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In your shoes I might try to find an ND or medical practitioner who

specializes in these situations, believes in non-statin whole foods,

and actually shows results. (I would ask to interview patient

successes for example.)

Next best - check out " Track Your Plaque. " If it's really heart

disease you're worried about, cholesterol panels are a poor predictor.

http://www.trackyourplaque.com/fo02-00whytrack.asp

Third best - if I chose to do it on my own - I would remove the

sources of that high triglyceride number (prolly sugars and starches)

and add weight training to get that HDL up. What a drop he had! very

interesting.

And I would also say to him, don't worry, there are lots of things to

try yet.

Connie

--- In , " Karin " <roundhouse208@...>

wrote:

>

> Hello,

> I've been a member of this group for many years and used to read a

lot but have been on no mail for quite a while, just because it's

hard to handle the volume of e-mail.

>

> Anyway, I've got a question about high cholesterol concerning my

husband. I'll try to make this short as I can.

>

> A bit of history. He's 43, maybe about 20 lbs. overweight but

doesn't look heavy because he's tall.

> He does have family history of heart disease from both parents.

>

> He initially had high cholesterol reading a few years ago.

> Basic numbers were Total-246, Triglyceride-194, HDL-49, LDL-165,

Chol/HDL Ratio 5.0

>

> They told him he needs to take Crestor, so he did. (against my

wishes) May 06

>

> 2 months (July 06) later another blood test showed:

> Total-134, Triclyceride-74, HDL-50, LDL-72, Chol/HDL ratio 2.7

>

> Great response, they said. Keep taking the Crestor.

> Also, his dad is a MD and regularly supplies him with Crestor for

FREE (what a deal :-/)

>

> Side effects he experienced were not being able to think or

concentrate as well. He is a programmer and needs to think clearly

for his job. He said he noticed feeling kind of like he's in a fog.

>

> He stopped taking Crestor about 4 months ago to experiment.

>

> We tried changing his diet, limiting carbs, cutting out vegetable

oil/trans fat. Read all kind of books (NT, Sharwtzbein, No-

Grain-Mercola, other low-carb books).

>

> We drink raw milk, use butter and coconut oil mostly for

cooking/eating. I try and make good, whole food for him. Problem is,

he cheats at restaurants, more than he thinks, and seems to always

reach for food that isn't the best for him. He has a lot of

weaknesses and has trouble giving up food that he knows isn't

healthy, although doesn't eat a lot of that stuff.

>

> He also drinks MonaVie every day (high antioxidant juice) to

hopefully help with high cholesterol.

>

> He got another blood test yesterday. Here are the new numbers:

> Total - 205, Triglyceride-189, HDL-27, LDL-140, Chol/HDL Ratio 7.5

>

> The nurse said he's at great risk for a heart attack.

> I also read a small bit in the Mercola book which basically said

that with numbers like my husband has, he has an imminent

cardiovascular problem. Dr. Mercola also mentions something about

familial hypercholesterolemia, and if you have this, diet alone may

not help cholesterol problems. (I'm not sure if my husband has this

condition, though)

>

> I'm about ready to give in and tell him to start taking Crestor

again. I don't want him to take that stuff but what else can he do?

>

> Can anyone offer any suggestions? He doesn't take any other

supplements right now besides MonaVie.

> Please point us in the right direction.

>

> thanks,

> Karin

>

>

>

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Thanks for the suggestions Connie.

How would I go about finding a ND or doc like we need in the Phoenix, AZ area?

Karin

>In your shoes I might try to find an ND or medical practitioner who

specializes in these situations, believes in non-statin whole foods,

and actually shows results. (I would ask to interview patient

successes for example.)

And I would also say to him, don't worry, there are lots of things to

try yet.

Connie >>

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Hi Karin,

> Can anyone offer any suggestions? He doesn't take any other supplements

> right now besides MonaVie.

> Please point us in the right direction.

Well, to begin with any fruit juice is going to raise his blood

lipids, not lower them. The antioxidants you want to protect LDL from

oxidation (it is only oxidized LDL that can contribute to heart

disease) are coenzyme Q10 and vitamin E. CoQ10 is dominant and

vitamin E is not effective with it. If you want to supplement with

one thing, I'd choose CoQ10, and if two things, I'd add 400 IU or so

of vitamin E as mixed tocopherols (not alpha-tocopherol). Like Connie

said, the sugars and starches are going to raise his lipid levels,

especially TG, but also LDL levels, especially anything with fructose,

such as fruit juice and anything made with table sugar.

Exercise is important, weight lifting is best, and it is important to

match carb intake to exercise level. Exercise is his excuse for

eating carbs. If he doesn't exercise, tell him he can't have any. If

he exercises a little, he can have a little, if he exercises a lot, he

can have a moderate amount. (But focus on starches to get glucose

instead of fructose).

