UNDERSTANDING CHOLESTEROL

Pick up just about any newspaper or magazine these days and you will probably find mention of cholesterol. Everyone seems to be concerned with lowering his or her cholesterol level, and most people would like to know how they can do this. It is first helpful to know how cholesterol is produced and used by the body.

Cholesterol is a crystalline substance that is technically classified as a steroid. However, because it is soluble in fats rather than in water, it is also classified as a lipid, as fats are. It is found naturally in the brain, nerves, liver, blood, and bile of both humans and vertebrate animals. This is why persons who wish to decrease their cholesterol levels are told to stay away from meat and other foods containing animal products or derived from animals.

Despite its current unsavory reputation, cholesterol is actually necessary for the proper functioning of the body. About 80 percent of total body cholesterol is manufactured in the liver, while 20 percent comes from dietary sources. It is used by cells to build membranes, and it is also used in sex hormones and in the digestive process. Cholesterol travels from the liver through the blood stream to the various tissues of the body by means of a special class of protein molecules called lipoproteins. The cells take what they need, and any excess remains in the bloodstream until other lipoproteins pick it up for transport back to the liver.



There are two main types of lipoproteins: low-density lipoproteins (LDLs) and high-density lipoproteins (HDLs). LDLs are often referred to as "bad cholesterol"; HDLs as "good cholesterol." An analysis of the function of each will explain why. Low-density lipoproteins are heavily laden with cholesterol, because they are the molecules that transport cholesterol from the liver to all the cells of the body. High-density lipoproteins, on the other hand, carry relatively little cholesterol, and circulate in the bloodstream removing excess cholesterol from the blood and tissues. After HDLs travel through the bloodstream and collect the excess cholesterol, they return it to the liver, where it may once again be incorporated into LDLs for delivery to the cells. If everything is functioning as it should, this system remains in balance. However, if there is too much cholesterol for the HDLs to pick up promptly, or if there are not enough HDLs to do the job, cholesterol can form plaque that sticks to artery walls and may eventually cause heart disease.

The precise ways in which lipoproteins perform their functions are not known, nor is it known whether or how they work with other elements in the body. It is known that persons with high HDL levels and relatively low LDL levels have a lower risk of heart disease. In those who already have clogged arteries or have had a heart attack, an increase in HDL levels and a decrease in LDL levels can result in improvement of arterial obstruction.

The National Cholesterol Education Program has set the "safe" level of total serum cholesterol (including both LDL and HDL) at 200 milligrams per deciliter of blood (mg/dl). A reading above 200 indicates an increased potential for developing heart disease. A level of 200 to 239 is borderline, and those with levels over 240 are considered at high risk.

The normal HDL level for adult men in the United States is 45 to 50 mg/dl, and that for women is 50 to 60 mg/dl. It is suggested that higher levels, such as 70 to 80 mg/dl, may protect against heart disease. An HDL level under 35 mg/dl is considered risky. So if you have a cholesterol reading of 200, with HDL at 80 and LDL at 120, you are considered as low risk for heart disease. On the other hand, even if you have a total cholesterol level well under 200, if your HDL level is under 35, you would still be considered at increased risk of developing cardiovascular disease. In other words, as your HDL decreases, your potential for heart problems intensifies, even if your total is on the low side.

Because LDLs are so undesirable, it is imperative to realize the effect of diet on cholesterol levels. It is only logical that we should decrease our overall cholesterol levels. However, dietary cholesterol is only a part of the story. There are other substances that affect cholesterol levels. Saturated fats, for example, have been shown to increase cholesterol levels even more than dietary cholesterol does - so even if a food product label proclaims "No Cholesterol" the product may still have a negative effect on your cholesterol level. There are other substances that raise cholesterol, too. Sugar and alcohol both raise the level of natural cholesterol (that which the body produces). Although we do need this substance, we do not need to overproduce it, which is what happens when we consume sugar and alcohol. Stress also results in an overproduction of natural cholesterol. Therefore, preventing (or fighting) heart disease requires a comprehensive approach that includes avoiding the consumption of animal products, saturated fats, sugar, and alcohol, and eliminating stress. Elevated blood cholesterol and triglyceride levels lead to plaque-filled arteries, with impeded blood flow to the brain, kidneys, genitals, extremities, and heart. High cholesterol levels are among the primary causes of heart disease, because cholesterol produces fatty deposits in arteries. High cholesterol levels are also implicated in gallstones, impotence, mental impairment, and high blood pressure. Colon polyps and cancer (especially prostate and breast cancer) have also been linked to high serum cholesterol levels.

Cholesterol levels are greatly influenced by diet. The consumption of foods high in cholesterol and/or saturated fats increases cholesterol levels, while a vegetarian diet, regular exercise, and the nutrients niacin and vitamin C can lower cholesterol.

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CAUSES

The following factors may contribute to high cholesterol:

• A high-fat, high-cholesterol diet.
• Being overweight, which may increase triglycerides and lower HDL.
• Lack of physical activity, which may increase LDL and lower HDL.
• Your age and sex.
• Health conditions, such as diabetes, high blood pressure, or hypothyroidism.
• Your family history.
• Rarely, high cholesterol is caused by an inherited problem called a lipid disorder that changes the way the body handles cholesterol. People with lipid disorders may have total cholesterol levels well over 250 mg/dL (6.46 mmol/L). A total cholesterol level below 200 mg/dL (5.17 mmol/L) is desirable. Certain types of inherited lipid disorders may be more difficult to treat.

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SIGNS & SYMPTOMS

High cholesterol rarely causes symptoms. It is usually detected during a routine blood test that measures cholesterol levels. You may first discover it when you are diagnosed with a condition that is caused in part by high cholesterol, such as coronary artery disease, stroke, or peripheral vascular disease.

Some people with lipid disorders, such as familial hypercholesterolemia, may have other distinct symptoms such as deposits of excess cholesterol that collect in the skin or eye tissue. These cholesterol deposits can also cause nodules in tendons in the hands or feet or, rarely, yellow streaks in the hands.

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RISK FACTORS

Some risk factors for high cholesterol are within your control; some are not.

Risk factors you can control:

• A high-fat, high-cholesterol diet, which may raise LDL cholesterol and lower HDL cholesterol.
• Being overweight, which lowers HDL cholesterol and may raise LDL cholesterol.
• Lack of regular exercise, which may increase LDL and lower HDL cholesterol.
• Smoking, which may lower HDL cholesterol by as much as 15 percent.
• Metabolic syndrome (abnormal physical findings related to the body's metabolism).

You may be able to control some other conditions that can raise cholesterol, including diabetes.

Risk factors that you cannot control:

• Family history.
• Age and sex.

It is important to remember that high cholesterol is just one of many risk factors for coronary artery disease (CAD) and stroke. Modifying or reducing all of your risk factors for CAD is important to decrease your risk of heart attack or other diseases.

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PREVENTION

Following the tips in the "Living With High Cholesterol" section can help prevent high cholesterol. Since cholesterol levels tend to increase with age, paying attention to diet and exercise is particularly important as you get older.

Remember that high cholesterol is just one of many risk factors for coronary artery disease (CAD). Controlling other risk factors, such as smoking, high blood pressure, and diabetes, is also important to reduce your overall risk.



TREATMENT

DIAGNOSIS & TESTS

EXAMS & BLOOD TESTS

A history and physical exam are done to screen for high cholesterol. Your health care provider will also look for other medical conditions that may increase your risk of developing high cholesterol, such as thyroid or kidney disease and diabetes. A blood test is used to measure total cholesterol, LDL, HDL, and triglyceride levels.

CHOLESTEROL & TRIGLYCERIDES TESTS - TEST OVERVIEW:

Cholesterol is a type of fat (called a lipid) that the body uses to help build cells and produce certain hormones. However, too much cholesterol in the blood may increase the risk of heart disease, stroke, and coronary artery disease (see an illustration of coronary artery disease).

When there is too much cholesterol in the blood, it and other substances may begin to build up along the inside of the artery walls, forming what is known as plaque. A large deposit of plaque may obstruct the flow of blood through the artery, affecting blood flow to the heart, brain, or other vital organs. If unstable plaque tears open, it may trigger the formation of a blood clot in the artery, which can result in a heart attack or stroke.

Cholesterol travels through the blood attached to a protein. This cholesterol-protein package is called a lipoprotein. Lipoproteins are either high density or low density, depending on how much protein they have in relation to fat. Lipoproteins with more protein than fat are called high-density lipoproteins (HDL). Lipoproteins with more fat than protein are called low-density lipoproteins (LDL). Triglycerides are another type of fat that is usually measured along with cholesterol.

High-density lipoprotein cholesterol is sometimes called "good" cholesterol. HDL cholesterol helps remove LDL cholesterol from the body by binding with it in the bloodstream and carrying it back to the liver for disposal. A high level of HDL cholesterol appears to lower a person's risk of developing heart disease and stroke.

