Beruflich Dokumente
Kultur Dokumente
Cholesterol could easily be described as the smoking gun of the last two decades. It's been responsible for demonizing entire categories of foods (like eggs and saturated fats) and blamed for just about every case of heart disease in the last 20 years. Yet when I first opened my medical practice in the mid 80s, cholesterol, and the fear that yours was too high was rarely talked about. Somewhere along the way however, cholesterol became a household word -- something that you must keep as low as possible, or suffer the consequences. You are probably aware that there are many myths that portray fat and cholesterol as one of the worst foods you can consume. Please understand that these myths are actually harming your health. Not only is cholesterol most likely not going to destroy your health (as you have been led to believe), but it is also not the cause of heart disease. And for those of you taking cholesterol-lowering drugs, the information that follows could not have been given to you fast enough. But before I delve into this life-changing information, let's get some basics down first.
these narrowed arteries leading to your heart or brain, a heart attack or stroke may result.
Triglycerides: Elevated levels of this dangerous fat have been linked to heart disease and diabetes. Triglyceride levels are known to rise from eating too many grains and sugars, being physically inactive, smoking cigarettes, drinking alcohol excessively and being overweight or obese. Lipoprotein (a), or Lp(a): Lp(a) is a substance that is made up of an LDL "bad cholesterol" part plus a protein (apoprotein a). Elevated Lp(a) levels are a very strong risk factor for heart disease. This has been well established, yet very few physicians check for it in their patients.
Understand this:
Your Total Cholesterol Level is NOT a Great Indicator of Your Heart Disease Risk
Health officials in the United States urge everyone over the age of 20 to have their cholesterol tested once every five years. Part of this test is your total cholesterol, or the sum of your blood's cholesterol content, including HDL, LDLs, and VLDLs.. The American Heart Association recommends that your total cholesterol is less than 200 mg/dL, but what they do not tell you is that total cholesterol level is just about worthless in determining your risk for heart disease, unless it is above 330. In addition, the AHA updated their guidelines in 2004, lowering the recommended level of LDL cholesterol from 130 to LDL to less than 100, or even less than 70 for patients at very high risk. In order to achieve these outrageous and dangerously low targets, you typically need to take multiple cholesterol-lowering drugs. So the guidelines instantly increased the market for these dangerous drugs. Now, with testing children's cholesterol levels, they're increasing their market even more. I have seen a number of people with total cholesterol levels over 250 who actually were at low heart disease risk due to their HDL levels. Conversely, I have seen even more who had cholesterol levels under 200 that were at a very high risk of heart disease based on the following additional tests:
HDL percentage is a very potent heart disease risk factor. Just divide your HDL level by your cholesterol. That ratio should ideally be above 24 percent.
2
You can also do the same thing with your triglycerides and HDL ratio. That percentage should be below 2. Keep in mind, however, that these are still simply guidelines, and there's a lot more that goes into your risk of heart disease than any one of these numbers. In fact, it was only after word got out that total cholesterol is a poor predictor of heart disease that HDL and LDL cholesterol were brought into the picture. They give you a closer idea of what's going on, but they still do not show you everything.
"First and foremost," Dr. Rosedale points out, "cholesterol is a vital component of every cell membrane on Earth. In other words, there is no life on Earth that can live without cholesterol. That will automatically tell you that, in and of itself, it cannot be evil. In fact, it is one of our best friends. We would not be here without it. No wonder lowering cholesterol too much increases one's risk of dying. Cholesterol is also a precursor to all of the steroid hormones. You cannot make estrogen, testosterone, cortisone, and a host of other vital hormones without cholesterol."
Your blood vessels constrict to keep you from bleeding to death Your blood becomes thicker so it can clot Your immune system sends cells and chemicals to fight viruses, bacteria and other "bad guys" that could infect the area Cells multiply to repair the damage
Ultimately, the cut is healed and a protective scar may form over the area. If your arteries are damaged, a very similar process occurs inside of your body, except that a "scar" in your artery is known as plaque. This plaque, along with the thickening of your blood and constricting of your blood vessels that normally occur during the inflammatory process, can indeed increase your risk of high blood pressure and heart attacks. Notice that cholesterol has yet to even enter the picture. Cholesterol comes in because, in order to replace your damaged cells, it is necessary. Remember that no cell can form without it. So if you have damaged cells that need to be replaced, your liver will be notified to make more cholesterol and release it into your bloodstream. This is a deliberate process that takes place in order for your body to produce new, healthy cells. It's also possible, and quite common, for damage to occur in your body on a regular basis. In this case, you will be in a dangerous state of chronic inflammation. The test usually used to determine if you have chronic inflammation is a C-reactive protein (CRP) blood test. CRP level is used as a marker of inflammation in your arteries. Generally speaking:
5
A CRP level under 1 milligrams per liter of blood means you have a low risk for cardiovascular disease 1 to 3 milligrams means your risk is intermediate More than 3 milligrams is high risk
Even conventional medicine is warming up to the idea that chronic inflammation can trigger heart attacks. But they stop short of seeing the big picture. In the eyes of conventional medicine, when they see increased cholesterol circulating in your bloodstream, they conclude that it -- not the underlying damage to your arteries -- is the cause of heart attacks. Which brings me to my next point.
Keep in mind that these extremely low targets often require multiple cholesterol-lowering drugs to achieve. Fortunately, in 2006 a review in the Annals of Internal Medicine[viii] found that there is insufficient evidence to support the target numbers outlined by the panel. The authors of the review were unable to find research providing evidence that achieving a specific LDL target level was important in and of itself, and found that the studies attempting to do so suffered from major flaws. Several of the scientists who helped develop the guidelines even admitted that the scientific evidence supporting the less-than-70 recommendation was not very strong. So how did these excessively low cholesterol guidelines come about? Eight of the nine doctors on the panel that developed the new cholesterol guidelines had been making money from the drug companies that manufacture statin cholesterollowering drugs.[ix] The same drugs that the new guidelines suddenly created a huge new market for in the United States. Coincidence? I think not. Now, despite the finding that there is absolutely NO evidence to show that lowering your LDL cholesterol to 100 or below is good for you, what do you think the American Heart Association STILL recommends? Lowering your LDL cholesterol levels to less than 100.[x] And to make matters worse, the standard recommendation to get to that level almost always includes one or more cholesterol-lowering drugs.
taking them (high blood pressure medications -- another vastly over-prescribed category -- were first).[xi] Disturbingly, as written in BusinessWeek early in 2008, "Some researchers have even suggested -- half-jokingly -- that the medications should be put in the water supply."[xii] Count yourself lucky that you probably do NOT need to take cholesterol-lowering medications, because these are some nasty little pills. Statin drugs work by inhibiting an enzyme in your liver that's needed to manufacture cholesterol. What is so concerning about this is that when you go tinkering around with the delicate workings of the human body, you risk throwing everything off kilter. Case in point, "statin drugs inhibit not just the production of cholesterol, but a whole family of intermediary substances, many if not all of which have important biochemical functions in their own right," say Enig and Fallon. For starters, statin drugs deplete your body of Coenzyme Q10 (CoQ10), which is beneficial to heart health and muscle function. Because doctors rarely inform people of this risk and advise them to take a CoQ10 supplement, this depletion leads to fatigue, muscle weakness, soreness, and eventually heart failure. Muscle pain and weakness, a condition called rhabdomyolysis, is actually the most common side effect of statin drugs, which is thought to occur because statins activate the atrogin-1 gene, which plays a key role in muscle atrophy.[xiii] By the way, muscle pain and weakness may be an indication that your body tissues are actually breaking down -- a condition that can cause kidney damage. Statin drugs have also been linked to:
An increased risk of polyneuropathy (nerve damage that causes pain in the hands and feet and trouble walking) Dizziness Cognitive impairment, including memory loss[xiv] A potential increased risk of cancer[xv] Decreased function of the immune system[xvi] Depression Liver problems, including a potential increase in liver enzymes (so people taking statins must be regularly monitored for normal liver function)
And recently a possible association was found between statins and an increased risk of Lou Gehrig's disease.[xvii] Other cholesterol-lowering drugs besides statins also have side effects, most notably muscle pain and weakness.
9
IMPORTANT NOTE If, for whatever reason, you or someone you know or love does not believe the information in this report and chooses to stay on statin drugs, then please make sure they at least take one to two Ubiquinols per day. This will help prevent all the side effects mentioned above. Ubiquinol is the reduced version of Coenzyme Q-10 and is far more effective if you are over 35-40 years old. It is the form of the supplement that actually works, and if you take CoQ-10 and your body can't reduce it to uniquinol you are just fooling yourself and wasting your money. You can visit our ubiquinol information page for more details.