He is not at imminent risk for a heart attack. His blood levels may

contribute to a more rapid development of atherosclerosis, but this

takes time. No one as far as I know believes that lipid levels are a

main cause of a heart attack. Rather, the rupture of the fibrous cap

on a well developed (over a long time) atherosclerotic lesion is

considered to be the main cause by mainstream scientists. So he has a

little bit of time to figure it out.

What is he doing different now that he was not doing *before* he went

on Crestor? Seems like everything is worse now (?)

Remember that it is oxidized LDL, not LDL itself, that can contribute

to heart disease, and the effect of HDL, while it might exist, is

exaggerated and HDL-modifying trials have been disappointing. It is

possible to test oxidized LDL, but I don't think the tests are usually

available for non-researchers. However, getting apoB levels tested or

getting pattern A/pattern B LDL tested is available. He should get

these tests. What he should focus on is limiting LDL oxidation, and

this means have a large particle size to his LDL. So he wants a

pattern A LDL and/or a low apoB:LDL ratio (the lower this ratio, the

higher the estimated LDL particle size). The CoQ10 should help limit

LDL oxidation, as that is the natural endogenous master antioxidant of

the LDL particle.

Hope that helps,

Chris

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On 5/15/08, Masterjohn <chrismasterjohn@...> wrote:

> Well, to begin with any fruit juice is going to raise his blood

> lipids, not lower them. The antioxidants you want to protect LDL from

> oxidation (it is only oxidized LDL that can contribute to heart

> disease) are coenzyme Q10 and vitamin E. CoQ10 is dominant and

> vitamin E is not effective with it.

That should say " not effective without it. "

Chris

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Hi

Thanks for your reply.

Okay, I got supplement with CoQ10 and 400 IU of vit. E.

How much CoQ10 per serving/day?

>Exercise is important, weight lifting is best, and it is important to

match carb intake to exercise level. Exercise is his excuse for

eating carbs. If he doesn't exercise, tell him he can't have any. If

he exercises a little, he can have a little, if he exercises a lot, he

can have a moderate amount. (But focus on starches to get glucose

instead of fructose). >

He doesn't exercise. I do tell him that I think that's one of the main reasons

for his cholesterol problems. He doesn't have time or puts low priority on

exercise.

He thinks he gets exercise by doing a lot of walking (has to walk a lot to get

into his work) and occasional yardwork and/or hiking. I don't think this is

enough.

>What is he doing different now that he was not doing *before* he went

on Crestor? Seems like everything is worse now (?) >>

Maybe just getting a little older? Also, he's under a lot of stress, mostly job

stress. I'm not sure what else is different in his life. He's probably eating

more saturated fats. He eats an egg every day. He doesn't put high priority on

eating regularly. Sometimes he skips lunch entirely - at least a few days a

week.

>Remember that it is oxidized LDL, not LDL itself, that can contribute

to heart disease, and the effect of HDL, while it might exist, is

exaggerated and HDL-modifying trials have been disappointing. It is

possible to test oxidized LDL, but I don't think the tests are usually

available for non-researchers. However, getting apoB levels tested or

getting pattern A/pattern B LDL tested is available. He should get

these tests. What he should focus on is limiting LDL oxidation, and

this means have a large particle size to his LDL. So he wants a

pattern A LDL and/or a low apoB:LDL ratio (the lower this ratio, the

higher the estimated LDL particle size). The CoQ10 should help limit

LDL oxidation, as that is the natural endogenous master antioxidant of

the LDL particle. >>

Out of this I understood getting the pattern A/pattern B LDL test and that CoQ10

would be helpful.

He's probably going to be reluctant to spend much money on various tests that

may or may not tell him what his problem is, and it's so " easy " to fix his

problem by taking one small pill, even if he's got a foggy brain. :-/

If it were me, I'd be willing to do just about anything to help myself besides

take a statin.

So I guess the main things to try are exercise, CoQ10 and Vit E supplementation.

I'll see if he goes for this. A doctor in our area which has a similar goal in

mind (lowering cholesterol without statin drugs) would be ideal. I'd really love

to know how to get in touch with one here locally.

thanks,

Karin

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Thanks for that info as well. Will keep it in mind.

Karin

Re: high cholesterol - help

I forgot to mention, he should get his thyroid status checked. High

LDL is a sign of hypothyroidism.

Chris

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Hi Karin,

> Thanks for your reply.

You're welcome.

> How much CoQ10 per serving/day?

I'm not sure what is best, but something like 20-50 mg/day should be

fine, taken with a fat-containing meal or at least a little fat.