Low-density lipoprotein cholesterol is sometimes called "bad" cholesterol. LDL cholesterol collects inside the walls of the arteries and often contributes to the formation of plaque. LDL cholesterol is calculated from the total cholesterol, HDL, and triglyceride levels.

Triglycerides are a type of fat the body uses to store energy. Only a small amount of triglycerides are found in the blood. A high triglyceride level along with high LDL cholesterol may be more of a risk for heart disease than having only a high LDL cholesterol level.

A total cholesterol test measures the total amount of cholesterol in the blood. Lipoprotein analysis (lipoprotein profile or lipid profile) measures blood levels of total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides. Some medical experts recommend routine lipoprotein analysis to screen for lipid disorders, while others may routinely choose to measure only total cholesterol and HDL levels.

The National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III, or ATP III) recommends a fasting lipoprotein analysis every 5 years for all adults age 20 and older. Total cholesterol and HDL testing is acceptable if the screening sample is non-fasting. However, if the total cholesterol level from a non-fasting sample exceeds 200 mg/dL, or HDL cholesterol is less than 40 mg/dL, the ATP III recommends repeat testing with a fasting blood sample.

The U.S. Preventive Services Task Force (USPSTF) recommends total cholesterol and HDL testing for all men age 35 and older and for all women age 45 and older. The USPSTF also recommends routine total cholesterol and HDL testing for men between the ages of 20 and 35 and for women between the ages of 20 and 45 who have risk factors for heart disease.

All of these tests are done on a sample of blood taken from a vein.

CHOLESTEROL & TRIGLYCERIDES TEST:

• Total and HDL cholesterol levels can be measured from a blood sample any time of the day, without fasting.



• To accurately measure the total cholesterol and triglycerides, and to calculate the LDL and HDL cholesterol levels, a fasting blood sample is needed. This test is also called a lipoprotein analysis.

If results of the cholesterol and triglycerides test indicate further evaluation is needed, additional tests may be done.

EVALUATING CHOLESTEROL TEST RESULTS:

Treatment for high cholesterol should not be based on a single LDL cholesterol measurement. Two LDL measurements within a 1- to 8-week period are recommended. If they differ by more than 30 mg/dL, a third measurement is recommended. Treatment is based on the average of the 2 or 3 measurements.

Two or three measurements of HDL cholesterol are recommended to obtain accurate results. A separate test is not required for HDL cholesterol. It can be measured at the same time as LDL with a blood test.

LDL cholesterol:

LDL cholesterol below 100 mg/dL is optimal.
LDL cholesterol of 100 mg/dL to 129 mg/dL is near optimal/above optimal.
LDL cholesterol of 130 mg/dL to 159 mg/dL is borderline high.
LDL cholesterol of 160 to 189 mg/dL is high.
LDL cholesterol of 190 mg/dL and above is very high.

Total cholesterol:

A total cholesterol of less than 200 mg/dL is desirable.
A total cholesterol of 200 mg/dL to 239 mg/dL is borderline high.
A total cholesterol of 240 mg/dL and above is high.

HDL cholesterol:

HDL cholesterol of less than 40 mg/dL is low.
HDL cholesterol of 60 mg/dL and above is high. HDL levels of 60 and above can help lower your risk for heart disease.

Triglycerides:

Triglycerides that are 150 mg/dL to 199 mg/dL are borderline high.
Triglycerides that are 200 mg/dL or more are high.

If your test results show you have high cholesterol, a clinical exam is recommended, including medical history, physical exam, and lab tests as needed. An evaluation for secondary causes of high cholesterol, such as an underlying disease, diet, or medication, or for inherited lipid disorders may be done if needed.

These findings will help a health care provider determine whether follow-up testing should be done or treatment with diet or medication is needed.

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CHOLESTEROL LEVEL SELF-TESTING

There are several types of self-test devices available that can be used to check your cholesterol level at home. These are often available in drugstores without a prescription or can be purchased online from various companies and distributors. These tests can give a cholesterol level in about 15 minutes, depending on the device used. The test contains small test pads or strips that have a chemical reagent zone. When a drop of blood is placed on the surface of the pad, the reagents read with enzymes in the blood and the treated zone changes color. The color of the zone is then matched against a color-coded chart to find the serum cholesterol level. Be aware that the results can be skewed if you wait longer than 5 minutes after blood is drawn to perform the test or if you have taken the test 4 hours after taking a 500 mg dose of Vitamin C or after taking acetaminophen. The major drawback with some of these systems is it may only gives total cholesterol levels, not HDL or LDL levels. Some kits have separate reagent test strips to test for triglycerides, HDL and/or LDL levels. Carefully read the test instructions included in the test kit you purchase for accurate interpretations of results. It is helpful to keep a log of test results if your health care provider is having you monitor your levels at home. The self-testing tests are quite reliable with a 97% accuracy and are often used in health care provider's offices as a quick method of checking a patient's cholesterol.

SOME SELF-TESTING KITS AVAILABLE

Cholesterol Self Testing Kits can be found at Amazon.com. They have a selection of several types and a selection of prices for these home tests.

CHOLESTEROL TEST PRODUCTS FROM AMAZON.COM



This is only a small collection of products available for Cholesterol Testing from Amazon.com. To find a specific product for you, use the Amazon.com search box near the bottom of this page.

Disposable cholesterol kits are available without a prescription for about $10 to $20. They usually include an alcohol pad, finger stick, and a thermometer-like test strip. Follow package instructions carefully for the most accurate results. Electronic cholesterol kits are also available (similar to blood glucose test devices). These will contain the electronic device, test strips and any other items necessary for completing a test.

Results are not given as exact numbers. They are stated as desirable (under 200 mg/dL or 5.17 mmol/L); borderline-high (200 mg/dL to 239 mg/dL or 5.17 mmol/L to 6.18 mmol/L); or high risk for heart disease (over 240 mg/dL or 6.21 mmol/L). When used correctly, results from a home test kit can be as accurate as screening tests used in a health care provider's office. Most health care providers will want to verify home screening results before deciding what to do next.

Main benefits of home screening: Home screening can alert you to a previously unknown high cholesterol level, which can increase your risk for atherosclerosis. If you know you are at risk, you may be more motivated to see a health care provider for follow-up education and testing. Home screening can help you monitor the success of changes you have made in your diet and exercise routine. You should report persistently high cholesterol levels to your health care provider.

Main drawbacks of home screening: Interpreting cholesterol results can be difficult. Home tests do not give you a precise reading or indication of risk because these tests don't measure HDL and LDL cholesterol levels. This can lead you to be falsely reassured by normal results or needlessly alarmed by abnormal results.

CHOLESTEROL TESTING QUESTIONS:

No matter which testing system is used, you may want to ask:

• What is being measured: total cholesterol, HDL cholesterol, LDL cholesterol, or triglycerides?
• Do I need to fast before the test?
• How long will it take to get the test results?
• Will someone be available to explain the results and whether I need further testing?
• Will I receive educational materials with my test results?
• How reliable are the results? Is the lab certified? The accuracy and reliability of cholesterol tests vary from lab to lab. Labs participating in the U.S. Centers for Diseases Control and Prevention standardization testing should be used.

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CONVENTIONAL MEDICAL TREATMENT

There are two basic ways of lowering your high cholesterol. The first is to modify your lifestyle by changing your diet, managing your weight, increasing exercise, and quitting smoking. The other is to use one or more cholesterol-lowering medications while modifying your lifestyle. Both treatment methods are aimed at lowering LDL ("bad") cholesterol, raising HDL ("good") cholesterol, lowering triglycerides, and reducing other risk factors for heart disease.

The goal of lowering your cholesterol is to reduce your risk of developing coronary artery disease (CAD), heart attack, stroke, and other disorders caused by atherosclerosis. Treatment is even more critical for those who already have coronary artery disease or diabetes or who have had a heart attack or stroke.

Treatment will depend on whether you need primary or secondary prevention. Primary prevention means reducing your risk of developing CAD. Secondary prevention is reducing your risk for further complications of CAD when you already have it or if you have another condition equally as serious.

People who have more than a 20 percent chance of developing CAD over the next 10 years or who already have CAD need to seriously consider aggressive treatment for all of their risk factors for heart disease and stroke. These people are considered to be in the highest risk category and usually need to reduce their cholesterol to a level lower than those at a lesser risk.

Those at high risk for CAD or who already have CAD are likely to have a greater benefit from medications to lower their cholesterol than those who have a lesser risk. Evidence shows that medications called statins are the most effective type of treatment for reducing cholesterol and the risk for heart attack, stroke, and death in people at high risk for coronary artery disease. 5 For those at a lower risk for CAD, lifestyle changes are more appropriate and cost-effective.

