stack their trash on the street. After a short while traffic flow would be disrupted and at some point life as you once knew it would stop. Our not so far fetched story above is exactly what happens when high density lipoprotein cholesterol levels drop or Hdl (good cholesterol) and low density lipoprotein levels or Ldl (bad cholesterol) rise.

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How is High Density Lipoprotein Cholesterol - 7 straightforward Steps For improving Hdl Levels

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In the world of cholesterol is ones of checks and balances and as long as there are sufficient high density lipoprotein cholesterol molecules to acquire any excess cholesterol floating around then the chances are pretty good our arteries will remain clear and the chances of a serious cardiovascular event such as a heart assault or stroke are dramatically reduced.

Most experts in the field have established a low density lipoprotein to high density lipoprotein ration of 2.5 to 1 as the tipping point for cardiovascular health. For example if you have an excellent Hdl cholesterol reading of 60 your

Ldl could be as high as 150. On the other hand if your Hdl was dangerously low at 40 milligrams for each deciliter of blood then Ldl levels could not exceed 100 mg/dl.

The fly in our cholesterol ratio pudding

As with most things there is one minute question with achieving healthy cholesterol ratios by naturally raising high density lipoprotein cholesterol and that is there are only a handful of efficient ways to boost levels, none of which involve pharmaceuticals.

While the pharmaceutical commerce has been hard at work on solving this question they have yet to find answers to the high density lipoprotein cholesterol riddle. Yes, it true that Ldl cholesterol lowering medications such as Lipitor and Crestar may slightly raise Hdl but on midpoint it is only between only between 0 and 8 percent.

Well then how can I raise Hdl?

Believe it or not there are a amount of ways to give your high density lipoprotein cholesterol levels a boost without breaking the bank. These would include:

*Daily exercise: As minute as 5 minutes a day might help, especially if you are sedentary. That said, approved wisdom states that it takes from 20 to 30 minutes of moderate intensity daily exercise to substantially enhance Hdl.

*Shed a few pounds: Being overweight is like driving your car with the parking brake on. There are many negative effects two of which are raising bad cholesterol and lowering good cholesterol.

*Stay away from cigarettes and cigarette smoke: One of the fastest ways to give waning high density lipoprotein cholesterol a boost is to steer clear of first and second-hand smoke.

*Say no to trans fatty acids: These tiny cardiovascular troublemakers are in many of the foods we consume and are commonly labeled "partially hydrogenated vegetable oils". If you observation these four words listed on the label of goods you are reasoning about purchasing look for an alternative.

*Drinking in excess doesn't help matters: Three drinks a day has been shown to lower good cholesterol.

*Omega 3 fatty acids: There is quite a bit of emerging investigate suggesting that the omega 3 fatty acids docosahexaenoic acid (Dha) and eicosapentaenoic acid (Epa) taken ordinarily can help retain good cholesterol without sending your bad cholesterol skyrocketing.

* Cholesterol discount supplements can help: Don't be fooled by the name. definite natural ingredients contained in many of these products such policosanol, lecithin oil, and possibly red yeast rice have been shown to have a definite efficient on high density lipoprotein cholesterol.

What else might help? There are a few other tips that can help you get those problematic cholesterol ratios back to healthy levels. A few examples would be intelligent moderate amounts of monounsaturated fats (avocados, olive oil), eating a few dark skinned grapes every day, drinking 8 ounces of cranberry juice daily, and if you are a post-menopausal women daily calcium supplementation.

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tantalizing Facts About Low-Density Lipoproteins

Low Density Lipoprotein - tantalizing Facts About Low-Density Lipoproteins.
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Ldl stands for low-density lipoprotein. Its role is to move cholesterol and other fatty substances to the cells where it can be used or stored. Ldls are made in the liver and intestines. They consist of cholesterol wrapped in a protein sheath; hence, the name lipo for fat, and protein - 'lipoprotein'. The protein wrapping is needed because blood is made up generally of liquids and the fats in cholesterol would be difficult to converyance in the blood stream. By wrapping this waxy-fatty substance in a protein sheath, it can truly move through the bloodstream.

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Low-Density Lipoproteins are the converyance mechanism for cholesterol (think of them as puny dump trucks carrying cholesterol) and other fats (triglycerides) to the body's cells.

Newborns have Ldl concentrations in the middle of 25 and 40 mg/dL, whereas the median American adult's level is somewhere in the middle of 130 and 160 mg/dL.

Studies show that Low-Density Lipoprotein levels need not increase with age.

Ldl is recognized by definite receptors on cells that need cholesterol. When cells wish more cholesterol for basic functions, they express more receptors, or docking sites, on their covering to bind more Low-Density Lipopropteins.