> He doesn't exercise. I do tell him that I think that's one of the main

> reasons for his cholesterol problems. He doesn't have time or puts low

> priority on exercise.

> He thinks he gets exercise by doing a lot of walking (has to walk a lot to

> get into his work) and occasional yardwork and/or hiking. I don't think this

> is enough.

Walking is better than no walking, but something that builds muscle

would be best. Perhaps if you can't convince him to do it on his own,

you could do a " quality time " thing together be workout partners.

>>What is he doing different now that he was not doing *before* he went

> on Crestor? Seems like everything is worse now (?) >>

> Maybe just getting a little older?

I realized that it is just his HDL that seems to have plummeted --

still the fact that it did is rather curious.

> Also, he's under a lot of stress, mostly

> job stress. I'm not sure what else is different in his life. He's probably

> eating more saturated fats. He eats an egg every day. He doesn't put high

> priority on eating regularly. Sometimes he skips lunch entirely - at least a

> few days a week.

Eggs are a good way to increase pattern A LDL (good) in the 30% or so

of people whose cholesterol levels they affect. Three eggs a day can

be useful in this respect.

> Out of this I understood getting the pattern A/pattern B LDL test and that

> CoQ10 would be helpful.

If they don't have pattern/particle size, apoB can be tested, and the

aboB:LDL ratio can be used as an indicator of particle size (lower

ratio = larger particle = better). CoQ10 would be very good, CoQ10

plus mixed tocopherols might be more effective.

> He's probably going to be reluctant to spend much money on various tests

> that may or may not tell him what his problem is, and it's so " easy " to fix

> his problem by taking one small pill, even if he's got a foggy brain. :-/

The only problem we know he has is a foggy brain when he's on a

statin. Cholesterol levels are not problems, they are just biomarkers

and might indicate a problem. The CoQ10 is probably not going to

lower the LDL (though maybe it would, but that's not why I " m

recommending it) -- it should help or fix the problem the high LDL

indicates (oxidation of LDL, atherosclerosis), but the tests aren't

going to show that, and it can be somewhat pricey.

> If it were me, I'd be willing to do just about anything to help myself

> besides take a statin.

> So I guess the main things to try are exercise, CoQ10 and Vit E

> supplementation. I'll see if he goes for this. A doctor in our area which

> has a similar goal in mind (lowering cholesterol without statin drugs) would

> be ideal. I'd really love to know how to get in touch with one here locally.

Yes that would be good. Make sure the vitamin E is mixed tocopherols,

not alpha-tocopherol, and especially not dl-alpha-tocopherol.

Chris

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Do you mean egg yolks only? I've thrown away the whites ever since you

said avidin can't be gotten rid of even with cooking.

I eat about 3 yolks of pastured eggs a day.

On May 15, 2008, at 12:38 PM, Masterjohn wrote:

> Eggs are a good way to increase pattern A LDL (good) in the 30% or so

> of people whose cholesterol levels they affect. Three eggs a day can

> be useful in this respect.

Parashis

artpages@...

portfolio pages:

http://www.flickr.com/photos/11468108@N08/

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,

> Do you mean egg yolks only? I've thrown away the whites ever since you

> said avidin can't be gotten rid of even with cooking.

>

> I eat about 3 yolks of pastured eggs a day.

Well the studies used whole eggs but presumably the benefit is from

the yolks, most likely from the cholesterol.

Chris

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I'd suggest Dr. Tom Cowan. he does phone consults.

http://fourfoldhealing.com/

Dr. Ron Schmid does them also.

>

> Thanks for the suggestions Connie.

> How would I go about finding a ND or doc like we need in the Phoenix, AZ area?

> Karin

>

> >In your shoes I might try to find an ND or medical practitioner who

> specializes in these situations, believes in non-statin whole foods,

> and actually shows results. (I would ask to interview patient

> successes for example.)

>

> And I would also say to him, don't worry, there are lots of things to

> try yet.

>

> Connie >>

>

>

>

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Karin,

I know an ND just down the road from you in Tucson by the name of Dr.

Garrett . You can contact him through his website:

http://www.doctorasteacher.com/ If he can't help you directly due to

the distance, he can probably help you find someone in Phoenix that can.

Cheers

Kustes

http://www.modernforager.com

--- In , " Karin " <roundhouse208@...>

wrote:

>

> Thanks for the suggestions Connie.

> How would I go about finding a ND or doc like we need in the

Phoenix, AZ area?

> Karin

>

> >In your shoes I might try to find an ND or medical practitioner who

> specializes in these situations, believes in non-statin whole foods,

> and actually shows results. (I would ask to interview patient

> successes for example.)

>

> And I would also say to him, don't worry, there are lots of things to

> try yet.

