Monday, 31 October 2016

How to reduce cholesterol

More than 100 million Americans have high cholesterol (above 200 mg/dL), which can clog arteries and cause heart attacks and strokes.

The good news is that there are a variety of time-tested strategies you can use to lower your cholesterol and decrease your risk for heart problems.

Some are better than others, some are easier, and some are cheaper. Here's a List of what's good and what's bad about cholesterol-lowering approaches.

1. Statins

Statins include drugs such as Lipitor, Zocor, and Crestor (all the generic names end in statin), and they can lower LDL, or “bad,” cholesterol by more than 50%. "Across the board, they are clearly a wonder drug," says Thomas Pearson, MD, PhD, the Albert D. Kaiser professor of preventive medicine at the University of Rochester Medical Center, in Rochester, N.Y.

2. Niacin

Niacin is a B vitamin that lowers both LDL cholesterol and triglycerides, fats that can be harmful at high levels. It also raises HDL, or "good," cholesterol. "It's a powerful drug," Dr. Pearson says. It comes in tablets to be taken two or three times a day, or in an extended-release formula, which needs to be taken only once a day.

3.Exercise

 Exercise is a great way to raise HDL. People who have had a heart attack can reduce their death risk by 25% with exercise compared with usual care(It's a true Fact), Dr. Pearson says. "Physical activity is an amazingly important behavior," he says. "You could argue that it's an absolutely essential part of either community or therapeutic regimens."

4.Red yeast rice

This dietary supplement is derived from a fungus that grows in rice and contains small amounts of lovastatin (Mevacor). It can be effective in people who can't take statins, says Jacob Warman, MD, chief of endocrinology at the Brooklyn Hospital Center, in New York City. Although different people see different benefits, he says, "it always works to some extent."

5.Bile acid sequestrants

Drugs such as Questran (cholestyramine), Welchol (colesevelam), and Colestid (colestipol) trick the body into producing extra bile, which lowers LDL cholesterol by about 15% to 20%, Dr. Pearson says.

6.Low-fat diet

Choosing healthy food such as fish and veggies over red meat and french fries is relatively straightforward, and Dr. Warman estimates it could lower cholesterol by up to 20% in some people. Societies with low-fat diets, such as Japan and parts of the Caribbean, have lower levels of heart attack and stroke.

7.Fibrates

These drugs include fenofibrate (Tricor and other brand names) and gemfibrozil (Lopid). They can lower triglycerides by 25% to 50% and raise HDL by 10% to 35%.

8.Zetia 

This medication can prevent the absorption of cholesterol in the intestines. "There's very little downside and it's very well tolerated," Dr. Warman says. It can result in about a 20% reduction in cholesterol, and it can be taken in combination with statins, which isn't true for all drugs.
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