Lowering Cholesterol:
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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.
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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.
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