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Lower Cholesterol

Lower CholesterolMediterranean Diet to Reduce Heart Disease

Mediterranean Diet

I’m sure you’ve heard of the Mediterranean Diet and it’s link to heart health. The Mediterranean Diet emphasizes fruits, vegetables, whole grains, fish, and monounsaturated fats (olive oil).

Those that follow a Mediterranean Diet have a reduced there risk of developing heart disease and dying from a heart attack. Even those that have survived a heart attack and lived to adopt the Mediterranean Diet significantly reduced their risk of a second heart attack and other complications.

In an interesting twist, the native Mediterranean population has gradually adopted a more Western diet leading to negative results. The Mediterranean area has seen an income rise that’s resulted in extra dollars being spent on meat and saturated fat food sources. Over the past 4 decades the average calorie intake in the Mediterranean countries has increased ~30%. So, the once healthy Mediterranean countries are now seeing the weight epidemics the US is familiar with – 75% of the population overweight or obese in Greece, with over half of the population in Italy, Spain, and Portugal following suit. These countries are now supporting the “Mediterranean Diet” as a part of their cultural heritage they can not let die.

Here’s a quick breakdown of the characteristics common to a Mediterranean Diet:

  • High intake of fruits and vegetables
  • Select whole grains
  • Consume healthy fats (canola and olive oil)
  • Eat nuts in moderation
  • Low red wine consumption
  • Limit eggs to less than 4 times per week
  • Consume little red meat
  • Eat fish regularly

All the best,

Lisa Nelson, RD

Lower CholesterolReduce Heart Disease with Glucomannan

Have you heard of glucomannan? Glucomannan is a type of soluble fiber. Research has shown that for every 1-2 grams of daily soluble fiber intake, LDL (bad) cholesterol is lowered 1%.

What is glucomannan?

Glucomannan is a soluble fiber derived from the root of the konjac plant. It’s sold as a supplement and used as a thickener in some foods.

All the best,
Lisa Nelson, RD

Lower CholesterolReduce Brain Damage by Eating Fish

If you eat fish three or more times a week, studies find your risk of developing dementia and stroke to be reduced.

The Cardiovascular Health Study examined over 3600 participants over the age of 65. The study focused on “silent brain death”. Silent brain death occurs when small areas within the brain die due to lack of oxygen, but the individual shows no symptoms of this occurring. Individuals who eat fish regularly had a 26% reduction in silent brain death.

The protective benefit may be related to omega 3 fatty acids, specifically DHA and EPA. The results were seen when fish rich in omega 3 fatty acids, such as tuna and salmon. There was no positive benefit from eating fried fish, such as fish sticks made from fish low in omega 3’s.

On the plus side for those who dislike fish or won’t prepare it three times a week. Eating fish once a week reduced silent brain death 7%. Also, using a supplement to increase omega 3 fatty acids in your diet is an option.

Be sure to discuss all supplements with your MD!

All the best,
Lisa Nelson, RD
eNutritionServices

Lower CholesterolLet's Talk About Medications

j-s-ellington

Janie Ellington

I want to share with everyone a great resource. Janie Ellington is a pharmacist that runs the blog, Let’s Talk About Medications. I frequently see questions related to medications, but medications are not my specialty, which is why I’m sharing this resource with you. I’ve posted a recent interview with Janie below.

1. What is your current position?

I am a registered pharmacist. I manage an in-house pharmacy for a nonprofit pediatric clinic for children of low-income families who do not have health insurance. We are only open weekday mornings. During the cold and flu season, our patient load requires that we stay into the afternoon a bit, but I still have some time for other pursuits. That’s where my article writing and blogging comes in.

2. What do you hope to accomplish with your writing?

Over my career as a pharmacist, I have come across so many misconceptions with regard to medications and general health concerns and I have wished I had an opportunity to clarify some of those issues for the public on a wider scale than just the one-on-one that I get when I counsel when dispensing a new medication. I enjoy helping people who want to take more responsibility for their health and to understand how to use medications safely.

3. What services can you offer to someone struggling to be heart healthy?

My best advice to people who are struggling with any health concern is to educate themselves as much as they can. I have found that people who fail to take responsibility, by learning about issues concerning their health, often have worse outcomes overall. I would encourage people to participate fully in their own care.

My interests in health in general are not limited to prescription drugs. I also enjoy studying and writing about the benefits of natural approaches.

4. Are you able to benefit individuals struggling with weight loss?

Weight loss medications are a decision between you and your doctor, based on your individual health history and goals. When they’re prescribed, they typically work alongside the nutrition and lifestyle changes that support long term health, not instead of them. Your doctor and pharmacist are the best resources for understanding whether a specific medication is right for you.

5. Do you have a forum where questions can be submitted?

Yes, I would especially enjoy answering questions about health issues that I have written about in my blog. I can only answer specific questions based on what is known about the drug you are taking. Without access to your health information, I cannot effectively answer questions specific to your treatment.

6. What advice would you give to someone newly diagnosed with high cholesterol or blood pressure?

Everyone’s health picture is different, so the best step after a new diagnosis is an open conversation with your doctor about your treatment plan, which may include lifestyle changes, medication, or both. Nutrition, exercise, stress management, and other lifestyle factors can meaningfully support cholesterol and blood pressure management, and they work well alongside medication when it’s prescribed. If your doctor does prescribe medication, understanding it well is one of the best things you can do. Know the common side effects, know which ones warrant a call to your doctor, and report anything concerning. Sometimes a different medication in the same class won’t cause the same reaction, since everyone responds differently.

I hope you’ve found this information useful and visit Janie’s blog to learn more.

All the best,
Lisa Nelson, RD

Lower CholesterolCholesterol Screening – Has your child been tested?

It’s a sad reality that with increased childhood obesity we now have to worry about high cholesterol and heart disease risk of our children. I recently read an article that discussed screening and treatment recommendations for children with high cholesterol.

All the best,
Lisa Nelson, RD

Lower CholesterolTrans Fats Banned in California

Good news if you live in California! Starting in 2010 restaurants will be banned from using trans fats in food preparation. This will be a major benefit to those of you struggling to lower total cholesterol, low LDL “bad” cholesterol, or raise HDL “good” cholesterol. To improve your lipid profile you should follow a diet with less than 30% daily calories from fat. Ideally your intake of trans fatty acids should be zero for heart health. Since numerous restaurants affected will be nationwide chains, hopefully the trend will start to spread and avoiding trans fats when dining out will not be an issue after a few more years.

All the best,
Lisa Nelson, RD