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New Cholesterol Guidelines
1. New cholesterol guidelines say
"ignore your numbers" - just take
statins
Conventional medicine just doesn't get it. For years they've pushed
statins on anyone who had cholesterol above their so-called dangerous
level. However, they've never been able to prove that statins could, in
fact, prevent heart attacks. They don't, unless you've already had a
heart attack and you're a middle-aged man. In these cases, it "might"
help. But they don't know for sure. And the number of middle-aged
men who have suffered a heart attack is a very small number of
people compared to those
using statins.
Now conventional
medicine wants to put
more people on statins.
This time, they really don't
care how high your
cholesterol is. In fact, Dr.
Steven Nissen, chief of
cardiovascular medicine at
the Cleveland Clinic, says
you can "ignore the
numbers." The American
Heart Association and the
American College of
Cardiology now want doctors to look at your risk factors for a heart
attack. The thinking is that these somewhat subjective risk factors will
respond better to statins - and they can stop heart attacks.
Instead of looking at your cholesterol numbers, doctors now have to
look at these questions: Do you have heart disease? Do you have
diabetes (Type 1 or 2)? Do you have a bad cholesterol level more than
190? And is your 10-year risk of a heart attack greater than 7.5%?
If you answer "yes" to any of these questions, your doctor will pull out
his prescription pad and force statins on you. This is going to double
the number of people taking statins.
But let's look at each of these questions. First, there's no evidence
2. that statins will prevent a heart attack in people with heart disease.
Again, there's only one group of people who might benefit and that is
a small group. It doesn't include everyone with heart disease. There
aren't any studies suggesting statins prevent heart attacks for those
who have heart disease, but have yet to suffer a heart attack. The
same is true for diabetes. There's no evidence that statins will prevent
a first heart attack in diabetics.
If you have a "bad" cholesterol level over 190, that's a sure signal of a
coming heart attack, right? Not so fast. The only "bad" cholesterol is
oxidized cholesterol, not just LDL. And conventional medicine doesn't
test for oxidized cholesterol. So a high LDL number doesn't have any
predictive ability.
Finally, what's your 10-year risk of having a heart attack? It's an
equation your doctor has to calculate. Dr. Donald Lloyd-Jones,
chairman of the committee that developed the equation, said, "We
were able to generate very robust risk equations for both non-Hispanic
white men and women as well as African-American men and women.
Those equations factor in age, sex, race, total and HDL ('good')
cholesterol levels, blood pressure levels, blood pressure treatment
status as well as diabetes and current smoking status." Apparently
they don't have an equation for Hispanic or Asian men and women.
But it doesn't matter. This "simple" equation might be simple for your
doctor, but it takes the statin decision completely out of your hands.
You now have to trust your doctor's math skills.
The reality is these new guidelines will do nothing more to prevent
heart attacks or death than the current guidelines (which are pretty
worthless). They will only further enrich the drug companies.
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3. One article I read said this
will mean a downturn in
drug company business
Learn More Now
because most statins are
now generic. That's
ludicrous! Do the math. The number of people taking statins will
double. An additional 36 million people taking statins at $40/year.
That's an additional $1.44 billion going to the drug companies and the
pharmacies. That doesn't include the profits they will undoubtedly
make from their patented formulas, such as Zetia.
As far as what you should do about high cholesterol, nothing has
changed. Most people just don't need to worry about it - especially if
you're over 70. Studies show that lowering cholesterol in this group
does more damage than good. If you're under 70, make lifestyle
changes to lower your cholesterol. This includes eating more veggies,
getting plenty (but not too much) exercise, and avoid smoking and
other lifestyle habits that can increase your cholesterol. If that's not
enough, you can take supplements to lower your cholesterol, such as
those in Advanced Cholesterol Formula. Most people don't need to
do anything but live a healthy lifestyle - and ignore these new
cholesterol guidelines.
Your insider for better health,