Cholesterol

Cholesterol isn't entirely the health villain it's made out to be, its name darkly linked to heart attack, stroke, and other types of cardiovascular disease. Our bodies need cholesterol, which is a type of lipid (another name for fat) to make cell membranes, key hormones like testosterone and estrogen, the bile acids needed to digest and absorb fats, and vitamin D. Cholesterol is so important to the body that the liver and intestines make it from scratch.

What is "bad" about cholesterol isn't the substance itself — in fact, we can't live without it — but how much of it is in the bloodstream.

The body packages cholesterol in two main particles: low-density lipoprotein (LDL), the so-called bad cholesterol, and high-density lipoprotein (HDL), the so-called good cholesterol. Too much LDL in the bloodstream helps create the harmful cholesterol-filled plaques that grow inside arteries. Such plaques are responsible for angina (chest pain with exertion or stress), heart attacks, and most types of stroke.

What causes a person's LDL level to be high? Most of the time diet is the key culprit. Eating foods rich in saturated fats, trans fats, and easily digested carbohydrates boost LDL. Genes are sometimes at the root of high cholesterol, and some medications can boost LDL.

If you have high cholesterol, making changes in your diet can help bring it down into the healthy range. Exercise can help boost the level of protective HDL. Several types of medication, notably the family of drugs known as statins, can powerfully lower LDL. Depending on your cardiovascular health, your doctor may recommend taking a statin.

Cholesterol Articles

Muscle aches from statins: Real, but sometimes imagined?

About 10% of people report muscle aches when taking statins. In some cases, other health conditions such as arthritis, obesity, or just aging may be to blame. Doing exercise or yard work can cause muscle aches, which some people mistakenly attribute to statins. Another possible explanation: a phenomenon known as the nocebo effect, in which people experience negative side effects from a drug, placebo, or other treatment based on an expectation of harm. Muscle-related problems associated with statins usually resolve with a lower statin dose or a change to a different statin. (Locked) More »

Health by the numbers

New research has found that fluctuations in four health-related parameters—weight, blood pressure, cholesterol, and blood sugar levels—may be associated with a higher risk of heart attacks, stroke, and premature death compared with more stable readings. Being more mindful about personal health numbers, and making necessary lifestyle and medical changes as necessary, can help people avoid possible health risks. (Locked) More »

A more personalized approach to treating high cholesterol

Nearly one in three American adults has high levels of LDL, the most harmful type of cholesterol. The 2018 cholesterol treatment guidelines now take a more personalized approach on the best way to manage this common problem. As in the past, the new guidelines recommend an LDL-lowering statin drug for anyone who has already had a heart attack or (in most cases) a stroke. Adults ages 40 t0 75 who don’t have heart disease but who have diabetes and an LDL of 70 or higher should take a statin; so should anyone with an extremely high LDL (190 mg/dL or higher). (Locked) More »

The age of statins

The cholesterol-lowering statin drugs can help protect against heart attack or stroke, both for people who have already had one and those who are at high risk for one of these events. But a recent study of 50,000 people age 75 and older found that the drugs did not reduce overall survival or rates of heart attacks and strokes among healthy older adults with no history of heart disease. (Locked) More »

Know the facts about fats

Your body needs some fat, but it’s important you eat the right kind. . People should eliminate or reduce saturated fat found in animal products like beef, pork, and high fat dairy foods, and increase their intake of monounsaturated and polyunsaturated fats found in avocados, peanut butter, nuts and seeds, and plant oils. (Locked) More »