HIGH CHOLESTEROL (Hypercholesterolemia, Medoroga, Hyperlipidemia)
High Cholesterol
Fat's in the fire
Full cream Milk , if it is used in excess it increases cholesterol in the blood
Is Your Blood Cholesterol Bothering You?
If you're wondering as to what you owe your high cholesterol levels to, it could be any thing from processed foods and a sedentary lifestyle, to nutrient deficiencies and stress. Mere cutting down on dietary cholesterol will be of little consequence for blood cholesterol .Consuming high cholesterol food like eggs, red meat and high fat dairy metabolizes and excretes excess cholesterol, leaving blood levels unchanged. Furthermore, the liver compensates for the excess intake of cholesterol by reducing its own production. Its a silent killer.
All this happens if one is leading a healthy lifestyle, consuming a healthy dose of antioxidants in the form of fruits and vegetables, eating whole foods in the form of whole grain cereals, whole grain pulses and avoiding processed and refined foods, in addition to exercising. All these factors insulate one from mishandling dietary cholesterol. When you increase your intake of soluble fiber it helps bring down the blood cholesterol dramatically. A point to note here is that fiber occurs exclusively in plant food.
There is no doubt that a diet rich in soluble fiber can lower blood cholesterol, blood pressure, and prevent strokes as well as heart attacks. Soluble fibers found in oat bran, fruits and vegetables. It has a powerful impact on the body's metabolism.
Understanding good and bad cholesterol ?
Cholesterol is just one of many substance created and used by our body to keep us healthy. It promotes synthesis of cell membranes and hormones. Unfortunately cholesterol does not get processed in a beneficial way every time. In other words, elevated level of bad cholesterol is a major risk factor for the rising epidemic of heart attack etc in our country. Covid 19 is pro-thrombotic, pro inflammatory and pro immunologic. These factors are responsible for severity and mortality, more so for those with underlying comorbidity.
"Healthy heart is not by chance, it is by choice."
FATS Saturated fat/100 gm
Good fat
Peanut 17
Soybean 16
Olive oil 14
Sunflower oil 13
Corn oil 13
Mustard oil 12
Sunflower 10
Safflower 8
Canola oil 7
Bad fat
Butter 63
Palm oil 49
Pork 39
Ugly fat
Coconut oil 82
Palm kernel oil 82
As PAD progresses, the symptoms start to occur more frequently and even when the body is at rest. And on the toes, a part of the body that none turns to, the signs start to appear when PAD gets severe. These include: Ulcers that do not heal easily
This mudra can save a person from 'heart attack', hence a mudra is called Sanjeevani Mudra, one that gives life to a dying person. This mudra gives instant results and the pain is reduced immediately.
Introduction
When Mrs. A, a 48 year old lady walked into the OPD, she was sweating, feeling uneasy and said that she had a disturbed sleep the night before. She looked unwell and hence an immediate ECG was done. Which revealed a myocardial infarction (heart attack). Emergency life saving medications were given and she was shifted to the catheterization lab, where her angiography revealed complete occlusion of one major artery and significant blockages in other arteries. Immediate angiography and stenting to the culprit artery is done as a life saving procedure.
Further evaluation revealed very high cholesterol levels and a family history of premature cardiac death in 50 to 55 respectively. She was suffering from familial hypercholesteremia. Other conventional risk factors for coronary artery disease such as hypertension, smoking, diabetes obesity and a sedentary lifestyle were strikingly absent and she denied any symptoms related to heart disease in the past. We are increasingly seeing patients presenting with heart attack and heart failure without any premonitory symptoms.
The word "sterol" literally means “solid alcohol”. Since
cholesterol was first isolated from gallstones it got this name meaning “solid
alcohol from bile.” Cholesterol is an oily organic compound insoluble in water
but soluble in organic solvent.
Cholesterol is a waxy soft, fat like substance found in all body cells and is essential for life. And the body needs it to build healthy cells. However high level of bad cholesterol can increase the risk of heart disease, such as total cholesterol, triglycerides (T.G.L), low density lipoproteins (L.D.L). With high cholesterol levels fatty deposits develop in a blood vessels. Sometimes these deposits can suddenly break and form a clot that cause a heart attack or stroke. Its often a result of unhealthy lifestyle choices which make it preventable and treatable. A healthy diet, regular exercise and sometimes medication can help reduce high level of cholesterol in the body.