High cholesterol is an important risk factor for coronary artery disease and stroke; however, it is only one of several risk factors that can contribute to these health problems. Treating other risk factors may be just as important as lowering your cholesterol. Everyone can benefit from exercise, a balanced diet, and efforts to reduce or eliminate their risk factors for heart disease. It is important to work with your health professional to determine your individual risk for heart disease based on all your risk factors, not just your cholesterol level.

If you need treatment to lower your cholesterol, the first steps usually involve making lifestyle changes. The National Cholesterol Education Panel guidelines recommend Therapeutic Lifestyle Changes, which include:

• Diet.
• Exercise.
• Weight loss.

Also, it is important to treat other conditions, such as high blood pressure and diabetes, and to eliminate smoking and other factors that increase the risk of atherosclerosis.

For people with known heart disease, diabetes, previous heart attack, or stroke, treatment with medication is strongly recommended, especially if diet and exercise are unlikely to lower cholesterol levels to an acceptable range. In these people, cholesterol-lowering medications may help prevent atherosclerosis from getting worse and may lower the risk of having another heart attack, stroke, or death.

TREATMENT DECISIONS:

Diet therapy is most effective for lowering cholesterol in people who have higher-than-average fat intake in their diets.

A diet and exercise program is the preferred initial treatment for lowering cholesterol in children, young men, and women before menopause. This depends, however, on their risk for coronary artery disease (CAD).

High cholesterol caused by inherited (genetic) lipid disorders usually is treated aggressively at any age, often by using medications. A recent study showed that a large dose of a statin medication started during hospitalization for heart attack, angina, or unstable angina reduced the chance of developing further episodes of angina requiring hospitalization.

MEDICATION CHOICES:

Evidence shows that medications, particularly statins, can reduce the risk for heart attack, stroke, and death in some people who have known coronary artery disease (CAD) or diabetes along with high, and even average, cholesterol levels.

Some people can try diet and exercise for at least 3 months before medications are started. However, those with CAD should start medications immediately. Other people who may need to start treatment with medication as soon as possible include those with a strong family history of early CAD, those with inherited forms of high cholesterol, and those who have peripheral vascular disease or have had a previous heart attack or stroke. Many people at low risk (children or people who have no other CAD risk factors) do not need to take medication to lower their cholesterol.

Many experts use guidelines established by the National Cholesterol Education Program (NCEP) to determine when to begin treatment with medication to lower cholesterol, based on your LDL cholesterol level and risk factors for coronary artery disease. However, each person is different, and so your health professional also may take into account other factors, such as your age, when discussing your treatment options.

Cholesterol treatment guidelines will continue to evolve as more is learned about who is at highest risk for heart disease and who is most likely to benefit from treatment with medication to lower cholesterol. However, everyone can benefit from a balanced, low-fat diet, regular exercise, and reducing other risk factors, such as smoking.

NCEP (2001) & AMERICAN HEART ASSOCIATION (AHA)
MEDICATION GUIDELINES FOR HIGH CHOLESTEROL:

The National Cholesterol Education Program's (NCEP) recommendations for medication therapy are based on cholesterol levels and the number of risk factors for heart disease. While these guidelines provide a good starting point for treatment, individual risk assessment is important to determine whether starting medication to lower your cholesterol is appropriate for you.

For people without known coronary artery disease (CAD) and with one or no risk factors for heart disease, medication may be started when:

• LDL is 190 mg/dL (4.91 mmol/L) or higher.
• The goal of medication is to lower LDL below 160 mg/dL (4.14 mmol/L).
• When LDL cholesterol is between 160 mg/dL and 189 mg/dL (4.14 mmol/L and 4.91 mmol/L), medication may be considered. The goal is still to lower LDL cholesterol to below 160 mg/dL (4.14 mmol/L).

For people without known coronary artery disease, medication is considered when two or more cardiac risk factors are present, there is a 20% or less risk of developing symptomatic CAD within 10 years, and:

• LDL is 160 mg/dL (4.14 mmol/L) or higher and the 10-year risk is less than 10%.
• LDL is 130 mg/dL (3.36 mmol/L) or higher and the 10-year risk is between 10% and 20%.
• The goal of treatment with medication is to lower LDL below 130 mg/dL (3.36 mmol/L).
• When LDL cholesterol is between 130 mg/dL and 160 mg/dL (3.36 mmol/L and 4.14 mmol/L), diet and exercise are usually emphasized. The goal is still to lower LDL cholesterol below 130 mg/dL (3.36 mmol/L).

For people with known coronary artery disease, diabetes, or more than a 20% risk of developing symptomatic CAD during the next 10 years, medication is considered when:

• LDL is 130 mg/dL (3.36 mmol/L) or higher.
• The goal of treatment with medication is to lower LDL to less than 100 mg/dL (2.58 mmol/L).
• If the LDL cholesterol is between 100 mg/dL and 129 mg/dL (2.58 mmol/L and 3.36 mmol/L), diet and exercise may be tried, but medication may be started sooner if the person has coronary artery disease.

MEDICATION CONSIDERATIONS

This information will help you understand your health care choices and what the results may be, whether you choose to share in the decision-making process or to rely on your health care provider's recommendation.

Key points in making your decision...

Lowering your high cholesterol can help you prevent a heart attack or stroke. Consider the following when making your decision:

• High cholesterol is only one of several risk factors for heart disease. To reduce your risk of coronary artery disease (CAD) and heart attack, you need to reduce all of your risk factors, not just high cholesterol.
  
  
• People who probably should take statins include those with CAD or who are at high risk for CAD and heart attack. The choice is less clear for those with moderately high cholesterol and few risk factors for CAD and heart attack. This group may find this decision point most helpful.
  
  
• Therapeutic lifestyle changes are as important as medication in reducing your risk for CAD and heart attack. For some people, quitting smoking, reducing blood pressure, losing weight, or getting more exercise can have the same or greater impact on lowering cholesterol than taking medication.

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HIGH CHOLESTEROL AND CORONARY HEART DISEASE (CAD)

What is cholesterol, and why is high cholesterol dangerous?

Cholesterol is a type of fat and is an essential nutrient your body needs for many important functions, such as producing new cells. However, if your cholesterol levels are too high, you may develop atherosclerosis, a buildup of fat and calcium inside your arteries that can cause coronary artery disease (CAD) and lead to heart attack or stroke.

Your cholesterol levels, especially your LDL cholesterol levels, are a good indication of risk for CAD. However, they need to be assessed with other risk factors, such as high blood pressure or diabetes, when making a decision about whether to use medication.

RISK FACTORS FOR CORONARY ARTERY DISEASE (CAD)

High cholesterol is not the only risk factor for developing CAD. You are at increased risk for CAD if you:

• Are a man age 45 or older or a woman 55 or older.
• Have a family history of CAD: CAD in your father or a brother younger than 55 or in your mother or a sister younger than 65.
• Have smoked any cigarettes within the last 30 days.
• Have high blood pressure (140/90 or above) or are taking medication for high blood pressure.
• Have a low HDL cholesterol level (below 40 mg/dL or 0.91 mmol/L).

CAD EQUIVALENTS

CAD equivalents are diseases that put you at the same risk for heart attack as having coronary artery disease. They include diabetes, peripheral vascular disease, a diseased carotid artery that causes symptoms, or an abdominal aortic aneurysm.

If you have any of these conditions, you are at highest risk (in risk category 1) for heart attack.

OTHER RISK FACTORS

Other factors that put you at risk for coronary artery disease and heart attack include high homocysteine levels, obesity and lack of regular exercise, menopause and the drop in estrogen that follows it, and metabolic syndrome.

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CALCULATING RISK & MAKING MEDICATION DECISIONS

An important part of your decision on whether to take statins is determining your risk for coronary artery disease and heart attack. Use one of the following risk calculators from the National Cholesterol Education Program (NCEP) to calculate your risk. NOTE: You will have to know your blood pressure, total cholesterol, and HDL cholesterol to use the calculator.

Click here to use the AOL Interactive Tool: Are You At Risk For A Heart Attack?.

Click here to use the AOL Interactive Tool: Weight & Health Risks.

Along with medical guidelines for taking medications, your decision to take statins to lower your cholesterol level includes your personal feelings.

REASONS TO USE MEDICATION

REASONS NOT TO USE MEDICATION

Your LDL cholesterol is over 190. Your total cholesterol is over 240. You have two or more risk factors for CAD or have a CAD equivalent. You are worried about high cholesterol levels and/or coronary artery disease. Medication is easy and convenient to use. You feel that your current diet and activity level are appropriate. List other reasons why you might use medications to lower cholesterol:

Your LDL cholesterol is below 100. Your total cholesterol is below 200. You may have to take medication for the rest of your life. You may need periodic blood tests to check liver function You may be able to reduce cholesterol levels through diet and exercise If you are over 82, the long-term benefit for cholesterol-lowering medication has not been proven in medical studies. Medications are expensive if insurance does not pay for them. You may have side effects from taking medication. List other reasons why you might not use medications to lower cholesterol:

MEDICATION CHOICES

Statins are the most effective and widely prescribed cholesterol-lowering medication. They include lovastatin (Mevacor), simvastatin (Zocor), pravastatin (Pravachol), fluvastatin (Lescol), and Atorvastatin (Lipitor).

