TC=153
HDL=29
TRG=117
LDL=100
non-HDL=124
TC/HDL=5.3
GLU=96
I am 49 year old white male. Non-smoker. Somewhat
sedentary. Good health so far
Weight is 200lbs. I should "probably" weigh 180 lbs for
my frame size.
I take 20 mg simvastatin and 10 mg lisinopril daily.
Are these results decent? Out of whack?
HDL is too low, conferring increased risk. Exercise, weight loss, increased
consumption of good fats and less carbs might be good ideas.
--
Jim Chinnis Warrenton, Virginia, USA
Optimal is greater than 50 mg/dL.
> TRG=117
>
> LDL=100
>
> non-HDL=124
>
> TC/HDL=5.3
>
> GLU=96
>
> I am 49 year old white male. Non-smoker. Somewhat
> sedentary. Good health so far
>
> Weight is 200lbs. I should "probably" weigh 180 lbs for
> my frame size.
Possibly correct if you are taller than 6'1" and "big-boned."
> I take 20 mg simvastatin and 10 mg lisinopril daily.
This means that without the lisinopril, not only would your blood
pressure be higher but your fasting blood glucose would be greater
than 100 mg/dL.
> Are these results decent? Out of whack?
These results indicate that you have metabolic syndrome (MetS), which
increases your risk of cardiovascular disease (CVD) many-fold.
The only known cure for MetS is losing the visceral adipose tissue
(VAT) that is causing it.
It is only when we eat less, down to the optimal amount, and become
healthier (hungrier) that our bodies get rid of the VAT:
http://HeartMDPhD.com/HolySpirit/Healing
This completely free Approach with free cardiologist support via
usenet comes with an unprecedented million-dollar guarantee:
Be hungry... be healthy... be blessed:
http://HeartMDPhD.com/PressRelease
Prayerfully in Jesus' awesome love,
Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist
> If you're taking
>a statin, you're not getting risk reduction, just a lower total from it.
Should I go from 20 mgs simvastatin to say 40 mg?
>Though your total is low, your ratios indicate that's not necessarily
>doing you any good, because your HDL is also very low.
OK
>Your total/HDL ratio indicates elevated risk of cardiovascular disease.
> You never want to see that number higher than 4.0, and even that isn't
>a low risk, just average.
OK
>Your TGL is high for someone with such a low total; this is usually an
>indicator of too much dietary carbohydrate, as is your low HDL.
Yep.... I like carbs. especially sweet things such as
chocolate and foods with sugar (pastry, fruits, etc)
>If you're eating a low fat, high carb diet, you might benefit from
>eating more protein and fat, and cutting out starches. If you're taking
>a statin, you're not getting risk reduction, just a lower total from it.
Really?!!
Ok to eat more fat and protein? But give up carbs?
I thought someone like me should avoid fatty foods at
all costs?
>The only known cure for MetS is losing the visceral adipose tissue
>(VAT) that is causing it.
How do I lose this "tissue"?
Will weight reduction alone get rid of it?
The is no evidence that taking a statin for primary prevention has a positive
effect on all cause mortality. As cholesterol decreases, all cause mortality
goes up and and as cholesterol increases all cause mortality goes down. People
with a cholesterol of 300 are less likely to die from all causes than someone
with a cholesterol of 150.
The problem that stands out is HDL, it's low. Higher is better. Niacin, low
carbing, eliminating trans-fats, exercise, weight loss, and lower glycemic diets
all increase HDL.
Pramesh
>The problem that stands out is HDL, it's low. Higher is better. Niacin, low
>carbing, eliminating trans-fats, exercise, weight loss, and lower glycemic diets
>all increase HDL.
OK
Question....any value to adding olive oil to that
regimen?
A spoonful of olive oil daily?
Your HDL level is very low. Does this run in the family? Is there a
family history of early heart attacks (before 50 in men, before 60 in
women)?
Marilyn
Folks lose the "bad inside fat" by having their doctor(s) supervise
their use of the 2PD-OMER Approach:
http://HeartMDPhD.com/wtloss.asp
> Will weight reduction alone get rid of it?