10
Upon first glance, the ad boasts that Lipitor reduces heart attacks by 36 percent. But there is an asterisk. And when you follow the asterisk, you find the following in much smaller type: "That means in a large clinical study, 3% of patients taking a sugar pill or placebo had a heart attack compared to 2% of patients taking Lipitor." What this means is that for every 100 people who took the drug over 3.3 years, three people on placebos, and two people on Lipitor, had heart attacks. That means that taking Lipitor resulted in just one fewer heart attack per 100 people. The NNT, in this case, is 100. One hundred people have to take Lipitor for more than three years to prevent one heart attack. And the other 99 people, well, they've just dished out hundreds of dollars and increased their risk of a multitude of side effects for nothing. So you can see how the true effectiveness of cholesterol drugs like Lipitor is hidden behind a smokescreen. Or in some cases, not hidden at all.
11
Of course, the answer is not to turn back to typical statin drugs to lower your cholesterol, as many of the so-called experts would have you believe. You see, statins are thought to have a beneficial effect on inflammation in your body, thereby lowering your risk of heart attack and stroke. But you can lower inflammation in your body naturally, without risking any of the numerous side effects of statin drugs. This should also explain why my guidelines for lowering cholesterol are identical to those to lower inflammation. For more in-depth information about cholesterol-lowering drugs, please see my recently updated statin drug index page.
How to Lower Inflammation, and Thereby Your Risk of Heart Disease, Naturally
There is a major misconception that you must avoid foods like eggs and saturated fat to protect your heart. While it's true that fats from animal sources contain cholesterol, I've explained earlier in this article why this should not scare you -- but I'll explain even further here. This misguided principle is based on the "lipid hypothesis" -- developed in the 1950s by nutrition pioneer Ancel Keys -- that linked dietary fat to coronary heart disease. The nutrition community of that time completely accepted the hypothesis, and encouraged the public to cut out butter, red meat, animal fats, eggs, dairy and other "artery clogging" fats from their diets -- a radical change at that time. What you may not know is that when Keys published his analysis that claimed to prove the link between dietary fats and coronary heart disease, he selectively analyzed information from only six countries to prove his correlation, rather than comparing all the data available at the time -- from 22 countries. As a result of this "cherry-picked" data, government health organizations began bombarding the public with advice that has contributed to the diabetes and obesity epidemics going on today: eat a low-fat diet. Not surprisingly, numerous studies have actually shown that Keys' theory was wrong and saturated fats are healthy, including these studies from Fallon and Enig's classic article The Skinny on Fats:[xxii]
A survey of South Carolina adults found no correlation of blood cholesterol levels with "bad" dietary habits, such as use of red meat, animal fats, fried foods, butter, eggs, whole milk, bacon, sausage and cheese.[xxiii]
12
A Medical Research Council survey showed that men eating butter ran half the risk of developing heart disease as those using margarine.[xxiv]
Of course, as Americans cut out nutritious animal fats from their diets, they were left hungry. So they began eating more processed grains, more vegetable oils, and more highfructose corn syrup, all of which are nutritional disasters. It is this latter type of diet that will eventually lead to increased inflammation, and therefore cholesterol, in your body. So don't let anyone scare you away from saturated fat anymore. Chronic inflammation is actually caused by a laundry list of items such as:
Oxidized cholesterol (cholesterol that has gone rancid, such as that from overcooked, scrambled eggs) Eating lots of sugar and grains Eating foods cooked at high temperatures Eating trans fats A sedentary lifestyle Smoking Emotional stress
So to sum it all up, in order to lower your inflammation and cholesterol levels naturally, you must address the items on this list.
Raw nuts Seeds Eggs (lightly cooked with yolks intact or raw) Organic, grass-fed meats 6. Get the right amount of exercise, especially Peak Fitness type of exercise. When you exercise you increase your circulation and the blood flow throughout your body. The components of your immune system are also better circulated, which means your immune system has a better chance of fighting an illness before it has the opportunity to spread. 7. Avoid smoking and drinking excessive amounts of alcohol. 8. Address your emotional challenges. I particularly love the Emotional Freedom Technique (EFT) for stress management.
o o o o
So there you have it; the reasons why high cholesterol is a worry that many of you simply do not need to have, along with a simple plan to optimize yours. If someone you love is currently taking cholesterol-lowering drugs, I urge you to share this information with them as well, and take advantage of the thousands of free pages of information on www.Mercola.com. For the majority of you reading this right now, there's no reason to risk your health with cholesterol-lowering drugs. With the plan I've just outlined, you'll achieve the cholesterol levels you were meant to have, along with the very welcome "side effects" of increased energy, mood and mental clarity. Too good to be true? Hardly. For the vast majority of people, making a few lifestyle changes causes healthy cholesterol levels to naturally occur. As always, your health really is in your hands. Now it's up to you to take control -- and shape it into something great.
References
[i] American Heart Association January 23, 2008
[ii] Mercola.com, Cholesterol is NOT the Cause of Heart Disease, Ron Rosedale May 28, 2005
[iii] Fallon, S. and Mary Enig. "Dangers of Statin Drugs: What You Haven't Been Told About Popular Cholesterol-Lowering Medicines," The Weston A. Price Foundation
[vi] Annals of Internal Medicine (1998;128(6):478-487) The Journal of the American Medical Association (1997;278:313-321)
14
[vii] Journal of the American College of Cardiology July 31, 2007; 50:409-418
[x] American Heart Association, "What Your Cholesterol Level Means," accessed May 22, 2008
[xi] MSNBC.com More than half of Americans on chronic meds May 14, 2008(accessed June 9, 2008)
[xii] BusinessWeek Do Cholesterol Drugs Do Any Good? January 17, 2008 (accessed June 9, 2008)
[xvii] Edwards, I. Ralph; Star, Kristina; Kiuru, Anne, "Statins, Neuromuscular Degenerative Disease and an Amyotrophic Lateral Sclerosis-Like Syndrome," Drug Safety, Volume 30, Number 6, 2007 , pp. 515525(11)
[xviii] IMS Heallth. IMS National Prescription Audit Plus July 2007.
[xix] BusinessWeek.com, "Do Cholesterol Drugs Do Any Good?" January 17, 2008 (accessed June 10, 2008)
[xx] New York Times, "Cardiologists Question Delay of Data on 2 Drugs," November 21, 2007 (accessed June 10, 2008)
[xxi] New York Times, "Drug Has No Benefit in Trial, Makers Say," January 14, 2008 (accessed June 10, 2008)
[xxii] Enig, M and Sally Fallon, "The Skinny on Fats", The Weston A. Price Foundation,
15
Cataracts
Pancreas or liver Memory loss dysfunction, including a potential increase in liver enzymes
16
Muscle problems are the best known of statin drugs' adverse side effects, but cognitive problems and memory loss are also widely reported. A spectrum of other problems, ranging from blood glucose elevations to tendon problems, can also occur. There is evidence that taking statins may even increase your risk for Lou Gehrig's disease, diabetes and even cancer. Statins currently available on the U.S. market include
Advicor (lovastatin with niacin) Abbott
i:
Altoprev Lescol Pravachol Zocor (lovastatin (fluvastatin) (pravastatin) -(simvastatin) ) Novartis Bristol-Myers Squibb Merck Shionogi Pharma Caduet Lipitor [atorvastat (atorvastatin in with ) - Pfizer amlodipine (Norvasc)] Pfizer Vytorin (ezetimibe/simvastati n) Merck/ScheringPlough
Now, it's important to realize that drug-induced diabetes and genuine type 2 diabetes are not necessarily identical. If you're on a statin drug and find that your blood glucose is elevated, it's possible that what you have is just hyperglycemiaa side effect, and the result of your medication. Unfortunately, many doctors will at that point mistakenly diagnose you with "type 2 diabetes," and possibly prescribe another drug, when all you may need to do is simply discontinue the statin in order for your blood glucose levels to revert back to normal. So if friends or loved ones you know are on a statin (and one in four Americans over 45 are) and they are told they have diabetes, please do them a favor and tell them about the information in this article.