Other medications also lower cholesterol, and some may be used to lower triglycerides or raise HDL. They include:

• Nicotinic acid (Niac, Niacor, and Slo-Niacin).
• Fibric acid derivatives: gemfibrozil (Lopid), or fenofibrate (Tricor).
• Bile acid sequestrants: cholestyramine (Questran) and colestipol (Colestid).

These medications are sometimes used in combination with a statin.

MEDICATION	REASONS TO TAKE	REASONS NOT TO TAKE
Statins	Research shows: Statins reduce LDL by 18% to 55%. Statins increase HDL by 5% to 15%. Statins reduce triglycerides by 7% to 30%. Statins reduce CAD, deaths from CAD, and deaths from heart attack in people who have had previous heart attacks. Those who benefit most from cholesterol-lowering medication are those at the greatest risk for another heart attack. Statins are beneficial for a wide range of LDL levels. They lower risk significantly among those at highest risk for CAD, even if LDL levels are moderate.	You may have side effects, such as fatigue, upset stomach, gas, constipation, and abdominal pain or cramps. Regular blood tests are recommended to check liver function while taking statins. Muscle pain (rhabdomyolysis) may occur (rare). There is no proven benefit in those over age 82.

Use this worksheet to help you make your decision. After completing it, you will have a better idea of how you feel about taking medication to lower cholesterol levels. Discuss the worksheet with your health care provider.

Circle the answer that best applies to you.

My health care provider has told me that my risk for CAD is high.	Yes	No	Unsure
My LDL cholesterol level is above 190.	Yes	No	Unsure
The NCEP guidelines recommend that I take medication.	Yes	No	Unsure
I have the finances and/or insurance to pay for medication.	Yes	No	Unsure
I worry about my cholesterol levels.	Yes	No	Unsure
I worry about getting CAD or having a heart attack.	Yes	No	Unsure
I believe that medication can help me.	Yes	No	Unsure
I am comfortable with taking medications long-term or for the rest of my life.	Yes	No	Unsure
I feel I can cope with the side effects of cholesterol-lowering medication	Yes	No	Unsure
Having to take regular blood tests for liver function doesn't bother me.	Yes	No	Unsure
Medication that I'm currently taking does not interfere with medication to lower cholesterol.	Yes	No	NA*
Diet and exercise have not helped me lower my cholesterol.	Yes	No	NA*
I have difficulty staying on a diet.	Yes	No	NA*
I have difficulty staying with an exercise regimen.	Yes	No	NA*

*NA = Not Applicable

Use the following spaces to list any other important concerns you have about this decision.



WORKSHEET RESULTS

Your answers in the above worksheet are meant to give you a general idea of where you stand on this decision. You may have one overriding reason to use or not use medications.

Check the box below that represents your overall impression about your decision.

Leaning toward taking medication.

Leaning toward NOT taking medication.

REFERENCES

Grundy S, et al. (2001). Executive summary of the third report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA, 285(19): 2486–2497.

Pignone M (2002). Secondary prevention of ischaemic cardiac events. Clinical Evidence (7): 137–140.

LaRosa JC, et al (1999). Effect of statins on risk of coronary disease: A meta-analysis of randomized controlled trials. JAMA, 282(24): 2340–2346.

Canner PL, et al. (1986). Fifteen-year mortality in coronary drug project patients: Long-term benefit with niacin. Journal of the American College of Cardiology, 8(6):1245–1255.

Frick MH, et al. (1987). Helsinki heart study: Primary-prevention trial with gemfibrozil in middle-aged men with dyslipidemia. New England Journal of Medicine, 317(20):1237–1245.

Rubins H, et al. (1999). Gemfibrozil for the secondary prevention of coronary heart disease in men with low levels of high-density lipoprotein cholesterol. New England Journal of Medicine, 341(6): 410–418.

Heart Protection Study Collaborative Group (2002). MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: A randomized placebo-controlled trial. Lancet, 360: 7–22.

Shepherd J, et al. (2002). Pravastatin in elderly individuals at risk of vascular disease (PROSPER): A randomized controlled trial. Lancet, 360: 1623–1630.

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SURGERY

Most people who have high cholesterol can be successfully treated with medication and lifestyle changes. In rare cases, however, when medication cannot lower your cholesterol to an acceptable level, your health care provider may recommend a partial ileal bypass. This surgery bypasses the last section of the small intestine, which prevents bile acids from being absorbed and lowers LDL ("bad") cholesterol.

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THERAPEUTIC LIFESTYLE CHANGES (TLC)

Eating a sensible diet low in saturated fat and cholesterol and getting moderate exercise are important ways you can lower your high cholesterol level. For many people, these lifestyle changes may be all that is needed to decrease LDL cholesterol and raise HDL cholesterol.

However, because of genetic reasons, you may not be able to reduce your cholesterol level, even when following a strict diet and a proper exercise routine. In this case, you may need medication to reduce your lifetime risk of coronary artery disease.

As part of the treatment for high cholesterol, your health professional may recommend using the Therapeutic Lifestyle Changes (TLC) recommended by the National Cholesterol Education Program of the National Institutes of Health. These lifestyle changes include:

• The TLC cholesterol-lowering diet.
• Exercise.
• Weight loss, if needed.

The TLC diet is low in saturated fat and cholesterol, recommending that less than 7% of your daily calories come from saturated fat and that you eat no more than 200 milligrams of dietary cholesterol per day. Also, the TLC plan recommends increasing soluble fiber and, if needed, adding plant stanols and sterols to your diet. Plant sterols are found in small quantities in many fruits, vegetables, nuts, seeds, cereals, legumes, and other plant sources. Plant stanols come from some of the same sources. Vegetable oils, for example, contain plant sterols and stanols. Plant stanols and sterols are available in salad dressings and margarines, such as Benecol and Take Control. They are safe for children with genetic high cholesterol, but pregnant women need to avoid them.

Generally, saturated fats and cholesterol are found in animal products, such as meat, poultry, fish, milk and milk products, and eggs. Other examples include butter, margarine, sour cream, salad dressings, marinades, mayonnaise, shortening, and many snack foods and desserts. Snack foods often contain a lot of saturated fat, unless a special effort has been made to use unsaturated vegetable oil.

Plant foods, such as grains, fruits, and vegetables, usually contain very little fat and no cholesterol. Plant fats, such as vegetable oils, are usually low in saturated fats unless they have been hydrogenated. Hydrogenation is a process to make the fats solid or semisolid.

Some foods, especially saturated fats, tend to increase total cholesterol levels. Many foods contain both saturated fats and cholesterol.

See Home Treatment below for more information about the TLC diet:

• Meat and the low-fat diet.
• Soy protein.
• Fiber.
• Fish and fish oil.
• Antioxidants, flavonoids, and red wine.
• Cholesterol-lowering margarines.

Be careful of Very-low-fat diets. Although very-low-fat diets may indeed lower cholesterol levels, they are not recommended. Very-low-fat diets usually allow less than 15% of total calories from fat. A cholesterol-reducing diet allows 25% to 35% of calories to come from fat. A diet with less than 25% of its calories from fat can increase triglycerides and decrease HDL (good) cholesterol. Such a diet may deplete your body of other important nutrients and vitamins.

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HOME TREATMENT

Change your diet. See the TLC diet and holistic and nutritional supplemental recommendations below.

Avoid stress and sustained tension as much as possible. Learn stress management techniques. See Stress for more information.

Get regular moderate exercise. Always consult with your health care provider before beginning any new exercise program.

There are a number of cholesterol-lowering drugs on the market. Available by prescription only, these tend to be costly and they can have serious side effects. These drugs should only be used as last resort. The sensible way to keep the serum fats within a safe range is to follow a diet that excludes animal fats (including meat, milk, and all dairy products) and includes ample amounts of fiber and bulk (whole grains, fruits, and vegetables).

Certain drugs can elevate cholesterol levels. These include steroids, oral contraceptives, furosemide (Lasix) and other diuretics, and levodopa (L-dopa, sold under the brand names Dopar, Larodopa, and Sinemet), which is used to treat Parkinson's disease. Beta-blockers often prescribed to control high blood pressure, can cause unfavorable changes in the ratio of LDL to HDL in the blood.

Studies have shown that so-called Third World diets, which consists of grains, fruits, and vegetables, result in lower blood cholesterol levels. In the United States and Northern Europe, where people consume large amounts of meat and dairy products, extremely high rates of heart and circulatory disease are present. Even children in these nations show signs of progressive vascular disease due to hypercholesterolemia (an excess of cholesterol in the blood).