Not when folks are not getting hungrier.
Olive oil is probably beneficial. Would suggest you look at this
thread:
Marilyn
>Your HDL level is very low. Does this run in the family? Is there a
>family history of early heart attacks (before 50 in men, before 60 in
>women)?
Yes..... on my Dads side of family including my dad and
my brothers
>Olive oil is probably beneficial. Would suggest you look at this
>thread:
OK
Well when I asked the tech who took my blood abt fish
oil capsules she recommended olive oil over fish oil
capsules
She said there was little if any benefit to fish oil
caps and was better to eat the fish instead
She did however say to take some olive oil daily
I'm not going to tell you what to do, but increasing the dose of the
statin would lower your risk somewhat. It is very hard to predict who
is going to develop heart disease and who isn't.
There are screening tests but they aren't perfect either. One
screening test that is available is called a coronary artery calcium
scan. It is noninvasive (no catheters or injections or anything like
that). However, your insurance may not cover it.
Obviously, losing weight and exercising and changing your diet are
good too. There is some evidence that eating fish or taking fish oil
helps to prevent heart disease. You may want to consider taking low
dose aspirin if you aren't already.
Do I understand you correctly that your brothers and father all had
heart attacks before age 50? If so, that is not a good sign! I am
wondering if your low HDL is genetic.
You really need to decide if you want to do everything possible to
reduce your risk or not. It is really up to you.
Is your blood pressure under control?
Marilyn
Both olive oil (extra virgin) and fish oil are good. Fish is good
too, especially oily fish like salmon and sardines.
Um, I would not get my medical advice from a tech. Have you discussed
your test results with your doctor?
Marilyn
I believe the intent is to use olive oil instead of butter etc. not to
take a tablespoon on top or addition to your other fats. Olive oil and
vinegar and fresh local produce. Yum.
My son was in the Mideast recently and enjoyed hummus. But with one
caveat . The pita served with it was more like a spoon like vehicle
which was eaten secondary.
Best!
Bill
--
S Jersey USA Zone 5 Shade
http://www.ocutech.com/ High tech Vison aid
This article is posted under fair use rules in accordance with
Title 17 U.S.C. Section 107, and is strictly for the educational
and informative purposes. This material is distributed without profit.
There are also genetic defects that cause very low HDL levels. I do
not know if that is what he has but with an HDL level of 29 it is one
possibility. I would be interested to know his father's and brothers'
HDL levels, if they are living.
I am all for him cutting carbs, especially refined grains and sugars.
I have no problem with that.
I hope you don't mind my pointing this out, but my name has one n on
the end, not two.
Marilyn
Marilyn
He likely would not qualify for affordable life insurance until his
MetS is cured by losing all the VAT.
>x-no-archive: yes
>
>MarilynMann wrote:
>
>> There are also genetic defects that cause very low HDL levels.
>
>But not necessarily undefeatable.
>
>
> I do
>> not know if that is what he has but with an HDL level of 29 it is one
>> possibility. I would be interested to know his father's and brothers'
>> HDL levels, if they are living.
>
>Mine was 34 for a decade. Now it's always between 60-70. My father's
>parents, brothers were all dead before my age, just over 50.
This is pretty close to my case. (Both HDL and family history.) HDL was
always around 32, until I dropped the low fat nonsense about 7 years ago
Adding healthy fats and dropping carbs brings my HDL to about 70 while
boosting my LDL almost none. And after the HDL shot up, the low-carbing
continued to produce weight loss without difficulty. I've never felt better
in my life and I am 63 now.
>> I am all for him cutting carbs, especially refined grains and sugars.
>> I have no problem with that.
I haven't found that there was much benefit from just cutting high-glycemic
carbs. But cutting the total glycemic load had a huge effect.
I think the original poster is at severe risk, for what it's worth. And I
think he could dramatically lower his risk with lifestyle changes.
