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Ask the Pharmacist - National Cholesterol Education Month

What is cholesterol and why is it a problem?
Cholesterol is made in the liver and is found in foods from animals such as eggs, red meat, and whole dairy. Cholesterol produces hormones, vitamin D, and bile acids that help digest fat, so the body needs small amounts of cholesterol to function. When a person has high levels of cholesterol, it can build up in the arteries over time, making it more difficult for blood to flow to and from the heart. If the heart doesn’t receive enough blood it can cause chest pain. If the blood flow is completely cut off by a blockage it can cause a heart attack.

Not all types of cholesterol are harmful. High density lipoproteins (HDL) help the body get rid of bad cholesterol in the blood, so high levels are desirable. The “bad” cholesterol are low density lipoproteins (LDL) and triglycerides that cause build up in the arteries. These should be kept at low levels to prevent the risk of heart disease.

Why do people have high cholesterol?
Several risk factors can contribute to high cholesterol

• Heredity - Be aware of family history with high cholesterol. Everyone over age 20 should have their cholesterol checked every five years to catch cholesterol problems that could otherwise go undetected.
• Smoking
• Age - As people age, their cholesterol levels often increase. Cholesterol in women tends to rise after menopause.
• Diet - Eating foods high in saturated fats contributes to high cholesterol.
• Weight- Carrying excess fat and not getting enough cardiovascular exercise increase the risk of high cholesterol.

Are there any simple steps to lower the risk of high cholesterol?
There are several easy measures to reduce your risk of high cholesterol. A few include:

o Eat foods like low-fat dairy, lean meat, fish, whole grains, fruits and vegetables that are low in saturated fat
o Avoid foods like egg yolks, whole milk, liver and other foods high in saturated fat
o Quit smoking if you are a smoker
o Lose unhealthy weight
o Do 30 minutes of physical activity several times a week. You can walk, garden, swim, bicycle, play tennis, or even take the stairs instead of the elevator at work.

What should I ask my doctor about cholesterol?
Ask your doctor for a lipoprotein profile. This will identify your:

o Total cholesterol
o LDL cholesterol
o HDL cholesterol
o Triglycerides

Also ask your doctor to help you identify any risk factors and how to reduce them.

How is high cholesterol treated?
Although following a healthy diet helps lower cholesterol levels, many doctors prescribe medication as well. Frequently used medications include statins, niacin, bile-acid resins, and fibric acid derivatives. A study in the Journal of the American Medical Association several years ago showed that taking Metamucil was an effective alternative for people who were uncomfortable with taking medication. Ask your doctor about the best solution for you.

Source: WebMD

This information is not a substitute for medical treatment.

 

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