Some people claim that taking charcoal tablets lowers blood cholesterol. However, charcoal also absorbs good nutrients along with the cholesterol. Activated charcoal should not be consumed daily, and it should not be taken at the same time as other supplements or medications. Other "experts" recommend taking fish oil capsules to lower cholesterol, but fish oil is 100 percent fat, and the evidence is lacking that the ingestion of fish oil reduces serum fats.

Sunlight, or rather the lack of it, has been shown to have adverse effects of cholesterol levels.

Some people have hereditary disorders that prevent even the healthiest diet from lowering LDL levels. For these people, researchers are working on a device that uses an enzyme to break down LDL and accelerate its removal before it can fasten onto artery walls to form plaque. The device would be implanted under the skin to control the LDL levels in the blood.

There are opposing theories about high cholesterol levels. Some medical practitioners believe that it has little to do with heart disease and that a direct correlation has never been established. Studies in India, Guatemala, Poland, and in the United States claim to have proved that there is no relationship between atherosclerosis and cholesterol levels. However, it is probably wise to take cholesterol levels seriously, and also to consider other tests that may help in the assessment of your risk factors for developing heart disease.

MoonDragon's Health & Wellness: Heart Attack

Therapeutic Lifestyle Changes (TLC) Diet for High Cholesterol People have varying degrees of success in lowering their cholesterol by changing their diets. People who have high cholesterol because they eat too many fatty foods may be able to lower their cholesterol 10 to 20 percent with diet changes alone, while others may only achieve a 5 to 8 percent reduction. Those who are most successful using diet changes to lower their cholesterol are those who lose excess weight. Diet changes are usually the first step in lowering cholesterol before medications are added. The TLC diet is recommended by the National Cholesterol Education Program of the National Institutes of Health. The diet's main focus is to reduce the amount of saturated fats you eat because they elevate your cholesterol. You can reduce the saturated fats in your diet by limiting the amount of meat and milk products you consume. Choose low-fat products from those food groups instead. Replace most of the animal fats in your diet with unsaturated fats, especially mono-unsaturated oils, such as olive, canola, or peanut. Mono-unsaturated fat lowers LDL ("bad") cholesterol if substituted for saturated fat and keeps HDL ("good") cholesterol up. The TLC diet calls for less than 7 percent of your daily calories to come from saturated fat and that you eat no more than 200 mg of dietary cholesterol per day. However, the diet allows 25 to 35 percent of daily calories from fat, mainly from unsaturated fats. Your diet should include only enough calories to maintain a desired weight and avoid weight gain. Food Group Number of Servings Serving Size Lean meat, Poultry, Fish, Dry Beans, & Dry Peas Limit to 5 ounces total per day. 5 ounces maximum per day of lean meat, poultry, or fish. Substitute 1/2 cup dry beans or peas for one ounce of meat. Eggs Limit to 2 yolks per week. 1 whole egg. Egg whites or substitutes are not limited. Low-Fat Milk & Milk Products 2 to 3 per day. 1 cup nonfat or 1% milk. 1 cup nonfat or low-fat yogurt. 1 ounce fat-free or low-fat cheese (3 grams of fat or less per ounce). Fruits 2 to 4 per day. 1 piece fruit, such as apple, orange, or banana. 1/2 cup canned fruit. 1 cup berries or melon. 3/4 cup fruit juice. Vegetables 3 to 5 per day. 1 cup raw leafy greens. 1/2 cup cooked or raw vegetables. 3/4 cup vegetable juice. Bread, Cereals, Pasta, Rice, & Other Grains 6 to 11 per day. 1 slice of bread. 1/2 hot dog or hamburger bun, bagel, or English muffin. 1 ounce cold cereal. 1/2 cup cooked pasta, rice, noodles, or other grains. Fats & Oils 6 or 8 per day. 1 teaspoon oil, such as canola, olive, peanut, corn, or safflower oil. 1 teaspoon soft margarine. 1 tablespoon salad dressing. 1 tablespoon mayonnaise. 2 tablespoons nuts or seeds. Sweets & Snacks Within calorie limit. Choose snacks that are low in fat or are made with unsaturated fats.

Adapted from the food guide pyramid to help you plan a diet that is low in saturated fat and cholesterol.

Nutrient Composition of the TLC Diet for High Cholesterol

The therapeutic lifestyle changes (TLC) cholesterol-reducing diet is based on reducing saturated fat and cholesterol in your diet. Here are the recommended amounts of nutrients.

• Saturated fat: Less than 7% of total calories.
• Polyunsaturated fat: Up to 10% of total calories.
• Mono-unsaturated fat: Up to 20% of total calories.
• Carbohydrate: 50% to 60% of total calories.
• Fiber: 20 to 30 grams per day.
• Protein: Approximately 15% of total calories.
• Cholesterol: Less than 200 mg per day.
• Total calories: Balance calorie intake and expenditure to maintain desirable body weight and prevent weight gain.

Tips for Success with the Therapeutic Lifestyle Changes (TLC) Diet

Use the following tips for success with the cholesterol-lowering therapeutic lifestyle changes (TLC) diet.

• Work with your health care provider on a plan for lowering cholesterol through diet.
• Gather detailed, easy-to-understand educational materials about the diet.
• Gather information about menus, cooking classes, support groups, books, and videos.
• Get support from your family in making changes in your diet.
• Think ahead and make realistic and customized meal plans.
• Get the help of a registered dietitian if you have questions about the TLC diet.
• Change the way you plan, prepare, and eat every meal.
• Learn how to read and interpret food labels. Look for the amount of saturated fat per serving, and determine its percentage of your total saturated fat intake for the day. "Low-fat" doesn't always mean what it seems. Some labels measure fat content by weight rather than as a percentage of the calories in a serving.
• Limit fast foods. It can be difficult to choose a low-fat alternative.
• Exercise. Always consult your health care provider before beginning an exercise program.

Sample Menu for the TLC Diet for High Cholesterol

Here is a sample one-day menu for the therapeutic lifestyle changes (TLC) diet. The menu contains approximately 2,200 calories, with 25% of calories from total fat (5% from saturated fat, 13% from mono-unsaturated fat, and 7% from polyunsaturated fat).

Breakfast	1/2 cup oatmeal with 1 cup nonfat milk 1 teaspoon brown sugar 1 sliced banana Caffè lattè made with 1 cup nonfat milk
Lunch	Sandwich made from 2 slices whole wheat bread 2 ounces lean turkey 1 tablespoon mayonnaise lettuce
Snack	1 cup low-fat or nonfat vanilla yogurt 1/2 cup mixed raisins and peanuts
Dinner	3 ounces baked or broiled salmon 1 cup cooked brown rice 1 cup cooked broccoli 1 tablespoon olive oil (used in cooking) Salad made with 1-1/2 cups romaine lettuce, 1/2 cup tomatoes, 1/4 cucumber, 1 tablespoon vinegar & oil dressing 1 slice Italian bread with 1 teaspoon soft margarine
Snack	1 sliced peach with 1 cup nonfat milk

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EXERCISE, HIGH CHOLESTEROL & HEART DISEASE

All people, and especially those with high cholesterol, should exercise at least 30 minutes on most if not all days. Exercise is a very effective way of reducing risk factors for coronary artery disease (CAD) and high cholesterol. Regular exercise:

• Raises HDL cholesterol levels.
• May lower LDL cholesterol levels.
• Can help overweight people lose weight.
• Lowers blood pressure in some people.

There is growing evidence that regular physical activity protects against coronary artery disease. Added benefits of regular exercise include:

• Mental well-being and stress relief.
• Increased flexibility, if stretching is done afterwards.
• Increased bone strength, if the exercise includes weight-bearing exercises, such as jogging or lifting weights.

Customize your exercise program according to your fitness level, the health of your heart, and your personal preferences. Aerobic exercise (brisk walking, jogging, swimming, bicycling, racquetball) is best.

Some people, especially those with a history of CAD, should discuss their exercise plans with their health care providers before starting a vigorous fitness program.

Exercise is especially important for those with high triglyceride levels, low HDL levels, and a large waist (metabolic syndrome). A large waist is more than 40 inches for men and more than 35 inches for women.

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WEIGHT LOSS, HIGH CHOLESTEROL & HEART DISEASE

If you are overweight, you can lower the risk of developing coronary artery disease by losing weight. Benefits of weight loss include:

• Reducing LDL cholesterol.
• Increasing HDL cholesterol.
• Lowering blood pressure.
• Improving your body's use of blood sugar (glucose) and helping to prevent or control diabetes.
• Lowering triglycerides.

Even small amounts of weight loss enhance the LDL cholesterol reduction that results from a low-fat diet. A weight loss of 5 lb (2.27 kg) to 10 lb (4.54 kg) can double the LDL cholesterol reduction of a low-fat diet.