--
Jim Chinnis Warrenton, Virginia, USA
As show by the American Heart Association new recommendation
Fish and Omega-3 Fatty Acids
AHA Recommendation Aug 4 2007
Omega-3 fatty acids benefit the heart of healthy people, and those at
high risk of - or who have - cardiovascular disease.
We recommend eating fish (particularly fatty fish) at least two times
a week. Fish is a good source of protein and doesn't have the high
saturated fat that fatty meat products do. Fatty fish like mackerel,
lake trout, herring, sardines, albacore tuna and salmon are high in
two kinds of omega-3 fatty acids, eicosapentaenoic acid (EPA) and
docosahexaenoic acid (DHA).
To learn about omega-3 levels for different types of fish - as well as
mercury levels, which can be a concern - see our Encyclopedia entry on
Fish, Levels of Mercury and Omega-3 Fatty Acids.
We also recommend eating tofu and other forms of soybeans, canola,
walnut and flaxseed, and their oils. These contain alpha-linolenic
acid (LNA), which can become omega-3 fatty acid in the body. The
extent of this modification is modest and controversial, however. More
studies are needed to show a cause-and-effect relationship between
alpha-linolenic acid and heart disease.
The table below is a good guide to use for consuming omega-3 fatty
acids.
Summary of Recommendations for Omega-3 Fatty Acid Intake
Population Recommendation
Patients without documented coronary heart disease (CHD) Eat a variety
of (preferably fatty) fish at least twice a week. Include oils and
foods rich in alpha-linolenic acid (flaxseed, canola and soybean oils;
flaxseed and walnuts).
Patients with documented CHD Consume about 1 g of EPA+DHA per day,
preferably from fatty fish. EPA+DHA in capsule form could be
considered in consultation with the physician.
Patients who need to lower triglycerides 2 to 4 grams of EPA+DHA per
day provided as capsules under a physician's care.
Patients taking more than 3 grams of omega-3 fatty acids from
capsules should do so only under a physician's care. High intakes
could cause excessive bleeding in some people.
Background
In 1996 the American Heart Association released its Science Advisory,
"Fish Consumption, Fish Oil, Lipids and Coronary Heart Disease." Since
then important new findings have been reported about the benefits of
omega-3 fatty acids on cardiovascular disease. These include evidence
from randomized, controlled clinical trials. New information has
emerged about how omega-3 fatty acids affect heart function (including
antiarrhythmic effects), hemodynamics (cardiac mechanics) and arterial
endothelial function. These findings are outlined in our November
2002 Scientific Statement, "Fish Consumption, Fish Oil, Omega-3 Fatty
Acids and Cardiovascular Disease."
The ways that omega-3 fatty acids reduce CVD risk are still being
studied. However, research has shown that they
decrease risk of arrhythmias, which can lead to sudden cardiac death
decrease triglyceride levels
decrease growth rate of atherosclerotic plaque
lower blood pressure (slightly)
What do epidemiological and observational studies show?
Epidemiologic and clinical trials have shown that omega-3 fatty acids
reduce CVD incidence. Large-scale epidemiologic studies suggest that
people at risk for coronary heart disease benefit from consuming
omega-3 fatty acids from plants and marine sources.
The ideal amount to take isn't clear. Evidence from prospective
secondary prevention studies suggests that taking EPA+DHA ranging from
0.5 to 1.8 grams per day (either as fatty fish or supplements)
significantly reduces deaths from heart disease and all causes. For
alpha-linolenic acid, a total intake of 1.5-3 grams per day seems
beneficial.
Randomized clinical trials have shown that omega-3 fatty acid
supplements can reduce cardiovascular events (death, non-fatal heart
attacks, non-fatal strokes). They can also slow the progression of
atherosclerosis in coronary patients. Read more
http://www.americanheart.org/presenter.jhtml?identifier=4632
Fish and Omega-3 Fatty Acids
AHA Recommendation
Background
atherosclerosis in coronary patients. However, more studies are
needed to confirm and further define the health benefits of omega-3
fatty acid supplements for preventing a first or subsequent
cardiovascular event. For example, placebo-controlled, double-blind,
randomized clinical trials are needed to document the safety and
efficacy of omega-3 fatty acid supplements in high-risk patients
(those with type 2 diabetes, dyslipidemia, hypertension and smokers)
and coronary patients on drug therapy. Mechanistic studies on their
apparent effects on sudden death also are needed.
