Ways To Lower Your Cholesterol Without Medication
Cholesterol is a waxy substance in your blood and is also found in certain foods. Ideally, your total cholesterol levels will fall under 200 milligrams per deciliter . Your LDL, or bad cholesterol, levels should fall under 100 mg/dL. And your HDL, or good cholesterol, should stay at 40 mg/dL or higher. If you have high cholesterol levels, changing your lifestyle can go a long way.
Dr. Javier Sosa and our team at Woodlands Primary Healthcare provide blood tests to help identify cholesterol-related risk factors. We can also make lifestyle recommendations that suit your specific needs.
Here are nine ways you can lower your cholesterol levels without medication:
Use Polyunsaturated Fats Especially Omega
Polyunsaturated fats have multiple double bonds that make them behave differently in the body than saturated fats. Research shows that polyunsaturated fats reduce LDL cholesterol and decrease the risk of heart disease.
For example, one study replaced saturated fats in 115 adults diets with polyunsaturated fats for 8 weeks. By the end of the study, total and LDL cholesterol levels were reduced by about 10% .
Polyunsaturated fats also may reduce the risk of metabolic syndrome and type 2 diabetes.
Another study changed the diets of 4,220 adults, replacing 5% of their calories from carbohydrates with polyunsaturated fats. Their blood glucose and fasting insulin levels decreased, indicating a decreased risk of type 2 diabetes .
Omega-3 fatty acids are an especially heart-healthy type of polyunsaturated fat. Theyre found in seafood and fish oil supplements. Especially high amounts occur in fatty fish like:
- deep sea tuna like bluefin or albacore
- shellfish , including shrimp
Other sources of omega-3s include seeds and tree nuts, but not peanuts.
summary
All polyunsaturated fats are heart-healthy and may reduce the risk of diabetes. Omega-3 fats are a type of polyunsaturated fat with extra heart benefits.
Trans fats are unsaturated fats that have been modified by a process called hydrogenation. This is done to make the unsaturated fats in vegetable oils more stable.
The resulting trans fats are not fully saturated and are called partially hydrogenated oils .
Focus On Fruits Vegetables Whole Grains And Beans
Our typical American diet is now abbreviated as SAD by scientists nationwide because its full of foods that do sad things to both hearts and waistlines. Hyperprocessed foods like potato chips and French fries. Sugar-saturated drinks. And fatty, artery-clogging meats and full-fat dairy foods like cheese.
We dont have to become complete vegetarians to get our cholesterol levels into healthy ranges, studies on the Pritikin Program have found, but clearly, the more vegetables, fruits, potatoes, and other naturally-fiber-rich plant foods we eat, the healthier well be.
Plant foods high in soluble fiber are especially beneficial in lowering total and LDL bad cholesterol levels. Good sources include beans , yams, oats , barley, and berries.
For simple tips on bringing more fruits, vegetables, whole grains, and beans into your life, here is a 5-day sample healthy meal plan from the doctors and dietitians at Pritikin Longevity Center.
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Reduce Your Carbohydrate Intake
One of the most effective ways to lower triglycerides is to monitor your carbohydrate consumption. Extra calories in the form of carbs are converted into triglycerides quite efficiently, according to Healthline.
In fact a 2020 meta-analysis of 12 randomized, placebo controlled studies published in the journal PLOS ONE showed a reduction in triglyceride levels following a low-carb diet over 6-24 months, with the most dramatic reduction occurring in only the first 6 months. Furthermore, those following a low-carb diet saw greater decreases in triglycerides compared to those following a low-fat diet, demonstrating the emphasis on macronutrient restriction in the form of carbs as the most effective for lowering triglycerides.
This might seem counterintuitive because carbs are not fat, but remember that carbs can be converted into triglycerides. The fact that triglycerides dropped most dramatically in the first 6 months further demonstrates that it doesn’t take long for dietary changes to benefit triglyceride levels.
