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Friday, December 16, 2022

"Breaking Bad Health Habits"

 

Quit smoking. Lay off the junk food. Stop being a couch potato. Don’t stay up too late. All of that sounds simple enough, but simple doesn’t always mean easy. You’ll need a good strategy to break some of those bad habits.

THINK ABOUT IT:

Knowing you need to change something usually isn’t enough motivation to do it. You may even think there’s a good reason you do it. For example, sometimes people who smoke feel like smoke breaks are the only times they can step away from their work during the day. And eating together is a way to bond with friends and family, so you may go along with the crowd instead of choosing healthier foods. But are those really good reasons? You can take a break and go outside without smoking. You can enjoy a meal with friends and make better food choices. A good way to get yourself going is to figure out what benefits you’ll get when you change your habits:

  • You’ll feel better when you take care of your health.
  • Your chances of certain diseases and conditions may go down.
  • More activity and better foods can help you lose a few pounds and feel more comfortable in your clothes.
  • Getting more sleep will give you more energy.
  • If you smoke, you’ll save money, and your clothes, breath, and home won’t smell like smoke when you quit.

BREAK IT DOWN:

If the change seems overwhelming, start with small steps and goals. One way to do that is a trick from the business world called SWOT:

Strengths: What are you already doing right? What skills do you have?

  • Are you a good cook who can make healthy, delicious meals?
  • Are you good at scheduling, so you can make time to exercise?
  • Who will support you in this? Friends, family, co-workers?

Weaknesses: What could get in your way?

  • Do you put things off so you don’t have time to make healthy meals or go to the gym?
  • Do you have a hard time sleeping because of stress?

Opportunities: What might help you break your bad habit?

  • Can you join a club or support group?
  • Does your workplace have a gym?
  • Are there apps to help you plan your activities or track your progress?

Threats: Could things you can’t control throw a wrench into your plans?

  • Does your work schedule constantly change?
  • Do people around you try to pressure you to stick to your bad habits?

Plan how you’ll respond to these challenges. Take a minute and write your responses down to help you sort through it all.

SET SMALL GOALS:

Going cold turkey can be hard, so start small:

  • Instead of not eating sweets, have one fewer snack each day.
  • If you want to be more active, take a short walk after dinner each night.
  • If you can’t sleep, set an alarm to remind you to turn off the TV, phone, or computer an hour before you want to go to bed.

Aim for things you’re pretty sure you can do. Small wins can keep you going.

SWAP BAD FOR GOOD:

It’s important to replace bad habits with good ones. Otherwise, you’re likely to fall back into your old routines. For example, people who quit smoking sometimes replace it with snacking. Having healthy choices around, like fruit, can help keep that from becoming a problem. If you turn off the computer in time to wind down and fall asleep, but replace it with your phone or the TV, that’s probably not going to help. (Light from a screen can keep you awake.) Instead, try meditating, writing in a journal, or reading a book.

A few other tips:

  • Pick a new healthy habit you enjoy. If you hate running on a treadmill, chances are you won’t stick with it. If you don’t like broccoli, there’s no point in loading your plate with it.
  • Change one habit at a time. Trying to do too much at once can make it so hard to know where to start that you don’t start at all. As you meet each goal, add another one.
  • Don’t rush it. Chances are, you didn’t develop the bad habit overnight, so give yourself the time to develop the new one. It can take 2 to 3 months for a new routine to take hold.

TRACK YOUR PROGRESS:

Keep a daily record of the changes you make. If you haven’t met your goals for the week, think about what went wrong, then see what you might do better next week. If you’ve met your goals, give yourself a little reward. Seeing things add up, like your workouts or the days since you’ve had a cigarette, can motivate and encourage you.

FORGIVE YOURSELF:

Setbacks are normal. Don’t beat yourself up when you have one. Think back to when you first started, look at your daily record, and remind yourself of how far you’ve come. One slip-up doesn’t wipe all that out. Then pick up where you left off.

Friday, December 9, 2022

"What to Eat to Help You Live Longer and Healthier?"

 

The five eating habits that can extend your life, according to a registered dietitian.

