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Cholesterol: The Basics

Cholesterol: The Basics

Update: 2024-05-23
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Western Protocols



  1. Dietary Changes:


    • Reduce Saturated Fats: Limit intake of red meat and full-fat dairy products. 

    • Eliminate Trans Fats: Avoid trans fats found in margarine, store-bought cookies, crackers, and cakes.

    • Increase Omega-3 Fatty Acids: Consume fatty fish (like salmon, mackerel, and herring), flaxseeds, and walnuts.

    • Eat Soluble Fiber: Foods such as oats, beans, lentils, fruits, and vegetables help reduce cholesterol absorption.

    • Add Whey Protein: Found in dairy, whey protein supplements can lower LDL cholesterol.




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  1. Exercise:


    • Aerobic Exercise: Engage in at least 150 minutes of moderate-intensity exercise (like brisk walking) or 75 minutes of vigorous exercise (like running) per week.

    • Resistance Training: Include muscle-strengthening activities on two or more days a week.


  2. Medications:


    • Statins: Drugs such as atorvastatin (Lipitor), simvastatin (Zocor), and rosuvastatin (Crestor) are commonly prescribed.

    • Cholesterol Absorption Inhibitors: Ezetimibe (Zetia) can reduce the amount of cholesterol absorbed from your diet.

    • PCSK9 Inhibitors: These injectable medications can significantly lower LDL cholesterol.


  3. Regular Monitoring:


    • Blood Tests: Regular lipid panel tests to monitor cholesterol levels and adjust treatments as necessary.




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Eastern Protocols



  1. Dietary Supplements and Herbs:


    • Red Yeast Rice: Contains compounds similar to statins and can help lower cholesterol. However, it should be used under medical supervision due to potential side effects.

    • Garlic: Has been shown to slightly lower cholesterol levels.

    • Green Tea: Rich in catechins and antioxidants, it can help reduce LDL cholesterol.


  2. Traditional Chinese Medicine (TCM):


    • Acupuncture: Some studies suggest acupuncture may help manage lipid levels by improving circulation and metabolic function.

    • Herbal Formulations: TCM practitioners may prescribe combinations of herbs tailored to individual needs. Examples include Dan Shen (Salvia miltiorrhiza) and Gynostemma pentaphyllum (Jiaogulan).


  3. Ayurveda:


    • Guggul: An herbal remedy used in Ayurveda, guggul (Commiphora mukul) can help lower cholesterol levels.

    • Triphala: A blend of three fruits (amalaki, bibhitaki, and haritaki) that aids digestion and may help in managing cholesterol.


  4. Lifestyle Practices:


    • Yoga and Meditation: Stress management techniques like yoga and meditation can improve overall heart health and potentially impact cholesterol levels.

    • Dietary Practices: Emphasizing whole foods, spices like turmeric (which contains curcumin), and avoiding processed foods align with both Ayurveda and general health recommendations.




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Integrating Both Protocols



  • Holistic Approach: Combine dietary modifications, regular exercise, and stress management techniques from both traditions.

  • Consultation with Healthcare Providers: Work with both Western medical practitioners and qualified practitioners of TCM or Ayurveda to ensure a coordinated and safe treatment plan.

  • Evidence-Based Use of Supplements: Only use herbal supplements that have been studied for efficacy and safety, and always inform your healthcare providers about any supplements you are taking.




Evidence-Based Research



  1. Clinical Trials and Studies:


    • Red Yeast Rice: Several studies have confirmed its efficacy in lowering LDL cholesterol, similar to low-dose statins.

    • Garlic and Green Tea: Meta-analyses have shown moderate effects on lowering cholesterol .

    • Acupuncture: Some clinical studies suggest benefits, though more rigorous research is needed .


  2. Safety and Interaction Studies:


    • Herbal Supplements and Statins: Research potential interactions and contraindications to avoid adverse effects.



By blending these protocols, you can achieve a balanced approach to managing cholesterol that draws on the strengths of both Western and Eastern medicine. Always prioritize safety, and seek guidance from healthcare professionals to tailor a plan that suits your individual health needs.



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Cholesterol: The Basics

Cholesterol: The Basics

Mike Colella, MS