"High cholesterol has no symptoms and that is the biggest problem. A blood test is the only way to detect whether you have it or not."
It leads to premature hardening of arteries, aorta, kidney arteries etc. Narrowing of arteries reduces blood supply to tissues. High level of bad cholesterol and low level of good cholesterol (H.D.L) High density lipoproteins. L.D.L may be responsible for premature heart attack in the younger population, especially those who are obese with pot belly. Abdominal Circumference : (More than 90 cm in men and more than 80 cm in women). In Hypertensive, diabetic and smokers are all at risk.
Hyper Cholesterolaemia or increase in cholesterol is mainly a
digestive problem caused by rich foods.
Cholesterol
word spells terror for some people. When the level of cholesterol becomes high
in blood, it starts getting deposited in blood vessel walls. Arteries become
thickened or hardened (arteriosclerosis)
and block the free passage of blood. This causes pressure and leads to
cardiovascular diseases including heart attack. However, this condition of
Hyper-cholesterolemia (increase cholesterol in the blood stream) can be easily
tackled.
Atherosclerosis |
Blood
cholesterol is a soft waxy substance found among the lipids (fats) in the blood
stream. The impression that cholesterol is an undesirable substance is wrong.
It is essential for the formation of a cell membrane,
bile acids, sex hormones and vitamins, hence a constant supply is necessary for
our body. Cholesterol is recycled. It is excreted by the liver via bile into
the digestive tract. Typically about 50% of the excreted cholesterol is
reabsorbed by the small bowel back into
the bloodstream.
These
are cholesterol spots which are bumps of fats that develop underneath the skin.
No need to get rid of small harmless Xanthomas. It can be noticed around the
eyes, usually in the inner canthus of the upper eyelid.
They are yellow soft slightly raised bumps to occur on both sides.
Xanthomas
are not dangerous in and of themselves, but they can be a signal of a more
serious underlying condition, so they should never be ignored. They can develop
anywhere in the body but are most common on the eyelids. There may be some
itching associated with them. They are not contagious nor are they harmful. Treatment of eye Xanthomas is not necessary.
Why is cholesterol needed?
- To manufacture steroids or cortisone- like hormones including sex hormones such as testosterone and estrogen.
- It helps the liver to produce bile acids. These acids are essential for digestion of fats and ridding the body of waste.
- It acts as a cell to interconnect "lipid molecule". A lipid molecule is needed to stabilize our cell membrane. Without cholesterol, our body ruins.
- It is an important part of myelin sheath which is a neuron consist of fat containing cells that insulate the axon from electrical activity. It is to ensure our brain functions properly by aiding route of electric impulses. Without it, it would be difficult for the brain to focus and might lose his/her memory.
- Finally, cholesterol is beneficial for the human body immune system
- Dietary fat is categorized into bad saturated and good unsaturated fat. While saturated fat raises total cholesterol levels and lowers H.D.L (good) cholesterol levels. Unsaturated fats found in tree nuts, fish, and seeds. lower total cholesterol, L.D.L (bad) cholesterol and triglyceride levels, reduce inflammation and prevent heart disease. Lowering saturated fat intake and replacing it with polyunsaturated vegetable oils such as canola, mustard, soybean, sunflower and safflower oils lowers heart disease risk by 30%; similar to the reduction achieved by using Statin drugs for treatment.
What are the sources of cholesterol?
● An Exogenous
sources from foods like cheese, egg yolks, poultry,
fish, nuts.
An endogenous source inside
our body, cholesterol is synthesized from carbohydrates by liver and intestine.
We consume about 250 - 750 mg cholesterol daily and produce about 1.2-2 grams.
●
On cholesterol free diet, cholesterol will
be synthesized by liver and bowel to meet body needs.