Most people want to live a longer life. But the goal of longevity is also to live a better life, with improved mental and physical wellness and the ability to be active and independent. In my years as a registered dietitian, I've seen plenty of people in their 70s, 80s, and beyond who are healthier than folks half their age.

While genetics do play a role, lifestyle is a more significant factor, and nutrition is a big piece of the puzzle. A 2016 review of the literature published in the journal Immunity & Ageing cites studies that suggest that 25% of one's longevity is determined by genetics—the rest is influenced by lifestyle.

Here are five eating habits to adopt to increase your chances of extending your life and enjoying each year with vigor.

Eat Your Veggies and Fruit

I know you hear this one a lot, but eating more produce is truly one of the most important and impactful habits you can adopt. Unfortunately, most Americans are way off the mark. According to the Centers for Disease Control and Prevention, only about one in 10 U.S. adults eats enough veggies and fruit. Just 10% hit the recommended two to three daily cups of veggies, and 12% reach the daily target of one-and-a-half to two cups of fruit.

In addition to upping your nutrient intake, reaching those minimums may add years to your life. A 2017 meta-analysis published in the International Journal of Epidemiology found that a higher consumption of fruits and vegetables is associated with a lower risk of mortality from all causes, including heart disease and cancer. Aim for at least five servings a day. More is fine, but in some research, the risk of death did not reduce further beyond this amount.

How to Eat More Fruits and Veggies

Build in two cups of fruit and three cups of veggies daily, with one cup being about the size of a tennis ball. Some tips: Try getting into a routine of incorporating a cup of fruit into every breakfast, and a second as part of a daily snack. Incorporate one cup of veggies at lunch and two at dinner. Or combine them. A smoothie made with a handful of greens and a cup of frozen berries knocks out two. You can also add fresh fruit, like sliced apples or orange slices, to entrée salads and stir-fry recipes.

Go Nuts for Nuts and Nut Butters

Nuts are nutrition powerhouses. They provide healthful fat, plant protein, fiber, antioxidants, vitamins, and key minerals, like potassium and magnesium. It's no wonder they're linked to life extension.

According to the National Heart, Lung, and Blood Institute (NHLBI) metabolic syndrome, aka insulin resistance syndrome, is a group of conditions that increase a person's risk of heart disease, diabetes, and stroke. A 2020 randomized trial that was part of a larger study published in The Journal of Nutrition followed 5,800 men and women with metabolic syndrome for a year. Results suggest that as nut consumption increased, certain markers for metabolic syndrome decreased. These markers include waist circumference, triglyceride levels, systolic blood pressure, weight, and BMI. HDL, the good cholesterol, also increased in women involved in the study (but not the men).

How to Eat More Nuts

An ounce of nuts is about a quarter cup, but two tablespoons of nut butter also counts as a serving. Whip nut butter into your smoothie, stir it into oatmeal, or use it as a dip for fresh fruit or celery. Add nuts to salads, cooked veggies, and stir-fry recipes, or eat them as is. Crushed nuts also make a great alternative to breadcrumbs to coat fish or garnish dishes like mashed cauliflower or lentil soup. Baking with nut flours or using them in pancakes is another great way to up your intake.

Eat More Meat-Free Meals

Meatless Mondays have been a thing for years. That's fantastic, but for longevity, you should build plant-based meals into your eating routine more than one day a week.

In a 2016 article in the American Journal of Lifestyle Medicine, researchers describe five areas in the world where people live the longest, healthiest lives. Deemed Blue Zones, these regions are found in very diverse areas, from Okinawa, Japan to Ikaria, Greece. One commonality they share is the consumption of primarily plant-based diets. Beans and lentils are cornerstones, and meat is eaten on average about five times per month in three- to four-ounce portions—about the size of a deck of cards.

The only Blue Zone in the US is in Loma Linda, California, which has the highest concentration of Seventh Day Adventists. This population, known for their primarily plant-based diet, lives, on average, 10 years longer than their North American counterparts.