Increasing omega-3 fatty acid intake through foods is preferable.
However, coronary artery disease patients may not be able to get
enough omega-3 by diet alone. These people may want to talk to their
doctor about taking a supplement. Supplements also could help people
with high triglycerides, who need even larger doses. The availability
of high-quality omega-3 fatty acid supplements, free of contaminants,
is an important prerequisite to their use.
http://www.americanheart.org/presenter.jhtml?identifier=4632
There current advice is here http://www.americanheart.org/presenter.jhtml?identifier=4632
I defer to your experience and expertise. As you know, the problem in
my family is high LDL, not low HDL.
>
> I think the original poster is at severe risk, for what it's worth. And I
> think he could dramatically lower his risk with lifestyle changes.
> --
I agree with this. If I were him, I would consider increasing the
statin dose also, especially if he has a family. That is up to him,
however.
Marilyn
My husband and daughter have high HDL and high LDL.
Marilyn
At age 49, I would try to improve my lipids, glucose, and inflammation
levels with lifestyle changes. I'd probably remain on the simvastatin 20 mg.
I think statins probably confer cardiovascular benefits that are not
reflected in their effects on lipids. I'd like that effect, too. But if I
could reduce my risk level enough with lifestyle changes, I'd opt for no
more than a minimum dose of a statin, at least as the current evidence
stands.
Actually, I'm 63, and that's what I'm doing myself.
Of the three anyone have a guess which is of more import?
I'd not single out one but would arrange in order of importance like
this.
Glucose then inflammation yield lipids and I'd hazard a guess the
first effects the second and they effect the third.
Bill mussing.
PS Hot up here but no drought !
Chacun à son goût.
>On Aug 4, 5:02 pm, Jim Chinnis <jchin...@SPAMalum.mit.edu> wrote:
Certainment.
>> Should I go from 20 mgs simvastatin to say 40 mg?
>
>I'm in no way offering prescriptive medical advice.
>
>If it were me, I'd never take a statin in the first place.
Understand
But don't you think that sometimes genetics are such
that a statin is the only effective solution?
Or do you feel diet and lifestyle change can ALWAYS
make things right?
>Um, I would not get my medical advice from a tech. Have you discussed
>your test results with your doctor?
Not yet
Going to after getting some info here first
>Do I understand you correctly that your brothers and father all had
>heart attacks before age 50? If so, that is not a good sign! I am
>wondering if your low HDL is genetic.
Not age 50...... but before age 65
>You really need to decide if you want to do everything possible to
>reduce your risk or not. It is really up to you.
Yes I do!!!! Want to stack ALL ODDS in my favor. Will
do all that has merit in reducing risk.
Naturally diet and exercise I am doing already. Not
drinking alcohol to excess any more.
BUT...looking for even "little" things that one can do
as I'm very aware of the power of "little thing" in
life as well..... hence the questions of olive oil,
fish oil, eating walnuts, etc
>Is your blood pressure under control?
Yes.... take 10mg lisonopril daily in the AM
> I am
>> wondering if your low HDL is genetic.
>>
>
>Marilynn, I think the predisposition is genetic, not the result of low
>HDL. It means one has a high likelihood of metabolic syndrome,
>reversible by reducing insulinemia and glycemia.
I will admit to eating too many carbs.... probably
I do have a sweet tooth
But does this mean that one should give up All carbs?
No breads at all, no pastas, no fruits of any kind?
>There are also genetic defects that cause very low HDL levels. I do
>not know if that is what he has but with an HDL level of 29 it is one
>possibility. I would be interested to know his father's and brothers'
>HDL levels, if they are living.
