Seven Tips to Fix Your Cholesterol Without Medication
FOCUS on treating cholesterol as a means to
prevent heart attacks is leading to the deaths of millions of people because
the real underlying cause of the majority of heart disease is not being
diagnosed or treated by most physicians.
For example, I recently saw a patient named Jim who had
“normal” cholesterol levels yet was taking the most powerful statin on the
market. Despite this aggressive pharmaceutical treatment, this man was
headed for a serious heart attack.
Jim’s doctors had missed his real disease risks by focusing
on and treating his cholesterol levels. All the while they were ignoring the
most important condition that put him at dramatically higher risk of heart
attacks, diabetes, cancer, and dementia. In a moment I will explain what this
condition is and what you can do about it.
This craze for treating cholesterol has lead to an onslaught
of pharmaceuticals designed to “lower cholesterol.” Statins are now the number
one selling class of drugs in the nation and new cholesterol medications are
produced every day.
The latest in a new class of “super” cholesterol drugs, CETP
inhibitors, now in the drug approval pipeline from Merck (anacetrapib) burst
into the news recently with exclamations from typically restrained scientists.
Data on this new drug was recently published in the New England Journal of
Medicine and presented at the American Heart Association conference in
Chicago.
The study found a 39.8 percent reduction in LDL (or bad
cholesterol) and a 138 percent increase in HDL or good cholesterol.(i) Sure, the medications lowered cholesterol.
However, the study was not large enough or long enough to answer the most
important question: Did the drug results in fewer heart attacks and deaths.
Despite this glaring omission, the scientists reporting on
these results used words such as “spectacular”, “giddy”, “enormous”, “most
excited in decades” to describe their enthusiasm over the medication. Of
course, the researchers were on the payroll
of Merck who funded the study.
Metabolic syndrome is the leading cause of heart disease,
diabetes, and a variety of other chronic illnesses in this country.
Why Lowering Cholesterol May Not Lower the Risk of Death
Unfortunately, these scientists seemed to have short-term
memory loss. Just three short years ago in 2007, another new “wonder” drug from
Pfizer (torcetrapib) which worked on the same mechanism that anacetrapib does,
was found to dramatically lower LDL and raise HDL cholesterol, just like this
new drug from Merck.
There was only one small problem—in those taking the drug,
deaths from heart attacks increased 25 percent, deaths from heart disease
increased 40 percent and overall deaths increased 200 percent. After spending $800 million in development
Pfizer had to walk away from the drug.
Oops. How can a drug that does all the right things
(dramatically lowering bad cholesterol and raise good cholesterol) actually
cause MORE heart disease and deaths?
The answer is simple. Drugs don’t treat the underlying
causes of chronic illness. It is not our genes which haven’t changed much in
20,000 years, although they may predispose us to environmental and lifestyle
triggers of illness. The causes of chronic disease are rooted in what we eat,
how much we move, how we face stress, how connected we are to our communities,
and toxic chemicals and metals in our environment.
A wry editorial in the New England Journal of Medicine
many years ago remarked that doctors should use new drugs as soon as they come
on the market before side effects develop. Perhaps that’s what the authors of
this study are proposing what we do with anacetrapib.
At best this new “super cholesterol” drug will lower
cholesterol numbers without killing too many people while increasing health
care costs by billions of dollars as millions of new prescriptions are written.
Worse it may end up in the same garbage dump Pfizer’s drug from 3 years ago
did. Even worse scenarios exist … and the reason is startling simple …
These drugs do not address the fundamental underlying cause
of heart disease. Heart disease is not a
Lipitor, Crestor or even an “anacetrapib” deficiency. It is a complex end
result of multiple factors driven by our diet, fitness level, stress, and other
lifestyle factors such as smoking, social connections, and, increasingly, environmental toxins.
Taking a pill won’t fix these problems that push our biology
steadily along the trajectory of disease. The idea of putting statins at the
check out counter of MacDonald’s is the epitome of reductionist thinking. The
problem isn’t cholesterol — it’s all the stuff we are putting in our mouths!
Jim, my patient, is a perfect example of how doctors treat
the symptoms, not the cause of disease. As I have written about, in a previous
blog, most doctors focus on the wrong target for preventing and treating heart
disease.
Abnormal cholesterol levels are just a downstream problem
that is mostly a result of “diabesity”
or the continuum of blood sugar and insulin imbalances that range from
pre-diabetes to full-blown end stage diabetes.
Taking a statin or a CETP inhibitor cannot reverse this
change in our biology. We cannot use a drug to correct what happens to our
biology because of a high sugar and refined flour, low fiber, processed diet, a
sedentary lifestyle, excessive stress, lack of sleep, or the harmful effects of
pollution.
Let’s take a closer look at Jim. On 10 mg of Crestor, the
most powerful statin on the market, his total cholesterol was a beautiful 173,
and his LDL was a respectable 101. But the good news ended there. His
triglycerides were 176 (normal is less than 100), and his HDL was 37 (normal is
greater than 50).
Jim’s numbers belie a deeper truth about cholesterol that
most conventional doctors are ignoring today: Given the current state of
scientific understanding, the cholesterol numbers doctors measure today are
increasingly irrelevant.
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