"... major discrepancies exists between the significant reductions in nonfatal stroke and heart attacks reported in the JUPITER trial and what has been found in other research ... 'The JUPITER data set appears biased,' [the researchers] wrote in conclusion."
called ubiquinol. Ubiquinol is a FAR more effective formI personally take it daily for its many far ranging benefits. As for dosage, Dr. Graveline, a family doctor and former astronaut, made the following recommendation in a previous interview on statins and CoQ10:
If you have symptoms of statin damage such as muscle pain, take anywhere from 200 to 500 mg If you just want to use it preventively, 200 mg or less should be sufficient
All your sex hormones Cortisone The dolichols, which are involved in keeping the membranes inside your cells healthy All sterols, including cholesterol and vitamin D (which is similar to cholesterol and is produced from cholesterol in your skin)
It's still uncertain whether statins actually deplete your body of vitamin D, but they do reduce your body's natural ability to create active vitamin D (1,25dihydroxycholecalciferol). This is the natural outcome of the drug's cholesterol-reducing ability, because you need cholesterol to make vitamin D! It's the raw material your body uses for vitamin D conversion after you've exposed your skin to sunlight. It's also welldocumented that vitamin D improves insulin resistance, so needless to say, when you take a statin drug, you forfeit this 'built-in' health-promoting mechanism, which is yet another clue as to how statins can cause diabetes.
19
higher. HDL percentage is a far more potent indicator for heart disease risk. Here are the two ratios you should pay attention to:
1. HDL/Total Cholesterol Ratio: Should ideally be above 24 percent. If below 10 percent, you have a significantly elevated risk for heart disease. 2. Triglyceride/HDL Ratio: Should be below 2.
I have seen a number of people with total cholesterol levels over 250 who were actually at low risk for heart disease due to their elevated HDL levels. Conversely, I have seen many people with cholesterol levels under 200 who had a very high risk of heart disease, based on their low HDL. Your body NEEDS cholesterolit is important in the production of cell membranes, hormones, vitamin D and bile acids that help you to digest fat. Cholesterol also helps your brain form memories and is vital to your neurological function. There is also strong evidence that having too little cholesterol INCREASES your risk for cancer, memory loss, Parkinson's disease, hormonal imbalances, stroke, depression, suicide, and violent behavior.
Indeed, it's difficult to look at these facts and not reach the conclusion that the pharmaceutical industry is quite willing to sacrifice human lives for profit. Statins are in fact classified as a "pregnancy Category X medication" meaning, it causes serious birth defects, and should NEVER be used by a woman who is pregnant or planning a pregnancy.
Researchers and many doctors are now calling for universal school screening of children to check for high cholesterol, to find those "in need of treatment." In addition, older siblings, parents and other family members might be prompted to get screened as well, the researchers say, which would uncover additional, previously undiagnosed adults in need of the drug. This is clearly NOT the way to improve public health. On the contrary, it could produce a new, massive wave of extremely dire health consequences in just a few years time. So rather than improving school lunches, which would cost about a dollar a day per child, they'd rather "invest" ten times that for tests and drugs that in no way, shape, or form address the root cause, which is an improper, unhealthy diet! All they're doing is allowing all the industries to maintain or increase their profits: Big Pharma; Big Sugar; Big Corn and the processed food industry. Who pays? You, and your children! And in far more ways than one!
Optimize your vitamin D levels. Research by Dr. Stephanie Seneff has shed additional light on the extreme importance of appropriate sun exposure for normalizing your cholesterol levels and preventing heart disease. For more information, please see this previous interview. Reduce, with the plan of eliminating, grains and sugars in your diet. Ideally, you'll also want to consume a good portion of your food raw. Make sure you are getting plenty of high quality, animal-based omega 3 fats, such as krill oil. Other heart-healthy foods include olive oil, coconut and coconut oil, organic raw dairy products and eggs, avocados, raw nuts and seeds, and organic grass-fed meats as appropriate for your nutritional type. Exercise daily. Make sure you incorporate peak fitness exercises, which also optimizes your human growth hormone (HGH) production. Address your emotional challenges. My favorite technique for stress management is the Emotional Freedom Technique (EFT). Avoid smoking or drinking alcohol excessively. Be sure to get plenty of good, restorative sleep.
21
Unlike statin drugs, which lower your cholesterol at the expense of your health, these lifestyle strategies represent a holistic approach that will benefit your overall health which includes a healthy cardiovascular system.
22
Excerpts from Public Citizen's Health Research Group's Petition to Require a Box Warning on All HMG-CoA Reductase Inhibitors ("Statins"): " ... Public Citizen, representing 135,000 consumers nationwide, hereby petitions the FDA pursuant to the Federal Food, Drug and Cosmetic Act 21, U.S.C. Section 355(e)(3), and C.F.R. 10.30, to add a black box warning and additional consistent bolded warnings about this serious problem to the label of all statins marketed in the United States." "Doctors and the public must be warned to immediately discontinue use of statin drugs at the onset of muscle pain, muscle tenderness, muscle weakness or tiredness." "Prompt cessation of the use of statins at the first sign of muscle pain, muscle tenderness, muscle weakness or tiredness and prompt evaluation by a physician including a blood test for creatine phosphokinase (a measure of muscle destruction) may avoid the progression to more extensive muscle damage, rhabdomyolysis and death." "Rhabdomyolysis has been reported with all statins currently marketed in the United States."
Medical Director of the Natural Health Center and Mercola.com. Read about my complete background information. Uffe Ravnskov, MD Born 1934 in Copenhagen, Denmark Graduated 1961 from the University of Copenhagen with an M.D. 1961-1967: Various appointments at surgical, roentgenological, neurological, pediatric and medical departments in Denmark and Sweden. 1968-1979: Various appointments at the Department of Nephrology, and the Department of Clinical Chemistry, University Hospital, Lund, Sweden. 1975-79: As an assistant professor at the Department of Nephrology. 1973: PhD at the University of Lund. 1979-2000: A private practitioner. Since 1979 an independent researcher. A specialist in internal medicine and nephrology. Honored by the Skrabanek Award 1998. For more information about him, see Dr. Ravnskov's Web site. Jay Cohen, M.D Jay Cohen, M.D., is an associate professor of Family and Preventative Medicine and of Psychiatry at the University of California in San Diego. He is the author of two books and has numerous papers published in peer-reviewed journals. His book, Over Dose: The Case Against the Drug Companies, is an outstanding read. References:
23
Spacedoc.com Statin Drugs List ABC News June 29, 2010 Teratogen Use in Women of Childbearing Potential: An Intervention Study, Journal of the American Board of Family Medicine, May to June 2011: 24(3); 262-71, K. A. Morrical-Kline, et al. Defects in Cholesterol Synthesis Genes in Mouse and in Humans: Lessons for Drug Development and Safer Treatments, Drug Metabolism Reviews, February 2011: 43(1); 69-90, S. Horvat, et al. Early Embryonic Lethality Caused by Targeted Disruption of the 3Hydroxy-3-methylglutaryl-CoA Reductase Gene, The Journal of Biological Chemistry, October 31, 2003: 278; 42936-42941, Ken Ohashi, et al.
i ii iii iv v
Nevertheless I succeeded in publishing the main part of my research in major medical journals after having left the department. I have summarized my findings and conclusions on the web as well. In the late eighties the cholesterol campaign was started in Sweden. I was very surprised because I couldnt recall anything in the scientific literature in support of it. I started reading it systematically, and I soon realized that I was right. Since then I have published about eighty papers and letter, and also books, translated into five languages, where I present my arguments and criticism. How has your work been received by your colleagues; by healthcare professionals and consumers around the world? In the beginning nobody took notice. To ignore criticism is the most effective way to maintain a false idea. My first book was published in Sweden in 1991 with a Finnish edition shortly afterwards. The Swedish one made no impact whatsoever, and the Finnish one was put on fire in a television show. Ridicule and slander have been used as well, as a means to muffle me After I had aired my warnings against statin treatment in Dutch television, for instance, Dutch researchers described me in a following show as a crackpot who had been kicked from the universities of Copenhagen and Lund. The directors of the show offered my critics a possibility to discuss the issue with me on television, but all of them declined. On his blog, Michael Eades has described how one of them later on belittled me in a scientific paper. But I have also realized that I am not alone. Seven years ago I started THINCS, The International Network of Cholesterol Skeptics (www.thincs.org ), which by now includes about eighty doctors, professors and other researchers from all over the world, who share my skepticism, and I have received two international awards for my contributions. Also encouraging is the hundreds of emails that I receive every year from patients, who have regained their health after having stopped their cholesterol-lowering treatment. Your work seems to validate what many integrative health care professionals have been saying for decades. How does the alternative community respond to you? There is a much more open attitude from these people. If the cholesterol hypothesis is an error, does this mean that all of its therapies low cholesterol diet, cholesterol lowering natural therapies and medications -- are wrong? Absolutely. This kind of treatment is meaningless, costly, and has transformed millions of healthy people into patients.