Size of Ldl particles might be more foremost their attentiveness in the blood. This is because the smaller the size of the particles, the easier for them to perforate the artery-cell walls and obtain there causing additional heart disease.

A acceptable lipid profile test (ordinary blood testing that your doctor would invite for you) will not tell you the size of your Low-Density Lipoproteins. You need an industrialized blood test. Most labs description your Ldl cholesterol pattern. If your particles are 'large' then you have the less risky pattern A. If your pattern is small you have pattern B. The latter can be changed to pattern A by making lifestyle changes.

Small, dense Ldl cholesterol particles increase your risk of heart disease by as much as six times.
Small particles are found in patients who have type 2 diabetes or are prediabetic.

Oolong tea (served in many Chinese restaurants) has been found to increase the size of Low Density Lipoprotein particles.

Free radicals are charged molecules that are a effect of body processes; they may roam freely in the bloodstream. Ldl particles can join with free radicals and become oxidized. When oxidized the particles can truly damage the artery-cell wall, perforate it, and accelerate the accumulation of cholesterol there.

Oxidized Ldl can act as an inflammatory substance, which initiates an charge of specialized cells called macrophages. The macrophages eat the cholesterol and spit out a burst of toxins that damages the blood vessels. In this manner the body's own defense ideas works against itself to facilitate the deposition of cholesterol in artery walls.

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Managing and Reducing Vldl Cholesterol Levels

Low Density Lipoprotein - Managing and Reducing Vldl Cholesterol Levels.
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Very low density lipoprotein (Vldl) is one of three forms of cholesterol complexes monitored by doctors for health reasons. The other types of cholesterol complexes are low density lipoproteins (Ldl) and high density lipoproteins (Hdl). Ldl is often called bad cholesterol, and Hdl is said to be good cholesterol. Cholesterol is a soft, fatty substance found within every cell of the human body. Cholesterol is foremost to how cells work in everyday life. To get to all the cells of the body, it is primary for cholesterol to travel straight through the bloodstream. Because cholesterol is a fat, it cannot go straight through the bloodstream without help, otherwise the blood and cholesterol would cut off and bubble, like oil in water. To solve this problem, proteins surround the cholesterol as it travels straight through the bloodstream. The blend of the protein and cholesterol forms the cholesterol complex. The cholesterol in each complex is exactly the same.

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Vldl is created by the liver when a man consumes more carbohydrates than is expended straight through energy requirements. Vldl is created to transport this newly created fat to muscle and already existing fat deposits. This is one of the major differences between Vldl, Ldl, and Hdl: in addition to cholesterol, Vldl contains newly made fat, called triglycerides. After the triglycerides are deposited with the other fat, the cholesterol complex remains, but it is now an intermediate density lipoprotein (Idl). Some Idl is reabsorbed by the liver, but most of it continues to travel straight through the bloodstream transforming into Ldl. Since Ldl is the cholesterol complex primarily responsible for clogging and hardening arteries straight through atherosclerosis, and Vldl can turn into Ldl, it is also monitored by doctors.

Several conditions and factors can cause increased levels of Vldl:

• Overeating

• Alcohol use

• Obesity

• Diabetes

• Birth operate pills

• Cushing's syndrome

• Uremia

• Hepatitis

• Cancer

• Nephrotic syndrome

• Genetics

Vldl cannot be measured in the same way as Ldl and Hdl. To resolve the amount of Vldl in a person's body, it is primary for doctors to measure triglyceride levels and evaluation Vldl as a percentage of that. Normal ranges of Vldl are everywhere from 5 - 40 mg/dl. For the estimates to be correct, though, it is primary that the man have triglyceride levels of over 400 mg/dl.

Whenever readings are in the upper range of Normal or beyond it is recommended to take steps in reducing Vldl. This done primarily by eating a balanced diet and eliminating foods that promote Ldl and triglyceride production. A diet high in fresh vegetables, fruits, and whole grains can help sell out Vldl. Natural cholesterol lowering supplements like Vasacor, or designate statins, can be used to sell out Vldl cholesterol levels. Elimination or allowance of alcohol consumption is also recommended. Along with a salutary diet, most doctors will propose a sick person to begin a program of quarterly exercise. For more data about additional ways to sell out and conduct Vldl cholesterol levels, visit http://www.cholesterol-reduction.org

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Estrogen Deficiency Symptoms!

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When many people hear of the word estrogen they immediately think of a substance that can be found inside our body and which is harmful to us in multiple ways. They also believe that this estrogen is responsible for various things that we do not want on our body. To name a few these are acne and all others forms of bacteria associated with it.

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How is Estrogen Deficiency Symptoms!