Both brother and father are dead....so no idea their
readings
>I am all for him cutting carbs, especially refined grains and sugars.
>I have no problem with that.
OK
>He likely would not qualify for affordable life insurance until his
>MetS is cured by losing all the VAT.
Please ex;plain what MetS and VAT are.
Thanks Doc!
>This is pretty close to my case. (Both HDL and family history.) HDL was
>always around 32, until I dropped the low fat nonsense about 7 years ago
>Adding healthy fats and dropping carbs brings my HDL to about 70 while
>boosting my LDL almost none. And after the HDL shot up, the low-carbing
>continued to produce weight loss without difficulty. I've never felt better
>in my life and I am 63 now.
OK well this could BE my problem then as I've always
avoided fat in food products but never worried abt
carbs
I assumed that avoiding fats was what I should do given
my family history. Are you saying that more attention
to carbs SHOULD be given and may get better results
with THAT approach?
>I haven't found that there was much benefit from just cutting high-glycemic
>carbs. But cutting the total glycemic load had a huge effect.
Interesting. So cutting the "sweets" out didn't have as
much affect as just cutting overall total carbs?
>I think the original poster is at severe risk, for what it's worth. And I
>think he could dramatically lower his risk with lifestyle changes.
And I will start doing such. Thanks!
>At age 49, I would try to improve my lipids, glucose, and inflammation
>levels with lifestyle changes. I'd probably remain on the simvastatin 20 mg.
>I think statins probably confer cardiovascular benefits that are not
>reflected in their effects on lipids. I'd like that effect, too. But if I
>could reduce my risk level enough with lifestyle changes, I'd opt for no
>more than a minimum dose of a statin, at least as the current evidence
>stands.
Agree...and that's what I tried doing
I'm actually supposed to be taking 40 mg simvastatin
but stated cutting pills in half a few months ago to
see what would happen. Especially since I've lost
weight and have better lifestyle (diet, exercise)
Unfortunately this self experiment has not worked and
my ratios are jacked up now. So will get back on 40 mg
statins and keep the lifestyle changes naturally.
Id like to take as little statins as possible... but it
looks like my genetics may prevent that even given
positive lifestyle changes. Agree?
>> Or do you feel diet and lifestyle change can ALWAYS
>> make things right?
>
>Almost always. Just not the diet the statin makers want you on; low
>fat, high carb which promotes dyslipidemia.
You advise moderate fats and LOW carb, correct?
I'm relieved to hear that. I suggest you read David Rind's posts
relating to use of statins in primary prevention. You can do a search
to find them.
MetS is metabolic syndrome. VAT is visceral adipose tissue.
Marilyn
>
>I advise as much fat and protein as you like (assuming you have an
>appestat!, and high veggie diet.
>
>More favorable fats come from fish, nuts, avocadoes, olives, seeds,
>grass fed meat and dairy.
OK will do
>I think the quality of fat in the diet is much more important than the
>quantity unless you're getting too little fat. My diet breaks out to
>about 50% fat; much lower than Atkins, much higher than conventionally
>recommended.
OK.... but no breads, crackers, snack chips, ice cream,
waffles, toast, anything like that at all?
In other words YOUR diet is strictly meat and leafy
colorful veggies?
>I buy grass fed meat and dairy products for their superior heart
>healthy fat profile.
I don't know what your lifestyle changes have been nor what your current
weight and level of condition are like. If you have a 30-inch waist, run 10
miles a day, avoid trans-fats and starches, get healthy fats every day and
fatty fish or fish oil, then maybe the higher dose statin is necessary.
>Jim Chinnis <jchi...@SPAMalum.mit.edu> wrote:
>
>>This is pretty close to my case. (Both HDL and family history.) HDL was
>>always around 32, until I dropped the low fat nonsense about 7 years ago
>>Adding healthy fats and dropping carbs brings my HDL to about 70 while
>>boosting my LDL almost none. And after the HDL shot up, the low-carbing
>>continued to produce weight loss without difficulty. I've never felt better
>>in my life and I am 63 now.