25
Specifically, what are your views on statins? Their benefit is trivial, and has been seen only in male patients who already have heart disease. Worse is that their many adverse effects are ignored or cleverly belittled by the trial directors. Independent researchers have found many more and in much higher numbers. If they are true it means that today millions of previously healthy people probably consider their weak and painful muscles, their bad memory, their sexual failure, and their cancer to be a consequence of increasing age, and so do their doctors. The risk of cancer is most alarming. Both animal experiments, epidemiological studies and several of the statin trials have shown that low cholesterol predisposes to cancer. The widespread use of statin treatment probably explains why the decrease of the smoking habit that has been going on in many countries hasnt been followed by a decrease of cancer mortality. We should have seen a decrease because smoking predispose not only to bronchial cancer, but to all kinds of cancer. Drug companies market vigorously the highest, strongest doses of statins. Lipitor is pushed at the highest dosage, 80 mg. This dosage is the most powerful for lowering cholesterol and LDL, but it also causes more adverse effects and costs more than lower doses. What are your thoughts about this? The outcome from these trials is a further demonstration that the small benefit from statin treatment has nothing to do with cholesterol. For instance, although cholesterol plummeted and remained at about 50 percent below the initial value during the whole SEAS trial, it did not change mortality, but it increased the number of cancer with statistical significance. Even worse was the result of the ENHANCE trial, where atherosclerosis in patients with familial hypercholesterolemia progressed the most among those whose cholesterol was lowered the most. If statins can be helpful in reducing the incidence of heart attacks, who should take them? In my view, nobody. When I was practicing, I used to describe the benefit in this way: Considering your age and your previous heart attack, your chance to be alive in five years is about 90 percent. You can increase that chance to 92 percent if you take a statin pill every day, but then you may also expose yourself to its many adverse effects. From the data I have seen, statins have not produced a reduction in overall cardiac deaths. Do you have any idea of why this is? You are right. Heart mortality in Sweden is going downwards, but the reduction started already in the 1960s. The cause is most probably that treatment of acute myocardial
26
infarction has improved, because the mortality curve has not changed after the introduction of the statins. The reason may be that their small benefit is counteracted by an increasing frequency of heart failure. As you know, the statins block not only the synthesis of cholesterol, but also of other vital molecules, for instance coenzyme Q10, and muscle cells, including those of the heart, cant function properly without Q10. Do you think mainstream medicine will ever relinquish its view that elevated cholesterol causes heart disease, and that statins are the magic bullet? I hope so. The failures of the most recent statin trials have been commented on by several journalists in the major U.S. newspapers. In Sweden a revolution is going on. Here, a general practitioner treated her own obesity successfully by eating a low-carbohydrate diet with a high content of animal fat. When she advised her obese and diabetic patients to do the same, she was reported to the National Board of Health and Welfare for malpractice. After a two-year-long investigation she was acquitted, as her treatment was considered to be in accord with scientific evidence. At the same time, the Board dismissed two experts, who had been appointed for updating the dietary recommendations for diabetics, because it came up that they were sponsored by the food industry. Instead the Board has asked independent researchers to review the scientific literature. The subject has gained general attention due to a number of radio and television shows, where critical experts including myself have discussed the issue with representatives of the official view. Most important, thousands of patients have experienced themselves that by doing the opposite as recommended by the current guidelines they have regained their health! The effect has been that the sales of butter, cream, and full-fat milk are increasing in Sweden after many years of decline, and a recent poll showed that a majority of Swedish people today think that the best way of losing weight is by a low-carbohydrate, fat-rich diet. Further progress was achieved this spring. Several times, colleagues of mine and also I, have asked the Swedish Food Administration for the scientific basis of their warnings against saturated fat. We have been met with the argument that there are thousands of such studies, or by referrals to the WHO guidelines or the Nordic Nutrition Recommendations. As the main argument in the latter two -- that saturated fat raises cholesterol -- we were not satisfied with their answer, and finally the Food Administration published a list with
27
72 studies that they claimed were in support of their view on saturated fat, and twelve that were not. We scrutinized the lists and found that only two of the 72 studies supported their standpoint; eleven studies did not concern saturated fat at all, and the unsupportive list was incomplete, to put it mildly. We published a short report with our comments to these lists in the Swedish medical journal Dagens Medicin. A response from the Food Administration appeared seven weeks later in which they pointed out that their recommendations were directed to healthy people, not to patients. They maintained that they were based on solid scientific evidence, without mentioning anything about saturated fat, and without answering our critical comments. But this is not all. Earlier this year Sachdeva et al reported that the mean cholesterol in 137,000 patients with acute myocardial infarction was lower than normal. As usual, the authors didnt understand their own findings, but concluded that cholesterol should be lowered even more. A few months later Al-Mallah et al. came up with the same result and conclusion, although they also reported that three years later, mortality was twice as high among those who had been admitted with the lowest cholesterol. These results created a fierce debate in one of the major Swedish newspapers. It was opened by ninety-one-year old Lars Werk, the Grand Old Man in Swedish medical science, retired professor in internal medicine and former head of The Swedish Council on Technology Assessment in Health Care, together with Tore Scherstn, retired professor in surgery and former secretary of the Swedish Medical Research Council. Now it is time to sack the cholesterol hypothesis and to investigate the reason of this scientific breakdown they wrote. They also criticized American researchers in AHA and NHLBI and their followers for sloppy and fraudulent science. They were of course attacked by two professors and representatives of the current view, but none of them came up with any substantial evidence, only with personalities. Are there other risk factors that should be followed? Such as: C-reactive protein, fibrinogen, homocysteine, lipoprotein A... Any other factors? Such analyses may be helpful for doctors to put the right diagnosis in patients with a disease of unknown origin. But to check healthy peoples blood to find deviations from normal is the freeway to unnecessary medication. Are there other alternative therapies besides statins that people might consider? There is no reason for healthy people to take drugs, or anything else to prevent heart disease, as long as we do not know the very cause.
28
Dont forget that people who die from a myocardial infarction have on average lived just as long as other people. In my talks I used to ask people, who put the same question to me, if they know a better way of dying? What diet do you recommend people follow? I do not give medical advice to people I havent seen and examined myself, and as I am retired, it means that I give no advice at all except to my family and nearest friends. I inform people by writing and lecturing. Then they have to decide themselves what to do. In 20 years, do you expect changes in how we view heart disease, its causes and treatments? I am confident that we will see a change in the next few years. There is a growing skepticism among medical scientists. What is happening in Sweden these days may hopefully inspire researchers in other countries to air their skepticism openly. Recently, experts selected by WHO and FAO published a new report . Here the authors concluded that there was no satisfactory or reliable evidence to support the idea that saturated fat causes heart disease, or diabetes or obesity. A revolutionary change of direction, you may say. However, they did not change their recommendations! Together with Kilmer McCully, the discoverer of the association between homocysteine and atherosclerosis, I have presented another hypothesis (You can read that paper in its entirety at this link.) We think this hypothesis is much more likely because we are able to explain the many observations that do not fit with the present one.
Finally, I assume that much of what I have mentioned here may seem incredible, but all the facts, including references to the scientific literature, are available in my new book Fat And Cholesterol Are GOOD For You! About Uffe Ravnskov, MD, PhD: Dr. Ravnskov graduated from the University of Copenhagen with an M.D in 1961. 1961-1967: Various appointments at surgical, roentgenological, neurological, pediatric and medical departments in Denmark and Sweden. 1968-1979: Various appointments at the Department of Nephrology, and the Department of Clinical Chemistry, University Hospital, Lund, Sweden.
29
1979-2000: A private practitioner and independent researcher, specializing in internal medicine and nephrology. Honored with the Skrabanek Award 1998, and author of: The Cholesterol Myths. For more information, see Dr. Ravnskov's Web site.
30
Your brain is mainly made of fat and cholesterol. The lions share of the fatty acids in the brain are actually saturated. A diet that skimps on healthy saturated fats robs your brain of the raw materials it needs to function optimally. 6) Proper nerve signaling Certain saturated fats, particularly those found in butter, lard, coconut oil, and palm oil, function directly as signaling messengers that influence metabolism, including such critical jobs as the appropriate release of insulin. 7) Strong immune system Saturated fats found in butter and coconut oil (myristic acid and lauric acid) play key roles in immune health. Loss of sufficient saturated fatty acids in white blood cells hampers their ability to recognize and destroy foreign invaders, such as viruses, bacteria, and fungi.