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However what most people fail to realize is that this is also a substance that we need in our daily life to function properly and in the way we should. If we fail to have the required amount of estrogen in our bodies, the results will be just as bad as when we have a lot of additional and unnecessary estrogen in our bodies.

Let's take a case where there is a lack of estrogen in a particular person. This lack of estrogen can cause negative effects in the body such as the raising of LDL, which is also known as the bad cholesterol. On the flip side of the coin, lack of estrogen will lead to the decrease of HDL which is also known as the good cholesterol. With this simple example you can already see that this lack of estrogen is leading our body to be in a state that is not desired. However to emphasize the point even more here are about a couple of more cases where estrogen deficiency symptoms will start to show in our daily life. People with an estrogen deficiency can have thinner hair. This is a condition that most people will never realize exists, but which is responsible for a lot of people who have problems with hair that start to fall off as they grow older. This might be one of the reasons why this is happening to yourself or anyone you know that has a balding problem. Another situation that might arise with an estrogen deficiency symptom is that there will be poor memory or even memory loss in some cases. This is certainly not a condition that anyone would want on other people, let alone him or herself.

Therefore it is important to realize that estrogen deficiency symptoms might be something that is more public than you can imagine.

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The Cholesterol Conspiracy - The Truth About Statins And Nutritional Supplementation

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Ldl Goals - The Cholesterol Conspiracy - The Truth About Statins And Nutritional Supplementation

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First, it is ridiculed.

Second, it is violently opposed.

Third, it is accepted as being self-evident."

Arthur Schopenhauer

(1788 - 1860)

What is the true cause of heart disease, and how can we truly reduce the risk of death?

Atherosclerosis, or Coronary Artery Disease (CAD), is the leading cause of death in both men and women. In the U.S. alone, there are more than one million heart attacks every year, one third of them resulting in death. The majority of men and women currently have, or are actively developing, atherosclerosis. By age 20, most people already have a 15-25% narrowing of their arteries due to plaque formation. By age 40, there is a 30-50% clogging of their arteries.

In the beginning of the Twentieth Century, congestive heart disease (CHD) was mostly a result of rheumatic fever, which was a childhood disease. However by the year 1936 there was a dramatic change in the main cause of heart disease. Cardiovascular disease caused by atherosclerosis, or plaque buildup, took first place as the primary cause of heart disease, making congestive heart failure a distant second.

During the 1950's, the autopsies conducted on men who died of heart disease that revealed plaque-clogged arteries concluded that cholesterol was the cause of hardening of the arteries (atherosclerosis) and coronary artery disease. Cholesterol, not calcium, was considered the "cause" of heart disease, despite plaque consisting of 95% calcium and a relatively small percentage of cholesterol. By 1956 there were 600,000 deaths annually from heart disease in the U.S. Of those 600,000, 90% were caused by atherosclerosis, or clogged arteries. In fewer than 25 years, the number one cause of death in the U.S. had changed dramatically ...from congestive heart disease to coronary artery disease.

Because cholesterol was dubbed the "cause" of atherosclerosis, the effort to lower cholesterol by any means began in earnest. Both the food industry and the pharmaceutical industry seized upon this opportunity to cash in on a cholesterol-lowering campaign by creating foods and drugs that would supposedly save lives. Diets, such as the Prudent Diet, were established to lower the amount of cholesterol intake from food. There was no doubt that both polyunsaturated oils and drugs reduced cholesterol, but by 1966 it was also apparent that lowering cholesterol did not translate into a reduced risk of death from heart disease.

As there was so much money to be made from pharmaceutical development, the campaign to produce cholesterol-lowering drugs kicked into high gear, despite the lack of evidence showing that the lowering cholesterol reduced the risk of untimely death from heart disease.

Heart disease kills 725,000 Americans annually, with women accounting for 2/3 or nearly 500,000 of those deaths. After thirty years of cholesterol-lowering medications' failure to significantly lower the death rate from cardiovascular disease, in 1987 a new and more dangerous class of drugs was unleashed upon the world: the "statin" drugs. Cholesterol-lowering statin drugs are now the standard of care that physicians are indoctrinated into prescribing to reduce cardiovascular disease. Are statin drugs the best way to prevent heart attacks and death?

Before 1936 the most common type of heart disease was congestive heart disease (CHD). It rarely caused sudden death and could be treated with the drug digitalis. The incidence of CHD remained stable until 1987, after which the incidence of the disease skyrocketed. Interestingly, the timing of the increased incidence of congestive heart disease coincides with the introduction of cholesterol-lowering statin drugs. Could cholesterol-lowering statin drugs have something to do with the weakening of heart muscles and the increased incidence of congestive heart failure? We will see that lowering the body's co-enzyme Q10 levels, a side effect of statin drugs, does indeed increase the risk of muscle damage, including the muscles of the heart.

