To begin promoting lower cholesterol you want to replace these less healthy food choices with heart healthy options.

Here are 2 foods you can add to your diet to promote a lower cholesterol:

1. Atlantic Salmon

Salmon is a rich source of omega 3 fatty acids. Omega 3’s have many benefits, some of which include decreased lipoprotein A, lowered triglycerides, reduced blood pressure, elevated HDL cholesterol, and decreased risk of blot clots.

Some additional sources of omega 3 include fish, ground flaxseed, and walnuts.

Continue reading ‘2 Foods to Lower Cholesterol’ »

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 published this past September compared the benefits of flax oil versus fish oil in raising blood levels of heart healthy omega 3’s. Adequate omega 3 intake is linked to lower blood pressure, lower triglycerides, increased HDL cholesterol, and reduced arterial inflammation.

Flax oil contains the omega 3 fatty acid ALA (alpha-linolenic acid), while fish oil contains EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid). The benefits of ALA continue to be studied, but EPA and DHA have been positively linked to heart benefits.

The body can convert ALA to EPA and DHA, but it’s been well known that this conversion process is not efficient. According to a recent study published in Nutrition Reviews, 8-20% of ALA is converted into EPA. From this, only 0.5-9% is converted to DHA.

To test the benefits of ALA supplements (flax oil) in amounts commonly consumed, the study followed 62 firefighters. The participants were divided into 6 groups and monitored for 12 weeks. Here are the six groups:

1.2 grams of flax oil per day
2.4 grams of flax oil per day
3.4 grams of flax oil per day
0.6 grams of fish oil per day
1.2 grams of fish oil per day
Sunflower placebo

Results showed an increase of EPA and DHA in the blood for those taking both levels of fish oil supplements. The EPA levels in red blood cells almost doubled by the studies end.

Now, the flax oil supplements did not have the same result. Those receiving 1.2 grams of flax oil daily did not show a significant rise in EPA and DHA, only ALA. The 2.4 g and 3.6 g flax oil supplements increased ALA, EPA, and DHA levels. EPA was increased 30% with a 2.4 g supplement and 40% with 3.6 g of flax oil daily. However, there was no corresponding increase in DHA. This confirmed the original belief that conversion of ALA into DHA is minimal.

The results of this study support my recommendations related to omega 3 supplements. First, consume a diet rich in omega 3 fatty acids (i.e. fish, nuts, flaxseed). Second, select a fish oil supplement high in EPA and DHA. Choose a supplement with 850 mg of DHA and EPA per gram of fish oil. Third, if you do not tolerate fish oil, select a flax oil supplement providing at least 1 gram of omega 3 fatty acids daily.

Sign up for The Heart of Health ezine to receive regular heart health and weight loss tips from dietitian Lisa Nelson. Subscribers receive the free e-course “8 Simple Steps to Lower Cholesterol”.

All the best,
Lisa Nelson RD

Finally, you want more of something instead of less! HDL (high-density lipoprotein) cholesterol is also known as the “good” cholesterol. HDL removes cholesterol from your bloodstream and carries it back to the liver. I like to think of HDL as a vacuum cleaner, picking up cholesterol LDL leaves behind in your arteries. HDL should be greater than 40 mg/dL, ideally greater than 60 mg/dL.

Physical Activity

One of the best ways to increase your HDL is through physical activity, specifically aerobic activity (jogging, swimming, biking). For results, you need at least 120 minutes of moderate physical activity each week. In this case, vigorous activity does not have more of an impact, but duration does. The longer you work out the greater them impact on HDL. Work your way up to a minimum of 30 minutes 4 days/week. If you’re not currently physically active, consult your MD before starting an exercise program.

Saturated and Trans Fats

Limiting unhealthy fats will also impact HDL, so look at your saturated fat and trans fat intake and see where you can make cuts. Your total fat intake for the day should be limited to 30% of your daily calories. Of this 30%, only 10% should be from saturated fat and ideally zero from trans fats. To attain these levels you’ll need to select healthy choices when dining out, read food labels, select healthy fats when cooking, select lean cuts of meat, etc.

Omega 3’s

Selecting healthy fats, such as omega 3’s, will raise HDL while lowering LDL. Incorporating healthy omega 3 fatty acids will also improve your total cholesterol to HDL ratio. Also, look for sources rich in omega 3 fatty acids you can add to your diet, such as fish and ground flaxseed..