What Are The Causes Of High Cholesterol
The tendency toward high cholesterol appears to be genetic although diet also influences cholesterol levels. Other factors that can influence cholesterol levels include being overweight and being physically inactive. The older you get, the more likely your cholesterol levels are to rise. Before menopause, women tend to have lower cholesterol levels than men of the same age, but after menopause, womens LDL levels often increase.
There is considerable controversy over whether high cholesterol is in itself a cause of heart disease , or a symptom of an inflammatory condition that is the true cause of heart disease . According to the latter theory, chronically high levels of inflammation creates small lesions on arterial walls the body sends LDL to heal those lesions, but it ultimately accumulates and oxidizes, causing blockages. From this perspective, the best lifestyle approach to lower cardiovascular disease risk is to lower inflammation in the body rather than LDL levels.
The two theories are not mutually exclusive they may both be true to some extent.
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Possible New Treatment For High Triglycerides
In the report in The New England Journal of Medicine, an international team of researchers describe a new therapy for high triglycerides. It involves a weekly injection of “antisense oligonucleotides” , pieces of DNA that short-circuit the livers production of triglycerides. The new report shows that ASOs can reduce triglyceride levels by as much as 70%.
Keep in mind that this was a phase 2 trial, which is designed to test whether a drug does what it is supposed to do . Larger, longer-term studies will be needed to see whether ASOs actually reduce the risk of heart disease, and what sorts of side effects they cause.
Many experimental medications that sparkle in early testing never become FDA-approved drugs. We wont know for several years whether ASOs will become available for individuals with high triglycerides.
Thoughtful Talks With My Health Care Professional: My Cholesterol Treatment Plan
Your health care professional can help you reach your health goals, including keeping your cholesterol at healthy levels.
Making decisions with your health care team is the best way to create a treatment plan youll be more likely to stick to. If you dont understand something, ask for further clarification.
Heres a helpful checklist that you and your health care professional can go through to determine your risk and the best treatment options for you.
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Natural Ways To Lower Your Cholesterol Levels
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Cholesterol is made in your liver and has many important functions. For example, it helps keep the walls of your cells flexible and is needed to make several hormones.
However, like anything in the body, too much cholesterol creates concerns.
Like fat, cholesterol does not dissolve in water. Instead, to move around the body, it depends on molecules called lipoproteins. These carry cholesterol, fat, and fat-soluble vitamins in your blood.
Different kinds of lipoproteins have different effects on health. For example, high levels of low-density lipoprotein results in cholesterol deposits in blood vessel walls, which can lead to (
Limitation Of Saturated And Trans Fats
Limit the intake of saturated fats contained in red meat, poultry fat, butter, cheese, milk and coconut and palm oil, and trans fats found in products such as biscuits, cakes, margarine, cakes, hamburgers. It is recommended to replace these fats with healthy polyunsaturated and monounsaturated fats. Although unsaturated fats are better in terms of cholesterol and triglycerides, they are high in calories. Fatty fish, such as salmon, herring, sardines, are rich in omega-3 fatty acids and are also useful for maintaining normal cholesterol and triglyceride levels.
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Effect On Statins On Lipid And Lipoprotein Levels
The major effect of statins is lowering LDL-C levels. The effect of the various statins at different doses on LDL-C levels is shown in . As can be seen in different statins have varying abilities to lower LDL-C with maximal reductions of approximately 60% seen with rosuvastatin 40mg. Doubling the dose of a statin results in an approximate 6% further decrease in LDL-C levels. The percent reduction in LDL-C levels is similar in patients with high and low starting LDL-C levels but the absolute decrease is greater if the starting LDL-C is high. Because of this profound ability of statins to lower LDL-C levels, treatment with these drugs as monotherapy is often sufficient to lower LDL-C below target levels.
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Changing Your Diet To Lower Triglycerides
Summary
Limiting sugars, refined carbs, and alcohol is crucial to get the best results.