Cholesterol is carried through the blood attached to proteins. This combination of proteins and cholesterol is called lipoprotein. There are different types of cholesterols based on what the lipoprotein carries, they are :
There are several types of lipoproteins within blood, in order of increasing density,
- Very low -density lipoprotein (V.L.D.H),
- Low density lipoprotein (L.D.H), the "bad cholesterol", transports cholesterol particles throughout the body.. LDH cholesterol builds up in the walls of the arteries making them hard and narrow.
- High density lipoproteins (H.D.L), the "good cholesterol", picks up excess cholesterol and it takes back to the liver. The more lipid and less protein, a lipoprotein have, the less dense it is .
Cholesterol
is slightly soluble in water; it can dissolve and travel in the water based
bloodstream at exceedingly small concentrations. Since cholesterol is insoluble
in blood, it is transported in the circulatory system within lipoproteins.
There
are several types of lipoproteins within blood, in order of increasing density, very low -density lipoprotein (V.L.D.H), low density lipoprotein (L.D.H), and high density lipoproteins (H.D.L), The more lipid and less protein, a lipoprotein have, the less dense it is .
● Hypercholesterolemia
Abnormal
cholesterol levels that is, higher concentrations of L.D.L and lower
concentrations of functional H.D.L are strongly associated with cardiovascular
disease because these promote atheroma (a
fatty deposit in an artery) development in arteries atherosclerosis. This disease process leads to myocardial
infarction (heart attack), stroke, and peripheral vascular disease. L.D.L
particles are often termed “bad
cholesterol” because they have been linked to atheroma formation.
On
another hand, a high
concentration of functional H.D.L, which can remove cholesterol from cells and
atheroma, offer protection and are sometimes referred to as “good cholesterol”. These balance can be changed by body build,
medications, food choices and other factors.
How is high Triglyceride level harmful to the body?
The source of Triglycerides is diet. If high it may be an independent risk factor for heart attack and brain attack.. Individuals with high triglycerides(> are two times more vulnerable to atherosclerosis than those with lower levels. 200 mg/dl). Regular exercise, healthy diet, reduced alcohol intake, fenofibrate may be recommended to reduce triglyceride levels.
What about fats?
Saturated fats are solid at room temperature. They are found in fats of animal origin such as beef, butter,, cream, coconut oil, though of plant origin is solid at room temperature and has high saturated fat content
High intake of saturated fat spikes cholesterol. On the contrary, unsaturated fats are liquid at room temperature. Sources of Polyunsaturated fats are plants such as sunflower, corn and soyabean. Consumption of polyunsaturated fat oils lowers cholesterol level. Mono saturated fats are in olive, peanut, Avocado oil and lowers cholesterol levels.
What is the relationship between cholesterol and alcohol / smoking ?
Excessive alcohol intake can raise bad cholesterol. Triglycerides and may cause high blood pressure or heart attack. Tobacco consumption in any form raises bad cholesterol even L.D.H and Triglycerides lowers the level of H.D.L. H.D.L level decline is greater in women smokers as compared to men.
How are age and stress related to cholesterol?
Any kind of stress may raise bad cholesterol. Also as age advances. It enhance vascular age and raise bad cholesterol. And after menopause bad cholesterol levels become high. and good cholesterol levels low.
What is the recommended protocol for lipid profile check after the age of 30?
Lipid profile should be checked on a yearly basis after 30 and every 6 months after 55.
What is the role of diet on reducing cholesterol?
Reduce fat intake, so that less than 10% of total calories comes from saturated fats and 10% from polyunsaturated fats. Eat more nuts, vegetables and one can have chicken and fish . No red meat. Avoid egg yolk, opt for egg while. Ditch junk, deep fried food such as samosa, burger, cutlets etc.
FATS Saturated fat/100 gm
Good fat
Peanut 17
Soybean 16
Olive oil 14
Sunflower oil 13
Corn oil 13
Mustard oil 12
Sunflower 10
Safflower 8
Canola oil 7
Bad fat
Butter 63
Palm oil 49
Pork 39
Ugly fat
Coconut oil 82
Palm kernel oil 82
Diagnosis
●
Lipid
Profile Normal Values are:
Measurement
of total cholesterol, assessment of lipoprotein levels requires a 12-14 hours
fast.
