Here’s another four questions with answers from my interview with Dr. Mark Houston in February 2010.

Lisa Nelson RD: If someone has been on blood pressure medication for many years and they take steps to lose weight and improve their diet is it likely they’ll be able to discontinue their medication or will they be on medications for life?

Dr. Houston: About a 60% of patients that follow the guidelines in the book that I wrote on What Your Doctor May Not Tell You About Hypertension can stop meds over 6-12 months if they do everything correct as outlined.

Lisa Nelson RD: If someone is newly diagnosed with high blood pressure, how much time should be allowed if the individual prefers to make diet and lifestyle changes to lower the blood pressure before turning to medication?

Dr. Houston: I recommend getting the blood pressure down soon with both meds and lifestyle changes to protect the arteries and reduce cardiovascular disease based on some recent studies. Later on, if blood pressure is controlled then you can taper the medications.

Lisa Nelson RD: Do any of the over-the-counter meds for high blood pressure and high cholesterol work – or are they just snake oil ads?

Dr. Houston: There are some good supplements that work for blood pressure and cholesterol, but most over the counter are not good. The best source is BIOTICS RESEARCH at 1-800-231-5777. For blood pressure use VASCULOSIRT. Also for blood pressure is CARDIOSIRT BP (this one will be out in the spring). These will reduce blood pressure well along with the lifestyle changes recommended in the book above. The best for cholesterols is LIPIDSIRT. It can be used with the new niacin and red yeast rice from BIOTICS if needed. This may decrease cholesterol with the combination by 40-50%.

Lisa Nelson RD: How effective do you feel the supplements l-arginine, coQ10, and omega 3 are at preventing cardiac problems?

Dr. Houston: I would use omega 3 fatty acids in almost everyone to reduce heart attack, stroke, blood pressure, improve triglycerides and improve memory. The best omega 3 fatty acid on the market is EFA-SIRT SUPREME from BIOTICS research at 1800-231-5777. The CoQ10 is excellent as well. Doses of about 100 to 200 mg of a good quality CoQ10 will lower systolic blood pressure about 15 mm Hg and diastolic blood pressure about 10 mm Hg in 50% of patients. The CoQ10 is in both the VASCULOSIRT AND THE CARDIOSIRT BP from BIOTICS at 1-800-231-5777.

Part 1 – Top Heart Health Questions Answered By Dr. Houston
Part 2- Top Heart Health Questions Answered By Dr. Houston

There will be one final part to this Q&A. Sign-up for the e-course 7 Natural Ways to Lower Blood Pressure and you’ll also be notified when the final part is posted.

All the best,
Lisa Nelson RD
http://www.lowerbloodpressurewithlisa.com

There is some new evidence provided by a Yale University study linking walnuts to improved cardiovascular health. The findings show an improvement to the endothelial function in individuals with type II diabetes when study participants consumed a daily serving of 2 ounces of walnuts.

The study also found the addition of walnuts promoted increased fasting serum glucose levels, lower cholesterol levels, and lower LDL cholesterol.

Walnuts provide poly-unsaturated fatty acid omega 3’s, particularly alpha-linolenic acid (ALA). This fatty acid has been linked to many heart health benefits, such as decreased lipoprotein(a), lower triglycerides, and improved heart rhythm.

Here are a few ways to add walnuts to your diet:

• Mix walnuts with dried fruit for a nutritious snack
• Add toasted walnuts to a salad or pasta dish
• Sprinkle chopped walnuts on oatmeal or breakfast cereal

Keep in mind calories and portion control! A 1.5 ounce serving of walnuts provides ~278 calories. There are approximately 20 walnut halves in a 1.5 ounce serving.

All the best,
Lisa Nelson RD
How to Lower Cholesterol in 8 Simple Steps
http://www.lowercholesterolwithlisa.com

A recent study found walnuts linked to improved cardiovascular health due to improved function of the endothelium (inner lining of blood vessels) in those with type II diabetes.

Not only was the walnut addition linked to improved endothelial function, but participants also experienced increased fasting serum glucose levels, reduced LDL cholesterol, and lower total cholesterol.