Increasing physical activity and reducing calorie intake are the keys to long-term weight reduction. The goals for a weight-loss program need to be practical and individualized.

Losing weight is especially important if you have high triglyceride levels and low HDL levels and are overweight with a large waist measurement (metabolic syndrome). This means more than a 40-inch waist for men and more than 35 inches for women.

If you are trying to lose weight, it is recommended that you lose no more than 1 pound (0.45 kg) per week. This can be done by reducing the daily calorie intake by 250 calories and increasing exercise to burn 250 calories a day (for a net reduction of 500 calories per day).

Very low-calorie diets (500 to 800 calories a day) and rapid weight-loss programs usually don't work in the long run and can be harmful.

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ARTICHOKES TO FIGHT CHOLESTEROL Artichoke leaves contain a large quantity of bitters that can reduce cholesterol levels and promote liver function. Preparations with Artichoke Extract may be purchased in health-food stores. Many bitter herbs, such as Oregon Grape, Dandelion and Burdock, can also be of great help.

HOLISTIC & DIETARY RECOMMENDATIONS, HERBS & SUPPLEMENTS

Cholesterol is important for the health of every cell in the body. It helps the liver to digest fat, plays a role in sex hormones and maintains supple skin. Interestingly, we do not need food to supply us with cholesterol. The liver makes all the body requires. In fact, when combined amounts from food and the body push the cholesterol levels increasingly upward, this fat-like substance can become a serious hazard. The two types of cholesterol are both lipoproteins, compounds of protein and cholesterol originating in the liver. "Bad" cholesterol, low-density (LDLs) are metabolized by the cells; their by-products are later excreted. Excess cholesterol that the liver can not digest and excrete can build up in the arteries and lead to arteriosclerosis. "Good" cholesterol, high-density lipoproteins (HDLs), however, pick up cholesterol so it can be excreted. To prevent high levels of LDLs, eliminated foods high in saturated fats. Also, exercise can keep levels under control.

High cholesterol is directly related to conditions such as Alzheimer's Disease, Arteriosclerosis, Cardiovascular Disease, circulatory Problems, Heart Attack, Hypertension, and Osteoporosis. These conditions are discussed throughout this website. It is recommended that you refer to all the various webpages on these interrelated diseases to educate yourself about all aspects of, and contributing factors to high cholesterol.

What you can do is to protect yourself from high cholesterol levels with a healthful diet that includes plenty of fiber and very few saturated fats. Also, exercise regularly, and lose those extra pounds if you are overweight. A regular walking routing is a good choice of exercise and helps to keep your weight under control. Limit alcohol use, and if you smoke, stop.

Every adult should be checked for cholesterol levels at least every five years. If you are at high risk, if you suffer from diabetes or high blood pressure or if you have a family history of coronary-artery disease, you should have your levels checked yearly. Elevated levels of cholesterol are a first warning sign for your risk of arteriosclerosis, heart attack or stroke. To reduce the risk, begin a diet and exercise program. Discuss with your health care provider any guidelines you need to follow. Monitor your cholesterol levels regularly.

GARLIC TO FIGHT CHOLESTEROL Compounds in Garlic can help improve the ratio of HDLs to LDLs. Several cloves of garlic taken daily are enough to reduce the amount of fat in the blood. Or, you can take 2 Garlic Tablets or Capsules 1-3 times daily.

CHOLESTEROL & DIET OVERVIEW

Diet is the first defense against high cholesterol. Cut back on red meats, fried foods, dairy and processed fats; eat lots of fresh vegetables, fruits, fish, and whole grains, since roughage sometimes encourages the body to get rid of excess cholesterol. Pectin, found in apples, can also help to remove cholesterol from the bloodstream. Use unsaturated fats, such as safflower or corn oil, in cooking. Soy products, such as tofu, are high in protein and low in fat. Avoid the over-consumption of caffeine and alcohol.



DIETARY RECOMMENDATIONS

Include in the diet the following foods, which aid in lowering cholesterol: Almonds, apples, bananas, carrots, cold-water fish, dried beans, garlic, grapefruit, salmon, and strawberries.

Make sure to take in plenty of fiber in the form of fruits, vegetables, and whole grains. Water-soluble dietary fiber is very important in reducing serum cholesterol. The soluble fiber in legumes, vegetables and fruits is especially beneficial in helping to reduce cholesterol. Soluble fiber binds to fats and makes them easier to eliminate. Fiber is found in barley, beans, brown rice, fruits, glucomannan, guar gum, and oats. Oat bran and brown rice bran are the best foods for lowering cholesterol. Whole-grain cereals (in moderation) and brown rice are good as well. Eat plenty of kidney beans, split peas, apples, carrots, corn, and broccoli. The insoluble fiber in whole grains is also important to include in your diet, since it fosters healthy digestion and elimination. Since fiber absorbs the minerals from the food it is in, take extra minerals separately from the fiber.

Drink fresh juices, especially carrot, celery, and beet juices. Carrot juice helps to flush out fat from the bile in the liver and this helps lower cholesterol. See Juicing for more information.

Go on a monthly spirulina fast, with carrot and celery juice or lemon and steam-distilled water. See Fasting for more information.

Use only unrefined cold-pressed or expeller-pressed oils. Cold-pressed oil are those that have never been heated above 110°F during processing - at this temperature, enzyme destruction begins. Use vegetable oils that are liquid at room temperature, such as Olive, Soybean, Flaxseed, Evening Primrose, and Black Currant Seed Oil. Olive Oil is recommended.

Pure Extra Virgin Olive Oil appears to help reduce serum cholesterol. A monounsaturated-fatty-acid-rich diet that includes olive oil may be the reason for the low serum cholesterol levels found in people living in Italy and Greece.

Do not eat any nuts except for raw, unsalted pecans, walnuts and almonds, which can be eaten in moderation. Eat walnuts only if they are raw and have been kept tightly sealed or refrigerated; do not eat them if they have been roasted (or otherwise subjected to heat) or exposed to air (such as those found in open bins in shopping mall kiosks and candy stores). Almonds are rich in the amino acid arginine, and were found in one study to cut cholesterol levels by 16 points over a 4 week period.

Reduce the amount of saturated fat and cholesterol in your diet. Saturated fats include all fats of animal origin as well as coconut and palm kernel oils. Eliminate from the diet all hydrogenated fats and hardened fats and oils such as margarine, lard, and butter. Margarine that contains plant sterols, however, are a relatively healthy option. Consume no heated fats or processed oils, and avoid animal products (especially pork and pork products) and fried fatty foods. Always read food product labels carefully. You may consume non-fat milk, low-fat cottage cheese, and skinless white poultry meat (preferably turkey), but only in moderation.

Meat and dairy products are primary sources of dietary cholesterol. Vegetables and fruits are free of cholesterol.

The body does need some fats, but they must be the right kind. Good fats supply essential fatty acids, which are a very important link in our health chain. The highly unsaturated essential fatty acids, which the body cannot produce, lower heart disease risks. They replace undesirable fats and help to reduce the synthesis of LDLs. Fats supply energy, and they stay in the digestive tract for longer periods than proteins or carbohydrates, giving a feeling of fullness. They act as an intestinal lubricant, generate body heat, and carry the fat-soluble vitamins A, D, E, and K in the body. The protective myelin sheaths that protect nerve fibers are composed of fats. All cell membranes are composed of fats as well. Unfortunately, most Americans consume much too much of the wrong fats - that is, saturated, hydrogenated, and heated fats - which are linked to obesity, cardiovascular disease, and certain types of cancer. Essential fatty acids are mostly in ocean fish and in flaxseed, evening primrose, borage-seed, grape-seed and other similar oils. Eat 3 servings of fish a week, take Omega-3 supplements or take a tablespoon of one of the above oils.

Many fast-food restaurants use beef tallow (fat) to make their hamburgers, fish, chicken, and French-fried potatoes. Not only do these fried foods contain high amounts of cholesterol, but this fat is subjected to high temperatures in the deep-frying process, resulting in oxidation and the formation of free radicals. Heating fat, especially frying food in fat, also produces toxic trans-fatty acids, which seem to behave much like saturated fats in clogging the arteries and raising blood cholesterol levels.

Many people use margarine or vegetable shortening as substitutes for butter because they contain no cholesterol. However, these products contain compounds called cis- and trans-fatty acids that become oxidized when exposed to heat and can clog the arteries. They have been linked to the formation of damaging free radicals.

Do not consume alcohol, cakes, candy, carbonated drinks, coffee, gravies, non-dairy creamers, pies, processed or refined foods, refined carbohydrates, tea, tobacco, or white bread.

Red wine may help to elevate the level of HDL in the blood and thereby provide some protection against heart disease. Drink 1 glass of red wine every day. However, if you currently do not consume any alcohol in your diet, do not start drinking it just for this purpose. If you are pregnant, do not consume any alcohol.