●
Total
cholesterol: 150-250 mg/dl ideally (blood cholesterol in an adult should be < 130 mg/dl
- desirable,
201-239- borderline & > 239 - high)
●
Triglycerides 10
- 150 mg/ dL
- desirable < 130 mg/dl
●
LDL 60
- 130 mg/ dL
- desirable <70 mg/dl
●
HDL Greater than 40 mg/
dL
- desirable < 40 mg/dl in males and < 50mg / dl in females
●
V.L.D.L 2 - 38 mg/ dL
- desirable < 30 mg/dl
The cholesterol/H.D.L ratio should be <4,
L.D.L/ H.D.L ratio should be less than 3
LPa level should be < 30 mg/dl,
“Check the L.D.L and triglycerides after 3 months”.
Effect of cholesterol in body
Cause
A. Environmental
● Sedentary lifestyle increases cholesterol
· Obesity
●
Dietary choices
B. Secondary causes Diabetes Mellitus type 2,
obesity, alcohol, dialysis, Nephrotic syndrome, obstructive
jaundice, hypothyroidism, Cushing's syndrome, anorexia nervosa.
●
Hypercholesterolemia or increase in
cholesterol is mainly a digestive
problem caused by rich foods such as
fried foods, excessive consumption of milk and its products like ghee, butter
& cream, white flour, sugar, cakes, pastries, biscuits, cheese ice cream as
well as non-vegetarian food like meat fish and eggs.
●
Irregularity in habits, smoking and drinking alcohol.
● Stress
has been to be a major cause of increased cholesterol. Adrenaline and cortisone
are both released in the body under stress.
●
Medications
like thiazides, diuretics, glucocorticoids, beta blockers etc.
●
In Ayurveda, hypercholesterolemia condition
can be correlated with “Suksma
medovrudhi”.
C. Genetic factors
Signs & Symptoms
High cholesterol has no symptoms. A blood test is the only way to detect if you have it.
Heart Attack
Stroke
Pain in legs
Discomfort in legs and feet
Intermittent claudication
Intermittent claudication is muscle pain that happens when you're active and stops when you rest
Cramping
Leg Cramps |
Thick Toe Nails
Blue toe syndrome, also known as Trash Foot or Purple Toe Syndrome, is caused by a blockage of the small blood vessels in the foot that reduces the flow of blood and oxygen to the tissues. It usually develops due to a problem higher up the blood stream such as an aneurysm or atherosclerosis.
Thinning the skin of leg
Low hair growth on leg
Cold leg specifically the lower part
Pain that does not go even at rest.
● Xanthelasma
● Arcus senilis white or grey discoloration of the peripheral cornea.
Arcus senilis |
Inter Digital Planner Xanthoma
- Weight- Overweight or weight gain/pot belly.
Fatigue
“The root cause is we do not digest and assimilate our food”
When to see a doctor
Given the high incidence of childhood obesity, fast food culture, a sedentary lifestyle in children as well as in adults and also very high incidences of heart disease in Indians, that too at a younger age, it would be worth while to screen first cholesterol levels between the ages of 9 and 11, and than repeat this every five years after that. It is also recommended that cholesterol screening occur every 1 to 2 years for men in the ages of 45 to 65 and for the women in the ages of 55 to 65. People over 65 should undergo cholesterol tests annually. More frequent tests also recommended for people who have a family history of high cholesterol, heart disease or other risk factors such as diabetes and high blood pressure.
Risk Factors
Modifiable risk factors such as inactivity obesity and an unhealthy diet contribute to harmful cholesterol and the triglycerides levels. The genetic make up of an individual (a non modifiable factor ) might make it more difficult for a body to remove. LDL cholesterol from the blood or break it down in the liver.
Medical conditions that can cause unhealthy cholesterol levels include:
- Chronic kidney disease
- Diabetes
- HIV/ALDS
- Hypothyroidism
- Lupus
Risk Factors
Factors that can increase the risk of unhealthy cholesterol levels includes :
- Poor diet : Eating too much saturated fat or trans fat can result in unhealthy cholesterol levels. Saturated fats are found in fatty cuts of meat and full fat dairy products. Trans fats are often found in packed snacks and deserts too.
- Obesity : Having a body mass index (BMI) of 30 or greater increases the risk of cholesterol.