Atherosclerosis is a disease characterized primarily by inflammation of the arterial lining caused by oxidative damage from homocysteine, a toxic amino acid intermediary found in everyone. Homocsyteine, in combination with other free radicals and toxins, oxidizes arteries, LDL cholesterol, and triglycerides, which in turn releases C Reactive Protein (CRP) from the liver-a marker of an inflammatory response within the arteries. Inflammation (oxidation) is the beginning of plaque buildup and ultimately, cardiovascular disease. Plaque, combined with the thickening of arterial smooth muscles, arterial spasms, and clotting, puts a person at a high risk of suffering heart attack or stroke.

For years, doctors have hyper-focused on cholesterol levels. First it was the total cholesterol; later the focus became the ratio of "good" HDL cholesterol to "bad" LDL cholesterol. In other words, how much of your cholesterol was good, and how much was bad? Of the two, the important parameter is the level of HDL cholesterol, not LDL cholesterol. HDL, or high-density lipoprotein cholesterol, is responsible for clearing out the LDL cholesterol that sticks to arterial walls. Exercise, vitamins, minerals, and other antioxidants, particularly the bioflavonoid and olive polyphenol antioxidants, increase HDL cholesterol levels and protect the LDL cholesterol from oxidative damage, and therefore do more to reduce the risk of heart disease than any medication ever could.

There is nothing inherently bad about LDL cholesterol. LDL cholesterol is critical to maintain life. LDL cholesterol only becomes "bad" when it is damaged, or oxidized by free radicals. Only the damaged, or oxidized form of LDL cholesterol sticks to the arterial walls to initiate the formation of plaque.

Let us look towards cigarette smoking for a simple example demonstrating that we really need to reduce oxidized LDL cholesterol to prevent atherosclerosis, as opposed to indiscriminately lowering LDL cholesterol with statin drugs. Everyone knows that cigarette smoking increases the risk of many chronic diseases, such as cancer, heart disease, and stroke. Smokers with normal levels of LDL cholesterol are at an even greater risk of developing heart disease than a non-smoker who has elevated levels of LDL cholesterol. Of course the reason why a smoker with normal levels of LDL cholesterol is at greater risk of disease is because his LDL gets excessively oxidized.

Cigarette smoke releases so many toxins and free radicals that the LDL cholesterol, the triglycerides, and the arterial walls are extensively oxidized. Homocysteine levels are also increased by cigarette smoking which further oxidizes LDL cholesterol and the arterial lining. Oxidation is the initiating cause of atherosclerosis. Therefore, the more and longer one smokes, the more oxidative damage he sustains and the greater his risk of developing heart disease. The degree of oxidation directly corresponds to the risk of heart disease.

If you are not taking vitamins, minerals, and antioxidants then your LDL cholesterol is being oxidized, it is sticking to your arterial walls, and you ARE developing heart disease EVEN IF YOUR CHOLESTEROL LEVELS ARE NORMAL! LDL cholesterol starts sticking to arterial walls before the age of 5.

Among the many free radicals that damage cholesterol, triglycerides and the arterial lining is homocysteine, a toxic intermediate biochemical produced during the conversion of the amino acid methionine into another important amino acid, cysteine. Both methionine and cysteine are non-toxic, but homocysteine is very toxic to the lining of the arterial endothelium. Homocysteine oxidizes LDL cholesterol, triglycerides and the arterial lining.

Homocysteine is an amino acid normally produced in small amounts from the amino acid methionine. The normal role of homocysteine in the body is to control growth and support bone and tissue formation. However a problem arises when homocysteine levels in the body are elevated, causing excessive damage to LDL cholesterol, as well as to arteries. Furthermore, homocysteine actually stimulates growth of arteriosclerotic plaque, which leads to heart disease.

Thyroid hormone controls the level of homocysteine, but numerous factors play a role in the elevation of homocysteine. Normal aging, kidney failure, smoking, some medications, and industrial toxins all elevate homocysteine levels. Interestingly, estrogen helps lower homocysteine.

Homocysteine becomes elevated in the blood with a deficiency of the B vitamins-B6, B12 and folic acid. Genetics also play a role. About 12% of the population has an undetected defect requiring higher levels of folic acid than the rest of population to help maintain homocysteine levels in a safe range (below 6.5). Therefore if you have high homocysteine levels (> 7.0) even though you are taking supplemental B complex vitamins, then you may be among the 12% who need more than 1000 mcg of folic acid per day. In addition, betaine, also known as trimethylglycine (TMG) lowers homocysteine.

