TRUTH ABOUT CHOLESTEROL: REDUCING LDL (BAD CHOLESTEROL)
Wednesday, June 1st, 2011In large amounts, nicotinic acid stops the liver from making certain lipoproteins that give rise to LDL. Result: the body slows production of the “bad cholesterol.” Nicotinic acid’s side effects include your face and body possibly becoming very flushed, and nausea may occur. If you can get through the first 3 or 4 weeks, the side effects vanish. Nicotinic acid also cuts the risk of heart disease.Three other drugs – gemfibrozil, lo-vastatin, and probucol – slow the making of LDL to varying degrees and help lower cholesterol in the process. In a study done in Helsinki, Finland, gemfibrozil was shown also to cut the risk of heart disease.If your total cholesterol count exceeds 240 mg/dl, your doctor will order the LDL tests for you. If you’re at high risk, or if your LDL level soars above 160 mg/dl, you will be told to follow a stringent diet program and, depending on the doctor, a regular exercise regimen too. If this fails to lower your cholesterol, drugs probably will be prescribed.Some people maintain that if you have a high HDL level, regardless of how high your total cholesterol is, you have nothing to worry about. Still, the experts also caution that if the LDL level is high, there is cause for concern.Dr. DeWitt Goodman, a professor at Columbia-Presbyterian Medical Center in New York who headed a panel of experts for the National Heart, Lung, and Blood Institute, says data show that lowering LDL lowers the risk of heart disease. “The vast majority of people,” he says, “can reduce their risk of heart disease by lowering total cholesterol.”If you get your total blood-cholesterol below 200 mg/dl, you have optimized your chances of escaping a heart attack.Will programs to lower cholesterol result in a higher risk of cancer, as some people have said? All the experts we consulted denied that it was a proven risk. In fact, Dr. Goodman says, by eating a lowered-fat diet, you may reduce your chances of colon cancer a well as several other kinds of cancer.Dr. LaRosa of the American Heart Association says, “It is most important or one with high cholesterol levels and other risk factors to reduce those levels.”Dr. Jeremiah Stamler says you can add up to 8 years to your life expectancy, and even more under some conditions. He compares two men: One smokes and has a high cholesterol level; the other doesn’t smoke and has a low cholesterol level. The chances are that the low-risk man will live up to 10 years longer than the other man. Some critics assert that lowering cholesterol would yield only small increases in life expectancy, from a few months to a year. Dr. Goodman counters that if the cholesterol treatment delays the onset of a heart attack that alone makes it all worthwhile.*12/266/5*