- Lack of exercise :
- Smoking :
- Alcohol :
- Age: Unhealthy cholesterol levels are more common in people over the age of 40. As one ages, the liver becomes less able to remove LDL cholesterol
Complication
High cholesterol can cause a dangerous accumulation of cholesterol and other deposits on the walls of arteries (atherosclerosis). These deposits ([plagues) can reduce blood flow through the arteries, which can further cause chest pain, heart attack or a stroke.
●
Heart attack
●
Stroke
●
High blood pressure
●
Atherosclerosis
●
Hardening of arteries
● Aneurysm of arteries and hemorrhage. In
some cases, it causes a weakening of an artery. This can lead to bulging in an
artery called an aneurysm. Aneurysms
can break open (rupture). This causes bleeding or hemorrhage, that can be life
threatening.
Lifestyle
● Say no to stress, smoking, sedentary lifestyle, saturated fat, excess alcohol, salt, sugar.
● Practice heart friendly exercise for 30 minutes daily.
● Do not eat junk or fried food. Include more nuts, fruits and vegetables in your diet.
● Manage anger to enhance heart health. Also cope with stress by practicing all eight limbs of yoga and meditation.
● Eat the right food at the right time, place in a right dose and the right environment.
● Get annual health check-up done after the age of 30.
● Optimize your heart mind connection for a more healthy heart.
● Follow 3 Ms. (Mindfulness, meditation and Medication).
● Please take Statin with your doctors advice.
● Take regular exercise Jogging or brisk
walking, swimming, bicycling, playing badminton are excellent forms of
exercise.
●
Lose weight if obese
● See that your digestion is proper and you have your food at the right time,
● Control Diabetes and Hypertension.
● Discontinue thiazides diuretics and beta-
blockers.
●
Consumption of garlic and onion in your
diet will help in reduction of cholesterol.
●
Switch over to Sesame oil or gingelly (till) oil
● Deep breathing exercise for 15 minutes
daily will help to refresh your system and is an effective distress technique
too. Regular practice of pranayama and yoga will help to maintain normal lipids
in the blood.
● Undergoing Udwarthanam (dry Herbal powder massage) at regular
intervals followed by steam bath will help to dissolve the accumulated fat in the body.
● To be cholesterol fit, ensure your adequately hydrated. Drink 2-3 liters of water every day, it
stimulates the excretory activity of the skin and the kidneys. This, in turn,
facilitates elimination of excessive cholesterol from the system.
●
Use of toned or double toned milk
● Indulging in a variety of entertaining
pleasing and recreation activities to beat stress, such as writing diaries,
blogs, dancing, travelling, reading books, or any other constructive hobby. etc.
Yoga
Yogasanas are highly beneficial as they help
increase perspiration which stimulates sebaceous glands to effectively secrete
accumulated or excess cholesterol from the muscular tissue.
A.
Ardhamatsyaendrasana
●
Sit in stretch leg position
●
Hands besides your body
●
Now fold your right leg at the knee and
keep it under your left thigh.
●
Keep your left foot outer side of the
right knee by keeping the support of your right hands.
● Stretch your right hand up while inhaling
and then lock your left leg by catching your left ankle.
●
Twist your body left side, look back.
●
Feel the stimulation on your pancreas.
●
Stay in normal breathing Release the
posture after sometimes.
●
Lie flat on your stomach legs should be
stretched out straight, feet should be together, chin and nose should rest on
the ground and look straight ahead.
●
Place your arms under your body and keep
them straight.
●
Now form fists with your hands and place
them close to the thighs
●
Next, raise the legs. They should be kept
together straight and stretch them as far as you can and avoid bending the toes
and knees.
Sit
erect with both legs placed straight forward. Bend the right leg on the knee
joint. place the right foot at the left groin with right sole turned upwards
and the heel in front of the pelvic bone. Place the left foot on the right
groin in the same fashion. Straighten up with both hands placed on thighs.
close the eyes and meditate. maintain this posture for one minute.
Sitting
with the folded legs. Asana of sitting posture which involves forward bending
thereby compressing the abdominal organs and stimulates the good functioning of
abdominal organs.
Pranayama
A.