A misguided fallacy that persists to this day is the belief that saturated fat will increase your risk of heart disease and heart attacks. This is simply another myth that has been harming your health for the last 30 or 40 years. The truth is, saturated fats from animal and vegetable sources provide a concentrated source of energy in your diet, and they provide the building blocks for cell membranes and a variety of hormones and hormone-like substances. When you eat saturated fats as part of your meal, they slow down absorption so that you can go longer without feeling hungry. In addition, they act as carriers for important fatsoluble vitamins A, D, E and K. Dietary fats are also needed for the conversion of carotene to vitamin A, for mineral absorption, and for a host of other biological processes. Saturated fats are also: The preferred fuel for your heart, and also used as a source of fuel during energy expenditure Useful antiviral agents (caprylic acid) Effective as an anticaries, antiplaque and anti-fungal agent (lauric acid) Useful to actually lower cholesterol levels (palmitic and stearic acids)
31
If the fact that saturated fats are actually good for you sounds conflicting, at least in terms of what is repeated by public health agencies, I urge you to read Mary Enig and Sally Fallons classic article The Truth About Saturated Fats. It is one of the best and most thorough introductions to this topic, and you can read through it in just a few minutes. Have You Heard of the Lipid Hypothesis? If not by name, youve certainly heard of the concept behind the lipid hypothesis, and that is that dietary fat causes heart disease. This flawed theory was largely spread by Ancel Keys, a diet researcher for whom military K-rations are named, and it was because of the lipid hypothesis that Americans were soon encouraged to substitute vegetable-based fats for animal fats, and to avoid red meat completely. However, when Keys published his analysis that claimed to prove the link between dietary fats and coronary heart disease, he selectively analyzed information from only six countries to prove his correlation, rather than comparing all the data available at the time -- from 22 countries. As a result of this "cherry-picked" data, government health organizations began bombarding the public with advice that has contributed to the diabetes and obesity epidemics going on today: eat a low-fat diet. Of course, as Americans cut out nutritious animal fats from their diets, they were left hungry. So they began eating more processed grains, more vegetable oils, and more highfructose corn syrup, all of which are nutritional disasters. What about the Studies That DO Show a Link between Fat and Heart Disease? Keys believed that dietary fat was causing heart disease in Americans back in the 1950s, and he soon got others to jump on the bandwagon. Even the American Heart Association, which concluded in 1957 that the evidence that dietary fat correlates with heart disease does not stand up to critical examination, changed its position in 1960. Why? Because Keys was on the committee issuing a new report that a low-fat diet was advised for people at risk of heart disease. Sadly, the theory continued to be accepted as nutritional wisdom, even though clinical trials found no connection.
32
There are, however, some studies that have found a link between fat and heart disease, and they are often used by saturated fat opponents to prove their case. The problem lies in the fact that most of these studies make no effort to differentiate between saturated fat and trans fat. I believe this is the missing link. If researchers were to more carefully evaluate the risks of heart disease by measuring the levels of trans and saturated fat, I believe they would find a completely different story. Trans fat is known to increase your LDL levels, or "bad" cholesterol, while lowering your levels of HDL, known as "good" cholesterol, which is the complete opposite of what you need in order to maintain good heart health. It can also cause major clogging of arteries, type 2 diabetes and other serious health problems. On the other hand, your body needs some amount of saturated fat to stay healthy. It is virtually impossible to achieve a nutritionally adequate diet that has no saturated fat. What you dont need, however, are trans fats. Further, there are some people who do well with a low-saturated-fat diet -- the one-third who are carb nutritional types. Even then, however, some animal fats are necessary and healthy, and two-thirds of people actually require moderate- to high-saturated-fat diets to thrive. Healthy Sources of Saturated Fats to Add to Your Diet Saturated fat is not the root of all evil and it is NOT to blame for the modern disease epidemics facing Americans. Saturated fat is actually an incredibly healthy, nourishing and all natural fat that humans have been thriving on for generations. Again, as Fallon and Enig point out: Saturated fatty acids constitute at least 50 percent of your cell membranes. They are what gives your cells necessary stiffness and integrity. They play a vital role in the health of your bones. For calcium to be effectively incorporated into your skeletal structure, at least 50 percent of your dietary fats should be saturated. They lower Lp(a), a substance in your blood that indicates proneness to heart disease. They protect your liver from alcohol and other toxins, such as Tylenol and other drugs. They enhance your immune system. They are needed for the proper utilization of essential fatty acids. Elongated omega-3 fats are better retained in your tissues when your diet is rich in saturated fats. Saturated 18-carbon stearic acid and 16-carbon palmitic acid are the preferred foods for your heart, which is why the fat around your heart
33
muscle is highly saturated. Your heart draws on this reserve of fat in times of stress. Short- and medium-chain saturated fatty acids have important antimicrobial properties. They protect you against harmful microorganisms in your digestive tract. So please do not shun saturated fats from your diet. If youd like to get the most tailored information about which fats, and how much of them, to include in your optimal diet, first find out your nutritional type. Then, make sure your meals include some of these delicious and healthy sources of saturated fat:
Grass-fed organic beef and beef fat Naturally raised lamb Organic raw dairy products (butter, cheese, milk, cream) Coconut oil
cholesterol to a ridiculous level of 75. Yes you read that correctly -- my TOTAL cholesterol was a measly and pathetic 75 points. Fortunately, I later realized that it should be nearly three times as high as that to stay healthy, certainly no lower than 150. However, due to misinformation in the media and drug pushing by multinational corporations, the majority of people worry about their cholesterol being too high and are clueless about the dangers of low cholesterol, especially when done artificially with drugs. What you need to know first and foremost is that cholesterol is good for you. Its present in every single cell in your body where it helps to produce cell membranes, hormones, vitamin D and bile acids to help you digest fat. Cholesterol also helps in the formation of your memories and is vital for neurological function, which is why the above finding that low cholesterol is linked to memory loss is not at all surprising. In fact, when your cholesterol levels go too low, a host of negative things happen in your body. The Risks of Low Cholesterol Impaired memory and dementia are just the tip of the iceberg when it comes to low cholesterols impact on your brain. Having too little of this beneficial compound also:
Increases your risk of depression Can cause you to commit suicide May lead to violent behavior and aggression Increase your risk of cancer and Parkinsons disease
Unfortunately, in the United States lowering cholesterol levels has become so common that nearly everyone reading this either knows someone struggling to do so, or has struggled to do so themselves. Your Cholesterol Will Normalize When You Address its Cause Contrary to popular belief, high cholesterol is not a disease in and of itself. It is actually a response to something gone awry in your body. You see, cholesterol is produced whenever your cells become damaged, as its a necessary component in making new, healthy cells. So if you have a lot of damaged cells, youre also going to have a lot of cholesterol in your bloodstream. This is a good thing, in a sense, because it means your cells are being repaired. Now, while most conventional doctors would see all that cholesterol and put you on toxic cholesterol-lowering drugs, a more knowledgeable doctor would search for whats causing the damage in the first place.
35
A diet too high in sugar and grains Too many processed, overcooked foods Not enough exercise Emotional stress Smoking
The remedy involves, of course, addressing the items Ive mentioned above by making simple lifestyle changes that are outlined in Take Control of Your Health. Whatever you do, dont fall for the mistaken belief that the lower your cholesterol goes, the better. If you lower your cholesterol through artificial means (statin drugs) without addressing the underlying causes, your body will continue to degenerate. Leave the decision of how much cholesterol your body needs up to your body, and make the right lifestyle choices to keep your cells in their top condition. This way you get the best of both worlds: the right amount of cholesterol and a body in tip-top shape.