Diets higher in fiber and fish may also help to lower triglycerides. Those with severely elevated levels may respond better to low-fat diets, but this is not a universal finding.
When attempting to lower triglyceride levels, many find success through altering their eating habits. Here are the dietary approaches worth trying, according to science.
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Add More Fiber To Your Diet
Fiber is the part of your food that isnt digested, and its important because it helps you feel full. According to a study published in February 2019 in the journal Current Developments in Nutrition, dietary fiber can reduce the risk of high triglycerides in young to middle-aged adults who are overweight or obese. In general, fiber-rich foods also have carbohydrate content that is more complex and can lead to more gradual absorption by the body, which can also help temper the triglyceride increase that occurs after meals, says Michael Wesley Milks, MD, a cardiologist and assistant professor of clinical medicine at The Ohio State University Wexner Medical Center in Columbus. Fiber is found in whole grains and nutrient-rich foods such as fruits and vegetables.
What Are The Types Of Fibrate Drugs
There are several types of fibrates. You may take:
Last reviewed by a Cleveland Clinic medical professional on 02/10/2022.
References
- American Heart Association. Cholesterol Medications. Accessed 2/10/2022.
- Blais JE, Kin Yi Tong G, et al. Comparative efficacy and safety of statin and fibrate monotherapy: A systematic review and meta-analysis of head-to-head randomized controlled trials. 2021 Feb-. PLoS ONE 16: e0246480. Accessed 2/10/2022.
- Singh G, Correa R. Fibrate Medications. Treasure Island : StatPearls Publishing 2021 Jan-. Accessed 2/10/2022.
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Why Would Cholesterol Need To Be Lowered
Your body can produce cholesterol all by itself, but it may also be in the foods you eat.¹ It is important to have your cholesterol in the right range for your best health.
Cholesterol is needed to make hormones and vitamin D. But high levels of LDL cholesterol may cause the development of fatty deposits known as plaque, leading to clogged arteries.¹ Untreated high cholesterol can thus lead to complications like stroke or heart attack.³
Health care providers may test your blood and measure the levels of different kinds of cholesterol. Cholesterol levels are measured in milligrams per deciliter . Normally, several cholesterol levels are checked using a test called a lipid profile:
These ranges are general guidelines for cholesterol. Your health care provider may recommend different goals depending on your family history, lifestyle, and overall health.
If its determined that your cholesterol is too high, your provider will give you ways to reduce your levels.
When To See A Doctor
If you want to find natural ways to support your cholesterol levels, your doctor can help you set a plan that will be appropriate for your health.
This may include a combination of pharmaceutical management, dietary suggestions, lifestyle adjustments, and dietary supplements.
Your healthcare provider will recommend a plan that is tailored for your needs.
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How Can I Lower My Cholesterol With Medicines
As well as making lifestyle changes, some people will need to take cholesterol-lowering medicines to reduce their risk of heart and blood vessel disease, known as cardiovascular disease. The medicines most commonly used are called statins.
Your doctor will consider all your risk factors for cardiovascular disease before suggesting medication not just your cholesterol and lipid results. If youve already had a heart attack or stroke, taking statins can substantially lower your risk of having another one.
Statins work by slowing the amount of cholesterol made in your liver. In response, your liver uses the cholesterol already in your blood to make up for the deficit. This lowers the level of LDL cholesterol in your blood.
If statins alone do not lower your cholesterol enough, you may need additional medicines.
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How To Lower Triglycerides
What does it mean when you have high triglycerides? How do you lower your triglycerides?
If youve been told that you have high triglycerides a type of fat found in the bloodstream youre not alone. One report suggests that nearly one-third of Americans have elevated triglycerides.1
Higher than normal triglyceride levels are a problem because theyre associated with increased risk of metabolic dysfunction, heart attacks, and strokes.2
Although many people focus on the risks associated with high low-density lipoprotein cholesterol, high triglycerides may be even more predictive of future heart events.3
The good news is, you can use the advice in this guide to work with your healthcare provider to reduce your triglycerides naturally. You can also consider discussing medications or supplements to lower your triglycerides if needed.