Surya Anuloma Pranayama
Sun
is associated with heat. This Pranayama
is performed with an intended therapeutic use of heating the body so as to burn
fat cells in the body. Close the left nostril with the ring finger and the
little finger. Now close half the right nostril at the bridge of nostril. Now
breathe in from the right nostril in a controlled manner. When you have inhaled
completely, close the right nostril and close half the left nostril at the
bridge and exhale in a controlled manner. This is Surya Anuloma Pranayama.
B. Ujjayi
Pranayama
● The practice of Ujjayi helps to conquer the mind. The practice of Manasika japa (mental repetition) With breathing is usually associated with Ujjayi Pranayama.
●
To inhale, lift the head up then exhale
and lower the head and lock the chin in such a manner as to constrict the wind
pipe slightly. This posture is called a Bandha
or lock and the name of this lock is Jalandhara
Bandha.
● Maintaining a Jalandhara Bandha, breathe in and out with awareness on the throat.
The constriction will initially produce a snoring kind of sound.
C. Nadi
Shodhana Pranayama (Channel
clearing) Alternate nose breathing
●
Having performed Surya Anuloma Pranayama, it is important that you balance the body
and the mind. Nadi Shodhana Pranayama
holds good to achieve just that.
●
Sit down in padmasana
●
Close your right nostril with right hands
thumb and inhale through your left nostril as long as you can inhale. When your
lungs are full, close both the nostrils and hold the breath for some times.
Then slowly exhale through the right nostril closing the left. (use your ring
& little finger).
● Thereafter close your left nostril and
inhale through the right nostril and then closing both the nostrils holding the
breath of the body and ultimately exhale the breath through the left nostril.
Exercise
How can regular exercise influence cholesterol?
● Regular walking,, wogging, (a combination of walking and jogging, or walking and running.) jogging, swimming etc. are excellent for a healthy heart. And to reduce the level of bad cholesterol. and increase the level of good cholesterol.
●
Walking
The practice of walking regularly helps build a sense of
discipline in waking up early in the morning. Walking loosens the muscles in
the body preparing it for other forms of exercises.
● Passing
the ball- This is one of the exercise that require coordination
and in process of maintaining this condition, one forgets the amount of time and effort he or she has spent. This is an
excellent exercise for a couple to practice.
"Daily requirement of fat is 15 grams per day".
Mudra
●
Formation- The tip of the ring fingers is
to be placed at the base of the thumb and thumb is to be placed gently on the
back of ring finger.
●
It is beneficial for the patient of High
cholesterol in the blood.
●
Formation- The tip of little fingers and
ring fingers are joined with the tips of the thumbs.
●
Practicing this Mudra makes a person
mentally and physically strong.
C . Apana Vayu Mudra
This mudra can save a person from 'heart attack', hence a mudra is called Sanjeevani Mudra, one that gives life to a dying person. This mudra gives instant results and the pain is reduced immediately.
Formation :
This is combination of two Mudras Vayu and Apana. From Vayu mudra by placing the tip of index finger at the base of the thumb and then form Apana Mudra by joining tip of the thumbs with the middle and ring fingers.
Effects :
There is combined effect of Vayu mudra and Apana Mudra. Vayu mudra relieves the pain instantly and Apana mudra maintains space to reinforce blood circulation to the heart.
Benefits:
Note:
Perform Apana Vayu Mudra-
- When there is sleeplessness.
- When there is over exertion.
- When there is stress.
- When climbing staircases and hills.
- When there is crises.
Marma
A. Hridaya
Marma
●
Location It is located on the left side of the chest in between lungs.
● Stimulation- It is stimulated with the
help of fist. In the resuscitation of
heart this Marma
point is pressed to start the heart functioning. If stimulated daily it
increases the efficiency
of the heart,
coronary circulation is improved.
●
Make the fist of the right hand with the
thumb inside,
keep the hand over the heart. Then fold the left hand and keep it over the arm.
Take normal inspiration followed by expiration and put gentle pressure over the
heart. Pressure should be given 15-18 times.
Meditation
Meditation
helps to relieve stress
“If we do not have any cholesterol in our diet there will not be
any problem, as the liver and to a lesser extent the small intestine
manufacture all the cholesterol we require”.