Homocysteine is second only to cigarette smoking in its oxidative destruction. It causes small nicks or tears in the arterial lining, while also oxidizing and damaging LDL cholesterol. The damaged, or oxidized LDL cholesterol sticks to the homocysteine-damaged areas of the arterial lining. The combination of oxidized LDL cholesterol and a damaged arterial lining is what causes LDL cholesterol to stick to the arteries, whether or not the LDL cholesterol level is normal.

Cholesterol-lowering statin drugs are the standard for treating high cholesterol. This is dogma, and anyone who states otherwise is committing medical heresy. Many people find it hard to believe that pharmaceutical companies could ever succeed in paying medical researchers, medical associations, and doctors to recommend something detrimental to our health.

Most people do not know that pharmaceutical companies fund medical institutions, medical education, medical conferences, and still reward doctors and research institutions for providing favorable results on their drugs. Likewise, pharmaceutical companies often suppress negative results from studies done on their drugs. Money has the power to sweep negative results and serious side effects under the rug. Money has the power to influence the FDA to decide which drugs make it to market and which drugs become the "standard" of treatment.

Former editor of the New England Journal of Medicine (NEJM), Dr. Marcia Angell, warned of the problem of commercializing scientific research in her outgoing editorial titled "Is Academic Medicine for Sale?" Angell called for stronger restrictions on pharmaceutical stock ownership and other financial incentives for researchers. She said that growing conflicts of interest were tainting science, warning "When the boundaries between industry and academic medicine become as blurred as they are now, the business goals of industry influence the mission of medical schools in multiple ways." She did not discount the benefits of research but said, "a Faustian bargain" now existed between medical schools and the pharmaceutical industry. Angell left the NEJM in June 2000 and has written a book, "The Truth About the Drug Companies: How They Deceive Us and What to Do About It."

Two years later, in June 2002, the NEJM announced that it was going to begin accepting articles that were written by biased researchers, as there weren't enough unbiased researchers left to write articles. In other words, most research institutions were now funded by one or more of the numerous pharmaceutical companies.

An ABC report noted that a survey of clinical trials revealed that when a drug company did not fund a study, favorable results regarding a drug were found only 50% of the time. In studies funded by drug companies favorable results about the drugs were reported an amazing 90% of the time. Money can and does buy the desired results. This is how most medical research and drugs are now developed and brought to market.

In 1977, the internationally-renowned heart surgeon, Dr. Michael DeBakey pointed out that only 30-40% of people with blocked arteries and heart disease have elevated blood cholesterol levels, and posed the logical question, "How do you explain the other 60-70%?"

Because lowering cholesterol did not reduce the risk of death from heart disease, the Cholesterol Consensus Conference in 1984 developed new guidelines to lower the "acceptable level" of cholesterol. High cholesterol would now be the diagnosis for any man or woman with a cholesterol level over 200. Doctors had to convince their patients that they had the disease and needed to take one or more expensive drugs for the rest of their lives.

However, when lowering total cholesterol levels below 200 did not translate into saving lives from heart attacks, the focus then turned to LDL cholesterol levels. The "disease" of high cholesterol was refined to the disease of high LDL cholesterol. The unfortunate patient who had an LDL cholesterol level above 130 was now condemned to a lifetime of expensive drugs. Though completely illogical, even when a person with normal LDL cholesterol levels suffered a heart attack, he would still be prescribed a cholesterol-lowering drug.

As we shall see, statin drugs reduce the risk of death by repeat heart attacks by as much as 30%, but interestingly enough, the mechanism of action in reducing the risk of death after a heart attack is not via statin drugs' ability to lower cholesterol! It has been discovered that statin drugs have a modest anti-inflammatory and antioxidant effect. Yet, there are many natural antioxidants that reduce inflammation and oxidation of LDL cholesterol and the lining of the arteries, which may soon be discovered to be more effective in reducing the risk of death than "antioxidant drugs," without toxic side effects.

The myth that high LDL cholesterol is the primary cause of heart disease, and that we must be on drugs to protect ourselves is dispelled by the evidence. If the premise were true that people with high levels of LDL cholesterol get heart disease, then we could assume that people with normal levels of LDL should not get heart disease, or at least very few should get it. However, as Dr. DeBakey observed, approximately 60% of those who die from heart disease have normal LDL cholesterol levels!

Furthermore, after over 45 years of doctors prescribing cholesterol-lowering drugs, heart disease and stroke still remain the number one cause of death in both women and men. This says that regardless of whether you have a high or a normal level of cholesterol, you have a 50% chance of dying from heart disease. If this is so, and it is, then why take a dangerous drug to attempt to lower your cholesterol in the first place?

In 2001, the target level of LDL cholesterol was lowered from 130 to 100, and overnight the number of people considered to be candidates for cholesterol statin drugs doubled. Many people such as myself bristled at the news, because we knew the effectiveness of vitamins, minerals, and antioxidants in preventing and reversing heart disease. Many of us could see the conspiracy for what it was.

