Cholesterol Counselor Durham NC

Eating foods and drinks with added phytosterols (plant stanols and sterols) is another way to drop your LDL. The American Heart Association recommends 2 to 3 grams a day of plant sterols to block the absorption of cholesterol and lower LDL by 5 to 10 percent.

Sidney C Smith Jr., MD
(919) 966-5201
130 Mason Farm Rd
Chapel Hill, NC
Business
UNC Cardiology
Specialties
Cardiology

Data Provided by:
Chris Granger
(919) 620-4467
Duke University Medical Ctr
Durham, NC
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Lawrence Edward Crawford, MD
(412) 647-7806
3810 Trent Dr Ste 2f,
Durham, NC
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Va Sch Of Med, Charlottesville Va 22908
Graduation Year: 1987

Data Provided by:
Geoffrey Steven Ginsburg, MD
(919) 668-6210
Dumc Box 3382,
Durham, NC
Specialties
Cardiology
Gender
Male
Education
Medical School: Boston Univ Sch Of Med, Boston Ma 02118
Graduation Year: 1984

Data Provided by:
Sana Alkhatib
(919) 620-4467
2100 Erwin Rd
Durham, NC
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Adrian Felipe Hernandez, MD
(919) 668-7515
1107 Minerva Ave
Durham, NC
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Tx Southwestern Med Ctr At Dallas, Med Sch, Dallas Tx 75235
Graduation Year: 1997

Data Provided by:
Harry R Phillips III, MD
(919) 681-5816
Erwin Rd Ste 5409
Durham, NC
Specialties
Cardiology
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1975

Data Provided by:
Robert Lefkowitz
(919) 620-4467
2100 Erwin Rd
Durham, NC
Specialty
Cardiovascular Disease

Data Provided by:
John C O'Shea
(919) 684-8111
1000 Trent Dr
Durham, NC
Specialty
Cardiovascular Disease

Data Provided by:
Eugene A Stead, MD, FACC
Box 3636 DUMC,
Durham, NC
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
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Elevated Cholesterol

Provided by: 

By Mark A. Moyad, MD, MPH

Q. My total cholesterol is normal, but my LDL (“bad cholesterol”) is elevated. Should I worry?

A. The short answer: Probably, but it depends on your HDL (good cholesterol) and triglyceride (the fat in your bloodstream) readings. Some doctors believe a high HDL (60 or more) cancels out the bad effects of a high LDL. However, researchers know an elevated LDL makes it harder for HDL to do its job. Think of LDL as a dump truck that drops trash on the street (blocking your arteries) and HDL as the street sweeper that cleans it up. If there are more dump trucks than street sweepers, the street will be congested. So I never like a patient’s LDL to be elevated, even when he or she has a high HDL or low triglycerides.

The good news: Simple changes can reduce your bad cholesterol and increase the good. For example, exercising for 30 minutes or more, four to five days a week, can lower LDL. In addition, recent research from the New England Journal of Medicine suggests the Mediterranean diet—low in saturated and trans fat, higher in healthy unsaturated fats, and lower in calories—reduces LDL cholesterol significantly better than other diets. This diet is rich in vegetables, lean fish, and chicken and low in red meat. A really low- or no-fat diet does a good job of lowering LDL at times, but may also unfortunately reduce HDL. Choose foods high in soluble fiber—whole grains, legumes, fruits, vegetables, nuts, and seeds—to reduce your LDL level. I recommend cereals that contain 10 to 15 grams of total fiber with several tablespoons of regular or golden flaxseed powder sprinkled on top. (Golden flax contains nearly twice the fiber as regular flax.) This will give you almost 20 grams of fiber in one bowl. Bonus: A low-fat, high-fiber breakfast provides lasting energy and lowers blood pressure—two big heart-healthy changes.

Eating foods and drinks with added phytosterols (plant stanols and sterols) is another way to drop your LDL. The American Heart Association recommends 2 to 3 grams a day of plant sterols to block the absorption of cholesterol and lower LDL by 5 to 10 percent.
But here’s the most important piece of advice: Heart disease can kill in an instant, so reduce your elevated LDL now because the potential health consequences of waiting simply aren’t worth it.

Mark A. Moyad, MD, MPH, is the author of Dr. Moyad’s No Bogus Science Health Advice
(Ann Arbor Media Group, October 2008).

4 Ways to Lower Cholesterol
∗ Niacin (a minimum of 100 to 200 mg a day) raises HDL and lowers LDL and triglycerides.
∗ Vitamin C (500 to 1,000 mg per day) can reduce inflammation in the arteries.
∗ Fish oil (500 to 1,000 mg daily) is another inflammation fighter.
∗ Red yeast rice extract (600 to 1,200 mg a day) can lower the production of cholesterol in the liver within a few weeks.

Author: Mark A. Moyad, MD, MPH

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