For example, a 2013 study published in JAMA Internal Medicine looked at over 73,000 Seventh Day Adventist men and women and found that compared to omnivores, those who stuck with a vegetarian diet had a significantly lower overall mortality risk. This included vegans, lacto-ovo vegetarians (who do eat dairy and eggs), and pesco-vegetarians (who do eat seafood). A 2019 follow-up study to the 2013 one, published in the Journal of Nutritional Science, found that compared to the diet of non-vegetarians, vegetarian diets were associated with significantly lower levels of cardiovascular disease risk factors.

And in a 2022 study in PLOS Medicine, researchers looked at how food choices affect life expectancy. They determined that the largest gains in longevity could be made by "eating more legumes, whole grains and nuts, and less red and processed meat."

How to Eat Less Meat

To reap the benefits, swap the meat in meals for pulses, the umbrella term for beans, lentils, peas, and chickpeas. Opt for lentil or black bean soup on the side instead of adding chicken to a salad. Use black-eyed peas in a stir fry in place of meat, and snack on veggies with hummus instead of jerky. Explore ethnic restaurants in your area that offer pulse-based dishes, like Indian chickpea curry and Ethiopian lentil stew.

Eat Like a Mediterranean

When it comes to longevity, it's the overall eating pattern, rather than one food or food group, that's key. A Mediterranean diet remains one of the gold standards for living longer and more healthfully. This pattern is characterized by a high intake of fruits and vegetables; whole grains; pulses; healthful fats from nuts, olive oil, and avocado; and herbs and spices. It includes seafood a few times a week. The Mediterranean diet also includes moderate consumption of dairy, eggs, and wine and limits the intake of meat and sweets.

One measure of longevity often cited in the research at the cellular level is telomere length. In a nutshell, telomeres are caps found at the ends of chromosomes that protect DNA. When they become too short, a cell becomes old or dysfunctional. This is why shorter telomeres are associated with a lower life expectancy and an increased risk of developing chronic diseases. Research published in 2017 in the journal Oncotarget suggests that greater adherence to a Mediterranean diet is linked to longevity through maintaining longer telomere length. The same study showed that for each one-point increment in the Mediterranean diet score (which measures adherence to the diet), the risk of death from any cause drops by 4 to 7%.

How to Eat a Mediterranean Diet

To Mediterranean-ize your meals, replace butter with nut butter or avocado on toast and trade it for extra virgin olive oil to sauté vegetables. Snack on fresh fruit with nuts, olives, or roasted chickpeas, and keep meals simple. A balanced Med-diet dinner may consist of fish served over a bed of greens tossed in extra virgin olive oil with a side of roasted potatoes or quinoa and a glass of pinot noir.

Sip Green Tea

I like to refer to green tea as preventative medicine in a mug. Numerous studies have linked it to a lower risk of heart disease, cancer, type 2 diabetes, Alzheimer's, and obesity. In a 2022 review of the literature published in the journal Nutrients, researchers found that those with the highest green tea intake had lower rates of cardiovascular disease, as well as a lower risk of dying from heart disease and stroke. And while it cannot be said definitively that drinking green tea will make you live longer, there does seem to be some association between longevity and green tea intake.

How to Drink More Green Tea

In addition to sipping, you can use green tea as the liquid in smoothies, oatmeal, or overnight oats, or to steam veggies or whole grain rice. It can also be incorporated into soups, stews, sauces, and marinades. Matcha, a powdered form of green tea, can also be used in beverages and recipes. Just be sure to cut off all caffeine at least six hours before bedtime so you won't disrupt your sleep length or quality.

A Quick Review

As far as what not to do, it's the usual suspects. Don't overeat or consume too much sugar, processed foods, meat, or alcohol. The good news is that the protective foods above can easily displace aging-inducing foods. Reach for an apple with almond butter in place of processed cookies and replace soda with green tea. In other words, focus on what to eat, and you'll naturally curb your intake of foods to avoid. That's important because for longevity, consistency is key. A long-haul diet supports a long, healthy life!

Updated on October 25, 2022

Thursday, December 8, 2022

"Lower Your High Cholesterol"

 


What Is High Cholesterol?

