Myths about lipid profile and cardiovascular risk



Not only food is the cause of cholesterol in your blood


The cholesterol in your blood comes from two sources: the foods you eat and your liver. Only about 20% comes from the foods you eat. For example, If you eat only 200 to 300 mg of cholesterol a day (one egg yolk), your liver will produce an additional 800 milligrams per day from raw materials such as fat, sugars, and proteins.



The role of cholesterol in your body is not all negative

Cholesterol also is needed to make vitamin D, hormones (including testosterone and estrogen), and fat-dissolving bile acids.



Good cholesterol, bad cholesterol and triglyceride


LDL (bad) cholesterol

LDL cholesterol is considered the “bad” cholesterol, because it contributes to fatty buildups in arteries (atherosclerosis). This narrows the arteries and increases the risk for heart attack, stroke and peripheral artery disease (PAD).


HDL (good) cholesterol

HDL cholesterol can be thought of as the “good” cholesterol because a healthy level may protect against heart attack and stroke.


HDL carries LDL (bad) cholesterol away from the arteries and back to the liver, where the LDL is broken down and passed from the body. But HDL cholesterol doesn't completely eliminate LDL cholesterol. Only one-third to one-fourth of blood cholesterol is carried by HDL.


Triglycerides

Triglycerides are the most common type of fat in the body. They store excess energy from your diet.


A high triglyceride level combined with high LDL (bad) cholesterol or low HDL (good) cholesterol is linked with fatty buildups within the artery walls, which increases the risk of heart attack and stroke.




Cholesterol: How high is the high level?


Your good cholesterol level depends on your cardiovascular disease risk

Click to check your cardiovascular risk


High cholesterol : management






Ways to Improve your heart health


  • control co-morbidity disease such as hypertension and diabetes \

  • Being active, moderate level exercise regulary

  • Stress management

  • Supplement/food for heart health co-enzyme Q10 , nutto , fish oil , vitamin K2 , Magnesium

  • Quit smoking

  • cut down red meat

  • Alkaline diet ( be more vegetarian but low in omega 6 food )

  • Avoid unecessary calcium supplement



Statin ( lipid lowering drug ) possible side effects

Common side effects

Side effects can vary between different statins, but common side effects include:

  • headache

  • dizziness

  • feeling sick

  • feeling unusually tired or physically weak

  • digestive system problems, such as constipation, diarrhoea, indigestion or farting

  • muscle pain

  • sleep problems

  • low blood platelet count

Uncommon side effects

Uncommon side effects of statins include:

  • being sick

  • memory problems

  • hair loss

  • pins and needles

  • inflammation of the liver (hepatitis), which can cause flu-like symptoms

  • inflammation of the pancreas (pancreatitis), which can cause stomach pain

  • skin problems, such as acne or an itchy red rash

  • sexual problems, such as loss of libido (reduced sex drive) or erectile dysfunction

Rare side effects

Rare side effects of statins include:

  • muscle weakness (myopathy)

  • loss of sensation or tingling in the nerve endings of the hands and feet (peripheral neuropathy)

  • tendon problems (tendons are tough cords of tissue that connect muscles to bones)




Reference

  1. Seth Shay Martin, M.D., M.H.S." Cholesterol in the Blood" https://www.hopkinsmedicine.org

  2. Julie Corliss"How it’s made: Cholesterol production in your body"ealth.harvard.edu

  3. "Protecting Your Heart: What is a Healthy Cholesterol Level for You?"https://www.pennmedicine.org

  4. "Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III)" Third Report of the National Cholesterol Education Program (NCEP)

  5. "Side effects-Statins" https://www.nhs.uk

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