The level at which LDL cholesterol is considered normal has continually been influenced by pharmaceutical companies, who pull the financial strings of research grants that keep medical schools and medical organizations in business. The lower they can establish the level at which LDL cholesterol is considered to be normal, the more people automatically become victims of the dreaded disease of "high cholesterol." Therefore, more people will be persuaded that they need to be taking a statin drug, and voilà, more profit for the manufacturers. When you consider the size of the profits already received, let alone the potential profit from statin drugs over the next several years, the cholesterol conspiracy is one of the largest money making schemes ever perpetrated on the world.

In July 2004, the level of LDL cholesterol considered normal underwent another change. The new norm plunged from 100 to 70, virtually doubling again the number of people who are "infected" with the plague of high cholesterol. Why, it's the epidemic of our time! Many enlightened people howled at this news, wondering if the masses would ever wake up and see who is behind this, and why. Why is the medical establishment ignoring the thousands of published medical studies that show the beneficial effects of nutritional supplements against heart disease? Why is the medical establishment down-playing the dangerous and deadly side effects of statin drugs?

The "updated" LDL cholesterol recommendations were published in the July 2004 issue of the American Heart Association's publication, Circulation. A panel from the National Heart, Lung and Blood Institute, a division of the National Institutes of Health, which is endorsed by the American College of Cardiology, and the American Heart Association, were the ones who actually pronounced the new cholesterol level at which drugs should be prescribed. Sounds pretty official and reliable if these powerful medical institutions are backing up these recommendations, right?

The fact is eight of the nine panel members making the new LDL cholesterol recommendations were being paid by the statin-producing pharmaceutical companies. The panelists did not disclose their financial conflict of interest. This information was uncovered by Newsday, a Long Island, New York
newspaper (D. Ricks and R. Robins, Newsday, July 15, 2004). Seven of the nine panelists have financial connections to Pfizer, the makers of Lipitor®. Five of the nine served as "consultants" to Pfizer. So, what did the other two panelists do to deserve their money? Seven of the nine panelists also received money from Merck, the producers of Zocor®, with four of them serving as "consultants" to the company. Eight of the panelists who made the recommendations that would increase the prescribing of statin drugs have received either research grants or honoraria from Pfizer, Merck, AstraZeneca, Novartis, Glaxo Smith Kline, Johnson & Johnson, Bayer, and many other drug companies that produce statin drugs.

You would think that with all the advertising and recommendations from medical experts on the benefits of statin drugs, the medical community would possess overwhelming evidence that the drugs reduce the risk of death from cardiovascular disease. A hint of some of the smoke and mirrors in the pharmaceutical companies' advertising can be seen in their TV commercials. Read carefully the small print on some of Crestor's® commercial advertising. Their commercial states how much it lowers LDL cholesterol. However, in the same ad you can read, "...Crestor® has not been shown to reduce the risk of heart disease or heart attack." If so, then why take it? Isn't the bottom line to prevent death?

The system for reporting adverse effects from medications is tremendously flawed, so much so that many people are seriously harmed or killed by some medications before they are finally removed from the market. Most doctors do not know what symptoms or effects are due to the drug, what should be reported, or even to whom to report adverse effects. They assume that the research that went into developing the drug has already identified all the effects and that a drug brought to market is "safe." However, only one in twenty side effects is ever reported to either hospital administrators or the FDA.

Statin drugs block cholesterol production in the body by inhibiting the enzyme called HMG-CoA reductase in the early steps of its synthesis in the mevalonate pathway. Cholesterol is one of three end products in the mevalonate chain. This same biosynthetic pathway is also used to create co-enzyme Q10, or co-Q10, as well as dilochol. Therefore, one unfortunate consequence of statin drugs is the unintentional inhibition of both Co-Q10 and dilochol synthesis.

The drug information insert of a statin drug states that it lowers co-enzyme Q10 levels. Most doctors have forgotten their biochemistry class in medical school, and forgotten about the importance of Co-Q10. Therefore they apparently are not concerned about such a statement on the drug labeling information sheet. They may even reassure their patients that lowering Co-Q10 is nothing to worry about, but at the same time warn them that the drug may cause liver damage and to have their liver enzymes checked every three to six months to make sure the drug isn't killing them. They do not realize that it is the depletion of Co-Q10 that leads to liver damage and death.