There are two major forms of cholesterol: Low-density lipoprotein or LDL, also known as "bad" cholesterol, and high-density lipoprotein or HDL, also called "good" cholesterol. LDL is the main source of artery-clogging plaque. HDL, on the other hand, clears cholesterol from your blood. Besides LDL and HDL, there’s another kind of fat in your blood called triglycerides. Research shows that high levels of triglycerides, just like high levels of LDL, are linked to heart disease. Your body needs cholesterol to build new cells, insulate nerves, and make hormones. Having too much, though, is a major risk for heart disease. Ordinarily, your liver makes all the cholesterol your body needs. But you also get elevated cholesterol from food. You'll find these in many processed foods like doughnuts, frozen pizza, cookies, and crackers. You can also get it from milk, eggs, meat, and other animal products. Over time, without your even being aware, this extra cholesterol collects inside your body and begins to do damage.

Symptoms of High Cholesterol

High cholesterol doesn’t have symptoms. So, you can be unaware that your levels are getting too high. That’s why it’s important to find out what your cholesterol numbers are. If they're too high, lowering them will lessen your risk for getting heart disease. And if you already have heart disease, lowering cholesterol can reduce your odds of a heart attack or of dying from heart disease.

High Cholesterol Diagnosis

If you’re older than 20, your doctor should measure your cholesterol levels at least once every 5 years. All that’s needed for this is a simple blood test called a lipid profile. The test will show you your:

  • Total cholesterol level
  • LDL level
  • HDL level
  • Triglycerides level

Children between ages 9 and 11 should be checked once for high cholesterol, too. Kids should have their cholesterol checked earlier -- after age 2 but by age 10 -- if they have any of these risk factors: 

  • A mother or grandmother who had a stroke, heart attack, or blocked arteries before age 65 
  • A father or grandfather who had a stroke, heart attack, or blocked arteries before age 55 
  • Any parent or grandparent who has or had a total cholesterol level over 240
  • Unknown family health history because of adoption
  • High blood pressure, diabetes, obesity, and any other conditions linked to heart disease.

Children should have a total cholesterol level below 170 and an LDL below 110. High cholesterol in kids is defined as a total cholesterol level of about 200. 

Your numbers will help you and your doctor know not only your risk for heart disease but also the best options for lowering it. For instance, an LDL level of 190 or above in adults is considered very high. The doctor will likely talk to you about taking medicine to lower it. And if your HDL level is 60 or above, your risk of heart disease goes down. The goal is a lower LDL and a higher HDL to prevent and manage heart disease. But cholesterol numbers are only one part of a larger equation. The doctor will also look at your age, blood pressure, smoking history, and use of blood pressure medicines. All of these things plus whether you already have heart disease will give a picture of your chance of a major heart problem over the next 10 years. You and your doctor will use that information to create a plan to lower your risk. This could involve lowering your cholesterol level with diet and medicine.

High Cholesterol Causes, Influences and Risk Factors

Lots of things can raise -- or lower -- your cholesterol levels. They include:

Saturated fats and simple carbohydrates. Reducing the amount of saturated fat, simple carbohydrates, and cholesterol in your diet can help lower your blood cholesterol.

Trans fats. Avoid artificial trans fats, which can raise your cholesterol. Check labels on baked goods, snack foods, frozen pizza, margarine, coffee creamer, vegetable shortenings, and refrigerated dough (such as biscuits and cinnamon rolls). Keep in mind that items that say they have "0 g trans fat" can actually have a tiny bit of trans fat in each serving, which adds up. So, check the ingredients list. "Partially hydrogenated" means it has trans fat in it.

Good fats. Unsaturated fats don't raise cholesterol levels. You can find unsaturated fats in foods like nuts, fish, vegetable oil, olive oil, canola and sunflower oils, and avocados. Limit saturated fats, which you find in animal products, and don't eat processed meats.