In large amounts, coffee can elevate blood cholesterol levels, more than doubling the risk of heart disease. According to a report published in The New England Journal of Medicine, observation of 15,000 coffee drinkers revealed that as the intake of coffee rises, the amount of cholesterol in the blood goes up.

Cream substitutes (non-dairy creamers) are actually poor alternatives to cholesterol-heavy dairy products. Many contain coconut oil, which is a highly saturated fat. Soy milk or almond milk is preferable.

Avoid gas-forming foods such as Brussels sprouts, cabbage, cauliflower, and sweet pickles.

Kombucha tea, which has energizing, detoxifying, and immune-boosting properties, may help to lower cholesterol levels. See Kombucha Tea for more information.

Antioxidants provide the cells with the nutrients they require to prevent excess cholesterol and other fats from building up in the body tissues. Supplement your diet with vitamins A, C and E and the mineral selenium. Also, niacin has the ability to help lower cholesterol, but do not take it in large amounts - it can lead to liver damage.

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ALTERNATIVE OR COMPLEMENTARY MEDICINE THERAPIES

Human growth hormone therapy has been found to decrease cholesterol levels. See Growth Hormone Therapy for more information.

Some people have hereditary disorders that prevent even the healthiest diet from lowering LDL levels. For these people, researchers are working on a device that uses an enzyme to break down LDL and accelerate its removal before it can fasten onto artery walls to form plaque. The device would be implanted under the skin to control the LDL levels in the blood. There currently is a system called Liposorber that uses a filtration system for removing LDL cholesterol in those individuals that do not respond to other treatments.

See Chelation Therapy for more information.

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FOODS FOR HEALTH Garlic, onions, Cayenne, Ginger, Turmeric and Curry have all been shown to improve cholesterol. Try to use onions daily in meal preparation. Garlic and Ginger Root are healthful spices to have on hand and use regularly.

HERBS

Cayenne (capsicum), Goldenseal, and Hawthorn Berries help to lower cholesterol. Caution: Do not take goldenseal internally on a daily basis for more than one week at a time, do not use it during pregnancy, and use with caution if you are allergic to ragweed.

Spirulina, taken on a daily basis, has been shown to lower cholesterol. Use as directed on label. Take between meals.

Spirulina, 100% Organic, NOW Foods, 500 mg, 120 VCaps

Spirulina Powder, 100% Natural, NOW Foods, 1 lb.

Spirulina Natural, Earth Rise, 500 mg, 180 Tabs

Spirulina Natural Green Super Food For Longevity, Earth Rise, 500 mg, 360 Tabs

Cinnamon has been shown to lower cholesterol. Use of Cinnulin PF is recommended rather than the culinary spice. If you are pregnant, do not take cinnamon as a dietary supplement. Small amounts used for culinary use is okay.

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NUTRITIONAL SUPPLEMENT RECOMMENDATIONS

The following nutrients are important for healing once appropriate local treatment has been administered. Unless otherwise specified, the following recommended doses are for those over the age of 18. For a child between 12 and 17 years old, reduce the dose to 3/4 the recommended amount. For a child between 6 and 12 years old, use 1/2 the recommended dose, and for a child under 6, use 1/4 the recommended amount.

