Lowering Cholesterol:
Cholesterol is the primary ingredient in plaque formation in the body's arteries. Diabetes,
hypertension, smoking and family history are the mechanisms responsible for plaque
formation. One has to decrease the ingredient( cholesterol ) and control the mechanisms
( diabetes,hypertension,smoking ).  Decreasing the ingredient entails, decreasing fat intake,
exercise, and cholesterol lowering medications. Refer to the newsletters  Diabetes , hypertension
and  smoking for details on controlling the mechanisms of plaque formation.
        Mild cholesterol elevation can be treated effectively with diet and exercise, while
moderate and high elevations frequently require cholesterol lowering medications. These
medications are quite safe and effective.
        Side effects of cholesterol medications are mild and infrequent. Muscle aches, and
mild liver enzyme elevations do occur, and can be treated with dosage adjustment or
medication change. Rarely do they have to be discontinued due to their severe side
effects.
          May 2006:  Newer data show improved survival with Cholesterol lowering medication, despite normal starting Cholesterol levels.
                              The question of the unstable placque eludes medical science. Presently, invasive treatment is geared towards the
                               large placques, which cause the most narrowing. But, the degree of narrowing and placque instability are not synonymous.
                               Unstable plaque is one which is ulcerated and contains oxidized Cholesterol complexes, making it susceptible to rupture
                               and myocardial infarction. There is no technology that can detect the unstable placque, thus lowering Cholesterol is
                               the most important therapy for prevention and treatment of heart disease before and after a heart attack.