Ubiquinone, or co-enzyme Q10, is a critical cellular nutrient created in the cell's mitochondria, the "engines" that produce energy for the cell. Mitochondria use sugar, oxygen, and water to produce energy molecules known as ATP. Without ATP cells could do nothing. Damaged tissues could not be repaired. Cells could not divide or produce or utilize proteins, enzymes, or hormones. Death of cells, and indeed of the human body would occur if ATP could no longer be produced and utilized. Co-Q10 functions within the mitochondria as an electron carrier to cytochrome oxidase, our main respitory enzyme, which helps turn oxygen and sugar into energy. The heart requires high levels of oxygen, sugar, and Co-Q10 since it utilizes a lot of energy. A form of Co-Q10 called ubiquinone is found in all cell membranes, where it plays a role in maintaining membrane integrity, so critical to nerve conduction and muscle contraction. Co-Q10 is also vital for the formation of elastin and collagen, which make up the connective tissues of the skin, musculature, and the cardiovascular system.

The most common side effect of statin drugs is muscle pain and weakness. In fact, many patients who start on the statin drugs almost immediately notice generalized fatigue and muscle weakness. This is due to the depletion of Co-Q10 needed to support muscle function. Dr. Beatrice Golomb of San Diego, California, is currently conducting a series of studies on statin side effects. The pharmaceutical industry insists that only 2-3% of patients get muscle aches and cramps, when in fact in one study, Golomb found that 98% of patients taking Lipitor®, and one-third of the patients taking Mevacor® (a lower dose statin), suffered noticeable to significant muscle problems.

Some people on statin drugs lose coordination of their muscles. Some develop pain in their muscles, some are not able to write due to loss of fine motor skills. Many lose the strength to exercise. Others are falling more frequently as their muscles give out, still others have trouble sleeping due to muscle cramping and twitching. Even worse, many people are experiencing most of these side effects. The problems are so numerous, it is difficult to list all the symptoms people might experience. These problems do not come from the "disease" of high cholesterol, but the disease of ignorance in prescribing these drugs.

As we age, Co-Q10 levels decline naturally. From the age of 20 to 80, Co-Q10 levels fall by nearly 50%. Along with the natural decline of Co-Q10, comes a natural decrease in energy and an increase in the risk of heart disease, stroke, and cancer. If the natural decline of Co-Q10 levels increases the risk of fatigue, cancer, heart disease, and stroke, would it not make sense that accelerating the decline of Co-Q10 levels with statin drugs would have the same effect? They do indeed!

Demonstrating the importance of Co-Q10 to cardiovascular health, in a randomized, double blind, placebo-controlled study of people either taking or not taking statin drugs, supplementation with Co-Q10 reduced the risk of heart attacks and death in those with heart disease and prior heart attacks by 50%, regardless of whether they were on a statin drug or not. (Singh R, Neki N, Kartikey K, et al. Effect of coenzyme Q10 on risk of atherosclerosis in patients with recent myocardial infarction. Mol Cell Biochem. 2003 Apr; 246(1-2):75-82.)

Additionally, Co-Q10 was shown to increase blood levels of vitamin E and significantly increase the levels of protective HDL. As low HDL is a major risk factor for heart disease, increasing it is a definite benefit. Statin drugs were shown not to provide any benefit beyond that of supplementing with Co-Q10. Let me make this clear - in this study only the co-enzyme Q10 provided any benefit, not the drugs!

Cardiologist Dr. Peter Langsjoen of East Texas University reported the effects of Lipitor® among 20 patients who started with completely normal hearts. After six months on a low dose of 20 mg of Lipitor® per day, two thirds of the patients started to show signs of heart failure, as seen by abnormalities in the heart's filling phase. According to Dr. Langsjoen, this malfunction is due to Co-Q10 depletion. Nine controlled trials using statin drugs in humans have been conducted thus far. Eight of these showed significant statin-induced Co-Q10 depletion leading to a decline in left ventricular function and other biochemical imbalances.

In the United States, the incidence of heart attacks over the past ten to fifteen years has declined slightly. But congestive heart failure and cardiomyopathy have risen alarmingly. Is it a coincidence that statin drugs were first marketed in 1987, and then from 1989 to 1997, deaths from congestive heart failure more than doubled? 38 It scares me that virtually all patients with heart failure are put on statin drugs, even if their cholesterol is already low. In my opinion, the worst thing to do for a failing heart is take a statin drug. The best thing is to take is a full range of quality nutritional supplements, ...vitamins, minerals, fish oil, and other antioxidants, including Co-Q10.

Various antioxidants work synergistically, each contributing to the fight against free radicals in different areas and in different ways. In the blood stream, water-soluble antioxidants, such as vitamin C, and grape seed extract come in contact with and neutralize free radicals before they damage LDL-cholesterol. Other antioxidants saturate arterial walls and other tissues, and protect collagen and elastic fibers from free radical damage, reducing inflammation and plaque formation. The fat-soluble antioxidants, vitamin E, beta carotene, and co-enzyme Q10 ride along in the blood fat (triglycerides) and LDL cholesterol, protecting them and the endothelium from oxidation. Vitamin E sits on the surface of LDL cholesterol, protecting it from free radical damage. Beta carotene, grape seed extract and olive extract penetrate deeper inside the LDL cholesterol and arterial walls, adding more protection from oxidation. Quercetin and alpha lipoic acid work through nitrous oxide pathways to reduce high blood pressure, a major risk factor for heart disease.