>

> Connie >>

>

>

>

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Thanks -I have contacted him to see if he has anyone local to recommend.

I hope he knows someone who can help.

thanks,

Karin

>Karin,

I know an ND just down the road from you in Tucson by the name of Dr.

Garrett . You can contact him through his website:

http://www.doctorasteacher.com/ If he can't help you directly due to

the distance, he can probably help you find someone in Phoenix that can.

Cheers

Kustes

http://www.modernforager.com >>

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Do the below numbers tell a person anything useful? From what Karin

said about his lifestyle we can assume he's not at the high end of the

spectrum of health but if we didn't know that, do these numbers alone

have use for a doctor?

> He initially had high cholesterol reading a few years ago.

> Basic numbers were Total-246, Triglyceride-194, HDL-49, LDL-165,

Chol/HDL Ratio 5.0

>

I read what you wrote that it's the particle size they should be

testing for. Also what is the validity to the claims made by mercola

" Mercola also mentions something about familial hypercholesterolemia,

and if you

have this, diet alone may not help cholesterol problems "

A lot of people ask me about cholesterol and it's hard to figure out.

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wrote:

>>Make sure the vitamin E is mixed tocopherols,

not alpha-tocopherol, and especially not dl-alpha-tocopherol .<<

does dl mean delta?

What do you think of this preparation from VitaminShoppe:

Vitamin E (As D-Alpha, Gamma, Beta, Delta Tocopherols)

400 IU

Best,

Boris

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--- In , " Karin " <roundhouse208@...>

wrote:

<<Can anyone offer any suggestions? He doesn't take any other

supplements right now besides MonaVie. Please point us in the right

direction.>>

Your responsibility in this matter is to feed him as well as possible at

home, but you can't be the food police for him. We all want to do the

best we can for our family but personal responsibility counts as well.

I married a man from a family where *all* the men on his father's side

died in their late forties or early fifties. I got him to 58 before he

had *his* heart attack and was pleased for the extra time with him.

Sometimes you just have to work with what you are given. Nothing, no

medicine or way of living or eating will *guarantee* a long and

care-free life - these things just maximise the potential for us.

In your place, I would feed him as best you can and not create more

stress by getting all heavy about his mishaps. And agree gracefully

about the pills so you don't have his family calling you a murderer if

something (GF!) goers wrong!

regards from edella, who really feels for you in this matter.

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This is very sound advice. It does seem you know from experience what this

matter is like for me.

Thanks Edella, I will take it to heart.

Karin

>In your place, I would feed him as best you can and not create more

stress by getting all heavy about his mishaps. And agree gracefully

about the pills so you don't have his family calling you a murderer if

something (GF!) goers wrong!

regards from edella, who really feels for you in this matter. >>

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Last lab draw I took repoted these normal limits March'08 Triglycerides <150,

Total cholestrol 125-200, HDL >40, LDL <130, ratio<5.0 Mine were all within

normal limits. The case you reported appears abnormally high. FYI, just read a

report that food cholesterol is totally unrelated to blood syrum cholesterol, as

was previously thought when eggs got a bad rap.

Just, Jim

crayfishfeed <crayfishfeed@...> wrote:

Do the below numbers tell a person anything useful? From what Karin

said about his lifestyle we can assume he's not at the high end of the

spectrum of health but if we didn't know that, do these numbers alone

have use for a doctor?

> He initially had high cholesterol reading a few years ago.

> Basic numbers were Total-246, Triglyceride-194, HDL-49, LDL-165,

Chol/HDL Ratio 5.0

>

I read what you wrote that it's the particle size they should be

testing for. Also what is the validity to the claims made by mercola

" Mercola also mentions something about familial hypercholesterolemia,

and if you

have this, diet alone may not help cholesterol problems "

A lot of people ask me about cholesterol and it's hard to figure out.

Well done is better than well said..., Jim Igo

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2,000 mg of Naicin should raise the HDL, but be careful of the naicin

flush...start at 250 mg. /day and go up slowly. Take vit. C and

quercitin to decrease the flushing. Also drinking lots of water should

decrease flushing.

I have a client of a product called " Lipi Control " by Vitamin Research

Labs that helps ...it has the non flush form of naicin in it.

He should be taking 500-800 mg of Mangesium/day. Magnesium deficiency

will increase LDL levels. Most Americans are magnesium deficient.

Fish oil.....2,000-3,000 mg./day. I like Carlson's fish

oil....Carlson's fish oil will lower triglycerides. As triglycerides

decrease HDL should increase.

Extra Virgin Olive Oil....two Tablespoons/day....monosaturates should

increase the HDL with naicin.

Be careful with naicin, it can raise blood glucose levels in high

amounts. Monitor his fasting glucose.

Good luck.

Debbie

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