Dietary Fiber

A high fiber diet does not directly boost HDL levels. However, a high fiber diet plays a role in lowering LDL cholesterol. As LDL is lowered, your Total Cholesterol to HDL ratio improves. For the greatest impact, eat a diet especially rich in soluble fiber and select whole grain products, fruits, and vegetables daily.

Alcohol

Alcohol plays a role in raising HDL levels also. I’m not a big advocate of using alcohol to raise HDL, so if you already consume alcohol 1-2 drinks per day can raise levels. More than 1-2 drinks per day will increase your health problems. If you do not drink, do not start.

Receive a step by step plan to promote heart health and weight loss with a Mini Diet Makeover. As a special New Year’s bonus you’ll receive a complimentary copy of the Calorie Counter for Dummies. Learn more here – http://www.lisanelsonrd.com/minidietmakeover.html

Share what’s worked for you below!

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

A new Norwegian study – Diet and Omega 3 Fatty Acid Intervention – found individuals who increased their intake of fruits and berries decreased carotid artery thickening (atherosclerosis – hardening of the arteries), which leads to increased risk of heart disease.

The study followed over 560 men with an average age of 70 years-old for three years. Throughout the three years carotid artery thickness was measured and food intake was assessed via food-frequency questionnaires. Participants who increased vitamin C rich foods, such as fruit and berries, along with a Mediterranean diet plan had reduced arterial thickening. The more vitamin C the less the thickening.

The study concluded that even the elderly can make diet changes and see positive health benefits. We’ve known that fruits are an essential part of a heart healthy diet plan and this diet re-emphasizes that point.

All the best,
Lisa Nelson RD
Be Heart Healthy and Lose Weight

I and other experts so frequently discuss omega 3 fatty acids and the health benefits that you may think all other types of fat are “bad”. That’s not the case. There are many types of heart healthy fats, including omega 6 fatty acids. At least 5-10% of your daily calories should come from omega 6 fatty acids. Some sources of omega 6’s are safflower, sunflower, and soybean oils. Replacing unhealthy fats in your diet with heart healthy unsaturated fats (such as omega 6’s) can decreased coronary heart disease by 24%.

The problem comes from our diets containing too much omega 6. The typical American diet is very high in omega 6 fatty acids. This leads to problems with inflammation when the ratio of omega 3 to omega 6 intake is drastically distorted and is why you don’t hear experts recommending you increase omega 6’s in your diet. You probably have more than enough already and need to work on balancing your omega 6’s with omega 3’s to promote optimal heart health.

February is American Heart Month. In recognition of American Heart Month you can access Heart Health Made Easy at a 25% savings. Learn more about this take action guide to lower cholesterol and blood pressure at http://www.hearthealthmadeeasy.com.

All the best,
Lisa Nelson RD
Be Heart Healthy and Lose Weight

Increasing the amount of omega-3 fats in our diet and decreasing the amount of omega-6 is beneficial in reducing your risk for heart disease. Most American’s consume a high omega-6 diet, with omega 3 being a common deficiency.   Omega 3 deficiencies and the imbalance between omega 3 and omega 6 intakes have been linked with serious conditions, including heart attacks. Successfully maintaining a ratio of 4:1 to 1:1 omega 6 to omega 3 will help lower cholesterol levels and control high blood pressure.

Now, how much omega 3 do you need to add?

This is under debate and more research is being done. Right now the range experts recommend is from 500-2000 mg/day. Here are the current American Heart Association (AHA) recommendations.

The AHA recommends that individuals without heart disease eat a variety of fish twice a week, use heart healthy oils (flaxseed, canola, soybean oils), and consume flaxseed and walnuts.

For individuals with heart disease, the AHA recommends 1 g of EPA (eicosapentanoic acid) + DHA (docosahexaenoic acid) daily, preferably from fatty fish.

The AHA recommends 2 to 4 g of EPA + DHA daily, under physician’s care only, for individuals that need to lower triglycerides. High doses, > 3 grams/day, can result in excessive bleeding. (Do not self medicate! Talk to your MD before supplementing greater than 2 grams.)