Sugar. Eating and drinking too much sugar raises your triglyceride levels. High levels of triglycerides make heart disease more likely. Check food and drink labels to see how much sugar has been added, apart from sugars that are naturally part of a food. The average woman should get no more than 5 teaspoons (or 80 calories) per day from added sugars, and men shouldn't get more than 9 teaspoons per day (or 144) calories, according to the American Heart Association.

Fiber. Fiber helps lower your cholesterol level. You get it from plant foods, like whole grains, beans, peas, and many fruits and vegetables.

Weight. Being overweight is a risk factor for heart disease. It also can increase your cholesterol. Losing weight will help lower your LDL, total cholesterol levels, and triglyceride levels. At the same time, it can help you raise your HDL. The best way to do this is to make changes you can live with long-term, instead of going on a crash diet.

Exercise. Regular exercise can lower LDL cholesterol and raise HDL cholesterol. It's also good for your blood pressure and strengthens your heart. Aim to get 2 hours and 30 minutes of moderate aerobic activity per week (like brisk walking), or 1 hour and 15 minutes of harder exercise (such as jogging) per week.

Age and gender. As you get older, your cholesterol rises. Before menopause, women tend to have lower total cholesterol than men. After menopause, though, women's LDL levels tend to rise.

Heredity. High blood cholesterol can run in families.

Medical conditions. Sometimes, a medical condition may cause higher cholesterol levels. Examples include hypothyroidism (an underactive thyroid gland), liver disease, and kidney disease.

Medications. Some drugs, such as steroids and progestins, can increase the "bad" cholesterol and decrease the "good" cholesterol.

Smoking. Tobacco smoke can raise levels of blood fats (triglycerides) and make your “good” HDL cholesterol go down.

The TLC Program to Lower High Cholesterol

The National Heart, Lung, and Blood Institute created the TLC Program, short for Therapeutic Lifestyle Changes, for people who want to control their cholesterol. Even if you take medications to lower your cholesterol, you may want to consider the possible benefits of this program. It has three parts: diet, exercise, and weight control. The goal: Reduce your risk of heart disease. This is not a fad diet. It’s considered a “balanced” plan, and the idea is to change your habits for the long run.

This plan focuses on foods that are low in natural cholesterol and saturated fats but high in the “good fats.” One class of these good fats is monounsaturated fats. You also get a lot of fiber in this diet.

When you follow the program, you shoot for 2 key numbers every day:

  1. Less than 7% of your calories from saturated fat
  2. Fewer than 200 milligrams of dietary cholesterol

You do this to lower your LDL level. You can always talk to your doctor or dietician in more detail about how to measure how much fat and dietary cholesterol you’re taking in.

The first step is to manage dietary fats

When you follow the TLC Program, all the fat you eat in one day should not go over 35% of total calories. Try to avoid saturated fats. They can be found in things like:

  • Butter
  • Egg yolks
  • Fatty cuts of meat
  • Lard
  • Whole milk dairy products

Trans fats can also raise cholesterol. Avoid them when you can. They are found in products such as:

  • Fried foods
  • Shortening
  • Stick margarine
  • Sweets

Foods made with hydrogenated oil or partially hydrogenated oil should also be limited. When you’re grocery shopping, be sure you’re reading labels.

Good fats

Up to 20% of your calories can come from monounsaturated fats. They can help lower your LDL levels. Plus, these fats don’t lower your good, or HDL, cholesterol levels.

Some sources include:

  • Avocados
  • Olive, canola, and almond oils
  • Peanut butter

About 10% of your calories can come from polyunsaturated fats. Use these in moderation. While they lower LDL levels, which you want to happen, they can also lower HDL levels, which is what you don’t want. Some choices:

  • Fatty fish such as salmon, mackerel, herring, and trout
  • Pumpkin and sunflower seeds
  • Soybean, safflower, sunflower, cottonseed, and corn oils

Dietary cholesterol

Your body makes cholesterol, but you also get it from food. Animal products such as red meat, shellfish, and egg yolks, for example, all contain cholesterol. With the TLC Program, you must keep your intake of dietary cholesterol to less than 200 milligrams a day. Choose lean meat and reduced-fat dairy products as often as you can.

