Lower CholesterolLet's Talk About Medications
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.
Tired of changes that don't last?
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. If you are interested, here’s a link – Cholesterol Screening in Children: The Current Debate.
All the best,
Lisa Nelson, RD, LN
The Heart of Health
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, LN
eNutritionServices
Lower CholesterolRaise HDL Cholesterol and Improve Memory
I recently published an article titled How to Raise HDL the Good Cholesterol and I just came across another great reason to boost HDL numbers.
A study published in Arteriosclerosis, Thrombosis and Vascular Biology indicates higher HDL levels equal higher scores on memory tests. This was a 5 year study of ~3700 men and women with an average age of 55 to 61 years-old. The memory test included hearing a list of twenty words and then writing down all the words participants could remember within 2 minutes.
No link was found between triglycerides nor total cholesterol and memory performance. Nor was a link identified between HDL and Alzheimer’s.
For regular heart health and weight loss tips, subscribe to The Heart of Health and grab the special report “Stop Wasting Money – Take Control of Your Health!”
Lower CholesterolYour Checklist to Lower Cholesterol
Here’s a checklist of the top 8 things you must do if you want to successfully lower your cholesterol and keep it low.
Know your numbers
Have you had a lipid profile? Do you understand the numbers? If you are going to successfully lower cholesterol you need to know your numbers and what they mean. The most effective way to raise HDL is not necessarily the best way to lower LDL.
Evaluate your lifestyle
There are risk factors for high cholesterol that you can not control, such as age, gender, and family history, but there are factors you can control. For example, you can reduce risk by not smoking, increasing your activity, and losing extra weight.
Balance your fats
Reduce unhealthy saturated fats in your diet and replace them with heart healthy unsaturated fats. Total fat intake should be 30% or less of your total daily calories. Out of this 30%, saturated fat should be limited to 7%.
Be active
Physical activity lowers triglycerides and raises HDL (good) cholesterol. Shoot for 30 minutes 5 or more days a week. If you are not currently active, check with your MD before beginning an activity program.
Eliminate trans fats
You need to be food label savvy and watch out for trans fats. Trans fats raise LDL (bad) cholesterol, lower HDL (good) cholesterol, and raise triglycerides. Limit trans fats to 1% or less of your daily caloric intake.
Understand triglycerides
Triglycerides are impacted the most by your simple sugar and alcohol intake. If you are struggling with high triglycerides, you need to use a different strategy to get your cholesterol under control.
Increase dietary fiber
A high fiber diet is necessary for heart health. You need 25-35 grams of dietary fiber daily, especially soluble fiber. For every 1-2 grams of daily soluble fiber intake, LDL (bad) cholesterol is lowered 1%.
Add omega 3 fatty acids
For heart health and lower cholesterol, you want to improve the ratio of omega 3 to omega 6 fatty acids. Omega 3 fatty acids are involved in the regulation of heart rate, blood pressure, and blood clotting.
Receive a step by step plan to promote heart health with a Mini Diet Makeover. As a special New Year’s bonus you’ll recieve a complimentary copy of the Calorie Counter for Dummies. Learn more here – https://www.lisanelsonrd.com/minidietmakeover.html
All the best,
Lisa Nelson RD
How to Lower Cholesterol in 8 Simple Steps
Lower CholesterolVytorin to lower cholesterol
A reader wrote in about treating high cholesterol with Vytorin. The medication Vytorin is a combination of the statin drug Zocor and the cholesterol lowering drug Zetia. The two drugs differ in that statins function mainly in the liver to reduce production of cholesterol, while Zetia works in the digestive tract to block the absorption of cholesterol from food.
Vytorin was in the news at the time due to a possible link to increased cancer risk, based on data that were themselves debated among experts. The reader asked for my thoughts.
First, discuss the best treatment option for you with your doctor, since they can weigh the latest safety data against your personal health history. There was also debate at the time about how effective Zetia is at preventing heart disease, not just lowering cholesterol numbers.
Eight steps to lower your cholesterol
Of course, I do not know your personal situation and if you have tried a statin with poor results in the past.
Anytime you have to take a medication, there is the risk of side effects. Many times it’s simply a matter of weighing the pros and cons and deciding how much risk you’re willing to take.
Of course, I promote making lifestyle and diet changes to support heart health, in partnership with whatever treatment plan you and your doctor decide on together.
All the best,
Lisa Nelson, RD