Omega 3 Content of Different Foods

Wild Salmon, 4 oz. 1700 mg (DHA 700 mg, EPA 400 mg)
Tuna canned in water, 4 oz. 300 mg (DHA 200 mg, EPA 50 mg)
Cod, 4 oz. 600 mg (DHA 160 mg, EPA 50 mg)
Flaxseed, 1 Tbsp. 1000 mg (ALA – alpha–linolenic acid – 1000 mg)
Soybeans, dried, cooked ½ cup 500 mg (DHA/EPA 250 mg, ALA 250 mg)
Walnuts, 1 oz. 2570 mg (ALA 2570 mg)
Pecans, 1 oz. 280 mg (ALA 280 mg)
Wheat germ, ¼ cup 210 mg (ALA 210 mg)
Canola oil, 1 Tbsp 1300 mg (ALA 1300 mg)
Olive oil, 1 Tbsp 100 mg (ALA 100 mg)

Now, there’s a reason I included details on amounts of ALA, DHA and EPA for each omega 3 source. Right now, DHA and EPA have a greater link with lower cholesterol levels, lower triglycerides, and higher HDL levels than ALA. The body is able to convert ALA to EPA and DHA, but the conversion rate is low; therefore, it is best to include high DHA and EPA sources in your eating plan.

My recommendation:

As a preventive measure and to promote lower cholesterol and blood pressure control, I recommend eating fish twice a week, select a supplement that will provide you at least 1000 mg of omega 3 fatty acids daily (choose a good source of DHA and EPA), and use ground flaxseed when appropriate in your meal preparation.

February is American Heart Month. In recognition of American Heart Month you can access Heart Health Made Easy at a 25% savings. Learn more about this take action guide to lower cholesterol and blood pressure at http://www.hearthealthmadeeasy.com.

All the best,
Lisa Nelson RD

Fish oil supplements are a great alternative for people that do not eat fish often to boost their omega 3 intake and promote heart health.

There’s been some media speculation about possible contaminants, such as mercury, within fish oil supplements. However, good news if you supplement fish oil, there are minimal contaminants within the supplements!

There have been several studies, specifically a report by ConsumerLab.com and Harvard Medical School, finding no mercury or PCBs within over 40 popular fish oil supplements. Fish oil is typically taken from fish, such as cod and sardines, that do not contain high levels of mercury. Also, many manufacturers distill the fish oil to remove contaminants.

February is American Heart Month. In recognition of American Heart Month you can access Heart Health Made Easy at a 25% savings. Learn more about this take action guide to lower cholesterol and blood pressure at http://www.hearthealthmadeeasy.com.

All the best,
Lisa Nelson RD
Be Heart Healthy and Lose Weight

If you have been following along, you know from the article "Get a Grip on Fatty Acids" that the right ratio of omega 6 to omega 3 fatty acids promotes a lower cholesterol. 
 
The goal is not to cut omega 6 fatty acids (such as corn oil, beef, and chicken) completely from the diet, but to achieve a ratio of 4:1 or 1:1 omega 6 to omega 3.  In order to attain this ratio you need to increase your omega 3 intake. 

Your options for doing this:
 
1. Eat fish at least twice a week.

If you like fish, this would be my first choice.  Fish contains DHA.  Research is starting to indicate health benefits, such as lower cholesterol, lower triglycerides, and higher HDL (good) cholesterol, linked to DHA alone.  Be aware of mercury content of fish, especially if you are pregnant. 

2. Take a fish oil supplement.

Start with the smallest bottle you can find and make sure you do not have the unpleasant side effect of burping with a fishy aftertaste.  Not everyone has this problem, so you may be fine.   To decrease likelihood of this problem I recommend taking the supplement and then eating.  That way something is "on top" of the fish oil.  Fish oil has a tendency to go rancid, so keep supplement refrigerated, especially if you buy a bottle of 250 or more.

3. Flaxseed.

You can buy flaxseed two different ways – whole seed or ground.  In order for the body to utilize the omega-3 fatty acids, flaxseed must be ground.  If the flaxseed is not ground it passes straight through the body without being absorbed.  Flaxseed is high in fiber, so by ingesting whole flaxseed you have increased your fiber intake, which is beneficial, but if you grind your flaxseed you will have the added benefit of increasing your omega-3 fatty acid intake and lowering cholesterol. 

4. Flaxseed oil supplement.

Provides the omega 3 fatty acid ALA in a simple supplement.  Now, ALA is not as effective as DHA and EPA at lowering cholesterol, but still results in an improved ratio of omega 3 to omega 6.  Again, may go rancid so refrigerate.

5. Add omega 3 nut and seed sources to your daily intake.

Especially walnuts, pumpkin seeds, Brazil nuts, and sesame seeds.  Nuts are high calorie, so watch your intake.  If you gain weight, you are not doing your heart any favors!

Now, if you would like some one-on-one help to lower cholesterol 
Lisa Nelson RD – Lower Cholesterol Programs.