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LDL cholesterol and good HDL cholesterol - the former kills, while the latter is good for health. Some people are extremely fit and lead a healthy lifestyle, yet have high LDL levels and very low HDL levels. What's happening?
The truth is, no one knows everything about how cholesterol works in the body.
Cholesterol is an insoluble lipid - fat. This means that this compound must travel in the blood by binding to and being carried by protein molecules.
Blends of fat and protein are called lipoproteins
Cholesterol levels are affected by how much fat is absorbed
from the gut into the bloodstream and how the liver makes bad LDL
cholesterol.
There are also genetic factors that contribute to an individual's cholesterol level. These are linked to levels in parents and siblings. They can be perfectly healthy but have elevated levels of "bad" cholesterol
Although high levels of good HDL cholesterol are
known to be protective, there is no evidence that low levels of HDL are in any
way harmful. So it seems that all the blame for atherosclerosis lies with the bad LDL cholesterol.
The doctor's recommendation is to do everything in our power
to reduce the level of bad LDL cholesterol below 3 molls per liter
and the level of total cholesterol to 5 moles per liter or less.
To achieve this, they suggest a diet based on plants, fruits, and vegetables. They suggest minimizing animal fat intake and getting protein and fat as much as possible from fatty fish. Besides, they recommend losing weight and not smoking if you are overweight.
However, in light of the new health idea of reversing obesity and heart disease by severely limiting sugar and increasing healthy saturated fats in the diet, these recommendations now seem somewhat simplistic.
Could it be that today's widespread diets full of sugar and carbohydrates, which seem to be the main cause of obesity, could have something to do with high levels of bad cholesterol?
Maybe excessive sugar consumption interferes with cholesterol metabolism?
With the global obesity crisis and concerns over bad LDL cholesterol levels, it seems to many that there may be a link between the two diseases.
Or maybe it's because too many polyunsaturated artificial vegetable oils are being consumed? Current recommendations are to "avoid" natural fats in foods such as butter, whole milk, and cheese. Maybe this "abnormal" way of telling you what to eat is actually causing high levels of bad LDL cholesterol?
The results of studies on these ideas should be quite interesting.
George Belays wrote a weekly newsletter on ways to lose weight and other health issues.
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