Diet
● Proteins-
10-15% as legumes, pulses, grains and nuts.
● Carbohydrates
50-70% Vegetables and fruits.
● Fats-
Polyunsaturated. Reduce intake of whole milk, cream, butter, animal fat and
organ meats and saturated vegetable fats like palm and coconut oil.
● Fiber -
High fiber diet reduces L.D.L cholesterol (bad cholesterol) . It also adds bulk to the diet
producing sense of satiety. Unprocessed wheat bran, whole cereals such as wheat, barley, rye,
legumes, potato, carrot, beet and turnip. fruits like mango and guava. Green
vegetables such as cabbage lady’s finger, and celery. Oat bran is especially
beneficial in lowering L.D.L cholesterol.
● Vegetable
oils The vegetable oil palm are high in saturated fats and these should be replaced by
polyunsaturated fats such as sesame oil, olive oil and Saffola .
●
Mustard oil It has low saturated fat
compared to other cooking oils, it reduces cholesterol.
●
Reduce the intake of Urad dal in your
diet.
● Polyunsaturated and monounsaturated fats -
the “good fats” - actually contribute to your
health and vitality. Food rich in healthy fat includes olive
oil, nuts, fish and sea foods, ghee and avocados.
● Low-fat diet or fat - free diet like old
rice,
barley, butter milk will help the body to synthesize cholesterol from internal
sources.
●
Soybean
Soy protein intake has beneficial effects on lipid changes.
●
Corn is
good for cholesterol problems.
●
Minimize all animal fats including those
in dairy and dairy products.
● Make sure to eat lots of antioxidant
compounds concentrated in fruits (especially citrus fruits, strawberries, apple
etc.) and vegetables like carrots, broccoli and spinach.
● Turmeric and curry leaves have cholesterol
lowering properties, may be added when preparing various dishes.
● Drink water boiled with 2 teaspoon
coriander seed twice daily. It reduces cholesterol, improves digestion and
flushes out toxins.
● Bitter
gourd (Momordica charantia) or Karela It is very effective in lowering
hepatic triglycerides levels.
●
Garlic
(Allium sativum) It has hypo-cholesterolemic as well as
cardio protective properties. Fresh garlic has lipid - lowering activity.1 -2 cloves
of raw garlic can be taken with meals.
● Onion ( Alliun cepa) Take in your regular diet will help in reduction of cholesterol.
· Banana
(Musa sapientum) The pulp of banana fruit has cholesterol
lowering effect.
● Food
that lowers L.D.L cholesterol Almond, Apple, Avocado, Beans (dried)
Carrot, Coriander seeds, (dried), fenugreek seeds, Grapefruit, Isabgol, oats,
sunflower seeds and walnuts.
● Fenugreek / Methi Seeds : Soak the seeds over night. Drink its water in the morning. Cover the remaining seeds in wet cloth alow them to sprout. Then eat it.
“Saturated fatty acids found in foods should make up no more than
ten percent of a person's total calorie intake each day”.
Avoid
● Avoid saturated fat (egg yolk) and trans fat - the “bad fats” -increase your risk for certain diseases,
including heart disease and stroke.
●
Reduction of cholesterol by cutting out
egg yolk and fats of animal origin.
* Avoid consuming high cholesterol food like eggs, red meat, and high fat dairy products. as it metabolizes and excretes excess cholesterol, leaving blood levels unchanged.
* Avoid meats including chicken, fish, beef, cheese, egg yolk, milk have no fiber to boost of.
* Vegetables especially the way we cook it for Indian cuisine - soggy and overcooked destroys much fiber.
* Juices have little or no fibers.
* Unrefined grain products like dalia (broken wheat), whole wheat flour, wheat puffs, brown rice, jowar, bajra flour.
* Whole dals as chana, rajma, (kidney beans). chowli (black eyed beans), black dal, etc are high in fiber.
* Wheat bran is one of the best fiber foods because its fiber content is about 50%.
* Avoid consuming high cholesterol food like eggs, red meat, and high fat dairy products. as it metabolizes and excretes excess cholesterol, leaving blood levels unchanged.