Protein

It’s important for growth and helps your body repair cells. Protein-rich foods should make up about 20% of your daily total calories. But here’s the catch. Many protein sources are also high in cholesterol and saturated fat.

You have options beyond lean meats and reduced-fat dairy. They include:

  • Beans
  • Lentils
  • Seeds
  • Soy products

The right carbs

Carbohydrates are an important part of good nutrition, but you need to choose the right kind. The program calls for about 50% to 60% of your calories to come from them. Aim for carbs that are complex, meaning they are not heavily processed and are high in fiber. That’s important, because the TLC diet calls for about 20 to 30 grams of fiber a day.

Some great choices:

  • Beans
  • Fruit
  • Lentils
  • Quinoa
  • Vegetables
  • Whole grain and whole wheat sources

That’s a whole lot of information about food to take in, but there are two more pillars to the program.

Exercise

Physical activity is also part of the plan. You should try to get at least 30 minutes of moderate exercise most, if not all, days of the week.

Brisk walking is a great place for many people to start. Some other suggestions:

  • Bicycling
  • Bowling
  • Dancing
  • Gardening

Of course, you should talk with your doctor before you start an exercise plan.

Weight

The third part of the TLC Program is about shedding unwanted pounds. Besides the cholesterol, extra fat can increase your chances for high blood pressure, diabetes, heart disease, and other issues. If you’ve improved your diet and exercise but are still struggling with weight, the program suggests checking with your doctor.

It also offers ideas to help with your goal of weight loss:

  • Slow down while you eat; it takes the brain a while to get the message you’re full
  • Eat more fruits and vegetables; they make you feel full
  • Serve your food on smaller plates
  • Eat three meals a day; don’t skip any

TLC Program how-tos

The TLC Program works best when you work directly with your doctor or dietician, who can also guide you to become more active, manage your weight, and reach your cholesterol goals. With this program, you start out meeting with your doctor every 6 weeks to track how well lifestyle changes are working for you. Your doctor can also help you control other things that make heart disease more likely, including quitting smoking and controlling high blood pressure, for example. For some people, lifestyle changes alone may not be enough. You may need medication, too. But with lifestyle changes such as the TLC Program, you may be able to take lower doses.

Medications to Lower High Cholesterol

The goal of cholesterol treatment is to help you prevent a heart attack or stroke. So, the drugs your doctor prescribes also depend on your chances for heart disease.

The higher your risk, the more important it is to get your levels down. Your doctor will look at all of your risk factors and decide which medications will help you the most.

Cholesterol-lowering drugs include:

  • Statins
  • Niacin
  • Bile-acid sequestrants
  • Fibrates
  • Cholesterol absorption inhibitors
  • PCSK9 inhibitors

Cholesterol-lowering drugs work best when combined with a low-cholesterol diet and an exercise program.

Statins

Statins block the production of cholesterol in the liver. They lower LDL and triglycerides and can slightly raise HDL. These drugs are the first treatment for most people with high cholesterol. If you already have heart disease, statins reduce the chances of heart attacks. Side effects can include diabetes, liver damage, and, in a few people, muscle tenderness or weakness. If your doctor prescribes statins, you should ask them the percentage by which you should lower your cholesterol. Generally, it will be between 30% and 50%. Commonly used statins include:

Niacin

Niacin is a B vitamin. It's found in food, but you can get high doses by prescription. It lowers LDL cholesterol and raises HDL cholesterol. The main side effects are flushing, itching, tingling, and headache. Aspirin can reduce many of these symptoms. Speak with your doctor first, though, before taking aspirin. Research suggests that even though niacin may improve your cholesterol numbers, it doesn’t appear to lower your risk of heart disease, especially if you’re already taking a statin.