Insulin & Leptin Resistance Hundreds of excellent scientific articles have linked insulin resistance and more recently leptin resistance to cardiovascular disease much more strongly than cholesterol, and they are in fact at least partially responsible for cholesterol abnormalities. For instance, insulin and leptin resistance result in "small dense" LDL particles and a greater number of particles. This is much more important than the total cholesterol number. Because of particle size shift to small and dense, the total LDL cholesterol could still be low even though the number of particles and the density of the particles is greater. Small, dense LDL particles can squeeze between the cells lining the inside of the arteries, the "gap junction" of the endothelium, where they can get stuck and potentially oxidize, turn rancid, and cause inflammation of the lining of the arteries and plaque formation. Importantly, many solid scientific studies have shown a mechanistic, causal effect of elevated insulin and leptin on heart and vascular disease, whereas almost all studies with cholesterol misleadingly only show an association. Association does not imply cause. For instance, something else may be causing lipid abnormalities such as elevated cholesterol and triglycerides, and also causing heart disease. This "something else" is improper insulin and leptin signaling. Similarly, sugar does not cause diabetes; sugar is just listening to orders. Improper insulin and leptin signaling is the cause of diabetes. Likewise, cholesterol does not cause heart disease, but improper metabolic signals including improper signals to cholesterol (causing it to oxidize) and perhaps to the liver that manufactures the cholesterol, will cause heart and vascular disease and hypertension. Removing cholesterol will do nothing to improve the underlying problems, the real roots of chronic disease, which will always have to do with improper communication, and the generals of metabolic communication are insulin and leptin. They are really what must be treated to reverse heart disease, diabetes, osteoporosis, obesity, and to some extent aging itself. Cholesterol; Wrongly Accused? Before we can begin to talk about the real cause and effective treatment for heart and blood vessel disease, we must first look at what is known, or I should say what we think we know. The first thing that comes to mind when one hears about heart disease is almost always cholesterol. Cholesterol and heart disease has been almost synonymous for the last half-century. Cholesterol has been portrayed as the Darth Vader to our arteries and our heart. The latest recommendation given by a so-called panel of "experts" recommends that a person's cholesterol be as low as possible, in fact to a level so low they say it cannot be achieved by diet, exercise, or any known lifestyle modification. Therefore, they say
37
cholesterol-lowering drugs; particularly the so-called "statins" need to be given to anyone at high risk of heart disease. Since heart disease is the number one killer in this country that would include most adults and even many children. The fact that this might add to the $26 billion in sales of statin drugs last year I'm sure played no role in their recommendations. Or did it? Expert Conflict of Interests Major consumer groups think so. They found out that eight of the nine "experts" that made the recommendations were on the payroll of pharmaceutical companies that manufacture those drugs. Major scientific organizations have chastised medical journals for allowing the pharmaceutical industry to publish misleading results and half-truths. There is a major push under way to force the pharmaceutical industry (and others) to publish results of all of their studies, and not just the ones that appear positive. The studies that showed negative results would be forced to be published also. It could be that lowering cholesterol might not be as healthy as we are being told. More and more studies are coming out showing just how unhealthy lowering cholesterol might be, particularly by the use of statin drugs. In particular, statin drugs have been shown to be harmful to muscles causing considerable damage. A common symptom of this damage is muscular aches and pains that many patients experience on cholesterol-lowering drugs, however most do not realize that these drugs are to blame. Hmm...isn't the heart a muscle? Statin Drugs Actually Increase Heart Disease Indeed, low cholesterol levels have been shown to worsen patients with congestive heart failure, a life-threatening condition where the heart becomes too weak to effectively pump blood. Statin drugs have been shown to also cause nerve damage and to greatly impair memory. One reason that statin drugs have these various serious side effects is that they work by inhibiting a vital enzyme that manufactures cholesterol in the liver. However, the same enzyme is used to manufacture coenzyme Q10, which is a biochemical needed to transfer energy from food to our cells to be used for the work of staying alive and healthy. Statin drugs are known to inhibit our very important production of coenzyme Q10. Importantly, while many cardiologists insist that lowering cholesterol is correlated with a reduction in the risk of heart attacks; few can say that there is a reduction in the risk of mortality (death). That has been much harder to show. In other words it has never been conclusively shown that lowering cholesterol saves lives. In fact, several large studies have shown that lowering cholesterol into the range currently recommended is correlated with an increased risk of dying, especially of cancer.
38
No Such Thing as Good and Bad Cholesterol Because the correlation of total cholesterol with heart disease is so weak, many years ago a stronger correlation was sought. It was found that there is so-called "good cholesterol" called HDL, and that the so-called "bad cholesterol" was LDL. HDL stands for highdensity lipoprotein, and LDL stands for low-density lipoprotein. Notice please that LDL and HDL are lipoproteins -- fats combined with proteins. There is only one cholesterol. There is no such thing as a good or a bad cholesterol. Cholesterol is just cholesterol. It combines with other fats and proteins to be carried through the bloodstream, since fat and our watery blood do not mix very well. Fatty substances therefore must be shuttled to and from our tissues and cells using proteins. LDL and HDL are forms of proteins and are far from being just cholesterol. In fact we now know there are many types of these fat and protein particles. LDL particles come in many sizes and large LDL particles are not a problem. Only the so-called small dense LDL particles can potentially be a problem, because they can squeeze through the lining of the arteries and if they oxidize, otherwise known as turning rancid, they can cause damage and inflammation. Thus, you might say that there is "good LDL" and "bad LDL." Also, some HDL particles are better than others. Knowing just your total cholesterol tells you very little. Even knowing your LDL and HDL levels do not tell you very much. A mistake that is rarely made in the hard-core sciences such as physics seems to be frequently made in medicine. This is confusing correlation with cause. There may be a weak correlation of elevated cholesterol with heart attacks, however this does not mean it is the cholesterol that caused the heart attack. Certainly gray hair is correlated with getting older; however one could hardly say that the gray hair caused one to get old. Using hair dye to reduce the gray hair would not really make you any younger. Neither it appears would just lowering your cholesterol. Perhaps something else is causing both the gray hair and aging. Even if elevated cholesterol were significant and heart disease (which I question) perhaps something else is causing the elevated cholesterol and also causing the heart disease. Let's look little more at cholesterol or, as Paul Harvey was fond of saying, "the rest of the story." First and foremost, cholesterol is a vital component of every cell membrane on Earth. In other words, there is no life on Earth they can live without cholesterol. They will automatically tell you that, in of itself, it cannot be evil. In fact it is one of our best friends. We would not be here without it. No wonder lowering cholesterol too much increases one's risk of dying. Cholesterol also is a precursor to all of the steroid hormones. You cannot make estrogen, testosterone, cortisone, and a host of other vital hormones without cholesterol. Cholesterol Is The Hero, Not The Villain.
39
It was determined many years ago that the majority of cholesterol in your bloodstream comes from what your liver is manufacturing and distributing. The amount of cholesterol that one eats plays little role in determining your cholesterol levels. It is also known that HDL shuttles cholesterol away from tissues, and away from your arteries, back to your liver. That is why HDL is called the "good cholesterol;" because it is supposedly taking cholesterol away from your arteries. But let's think about that.
Why does your liver make sure that you have plenty of cholesterol? Why is HDL taking cholesterol back to your liver? Why not take it right to your kidneys, or your intestines to get rid of it?
It is taking it back to your liver so that your liver can recycle it; put it back into other particles to be taken to tissues and cells that need it. Your body is trying to make and conserve the cholesterol for the precise reason that it is so important, indeed vital, for health. One function of cholesterol is to keep your cell membranes from falling apart. As such, you might consider cholesterol your cells "superglue." It is a necessary ingredient in any sort of cellular repair. The coronary disease associated with heart attacks is now known to be caused from damage to the lining of those arteries. That damage causes inflammation. The coronary disease that causes heart attacks is now considered to be caused mostly from chronic inflammation. What Is Inflammation? Think of what happens if you were to cut your hand. Within a fraction of a second, chemicals are released by the damaged tissue to initiate the process known as inflammation. Inflammation will allow that little cut to heal, and indeed to keep you from dying. The cut blood vessels constrict to keep you from bleeding too much. Blood becomes "thicker" so that it can clot. Cells and chemicals from the immune system are alerted to come to the area to keep intruders such as viruses and bacteria from invading the cut. Other cells are told to multiply to repair the damage so that you can heal. When the repair is completed, you have lived to be careless another day, though you may have a small scar to show for your troubles. We now know that similar events take place within the lining of our arteries. When damage occurs to the lining of our arteries (or even elsewhere) chemicals are released to initiate the process of inflammation. Arteries constrict, blood becomes more prone to clot, white blood cells are called to the area to gobble up damaged debris, and cells adjacent to those damaged are told to multiply. Ultimately, scars form, however inside our arteries we call it plaque. And the constriction of our arteries and the "thickening" of our blood further predisposes us to high blood pressure and heart attacks. So Where Might Cholesterol Fit Into All Of This?
40
When damage is occurring and inflammation is being initiated, chemicals are being released so that that damage can be repaired. One could speculate that to replace damaged, old and worn-out cells the liver needs to be notified to either recycle or manufacture cholesterol since no cell, human or otherwise, can be made without it. In this case, cholesterol is being manufactured and distributed in your bloodstream to help you repair damaged tissue and in fact to keep you alive. If excessive damage is occurring such that it is necessary to distribute extra cholesterol through the bloodstream, it would not seem very wise to merely lower the cholesterol and forget about why it is there in the first place. It would seem much smarter to reduce the extra need for the cholesterol -- the excessive damage that is occurring, the reason for the chronic inflammation. So Why Take Cholesterol-Lowering Drugs? The pharmaceutical companies thought that you might think that. They went back to the drawing board. They did more "research" and found (coincidentally) that statin drugs had anti-inflammatory effects. Therefore we're currently being told to stay on our cholesterollowering drugs because now they work by reducing inflammation and perhaps not even by reducing cholesterol, and in fact perhaps in spite of it. Aspirin reduces inflammation for a lot less money. So does vitamin E, and fish oil, and dietary changes without the dangers of drugs and having many other benefits instead. What About Triglycerides? Triglycerides are just medical terminology for fat. A person with high triglycerides has a lot of fat in the bloodstream. Triglycerides are generally measured when a person has fasted overnight. High fasting triglycerides are either from manufacturing too much, or using (burning) too little. In other words, what high triglycerides are telling you is that you are making too much fat and you are unable to burn it. This indeed is a major problem. The inability to burn fat underlies virtually all of the chronic diseases of aging, and in fact may contribute to the rate of aging itself. As such, one might think that the control of fat burning and storage might be very important in heart disease, and the other diseases of aging such as diabetes, obesity, osteoporosis, and even cancer. Indeed, this appears to very much be the case. The two hormones that to a major extent control our ability to burn and store fat, insulin and leptin, appear to play a major role in all of the chronic diseases of aging. I would call them the most important hormones, indeed chemicals in the entire body. But that is a story for next time.