* Avoid meats including chicken, fish, beef, cheese, egg yolk, milk have no fiber to boost of.
* Vegetables especially the way we cook it for Indian cuisine - soggy and overcooked destroys much fiber.
* Juices have little or no fibers.
* Unrefined grain products like dalia (broken wheat), whole wheat flour, wheat puffs, brown rice, jowar, bajra flour.
* Whole dals as chana, rajma, (kidney beans). chowli (black eyed beans), black dal, etc are high in fiber.
* Wheat bran is one of the best fiber foods because its fiber content is about 50%.
Herbs
● Guggul
(Commiphora Mukul)
Guggul has been shown to lower blood fat levels while raising levels of H.D.L. It is useful in atherosclerosis. 20 mg of Guggul powder with water twice a day after meals for weight reduction and lowering blood cholesterol.
●
Haritaki (Terminalia schedule) Harad.
●
Ginkgo
biloba Its leaf extract lowers blood cholesterol.
●
Vidanga
(Embelia ribes) It has lipid lowering property.
● Bhumihar Amalki (Phyllanthus
niruri) It has been found to inhibit
hepatic cholesterol biosynthesis, an increase in faecal bile acids secretion.
● Arjuna
(Terminalia Arjuna) Its bark powder has significant antioxidant action and has a hypo-cholesterol emic
effect.
●
Ajamoda
or Celery (Apium graveolens) It is good for lowering
cholesterol levels.
●
Tulsi (Ocimum sanctum) Fresh leaves of tulsi is
good.
●
Kokum
(Garcinia Cambogia)
● Coriander seed decoction is
a good diuretic and stimulates the kidneys. It is prepared by boiling dry seeds
of coriander and straining the decoction after cooling
●
Asafoetida
●
Carom seeds
●
Apricot
●
Cherries
●
Amla
● Curry leaves Leaves flush out fat,
reducing fat deposits in the body, as well as reducing bad cholesterol levels.
●
Turmeric Its regular intake may help
reduce L.D.L
Home Remedies
●
Triphala 1
teaspoon of Triphala at bedtime.
· The rhizome of AMA Haldi (Curcuma Amada, mango ginger) is roasted and given with black salt for
lowering blood cholesterol.
●
Roasted gram powder Half teaspoonful mixed
with a Half teaspoon of panchakola
choornam and honey. make a paste and take it before breakfast and lunch for two
months.
●
Take horsegram soup every day.
●
Drink every day plantain Stem juice
· To improve your appetite take Hingh tab.
Prevention
The same heart healthy lifestyle changes that can lower cholesterol levels can help prevent one from having high cholesterol in the first place. To help prevent high cholesterol one can.
- Consume a low salt diet that emphasis on fruits, vegetables and grains.
- Limit the amount of animal fat and use good fat in moderation.
- Lose extra pounds and maintain a healthy weight
- Quit smoking
- Exercise on most days of the week for at least 30 minutes
- Avoid alcohol. If at all drink in moderation.
- Manage stress,
Treatment
●
Lipid lowering Drugs Fibrates,
omega - 3 fatty acids
●
Hydrotherapy
Cold hip bath for 10 minutes taken twice every day have proven beneficial
●
Steam
baths are also helpful
● Mud
packs applied over the abdomen improves
digestion and assimilation. They improve the functioning of the liver and other
digestive organs and activates kidneys and intestine to promote better
excretion.
●
Panchakarma It
is a Bio - purification measures
Cholesterol is not that bad!
Emergency : Life saving Loading dose
1 Tab Disprin 325 mg 1 tab
2 Tab Atorvastatin 80mg 1 tab
3 Tab clopitab 150 mg 2 tabs (300mg)
Emergency : Life saving Loading dose
1 Tab Disprin 325 mg 1 tab
2 Tab Atorvastatin 80mg 1 tab
3 Tab clopitab 150 mg 2 tabs (300mg)
“Cholesterol is good for the body as long as it is in normal range”
Link: https://madhuchhandacdmo.blogspot.com/2017/08/high-cholesterol-hypercholesterolemia.html
* Medicine as suggested above should only be taken under the consultation and supervision of registered medical practitioner.
Very nice article. :) :)
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