Bile acid sequestrants

These drugs work inside the intestine, where they bind to bile and prevent your circulatory system from reabsorbing it. Bile is made largely from cholesterol, so these drugs work by reducing the body's supply of cholesterol. That then lowers both total and LDL cholesterol. The most common side effects are constipation, gas, and upset stomach. Commonly used bile acid sequestrants include:

Fibrates

Fibrates lower triglyceride levels and can increase HDL and lower LDL. Scientists think fibrates help your body break down triglyceride-rich particles and stop it from putting out certain blood fats. Commonly used fibrates include:

Cholesterol absorption inhibitors

Ezetimibe (Zetia) lowers LDL by inhibiting the absorption of cholesterol in the intestines. Vytorin is a drug that combines ezetimibe and a statin. It can decrease total and LDL cholesterol and raise HDL levels.

PCSK9 inhibitors

You get this newer type of cholesterol-lowering drug as a shot. Doctors use it to treat people with a genetic form of high cholesterol called familial hypercholesterolemia.

Combination drugs

Some people with high cholesterol get the best results with combination drugs. These are pills that contain more than one medication. Commonly used combination drugs include:

Multiple medications

Sometimes, one cholesterol medicine just won’t cut it. Even if you live a healthy lifestyle and take your pills the way you should, you may need extra help getting your levels to a healthier range. But that doesn’t mean you have to live with high cholesterol. Help can come in the form of a second or even a third medication. Your doctor might recommend adding a medication if:

  • Your statin hasn’t helped. Statins are a mainstay of cholesterol treatment. But they don’t work well enough for everyone who takes them. If that’s the case for you, your doctor might recommend that you add another medicine to your treatment.
  • You have side effects from statins. These drugs can cause muscle pain, liver damage, and other problems that make it hard for some people to take them. Doctors can prescribe a lower dose to ease side effects, but that means adding another medication to bring down cholesterol.
  • You have a genetic form of high cholesterol. Familial hypercholesterolemia (FH) is a condition that causes very high levels of cholesterol -- so high that one drug and lifestyle changes won’t do enough. People with FH usually take a statin and one or two other drugs.
  • You can’t take a statin. The pills aren’t safe for people with liver disease or women who are pregnant or breastfeeding. Doctors will rely on other types of drugs to lower cholesterol.
  • You have high triglycerides. Some drugs do a better job of bringing down these blood fats than others. Your doctor might add another drug that targets them.

Side Effects of Cholesterol-Lowering Drugs

The side effect you need to be most concerned about is muscle aches. They could be a sign of a life-threatening condition. If you have muscle aches, call your doctor immediately.

Other side effects of cholesterol-lowering drugs include:

  • Abnormal liver function
  • Allergic reaction (skin rashes)
  • Heartburn
  • Dizziness
  • Abdominal pain
  • Constipation
  • Decreased sexual desire
  • Memory loss

Foods or Other Drugs to Avoid

Ask your doctor about the other drugs you’re taking, including herbals and vitamins, and their impact on cholesterol-lowering medications. You shouldn’t drink grapefruit juice while taking cholesterol-lowering drugs. It can make it harder for your liver to process these medications.

Complications of High Cholesterol

When you have too much cholesterol, it builds up in the walls of your arteries, causing them harden -- a process called atherosclerosis. It also narrows your arteries, which slows and even blocks the flow of blood. That’s where the problem starts. Your blood is supposed to carry oxygen to all parts of your body, including your heart muscle. Without enough oxygen, your body’s parts won’t work the way they’re supposed to. 

Complications of high cholesterol include: 

  • High blood pressure. If clogged arteries make it hard for blood to move to and from your heart, the heart has to pump harder, and your blood pressure will go up. 
  • Chest pain. If your heart muscle doesn’t get enough blood and oxygen, you'll have chest pain. 
  • Heart attack or stroke. If a piece of plaque breaks off or forms a clot, it can cut off the blood supply to a portion of your heart, causing a heart attack or stroke. If you have heart disease risk factors (like smoking, diabetes, or high blood pressure), you’re especially at risk of this complication.
  • Peripheral artery disease (PAD). A cholesterol buildup can block blood flow to the arteries in your legs and feet. PAD may also affect arteries in your kidneys.
MEDICALLY REVIEWED BY: James Beckerman, MD, FACC on August 20, 2022, WebMD



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eMedicineHealth: "Take Steps to Reduce Cholesterol."

Johnson, R. Circulation, Sept. 15, 2009.

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