>
>OK well this could BE my problem then as I've always
>avoided fat in food products but never worried abt
>carbs
>
>I assumed that avoiding fats was what I should do given
>my family history. Are you saying that more attention
>to carbs SHOULD be given and may get better results
>with THAT approach?
I believe it's likely.
>>I haven't found that there was much benefit from just cutting high-glycemic
>>carbs. But cutting the total glycemic load had a huge effect.
>
>Interesting. So cutting the "sweets" out didn't have as
>much affect as just cutting overall total carbs?
Yes.
>>I think the original poster is at severe risk, for what it's worth. And I
>>think he could dramatically lower his risk with lifestyle changes.
>
>And I will start doing such. Thanks!
MetS is Metabolic Syndrome.
VAT is Visceral Adipose Tissue.
> Thanks Doc!
You are welcome :-)
Redirecting all thanks and praises to GOD so that we will both be that
much more blessed (hungrier).
Be hungry... be healthy... be blessed:
http://HeartMDPhD.com/PressRelease
Prayerfully in Jesus' awesome love,
Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist
P.S. Susan is acting in her hateful manner out of rebellion against
the Holy Spirit, Who is clearly absolutely right to convict her:
>x-no-archive: yes
>
>m...@privacy.net wrote:
>
>> OK.... but no breads, crackers, snack chips, ice cream,
>> waffles, toast, anything like that at all?
>
>Right, except there are some low carb options like soy chips, and no
>sugar added ice creams. Even some of the regular Edy's ice creams (like
>mint chip) aren't very high carb per serving. But I have them only very
>rarely. After you low carb for a while, you lose your sweet tooth
>completely. I eat very dark chocolate almost daily, small bits.
Ok but this is gonna be tough for ma as I do LIKE
carbs..... ice cream, watermelon, peaches, breads,
etc!!!
Do you think I can really get used to life without
them? get to point were no desire for them any more?
>Diabetes is the end result of
>eating a lot of carbs when you have MetS.
Is there a test one can take to determine if in fact
you have MetS syndrome?
Some kind of monitoring or blood test? Something I
should ask my doctor abt at next appt?
>It's tough for all of us at first;
Got this book from library today
http://www.amazon.com/Protein-Power-Lifeplan-Michael-Eades/dp/0446678678
Untrue.
Metabolic syndrome (MetS) means you have too much visceral adipose
tissue (VAT), which is that bad "inside" fat around your vital organs,
inside your liver, and inside your muscle that is making the pro-
inflammatory cytokines that is causing your insulin resistance.
VAT arises from overeating (eating until stomach is stretched so that
you are no longer hungry) **anything**.
The world lies about this even in its language by describing not being
hungry as being "satisfied."
Nothing could be further from the truth:
http://HeartMDPhD.com/PressRelease
It is **only** when we are hungry that our bodies get rid of VAT.
This is by GOD's design.
And, HIS design is both right and just to chasten us for overeating.
Thus, it remains wise to eat less down to the optimal amount to become
healthier (hungrier) to loss the VAT, cure the IR/MetS, and possibly
even cure the type-2 diabetes:
http://HeartMDPhD.com/HolySpirit/Healing
This completely free approach comes with free cardiologist support via
usenet plus an unprecedented million-dollar guarantee:
Be hungry... be healthy... be blessed:
http://HeartMDPhD.com/PressReport
More relevant here is understanding from what you have been posting...
... that you are not healthy, but instead remain afflicted with
multiple nebulous endocrine abnormalities.
One can't help but wonder if your health problems are arising from
your low-carb diet.
Be hungry... be healthy... be blessed:
http://HeartMDPhD.com/PressRelease
>If you want a book to guide you, the only popular diet book that gets
>the science all accurate is Protein Power.
.... if you mean "The Protein Power Lifeplan" by Drs. Michael & Mary
Eades, I recommend the taped version especially if you do any long
distance Interstate driving. My brother gave me mine. I think he got
it from Amazon.com. It'll hold your attention.
Port