41
Even if You Eat Organic Food, This Cooking Mistake Can Ruin Your Health
By Dr. Mercola The idea that high cholesterol causes heart disease is based on the premise that cholesterol is found in the plaque of people with coronary artery disease. But does that automatically mean that cholesterol itself is the root cause, and must be kept at a minimum to prevent plaque formation? The answer is no. Missing from this hypothesis is the holistic understanding of how cholesterol operates inside your body, and why arterial plaques form in the first place. Cholesterol is actually a critical part of your bodys foundational building materials and is absolutely essential for optimal health. As Dr. Robert Rowen points out in this interview, its so important that your body produces it both in your liver and in your brain. Cholesterol is also the raw material for all of your steroid hormones and vitamin D. Theres no doubt that you need it. Think about this for a second. Your neurons are making it for a reason, Dr. Rowen says. Just logically speaking, if you take a statin drug, which poisons the enzyme HMGCoA reductase... Hello? Your brain is not going to make the cholesterol that it needs, so you can expect you can predict that theres going to be a problems, years down the line, and were seeing it now with statin drugs affecting the brain. So whats the connection between cholesterol and heart disease? If your body needs so much of it, what causes it to clog your arteries? The devil is in the details, as they say, and this is definitely true when it comes to cholesterol, because as Dr. Rowen explains, the cholesterol found in arterial plaque is not just any cholesterol, but oxidized, damaged cholesterol. There is an excellent research on animals where they fed animals plenty of cholesterol in their diet and they did just fine. But when they gave them even small amounts of tainted cholesterol, meaning oxidized cholesterol, within weeks it showed up in fatty streaks in their arteries, Dr. Rowen says. We know why now. There are receptors in the endothelial cells that are the lining of your arteries. There are receptors there for oxidized cholesterol. It picks it up, and it
42
goes into the endothelial cells. The problem is that oxidized cholesterol does not look native to your macrophages, your immune system. It actually looks like bacteria. The macrophages move in to try and clean up what it thinks is bacteria, which is nothing more than oxidized cholesterol, and it creates a whole bunch of inflammation inside your arterial wall. The real culprit is oxidized cholesterol.
The American Heart Association (AHA) recommends keeping your total cholesterol below 200 mg/dL, but what they do not tell you is that total cholesterol level is just about worthless for determining your risk for heart disease, unless it is above 330. Additionally,
43
the AHA updated their guidelines in 2004, lowering the recommended level of LDL cholesterol from 130 to less than 100, or even less than 70 for patients at very high risk. To achieve these outrageously low targets, you typically need to take multiple cholesterol-lowering drugs. Statin drugs are very effective for lowering your cholesterol across the board. However, as mentioned earlier, they shut down your bodys innate capability to create the cholesterol it needs for proper cellular- and brain function. Statins also prevent your body from generating sufficient levels of vitamin D from exposure to the sun, because the UVB rays in sunlight interact with the cholesterol in your skin and convert it to vitamin D. As Dr. Rowen explains, while statin drugs effectively reduce cholesterol values, they typically do not have an overall beneficial impact on health and longevity. Lets look at some of the statin studies, he says. The relative risk is reduced. Heres the problem with medical studies, and statin is a really good example: Lets say, you have 100,000 people, and four people are going to get heart disease. Then you give a statin, and now only two do. Theyre going to say, Oh my God! We have a 50 percent reduction in your risk for heart disease. I took that a little bit out of proportion by using 100,000, but its still a 50 percent relative riskbut your overall risk to begin with was negligible! Its stupid science. Its literally foolish, idiotic science... The absolute risk is not changed much at all, but relative risk is changed. ... What they also dont tell you is that while you might actually save somebody from a heart attack out of those thousands of people you have to treat, theres someone on the other end who gets toxicity, or maybe Alzheimers disease, or maybe some other condition, from taking the drug. The overall morbidity and mortality is unchanged. All that drug companies and the FDA are looking for is what symptom or lab level you are suppressing. Theyre not looking at it for long-term outcomes. Thats absolute failing of the American medical system, where all that youre doing is measuring to suppress a symptom or a lab value like cholesterol, and you are not looking at what happens to these people 10 or 15 years later, which is identical to the vaccine problem.
occurring Lovastatin in it Mevacor. I would rather use that because its a whole food. There are pretty good studies out there showing that whole red yeast rice not only helps protect you from that [high cholesterol], but animals also live longer when theyre on it. Being a whole food, there may be a big advantage to it. Always whether youre using red yeast rice or a statin drug be sure to take Coenzyme Q10 or ubiquinol, because the same enzyme that makes the cholesterol also participates with CoQ10 production. ... If their total cholesterol is over 300 or 330, I would consider the use of red yeast rice or a statin. Thats the only time I would consider it. Other than that, I would look for ways to reduce the potential impact of toxic cholesterol metabolism... What I try to do first with my patients is to get them to clean up their lifestyle, so that what theyre doing in their life will not have toxic effects on their apparently elevated cholesterol. Im saying apparently elevated because I dont believe that God makes mistakes. If you walk into me with a cholesterol of 240, I think that your body has that level for a reason. Maybe, just maybe, your body is crying for more vitamin D. Its asking your liver to make more cholesterol so that it can convert [vitamin D], or maybe your body wants more testosterone or another steroid hormone, so its calling for more raw material. I dont know how much I want to interrupt those processes with sledgehammers like statins. I would prefer to get your body not to oxidize the cholesterol by eliminating processed, refined foods. My mantra is No fast, fried, refined, or processed foods. Thats first on the list. Keep your diet 70 to 80 percent raw living food, and what you do with the rest I dont care if you want to eat meat, chicken, fish, and eggs... just dont fry it. Eat all the meat you want within that 30 percent. The rest of it, try to keep it organic, not genetically engineered, unprocessed, and raw, so youre not destroying the fatty acids. I personally believe that I have found the underlying cause of heart disease or the principal cause of heart disease in this country. Thats the fact that we are heating these essential fatty acids, these unsaturated fatty acids. Were oxidizing them, and were taking them right into our body already rancid. I think that is one of the primary causes.
45
HDL/Cholesterol ratio: Divide your HDL level by your total cholesterol. This percentage should ideally be above 24 percent Triglyceride/HDL ratio: Divide your triglycerides by your HDL level. This percentage should be below 2
In my experience, high triglycerides specifically, and elevated cholesterol in general, is typically related to excessive consumption of grains and sugars. A high-fructose, high grain-carb diet contributes to insulin resistance, which will cause your liver to produce more cholesterol and more inflammatory LDL particles, raise your triglycerides, and increase your risk of metabolic syndrome. Other heart disease markers Dr. Rowen recommends paying close attention to include:
Ferritin levels, because iron participates in the oxidation of cholesterol Homocysteine levels, which can show potential deficiencies in crucial B vitamins Lipoprotein A (LPA), as it affects your blood coagulation 25-hydroxyvitamin D levels, and Blood viscosity
your feet. It mediates inflammation in your body by improving the zeta potentialthe pulse capacity of your red blood cellswhich also helps reduce blood viscosity.
Reduce, with the plan of eliminating, grains and sugars in your diet. It is especially important to eliminate dangerous sugars such as fructose. Consume a good portion of your food raw. Make sure you are getting plenty of high quality, animal-based omega 3 fats, such as krill oil. New research suggests that as little as 500 mg 47
of krill per day may lower your total cholesterol and triglycerides and will likely increase your HDL cholesterol. Replace harmful vegetable oils and trans fats with healthful fats, such as olive oil and coconut oil (remember olive oil should be used cold only. Use coconut oil for cooking and baking) Include fermented foods in your daily diet. This will not only optimize your intestinal microflora, which will boost your overall immunity, it will also introduce beneficial bacteria into your mouth. Poor oral health is another indicator of increased heart disease risk. Optimize your vitamin D levels, ideally through appropriate sun exposure as this will allow your body to also create vitamin D sulfate another factor that may play a crucial role in preventing the formation of arterial plaque. Exercise regularly. Make sure you incorporate high intensity interval exercises, which also optimize your human growth hormone (HGH) production. Avoid smoking or drinking alcohol excessively. Be sure to get plenty of high-quality, restorative sleep.