A report published in the Archives of Internal Medicine in 2005 looked at 97 double-blind controlled studies comparing the efficacy of cholesterol-lowering statin drugs to fish oil. They found that cholesterol-lowering statin drugs reduced the risk of death from heart disease by only 13%, and
interesting enough it was NOT due to the effect of lowering cholesterol. The benefits, although small, were derived from the fact that statin drugs have a slight antioxidant effect.

Even more interesting, the salmon oil was shown to reduce the risk of death from heart disease by 23%, nearly double the benefit of statin drugs. Salmon oil is an omega-3 fatty acid that gets incorporated into cholesterol and triglycerides and prevents the oxidation of LDL cholesterol. Since LDL cholesterol is protected from excessive oxidation there is less plaque buildup and less risk of heart disease.

Inflammation is a well-known component in the formation of atherosclerosis. To keep it simple, think of inflammation and oxidation as the same process. The immune system's response to inflammation is to
release peroxides that act like acid to break down damaged tissues, so that cells from the immune system, macrophages, can consume the molecules and clean up the site. But peroxides escalate the oxidation/inflammation process, thus damaging more tissue. The arterial walls become more inflamed, escalating the formation of plaque and scarring. The downward cycle continues until atherosclerosis is so advanced that the occurrence of a heart attack or stroke becomes imminent.

The liver's response to inflammation is to release C reactive protein (CRP) into the blood. Other inflammatory causes can cause elevated CRP levels, including cigarette smoking, obesity, insulin insensitivity, diabetes, rheumatoid arthritis, infections, dementia, colorectal cancer, high blood pressure, and aging. Accordingly, elevated CRP levels are a direct indication of inflammation in the body and that atherosclerosis, including heart disease, is actively developing.

Homocysteine and high sensitivity CRP levels can and should be tested. Dr. Jialal, of the Universtity of Texas Southwestern Medical School at Dallas, is well known for his research correlating oxidized LDL cholesterol as the true cause of atherosclerosis, has also identified high sensitivity C reactive protein as a predictive risk factor for inflammation of arterial walls and plaque formation. Your doctor may not test for these routinely, but you should insist on getting these tests done. Both of these predictive values can be kept at "safe" levels. Vitamins, minerals, antioxidants, and omega-3 fatty acids can lower the levels of homocysteine and CRP. The B vitamins, along with betaine, or tri-methyl-glycine (TMG), change homocysteine into safer amino acids and reduce inflammation of the LDL cholesterol and the arterial lining.

When you receive the results of your homocysteine test, do not accept the answer, "Your test was normal." Ask for the actual number. The doctor and nurse usually know what is normal by what the lab slip states as the "normal range." Most lab results report a normal homocysteine level as being below 10.4, when in fact, since the early 1990's, researchers have known that a homocysteine count above 6.5 signals a rapid linear rise in the risk for heart disease.

Furthermore, with every 3 point elevation of homocysteine above 6.5, e.g., when homocysteine levels are 9.5, the risk of coronary artery disease (CAD) rises by an additional 35%! Yet you may be told that 9.5 is "normal and not to worry." With a homocysteine level of 12.5, the increase in the
risk for heart disease exceeds 70%. The greater the homocysteine level, the greater the oxidation
of both LDL cholesterol and the arterial lining. The greater the inflammation, the higher the CRP. Is it any wonder that homocysteine and CRP levels are more predictive for risk of heart disease than cholesterol levels and ratios?

I need to emphasize that anyone whether they have a medical problem or not, should discuss this information with their physician before acting upon anything written here. The information provided is not meant to diagnose or treat any disease. It is for informational purposes only; and no one should make decisions about their medications without consulting with their physician. No one should come off a cholesterol-lowering statin drug in lieu of nutritional supplements without a thorough discussion with their physician who is keenly aware of all the pros and cons of both treatment modalities.

In summary, I recommend a full spectrum of quality nutritional supplements, along with a healthy diet and exercise, to help obtain and maintain optimal heart and arterial health. I believe all would agree that lifestyle changes are the most important factor for optimal health, ...and many believe that quality nutritional supplements are key in protecting against the process that leads to, and accelerates the development of almost all chronic degenerative diseases, that of oxidation. To combat oxidation we need a full range of quality antioxidants.

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