High LDL cholesterol levels (“bad cholesterol”) and low HDL cholesterol
levels (“good cholesterol”) are now recognized as being major risk
factors for cardiovascular disease.
Fortunately, powerful prescription drugs are now available that allow
doctors to control abnormal cholesterol levels in most patients. Some of
these drugs – especially the statins
– have been shown to significantly improve the prognosis of patients
with coronary artery disease. Anyone with known coronary artery disease,
or anyone with very high cholesterol levels, should be under a
physician’s care to assure optimal control of their blood lipids.
But does everyone with an elevated cholesterol level need to resort to
powerful prescription drugs? Not necessarily. There are ways to achieve
moderate lowering of cholesterol levels short of using such drugs.
We will review several effective non-prescription means of lowering
cholesterol. Some of these methods are very useful and safe, and simply
ought to be part of any healthy lifestyle. Others require dietary
changes that some might consider at least a little unusual, but appear
to be safe and effective. And others, while effective, clearly entail
some risk.
Is there a “magic potion” for lowering cholesterol?
Countless purveyors of various magic potions for lowering cholesterol
advertise on the radio, in magazines and newspapers, and on the
Internet. These potions fall into two general categories – those that
are completely worthless, and those that incorporate some of the
non-prescription methods for reducing cholesterol that we are about to
discuss. Often there is nothing wrong with purchasing items in the
latter category, except for two things: a) if you buy the ingredients
yourself, you will be paying far less than if you buy the magic potion;
and b) if you buy the ingredients yourself, you will have much more
control over the quantity and quality. And finally, since most of this
stuff is available in your corner grocery, it’s often just as easy to do
it yourself.
When is it all right to consider non-prescription cholesterol lowering?
It is entirely reasonable for otherwise healthy people with moderate or
borderline elevations in cholesterol to try non-prescription methods
before resorting to prescription drugs. Patients already taking
prescription cholesterol-lowering drugs, and whose cholesterol levels
remain a bit too high, might be able to gain better control by adding
one or more non-prescription methods.
But we must emphasize – once again – that if you already have coronary
artery disease, or if your cholesterol levels are very high, you need to
be under a doctor’s care to assure adequate treatment. In these cases,
“do-it-yourself” could prove to be dangerous if not lethal.
Non-prescription methods for treating cholesterol
Here is the list of non-prescription methods that have been demonstrated
in scientific studies to be of use in improving abnormal cholesterol
levels. I have divided the list into two parts: methods that are
effective and safe, and methods that are effective but entail at least
some risk.
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