Final Thoughts
The simplest thing you can do, and the most powerful, is to clean up your diet first, Dr. Rowen says. Eat more raw, uncooked, living foods organic, grown around you, ripe when in season ancient Chinese wisdom... Get exercise. Exercise can overcome Im not going to say anything but a lot. We know that people have eaten toxic diets for years, including a lot of cooked foods. When they get exercise, it can overcome a lot of that. These are things that cost absolutely nothing for you to do. I like your concept of eating fermented foods, keeping your mouth clean. The so-called antioxidants, particularly vitamin E or the natural vitamin Es, are good. Especially if you can get it in your food, these dont cost anything. I assure you that in most cases, if you start doing these things, youll see that your cholesterol drops. Mine is 175. My triglycerides are 100 or less. I use triglycerides as a marker, because the higher that is, it tells me the more refined carbohydrates youre eating. The more refined carbohydrates youre eating, the more insulin youre going to have. The more insulin you have, the bigger your belly... [I]nsulin drives all those carbohydrates into fat, which generates inflammation (which is the same inflammation that might come out of your mouth). These are the things that you can do that dont cost a penny, and can alter your health dramatically.
originally board certified in both family practice and emergency medicine, as well as the American Board of Clinical Metal Toxicology. (After being recertified, he later allowed those certifications to lapse, as he doesn't believe they're pertinent to his current work.) Dr. Rowen has been involved in complementary or integrative medicine since 1983, and was instrumental in creating the first statutory protection for natural medicine in the United States in the state of Alaska, in 1990. He's presently the editor-in-chief of Second Opinion, which is a printed national newsletter, and he's also still seeing patients in Santa Rosa, California.
And while many people worry that their cholesterol is too high, few give a thought to the damage that can result if your cholesterol is too low. When it comes to cholesterol, lower is not always better. If your cholesterol dips too low, you will increase your risk of:
Where do Sugars and Grains Fit In? About 75 percent of your blood cholesterol is made by your body. The other 25 percent comes from the foods you eat. Certain foods that contain cholesterol will throw your body off balance, while others will actually push it toward homeostasis. One of the most important things I advise people looking to lower their cholesterol to do is to reduce, or eliminate, sugars and grains from their diet. What do sugar and grain have to do with cholesterol and your heart? Eating too much sugar and refined grains is the primary cause of high triglycerides, and restricting sugar and grains seems to normalize triglyceride levels in most everyone who tries it. Triglycerides, like cholesterol, belong to the lipid family. Theyre a major source of energy for your body, and are either obtained from your diet or produced in your liver. When your body has more triglycerides than it can use, the excess triglycerides end up being transported to fat cells (rather than being used by your body for energy). If your triglyceride levels remain elevated it can lead to atherosclerosis and heart damage. In other words, high triglycerides are an incredibly potent risk factor for heart disease. In combination, high triglycerides and low HDL levels are an even bigger risk; this ratio is even more important to your heart health than the standard good vs. bad cholesterol ratio. In fact, one study found that people with the highest ratio of triglycerides to HDL had 16 times the risk of heart attack as those with the lowest ratio of triglycerides to HDL. So while you strive to keep your HDL cholesterol levels up, youll want to decrease your triglycerides. How? You can increase your HDL levels by exercising and getting plenty of omega-3 fats like those from krill oil. Triglycerides are easily decreased by exercising
50
and avoiding grains and sugars in your diet. The Healthy Cholesterol Guidelines Have Never Been Proven It is also worth mentioning, while were on the subject of cholesterol, that the cholesterol levels the experts tout as those you must reach to be healthy have never been proven to be healthy. So rather than focusing on how to get your cholesterol levels lower, focus on eating the right foods for your nutritional type while avoiding sugar and grains. (And by all means do not get caught up in the hype that you need to take dangerous statin cholesterollowering drugs!) Add to your new healthy diet some regular exercise, and your body should be able to keep its cholesterol levels where they should be, naturally.
One received 25 micrograms of ginger extract daily Another received 250 micrograms of ginger extract daily A third group received only a placebo
Mice who received the 250 micrograms daily showed the greatest benefits over those given a placebo:
Aortic atherosclerotic lesion areas were reduced 44% Reductions in plasma triglycerides and cholesterol (by 27% and 29%, respectively) Reductions in VLDL cholesterol by 53%
51
The researchers note that oxidative damage of LDL is thought to play a key role in the development of atherosclerosis and that consumption of nutrients rich in phenolic antioxidants has been shown to be associated with slowing down the development of atherosclerosis. The authors conclude that "dietary consumption of ginger extract ... significantly attenuates the development of atherosclerotic lesions. This antiatherogenic effect is associated with a significant reduction in plasma and LDL cholesterol levels and a significant reduction in the LDL basal oxidative state, as well as their susceptibility to oxidation and aggregation."
Tests in human cell samples and in rabbits, show that the cholesterol-lowering drug simvastatin (Zocor) seems to activate a pathway through which cells communicate and act very similar to a naturally-occurring growth factor, according to Dr. Kenneth Walsh, of Tufts University School of Medicine in Boston, Massachusetts. Researchers suspect that the drug interacts with a molecule called protein kinase Akt/PKB, which helps regulate blood vessel development properly. Simvastatin produced similar effects on the growth of new blood vessels, a process called angiogenesis, as does vascular endothelial growth factor (VEGF), a
53
substance essential for healthy blood vessels, according to Dr. Walsh. "The same pathway is being activated by statins as VEGF," he said. But if statins do promote angiogenesis, the effects may not always be helpful, Dr. Michael Simons, of Beth Israel Deaconess Medical Center in Boston points out in an editorial that accompanies the study. For example, statins might increase the growth of blood vessels in cancerous tumors, Simons notes. However, even though statins are some of the most widely used prescription drugs, these and other potential harmful effects have not been reported, which calls into question their vessel-promoting abilities, Dr. Simons adds.
Nature Medicine September, 2000;6:965-966, 1004-1010.
Well, with half the population anticipated to take these drugs in the future, it is time that we seriously re-evaluated what we are doing with them. Just like our weight, there is an optimum with cholesterol as well. Some people believe that the lower your cholesterol, the healthier you are. Nothing could be further from the truth. If your cholesterol is too low you will have an increased risk of mood disorders, depression, stroke, violence. This best predictor of heart disease with respect to cholesterol is the HDL/total cholesterol ratio. Now, to add insult to injury, it appears that these drugs also contribute to increased cancer risks. Some patients (about one in 500) with impaired LDL receptors (familial hypercholesterolemia) do require these drugs and they should be on Coenzyme Q10, as this important nutrient is blocked by many cholesterol-lowering drugs. However, one in 500 people is sure a bit different than the one in 2 which is being predicted to take these drugs. This is not the first time that the cancer-causing potential of cholesterol-lowering medications have been discussed. A review published in the prestigious Journal of the American Medical Association in 1996 (JAMA 1996 Jan 3;275:55-60) provides some excellent information on this. The authors of the study state (emphasis mine): All members of the two most popular classes of lipid-lowering drugs (the fibrates and the statins) cause cancer in rodents, in some cases at levels of animal exposure close to those prescribed to humans. ... Longer-term clinical trials and careful postmarketing surveillance during the next several decades are needed to determine whether
54
cholesterol-lowering drugs cause cancer in humans. In the meantime, the results of experiments in animals and humans suggest that lipid-lowering drug treatment, especially with the fibrates and statins, should be avoided except in patients at high short-term risk of coronary heart disease. Additionally, if statins act on the same pathway as VEGF, as the study's authors state, it further explains the cancer connection. A just-published study shows that VEGF plays an important role in the spread of colorectal cancer and found that survival time was diminished in patients whose cancerous tumors tested positive for VEGF (Br J Cancer 2000 Oct;83:887-891). Another just-published study shows that VEGF plays a role in diabetic retinopathy (Horm Res 2000;53:53-67). Therefore, if statins act along the same pathway, this is another potential adverse effect of the drugs. Considering the fact that a high percentage of diabetics have heart disease and are likely on these drugs, this is significant.
Related Articles:
Low Cholesterol Linked to Depression Lowering Cholesterol Could Cause Violent Behavior Low Cholesterol Linked to Stroke Risk Low Cholesterol and Albumin Bad Signs in Elderly Statins May Impair Brain Function Half of Population Will be Taking Statins Low Cholesterol May Affect Mood
55