Heres what you need to know about reducing your triglycerides.
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Mechanism Accounting For The Lomitapide Induced Lipid Effects
Lomitapide is a selective inhibitor of microsomal triglyceride transfer protein . MTP is located in the endoplasmic reticulum of hepatocytes and enterocytes where it plays a key role in transferring triglycerides onto newly synthesized apolipoprotein B leading to the formation of VLDL and chylomicrons . Loss of function mutations in both alleles of MTP results in abetalipoproteinemia, which is characterized by the virtual absence of apolipoprotein B, VLDL, chylomicrons, and LDL in the plasma due to the failure of the liver and intestine to produce VLDL and chylomicrons . Lomitapide by inhibiting MTP activity reduces the secretion of chylomicrons by the intestine and VLDL by the liver leading to a decrease in LDL, apolipoprotein B, triglycerides, non-HDL-C, and Lp .
Cholesterol And Healthy Eating
What we eat has an impact on our cholesterol levels and can help reduce our risk of disease. The Heart Foundation recommends following a heart-healthy eating pattern, which means eating a wide variety of fresh and unprocessed foods and limiting highly processed foods including take away, baked goods, chocolate, chips, lollies and sugary drinks. Not only does this help to maintain a healthy and interesting diet, but it provides essential nutrients to the body.
A heart-healthy eating pattern includes:
- plenty of vegetables, fruit and wholegrains
- a variety of healthy protein-rich foods , legumes , nuts and seeds. Smaller amounts of eggs and lean poultry can also be included in a heart-healthy eating pattern. If choosing red meat, make sure it is lean and limit to one to three times a week
- unflavoured milk, yoghurt and cheese. People with high cholesterol should choose reduced fat varieties
- healthy fats and oils. Choose nuts, seeds, avocados, olives and their oils for cooking
- herbs and spices to flavour foods, instead of adding salt.
This way of eating is also naturally high in fibre, which is good news, because a high intake of dietary fibre can also reduce levels of bad cholesterol in the blood.
Also, be mindful of how much you are eating. Portion sizes have increased over time and many of us are eating more than we need which can increase our cholesterol and risk of heart disease.
Serving size can vary depending on age, gender and specific nutrition needs.
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/11lower Your Carb Intake
Just like the added sugar, extra carbs in your diet also get converted into triglycerides. Low carb diet has been linked to lower triglyceride levels.
Studies have found that people getting a lower number of calories from carbs had lower triglyceride levels as compared to people who received more calories from carbs.
People who were kept on a low carb diet for one year lost more weight and had lower triglyceride levels as compared to people who had a high carb diet, finds a study.
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How To Lower Triglycerides With Lifestyle Changes And Medication
- You can lower triglycerides by exercising, losing weight, and drinking less alcohol.
- If your triglycerides levels are very high like over 500 milligrams per deciliter your doctor may also recommend medication to lower triglycerides.
- Triglycerides, like cholesterol, are associated with a higher risk of heart disease if your levels are too high, though many people effectively lower these levels with lifestyle changes and medication.
- Visit Insiderâs homepage for more stories.
Like cholesterol, triglycerides are a form of fat, or lipid in fact, theyâre the most common form of fat in a personâs body. After you eat, fat and calories that arenât immediately put to use by your metabolism are stored as triglycerides in your bodyâs fat cells.
âYou need triglycerides in the body for an energy source,â says Sanjiv Patel, MD, a cardiologist at MemorialCare Heart & Vascular Institute at Orange Coast Medical Center. âThe issue becomes if you have too much.â
Hereâs what you need to know about cholesterol and triglycerides, and how to lower your triglyceride levels if they get too high.
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