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DR SUGAR 's Medical Inspiration: Cholesterol

Posted Jan 26, 2009 5:05 PM |  0 Comments
Cholesterol Explained
HELLO I AM DR. SUGAR, YOUR INTERNET DOCTOR, HERE TO continue our discussion on understanding cholesterol. I will go into a lot more detail on even more exciting facts about cholesterol. - - so if you are ready, let’s get started with a dose of MEDICAL INSPIRATION.

Fact #4 – You need to eat some fat in order to survive. Eat it in moderation, though. According to the U.S. Department of Agriculture you should be consuming between 3 – 7 teaspoons of oils per day depending on age and gender. Unfortunately, the USDA’s new food pyramid can be very complex and not terribly user-friendly. Equating fats and oils to teaspoons is a cumbersome way to monitor fat intake. Just realize that most Americans get much more fat in their diet than they need to in order to survive. One useful rule of thumb: read labels; if the number of calories from fat divided by the total number of calories is greater than 0.3 then try to avoid that food. Another way of saying this is if the calories from fat is more than 1/3rd of the total calories in the food, stay away from it.

Another difficulty is that if you try to do that calorie math with any pure oil or fat you will soon realize that the number is 1.0. Therefore if you must use oil to cook, try to use it sparingly and choose oils that are mono- or polyunsaturated. Most of the research shows that the best choice for an oil is olive oil and the best quality of olive oil is called extra-virgin. Besides olive oil, the other mono-unsaturated oils are canola, peanut, and avocado oil – these oils do not pose the cardiovascular risk that the saturated oils do nor the cancer concerns of the polyunsaturated oils. So remember mono-unsaturated is best and the best of the monounsaturated is extra-virgin olive oil.

Saturated oils are the worst since they tend to throw HDL and LDL levels out of whack. Basically, If you eat a lot of foods high in saturated fat, this can cause the liver to make LDL cholesterol in levels higher than the body can remove from the circulation, which can lead to atherosclerosis or damage to the walls of the arteries. The quickest way to cut down on saturated fats is to decrease the amount of animal foods you eat especially meat and whole milk products.

Fact #5 – There are no nutritive benefits to trans fats. You probably never heard of trans fat five years ago but now it is at the center of our collective cholesterol consciousness. Trans fatty acids are hardly ever found in nature, instead they are produced under extreme physical and chemical conditions and research has shown that they can be extremely toxic. Trans fats are most often found in baked goods, some margarines and shortenings, and many fried foods. Trans fats do not have any dietary benefit (except that they taste great!) but they have been linked to cardiovascular health problems. Since trans fats are not specifically needed for humans to survive, many groups are calling for them to be removed from human diets altogether. The reason that trans fats are so bad is that they lower HDL and raise LDL. Since we are not using good and bad terms anymore, keep in mind that this is the opposite direction for healthy cholesterol. Some jurisdictions are actually fining manufacturers and retailers for selling food that contains trans fat making it will increasingly difficult to find foods that contain trans fats. As of 2006, the FDA is requiring that trans fat content be included on all food labels. The simplest way to avoid trans fats are to read labels again, if the label says partially hydrogenated oil, stay away from it – also avoid all margarine and solid vegetable shortenings

Fact #6 – Diet and exercise can help get cholesterol levels where they should be. A proper diet that includes limiting fat intake and exercise that leads to weight loss can make a real difference in people with abnormal cholesterol levels. Not only does LDL drop, but exercise can boost HDL, a feat that even most cholesterol medicines can only do to a limited extent. The original prescribing scheme for doctors when treating high cholesterol was to first encourage diet and exercise in patients for 6 weeks to 6 months before starting a drug treatment. Many physicians have found it much easier to write a prescription than motivate patients to change their behavior but that does not make diet and exercise any less powerful. If you have been told you need to modify your cholesterol levels, discuss diet and exercise with your doctor, especially if you are hesitant to begin cholesterol drug therapy.

I am Doctor Sugar and I want to invite you to join me for part 3 of my blog series on Understanding Cholesterol. In the next section, you will learn even more exciting facts about cholesterol. Make sure to check it out. I’ll see you there!!

Giving You Your Dose of MEDICAL INSPIRATION,
Dr. Sugar
TO YOUR TOTAL WELLNESS!

References:
http://www.nhlbi.nih.gov/health/dci/Diseases/Hbc/HBC_WhatIs.html
http://www.americanheart.org/
http://www.mypyramid.gov/pyramid/oils_allowance_table.html
http://www.fda.gov/womens/getthefacts/cholesterol.html

The information contained in this blog is not medical advice.
Please consult your medical doctor before making any decisions
or taking any actions on your health or the health of your family.
Posted Jan 26, 2009 5:10 PM |  1 Comment
CHOLESTEROL EXPLAINED:
HELLO I AM DR. SUGAR, YOUR INTERNET DOCTOR, HERE TO continue our discussion on Understanding Cholesterol. I will go into a lot more detail on even more exciting facts about cholesterol. - - so if you are ready, let’s get started with a dose of MEDICAL INSPIRATION.

Fact #7 – There are many different types of cholesterol altering medicines available and chances are one is right for you. If diet and exercise do not adequately get your cholesterol levels down or if your LDL levels are very high, your doctor may begin cholesterol medicine right away. There are various treatments including statins, which stop the body from making cholesterol from the fats that we eat. Also there are bile acid sequestrants, niacin and fibrates that may help LDL, HDL and TG. Finally there are newer medicines that block the absorption of cholesterol from the intestine, which may be chosen by your doctor depending on your cholesterol profile.

