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Reigning In High Cholesterol Print E-mail
Sunday, 27 August 2006
Dear Dr. Levister. I've had trouble getting my high cholesterol under control. Can I control it through lifestyle changes alone?

R.H.

Dear R.H.  Getting your high cholesterol under control can seem a bit daunting, especially with all of the dire warnings and mixed signals you get every time you sit down to a meal. But understanding and controlling cholesterol isn't as difficult - or - unrewarding - as you think. It just takes a little bit of common sense. To find out if you have a cholesterol problem, ask you doctor for a lipid profile which charts the HDL and LDL in your system. He or she can also tell you if lifestyle changes alone will reduce your risk. By lowering your cholesterol you reduce your risk of heart disease or heart attack.

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Dr. Ernest Levister, Jr. F.A.C.P. F.A.C.P.M.
There are two different kinds of cholesterol - high density lipoprotein (HDL) and low-density lipoprotein (LDL). HDL is the good cholesterol that helps take fats from your blood stream and deliver them to your liver, where they're zapped from your body.

LDL is the bad cholesterol that causes plaque to build up in your arteries, hampering the flow of blood to your heart. Both occur naturally in your body, but what you eat - and don't eat - can affect the amount of good cholesterol in your blood.

A healthy person should have more than 40mg/dL of good cholesterol and less than 100mg/dL of bad cholesterol. Unfortunately, nearly 107 million Americans have total cholesterol of 200mg/dL or higher, a level at which their chances for heart attacks rise significantly, according to the American Heart Association.

Here's how to get your cholesterol in check. Increase the fruits and veggies, whole wheat, whole grain and fiber you're eating. Cut back on trans-fats and saturated fats. Saturated fats are found in animal products like egg yolks, meat, poultry, fish and high fat dairy products. Trans-fats are man-made fats found in processed foods like baked goods and potato chips.

Exercise - it burns fat in your body. Get in 30 to 60 minutes at least six days a week.

Stop smoking or being around tobacco smoke. If you've been unsuccessful with a lifestyle regiment, ask your doctor to prescribe a cholesterol medication. The right meds can reduce your cholesterol and the risk of heart attack almost by half.

 
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