Back in 2004, the US Food and Drug Administration (FDA) approved a label claim for walnut packages:

“Supportive but not conclusive research shows that eating 1.5 ounces of walnuts per day, as part of a low saturated fat and low cholesterol diet, and not resulting in increased caloric intake may reduce the risk of coronary heart disease.”

One thing to keep in mind when it comes to walnuts (and nuts in general) is calories! Nuts are not low in calories, so you must watch your portion size. Going overboard can lead to weight gain and counteract the heart health benefit of adding walnuts to your daily diet. A 1.5 ounce serving of walnuts provides ~278 calories. There are approximately 20 walnut halves in a 1.5 ounce serving.

Here are a few simple ways to add walnuts to your daily diet:

• Sprinkle chopped walnuts on oatmeal or breakfast cereal
• Mix walnuts with dried fruit for a nutritious snack
• Add toasted walnuts to a salad or pasta dish

Do you eat walnuts regularly?

All the best,
Lisa Nelson RD
How to Lower Cholesterol in 8 Simple Steps
http://www.lowercholesterolwithlisa.com

A subscriber to The Heart of Health submitted the following question.

Question: “Hello ma’am, I need some information. My cholesterol level is finally down to a reasonable level, but do you know how sensitive are cholesterol readings? I ask because I’m worried if I eat a cheeseburger or a KFC meal that my cholesterol level will sky rocket back up to over 200.”

Answer: If you revert back to unhealthy fast food on a regular basis your cholesterol levels will elevate quickly.

However, if you follow a heart healthy diet and occasionally treat yourself to a cheeseburger or other high fat/high cholesterol meal your cholesterol levels for the long-term will not be negatively impacted.

That being said it is important to discuss the need to fast prior to lab work with your physician. If you have a high fat/high cholesterol meal within 12-24 hours prior to your cholesterol lab work, the results may be skewed due to your diet choices.

All the best,
Lisa Nelson RD
Heart Health Made Easy
http://www.hearthealthmadeeasy.com

Current recommendations are to consume 25-35 grams of dietary fiber everyday. Here are 4 benefits you’ll receive from achieving the recommended intake.

1. Lower cholesterol and stabilized blood sugar/insulin levels.

2. Regularity to prevent constipation and diverticulosis (small out-pouchings from the large intestine).

3. Reduced risk of colon cancer.

4. Increased satiety – you’ll feel full when eating less calories and fat to promote weight loss.

Some of the best fiber sources include fruits and vegetables!

All the best,
Lisa Nelson RD
How to Lower Cholesterol in 8 Simple Steps
http://www.lowercholesterolwithlisa.com

Currently there are cholesterol medications that interact with grapefruit meaning individuals that are prescribed these medications need to avoid grapefruit and grapefruit juice. There’s a component in grapefruit called furanocomarins (FCs) that interfere with the enzyme activity that metabolizes (breaksdown) certain medications. Therefore grapefruit can inhibit the medication from entering the bloodstream.

The USDA Agricultural Research Service found a fungus (Aspergillus niger) that will bind with FCs causing the component to be inactive. This may mean avoiding grapefruit may not be necessary in the future for individuals taking certain medications.

I’m curious to know your thoughts. I’m not so sure I like the idea of altering the FCs in grapefruit. Who knows if there is a benefit we haven’t learned yet related to FCs? Also, what if inhibiting FCs causing a new problem? Share your thoughts below!

All the best,
Lisa Nelson RD
How to Lower Cholesterol in 8 Simple Steps
http://www.lowercholesterolwithlisa.com

Did you know heart disease kills a woman nearly every minute in the U.S.?

If heart disease is responsible for so many female deaths why is it still being overlooked not only by women themselves, but by their physicians as well? Heart disease is not only the number one killer of men, but it’s also the number one killer of women.

Here are a few scary statistic:

• 64% of women who diet from heart disease have no previous symptoms
• 1 in 2.6 deaths in women is due to heart disease versus 1 in 30 from breast cancer
• Heart disease kills about half a million women every year

Don’t underestimate your risk for heart disease and the importance of maintaining healthy cholesterol levels. The foods you eat and your level of physical activity both play a role in your heart health.