Fact #8 – Everyone over 20 should have their fasting blood cholesterol checked at least once every five years if it has always been normal, or more frequently (as your doctor recommends) if it has even been abnormal. LDL, HDL and TG or triglycerides can be measured by a simple blood test. You will need to fast or abstain from eating for at least eight hours before the test for accurate results. This can be done most easily by scheduling the test early in the morning, before breakfast. Any food with calories can throw off the results. Coffee is okay but coffee with milk, cream, or sugar is not!

Fact #9 – Abnormal cholesterol does not cause any symptoms in the vast majority of patients. While high blood pressure is sometimes referred to as the silent killer, at least with high blood pressure you sometimes get headaches. With dyslipidemia there are no symptoms and you don’t know you have it until your doctor tests you for it.

Fact #10 – Ignoring cholesterol can have devastating consequences. Dyslipidemia is associated with atherosclerosis, heart disease and stroke. Controlling cholesterol levels is an easy way to reduce your risk of developing serious and even deadly conditions.

I am Doctor Sugar - - If you have High Cholesterol, it is important to work with your health care team to make a plan that works for your lifestyle. Thanks for checking in and If you haven’t already done so be sure to read all of the medical inspiration blogs on Understanding Cholesterol. Thank you for your interest in Total Wellness. Simply click on my picture and go to my profile to see the latest medical blogs on a wide variety of topics. I’ll see you there.

Giving You Your Dose of MEDICAL INSPIRATION,
Dr. Sugar
TO YOUR TOTAL WELLNESS!!
References:
http://www.nhlbi.nih.gov/health/dci/Diseases/Hbc/HBC_WhatIs.html
http://www.americanheart.org/
http://www.mypyramid.gov/pyramid/oils_allowance_table.html
http://www.fda.gov/womens/getthefacts/cholesterol.html

The information contained in this blog is not medical advice.
Please consult your medical doctor before making any decisions
or taking any actions on your health or the health of your family.
Posted Jan 26, 2009 5:00 PM |  0 Comments
Cholesterol Explained:
HELLO I AM DR. SUGAR, YOUR INTERNET DOCTOR, HERE TO GIVE YOU YOUR DOSE OF MEDICAL INPIRATION FOR THE DAY. OUR TOPIC IS Understanding Cholesterol- - SO LETS GET STARTED SHALL WE... Cholesterol – what is it, where is it, what’s the big deal and why do we care? Cholesterol- wow there are so many kinds, the good, the bad, the ugly – is it the same as lipids? Is it different from fat? There is no shortage of information on cholesterol. It seems that each week there is a new treatment for cholesterol or a dangerous new fat to avoid. Admittedly, it is very confusing—especially since some cholesterol is called good cholesterol and needs to be high, some cholesterol is called bad and needs to be low. Some fats are good, some fats are bad and some are portrayed as poisons. So let’s spend some time talking about this. Then there is the confusion about the diagnosis that people get if they have high cholesterol, sometimes the doctor may call it hyperlipidemia or dyslipidemia, or even hypertriglyceridemia which might seem confusing but those words just mean high or abnormal levels of fat in the blood.

Once you know some facts about fats and cholesterol it may be a little easier to eat right and stay healthy. When all is said and done, proper management of cholesterol is critical for good health especially the health of your heart and brain. I will be including some information from the National Heart, Lung and Blood Institute and from the American Heart Society in an effort to explain fats and cholesterol.

Fact #1 – Your body needs cholesterol to carry out vital processes. Somewhere along the way we seem to have learned that cholesterol is bad for us; that is simply not the case. We need certain levels of cholesterol to build our cells, especially brain cells. Cholesterol causes medical problems when levels get out of normal, healthy ranges. While it may be a useful learning tool, calling cholesterol good or bad can create confusion. Not all fats are bad! Not all cholesterol is bad! The key is to achieve the right balance of cholesterol levels in the blood. This brings us to the next fact:

Fact #2 – The terms good and bad cholesterol are only useful to a point; after that they are misleading. While there are many types of cholesterol, the three types that you should concern yourself with are LDL, HDL and triglycerides. LDL is sometimes called bad cholesterol and HDL is sometimes called good cholesterol. Triglycerides have not acquired a personality trait as of yet. These names are used to help people understand their cholesterol. I believe people are more sophisticated than that and can be relied upon to do away with childish eponyms so lets dig a little deeper. LDL stands for low-density lipoproteins. When LDL is higher than normal, it is associated with increased risk of heart attack and stroke. HDL stands for high-density lipoproteins and when HDL gets too low, it also causes problems but when HDL is high we actually consider this to be protective. The third type of cholesterol is triglycerides. Triglycerides should be kept low to avoid certain health problems.

Fact #3 – Our body’s cholesterol comes from the fats that we eat, not so much from cholesterol in our food. Unless the cholesterol level in food is astronomical, watching the intake of cholesterol is far less important than watching fat intake. That is because the liver takes the fat that we eat and turns it into cholesterol. It is a much more useful endeavor to be mindful of the fats that you eat rather than cholesterol. This is not a golden ticket to eat high amounts of cholesterol because that behavior would soon catch up to you. But watching fat intake is a much more powerful means to control blood cholesterol.

I am Doctor Sugar and I want to invite you to join me for part 2 of my blog series on Understanding Cholesterol. In the next section, you will learn even more exciting facts about cholesterol. Make sure to check it out. I’ll see you there!!

Giving You Your Dose of MEDICAL INSPIRATION,
Dr. Sugar
TO YOUR TOTAL WELLNESS!

References:
http://www.nhlbi.nih.gov/health/dci/Diseases/Hbc/HBC_WhatIs.html
http://www.americanheart.org/
http://www.mypyramid.gov/pyramid/oils_allowance_table.html
http://www.fda.gov/womens/getthefacts/cholesterol.html

The information contained in this blog is not medical advice.
Please consult your medical doctor before making any decisions
or taking any actions on your health or the health of your family.