How To Manage High Blood Cholesterol

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University of California Television (UCTV)

Жыл бұрын

Having a skilled primary care clinician will go a long way to maintaining your health and wellness. In this program on primary care basics, Dr. Robert B. Baron discusses the best practices for managing blood cholesterol and understanding the benefits and harms to prevent heart attacks and strokes. Recorded on 03/15/2023. [7/2023] [Show ID: 38794]
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#cholesterol #diet #stroke #heartattack #wellness
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Пікірлер: 14

@uctv Жыл бұрын

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@31088489 Жыл бұрын

@1:15:26

@charleedell92 11 ай бұрын

The current guidelines overlook a lot of younger people, particularly women, with moderately high LDL. I chose to get treatment early rather than accumulate decades of atheroma. This way I can take a low dose and maintain a normal LDL over a lifetime, not wait until I have actual disease & then need super aggressive treatment. It is very inexpensive and I have zero side effects.

@hoobsgroove Жыл бұрын

I'm very confused buy the smiley chart for cholesterol where the lowest death is a cholesterol density of 200 to 240, below this and greater than this shows up higher risk of death rates of heart attack. Why does the cholesterol chart show lower death at these two points surely it should show it up at lower cholesterol points and then ramp up? Why is it giving you higher deaths at 110 to 180 compared to these higher cholesterol density then? What's your feeling on plant sterols? Are they beneficial for lowering cholesterol studies seem to show they are I'm not sure by how much and dose.

@MT-sq3jo Жыл бұрын

The chart was from observational studies and not much corrected of reasons why lowered cholesterol (< 200) is associated with higher mortality. I’d say if the people they observed had lower cholesterol due to cancers, frailty, under-nutrition, or otherwise diseased, then of course under this context the mortality rate is expected to be higher than healthy people with cholesterol in the range of 200-240. In addition, for people whom had a heart attack or stroke already and they are aggressively medicated to lower their cholesterol, you would also expect the same observation. For people whom won the genetic lottery (e.g. PCSK9 deficiency) and have low cholesterol throughout their lifetime, they show much lowered cardiovascular risk. In contrast, for people whom lost the genetic lottery (e.g. FH), their ASCVD risk of course would be much higher.

@EurithraPDaley Жыл бұрын

It's "for people who," not "for people whom."

@BartBVanBockstaele Жыл бұрын

The problem is that most of medicine is hypercomplex and very difficult to test. As a result, it is largely a statistical science, which is why we usually talk about "associated with" and not "caused by". That also "explains" the controversies. Depending on a physician's context, he or she may decide differently than another one. It explains (at least in part) why different countries have different standards, thresholds.... It is all about statistics and probabilities. There are next to no certainties. That is why Prof. Baron elaborated on the difference between "population level" and the "patient level". Unfortunately, personal experiences -while interesting- have essentially no value for others. The best thing you can do is to have an in-depth conversation with your doctor. Never forget that it takes years of gruelling studies to become a doctor, followed by years of hands-on experience under supervision. These things take time and effort and what may seem logical to someone who is not in the field, may not be logical at all to someone whose job it actually is.

@wilsont1010 Жыл бұрын

@@BartBVanBockstaeleWhen you do not know the facts and mixed with huge profits from the drugs company and propaganda couple with their fake science, this is what you get.

@kiril1 Жыл бұрын

Ho is it only 5 % by diet, when my LDL last year was less than 100, and this time it is above 130? It's about 30%, at least.

@BartBVanBockstaele Жыл бұрын

What makes you think this was caused by diet? Your best bet is to have a conversation with your doctor. It sounds like a cheap cop-out, but it is actually true. Medicine is a very complex field.

@kiril1 Жыл бұрын

@@BartBVanBockstaele I changed my diet after the previous result - ate more red meat, burgers, a little bit more carbs. It was the same 10 years ago. Then, after I stopped consuming a lot of fast food, my LDL dropped down from 130+ to about 100. Physical activity was about the same. By the way, few doctors said, it as probably my high fat diet, that caused this bad result. My family doctor advised me to eat less carbs like rice and pasta, so I guess, the blame is both on the "bad" carbs and animal fat. Interestingly, my glucose is normal, my TRYG are about 40.

@BartBVanBockstaele Жыл бұрын

@@kiril1 Like I said, medicine is a complicated field. You may very well do the same thing three times in a row and get different results each time. It si frustrating but unfortunately very true. If you like red meat (burgers are also red meat) that is just fine, but there is no real reason to do that, and despite popular opinion to the contrary, they are not necessarily good news. You used quotes, so you seem to be aware of it, but there are no bad carbs. The one thing that is not good is *too much* and whether that "too much" is made of carbs or fat or protein or all of them, does not matter all that much, usually. However, it still might be different for you. Your doctor can help you with this. In addition, have a good look at your weight. While there is also not a guarantee here, weight loss will *almost* always lead to better results. If you are very lucky, usually depending on how long a situation has existed, everything can/could return to "normal". Just don't count on it, some damage cannot be undone, but some improvement is higly likely. A doctor is not a prophet, but more like a guide. They are not perfect, they don't know everything, they make mistakes. However, they also know a hell of a lot more than most of us and are therefore our best sources of information. I wish you success.

@wilsont1010 Жыл бұрын

@@kiril1 Animal fat is not bad fat, PUFA, omega-6 fats are rhe bad fats. Why are there so much confusion about the cholesterol, well because your family doctor is hiding the real facts from you.