Be sure to sign-up for the free e-course How to Lower Cholesterol in 8 Simple Steps.

All the best,
Lisa Nelson RD

The latest research published in the American Journal of Clinical Nutrition found that saturated fat is not linked to heart disease as we’ve always be told. This latest study was a meta-analysis and did not find significant evidence linking dietary saturated fat with increased risk of heart disease.

A meta-analysis combines the results of several studies completed with similar theories. In this particular analysis, 21 studies were compared in regards to dietary fat and heart disease risk. I do like meta-analysis results, because they can provide a big picture look at the overall findings. However, there are weaknesses.

Here are three known weaknesses:

1. Reliance on published studies – Studies that do not show significant results have difficulty getting published. If a meta-analysis only includes studies showing a positive or negative association there could be many unpublished studies finding no link.
2. Studies included are not controlled – A meta-analysis may include studies with a poor design which can skew results inaccurately. The studies included in a meta-analysis is a subjective design made by the researchers – they get to decide.
3. Simpson’s Paradox – This deals with statistics and how study results are interpreted. There are different ways to measure results and there is no one agreed upon measurement method – with is of particular importance in the field of medicine.

Why am I sharing this information with you?

Because the results of this latest meta-analysis are interesting, but I do not recommend you throw out your olive oil and replace it with lard. It’s likely saturated fat does not deserve the “bad rap” it has received; however, that doesn’t mean excess amounts are good. Everything comes back to moderation.

Please let me know what you think by adding a comment below.

All the best,
Lisa Nelson RD
Heart Healthy Tips
http://www.hearthealthmadeeasy.com

Mark Spitz is now a retired Olympic swimmer and he turns 60 years-old on February 10th. In case you do not know of Mark Spitz, Mark won 7 gold medals at the 1972 Olympic games. His record was just recently surpassed by Michael Phelps at the 2008 Beijing Olympics with 8 gold medals.

Back in 2002, Mark was diagnosed with cholesterol levels above 300 mg/dl. He worked with his physician to lower his levels through exercise and medication. His total cholesterol was back down below 200 mg/dl within one month. Mark’s been quoted as saying “I was shocked when I was diagnosed with high cholesterol because I had no symptoms at all.” In the past few years Mark has openly discussed his history with high cholesterol and has actively encouraged continued research and awareness.

One of the 2010 national health objectives is to decrease the number of adults with total cholesterol levels >240 mg/dl. A strategy used to reach this goal is increased public awareness. The CDC has found that the number of people screened for high cholesterol and told by a health professional they have high cholesterol has increased. Before you can take action to lower cholesterol levels you have to be aware your cholesterol is an issue. If you do not know your cholesterol levels discuss with your physician to have the necessary lab work completed.

Be sure to sign-up for the free e-course How to Lower Cholesterol in 8 Simple Steps provided by dietitian Lisa Nelson at http://www.lowercholesterolwithlisa.com.

All the best,
Lisa Nelson RD

A Centers for Disease Control and Prevention (CDC) report found the number of individuals in the U.S. living with elevated LDL cholesterol levels has decreased by about 1/3 between 1999-2000 and 2005-2006. These findings are based on the results of the National Health and Nutrition Examination Survey (NHANES) with just over 7,000 participants over the age of 20. According to CDC scientists the rate of high LDL levels decreased from 31.5% to 21.2%. Individuals included in the study were not taking statin medications, although self-reported use of statin medications increased from 8% to 12.4%.

This report is a good sign that more individuals are taking steps to control cholesterol levels, such as monitoring saturated and trans fat intake. However, if you are living with elevated LDL cholesterol what’s important is that you take steps to control your levels to reduce your heart disease risk. Here is a post where you can learn more about lowering LDL cholesterol:

Lower LDL Cholesterol Steps

Please share your thoughts on the study results below.

All the best,
Lisa Nelson RD
How to Lower Cholesterol in 8 Simple Steps
http://www.lowercholesterolwithlisa.com