Upload
mitchel-schwindt-md
View
441
Download
1
Embed Size (px)
Citation preview
The Truth aboutCholesterol
Real WorldThis Happens Every Day
Cholesterol Myth• Patient:
Hey Doc, How’s My cholesterol?
Doctor:
Looks good. Your total cholesterol 180 Your LDL is normal
Doctor says:You have nothing to worry about.
The Reality
Know Your #’s
•Standard cholesterol tests do not measure the various types and sizes of cholesterol
•Specific markers need to be measured and addressed to decrease the risk of heart attack and stroke
Knowing = Appropriate treatment
Decrease Your Risk
Size MattersWhen it comes to cholesterol
Particle # & Size• LDL-P = the number of LDL particles• “Bad” cholesterol
• HDL-P = the number of HDL particles• “Good” cholesterol
Cholesterol & YOu
•# & Size matter•LDL-P = is likely most important factor
•Goal is <700 (some labs use 900)
HDL• Generally considered “good” cholesterol,
but….
• Remember # & Size matter• Very high HDL is often
Dysfunctional and increases your risk
Relying only on the total cholesterol and only the basic LDL & HDL numbers fails to
Address Your Risk
Ask Your DoctorFor The Real
Numbers
OptionsLipoprotein Particle Analysis (LPP): Spectracell NMR(Nuclear Magnetic Resonance): Liposcience Boston Heart Lab (BHL) Cleveland Heart Lab Berkley Heart Lab (BEHL) : Quest lab Health Diagnostics Lab (HDL) VAP(Vertical Analytic Profile): Atherotec •
Action Steps• Ask your doctor to order advanced lipid profile• Self directed labs• Consider non-pharmacologic options
More To Come• What to do about abnormal cholesterol• Beyond the Statins – other options to treat• Supplements and nutrients to modify
cholesterol #’s
Men’s Health Coursehttp://MitchelMD.com