NUTRIENTS
Supplement	Suggested Dosage	Comments
Very Important
Apple Pectin	As directed on label.	Lowers cholesterol levels by binding fats and heavy metals.
Calcium	As directed on label.	To prevent hypocalcemia, or low calcium levels. Use calcium aspartate form. Calcium Ionic Mineral Supplement, Fully Absorbable, 700 +/- ppm, 16 fl. oz., Liquid Calcium W/ConcenTrace, Orange Vanilla, Trace Minerals, 1000 mg, 32 fl. oz., Cal-Mag Pre-Chelated Calcium & Magnesium, Vital Earth, 240 Gelcaps
Red Yeast Rice	As directed on label.	Contains lovastatin, which has been proven to reduce cholesterol levels (synthetic lovastatin is often prescribed for this purpose). Red Yeast Rice, By Hi-Tech Pharmaceuticals, 90 Tabs, Red Yeast Rice Extract, Vegetarian, NOW Foods, 600 mg, 120 VCaps, Red Yeast Rice Powder, NOW Foods, 4 oz.
Plus Choline & Inositol	100-300 mg 5 times daily.	Improves brain function and circulation to the brain. Use under professional supervision. Choline Supplement, 100% Natural, Nature's Way, 500 mg, 100 Tabs, Choline & Inositol, 100% Natural, Nature's Way, 250 / 250 mg, 100 Caps, Inositol (Vitamin B-8), 100% Natural, Pure Crystalline, Nature's Way, 500 mg, 100 Caps
Chromium Picolinate	400-600 mcg daily.	Lowers total cholesterol levels and improves HDL-to-LDL ratio. Chromium Picolinate, NOW Foods, 200 mcg, 100 Caps, Ionic Chromium Supplement, Trace Minerals, 550 mcg, 2 fl. oz., Chromium Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz.
Coenzyme Q-10	60 mg daily.	Improves circulation. Increases oxygenation of heart tissue. Has been shown to prevent recurrences in individuals who have had a heart attack. CoQ10, Vegetarian Coenzyme, NOW Foods, 30 mg, 60 VCaps, CoQ10, Now Foods, 400 mg, 60 Softgels
Coenzyme A	As directed on label.	Works well with CoQ10 to streamline metabolism, process fats, increase energy, support adrenal glands, remove toxins from the body, boost the immune system, and improve overall physical and mental processes. Pantethine (Coenzyme A Precursor), Highly Active Form of Vitamin B-5, 300 mg, NOW Foods, 60 Softgels
Fiber (Oat Bran & Guar Gum are good sources)	As directed on label, 1/2 hour before the first meal of the day. Take separately from other supplements and medications.	Helps lower cholesterol. Oat Bran Extract, Standardized 54% Beta Glucan, Vegetarian, Nature's Way, 60 VCaps, Cleansing Blend With Fibers, Natural Laxative, Nature's Secret, 275 Tabs, Guar Gum, NOW Foods, 700 mg, 120 Caps
Garlic (Kyolic)	2 capsules 3 times daily, with meals.	Effective in lowering cholesterol levels and blood pressure. Garlic helps to strengthen the heart muscle. Thins the blood. Garlic Oil Tincture, Alcohol Free, Nature's Way, 1 fl. oz., Garlic Bulb Cloves, Garlic Supplement, Nature's Way, 580 mg, 100 Caps, Odorless Garlic Supplement, NOW Foods, 50 mg, 250 SoftGels, Garlic Supplement, Kwai, Triple Concentrated, 180 Tabs, Every Day Garlic Supplement, Kwai, 30 Tabs, Garlic Tincture, 100% Organic, 2 fl. oz., Aged Garlic Extract, Cardiovascular Formula 100, Wakunaga Kyolic Supplements, 300 Caps, Kyolic Liquid Aged Garlic Extract, Cardiovascular, Vegetarian, Wakunaga Kyolic, 4 fl. oz., Kyolic Aged Garlic Extract, One-A-Day, Vegetarian, 1000 mg, Wakunaga Kyolic, 30 Caps, Aged Garlic Extract, Cholesterol Formula 104, Wakunaga Kyolic, 200 Caps
Kyolic EPA	As directed on label.	Reduces triglyceride levels in the blood.
L-Carnitine	As directed on label.	Helps to strengthen the heart muscle and to promote circulation by transporting long fatty acid chains. Reduces fat and triglyceride levels in the blood. Increases oxygen uptake and stress tolerance. Studies conducted using 4 grams (4,000 mg) of Carnitine daily for 12 months showed lowered death rates and lowered cholesterol levels in people who previously had heart attacks. L-Carnitine Liquid, Double Strength, NOW Foods, 16 fl. oz., L-Carnitine, Stable Tartrate Form, NOW Foods, 500 mg, 60 Caps
Lecithin Granules Or Capsules	1 tablespoon 3 times daily, before meals. 1,200 mg 3 times daily, before meals.	Lowers cholesterol. Emulsifies (breaks up) fats. Lecithin Vegetarian Granules, NOW Foods, 97% Phosphatides, Identity Preserved Non-GE, 1 lb, Lecithin Liquid, NOW Foods, Vegetarian, 16 fl. oz., Lecithin Concentrate, Nature's Way, 400 mg, 100 SoftGels
Or Lipotropic Factors	As directed on label.	Reduces fat and triglyceride levels in the blood. Has substances that prevent fat deposits (as in atherosclerosis).
Pantothine	As directed on label.	A derivative of pantothenic acid that reduces LDL cholesterol. Pantothine (CoEnzyme A Precursor), Highly Active Form of Vitamin B-5, 300 mg, 60 SoftGels
Vitamin A With Carotenoid Complex	As directed on label. If you are pregnant, do not exceed 10,000 IU daily.	If you are taking cholesterol-lowering drugs, your lycopene levels will be reduced. Lycopene is one of the carotenoids that boosts the immune system. Vitamin A, 10,000 IU, 100% Natural, Nature's Way, 100 Softgels, Multi-Carotene Antioxidant, Nature's Way, 60 Softgels, Shark Liver Oil With Vitamin A, NOW Foods, 40 mg / 10,000 IU, 120 SoftGels
Lycopene Plus Lutein	As directed on label.	Carotenoids that lower LDL (bad) cholesterol. Lycopene, Double Strength, NOW Foods, 20 mg, 50 SoftGels, Lycopene, Super Antioxidant Supplement, Nature's Way, 5 mg, 60 SoftGels, Lutein Supplement, Nature's Way, 20 mg, 60 SoftGels
Vitamin B Complex	As directed on label.	B vitamins work best when taken together. Ultimate B (Vitamin B Complex), Nature's Secret, 60 Tabs, Vitamin B-100 Complex, w/ Coenzyme B-2, Nature's Way, 631 mg, 100 Caps
Plus Extra Vitamin B-1 (Thiamine)	As directed on label.	B vitamins work best when taken together. Important in controlling cholesterol levels and fat metabolism. Protects the liver from fat deposits. Vitamin B-1 / Thiamine HCl (Hydrochloric Acid), 100% Natural, Nature's Way, 100 mg, 100 Caps
Vitamin B-3 (Niacin)	300 mg daily. Do not exceed this amount and do not exceed a total of 200 mg daily if you have a history of rheumatic heart disease or other valvular heart disease.	B vitamins work best when taken together. Lowers cholesterol and improves circulation. Do not use a sustained release formula, and do not substitute niacinamide for niacin. Caution: Do not take niacin if you have a liver disorder, gout, or high blood pressure. Niacin Supplement (Vitamin B-3), 100% Natural, Nature's Way, 100 mg, 100 Caps
Vitamin C With Bioflavonoids	3,000-8,000 mg daily, in divided doses.	Lowers cholesterol. Extremely important in treating cardiovascular disease. Vitamin C Liquid w/ Rose Hips & Bioflavonoids, Kosher, Natural Citrus Flavor, Dynamic Health, 1000 mg, 16 fl. oz., Ester C With Bioflavonoids, Nature's Way, 1000 mg, 90 Tabs, Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps, The Right C, Nature's Way, 1000 mg, 120 Tabs
Vitamin E	200 IU daily or 400 IU every other day and slowly increase dosage to 1,000 IU daily. Consult your health care provider if you are taking anticoagulant medication.	Strengthens the immune system and heart muscle, improves circulation, and destroys free radicals. The emulsion form offers rapid assimilation. Use d-alpha-tocopherol form. Caution: Use this supplement only under the supervision of a health care provider. Ester E Natural Vitamin E, California Natural, 400 IU, 60 Softgels, Vitamin E, 400 IU, 100% Natural, NOW Foods, 100 Gels, Vitamin E-1000, NOW Foods, 1000 IU, 100 Gels, Vitamin E, d-alpha-tocopherol, 400 IU, 100 Softgels
Helpful
Chitosan	As directed on label.	A polysaccharide derived from shellfish that has been shown to reduce blood cholesterol levels. Chitosan Fat Blocker, NOW Foods, 500 mg, 120 Caps
Chromium Picolinate	As directed on label.	Lower LDL cholesterol. Chromium Picolinate, NOW Foods, 200 mcg, 100 Caps, Ionic Chromium Supplement, Trace Minerals, 550 mcg, 2 fl. oz., Chromium Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz.
Citrin	As directed on label.	Inhibits synthesis of fatty acids in liver, thus helping to prevent an accumulation of potentially dangerous fats in the body. Vitamin C Complex Powder, NOW Foods, Vegetarian Formula, 8 oz.,
Essential Fatty Acids (Flaxseed Oil, Black Currant Seed Oil, MaxEPA, Primrose Oil, and Salmon Oil are all good sources.)	As directed on label. Take with vitamin E as directed above.	Reduces LDL level and thins the blood. Helps prevent hardening of the arteries. If you use a fish oil, use a product with vitamin E added to prevent rancidity. Ultimate Oil, Essential Fatty Acids Supplement, Nature's Secret, 90 SoftGels, Barlean's Flax Oil, 100% Highest Lignan Content, Organic, Pesticide & Herbicide Free, 16 fl. oz., Barlean's Flax Oil, Highest Lignan, 1000 mg, 250 Caps, Black Currant Oil, 500 mg, NOW Foods, 100 SoftGels, Barlean's Primrose Oil, With Gamma Linolenic Acid (GLA), 1300 mg, 120 SoftGels, Wild Salmon Oil, 2000 mg, 120 EPA/ 80 DHA, NOW Foods, 250 SoftGels
Or "Green Drinks" Fresh Wheatgrass Juice Such as Kyo-Green from Wakunaga	As directed on label.	Concentrated barley and wheatgrass juice; contains nutrients needed for healing and prevention of heart disease. Use liquid or tablet form. Also prepare fresh "green drinks" from green leafy vegetables. Wheatgrass Supplements & Products
Heart Science From Source Naturals	As directed on label.	Contains antioxidants, cholesterol fighters, herbs, and vitamins that work together to protect the heart and promote cardiovascular function.
Proteolytic Enzymes	As directed on label. Take with meals and between meals.	Aids digestion. Caution: Do not give the supplement to a child. MetabolicZyme (Hypoallergenic), Allergy Research Group / Nutricology, 900 Tabs, Plant Enzymes, NOW Foods, Vegetarian, 120 VCaps, Enzymes, All Complete, 250 mg, 90 Caps
Selenium	200 mcg daily. Do not exceed a total daily intake of 800 mcg daily from all sources, including diet. If you are pregnant, do not exceed 40 mcg daily.	Deficiency has been linked to heart disease. Caution: Do not take supplemental selenium if you are pregnant or have heart, kidney, or liver disease. Selenium Supplement, Yeast Free, NOW Foods, 200 mcg, 180 Caps, Selenium Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz., Ionic Selenium, Trace Minerals, 300 mcg, 2 fl. oz., Selenium, 100% Natural, Nature's way, 200 mcg, 100 Caps
Shiitake Or Reishi	As directed on label. As directed on label.	Helps to control and lower cholesterol levels. Mushroom Master 3 Mushroom Tincture, Red Reishi, Shiitake & Maitake Mushroom Extracts, Herbal Remedies USA, 2 fl. oz., Reishi Mushroom, Whole, 100% Organic, 4 oz., Shiitake Mushroom, Whole, 100% Organic, 4 oz.

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VITAMIN THERAPY FOR HEART DISEASE

Your heart is the most important muscle in your body. As the most active muscle in the body, the heart requires proper nutrition. Poor nourishment has a profound effect on the heart. Research has shown that as people age, their eating habits get worse, thus increasing their risk of cardiovascular disease. In this case supplementation has to be resorted to provide the body with the proper nutrition.

Caution:

• If you are pregnant, or intend to get pregnant, or if you have liver disease, consult your midwife or health care provider before taking supplemental vitamin A.



• If you have high blood pressure, limit your intake of supplemental vitamin E to a total of 400 international units daily.



• If you are taking an anticoagulant (blood thinner), consult your health care provider before taking supplemental vitamin E.

BIOFLAVONOIDS: These are a group of compounds that provide color to citrus fruits and vegetables. In conjunction with Vitamin C, some bioflavonoids are potent antioxidants to improve the strength of small blood vessels or capillaries. They prevent the oxidation of cholesterol in the blood and prevent the clotting of the blood by making the blood less thick.

BETACAROTENE: Beta carotene is the plant form of vitamin A. It can be converted into vitamin A by the body. Beta carotene, as an antioxidant, protects against heart disease by inhibiting the conversion of LDL into its more dangerous, oxidized form. One study found that 50 mg of beta carotene taken every other day reduced the incidence of major coronary and vascular events. Beta carotene is found in yellow-orange fruits and vegetables.

VITAMIN C: Recent research has shown that taking plenty of Vitamin C provides more protection against heart disease than either maintaining a low blood cholesterol or eating a low fat diet. It is believed that the beneficial effect of Vitamin C is from a variety of factors:

• Vitamin C plays a role in the conversion of cholesterol into bile acids. If vitamin C is lacking, less cholesterol is converted. Instead, the cholesterol may build up in the arteries, blood and liver.



• Vitamin C is needed for the normal metabolism of blood fats. It builds the collagen that helps to keep artery walls strong.



• Vitamin C reduces the high blood pressure and reduces the hardening of the arteries.



• Vitamin C affects the levels of glutathione in the blood. Glutathione is a compound that helps guard against heart disease. Lower levels of Vitamin C was found to result in lower levels of glutathione in the blood stream.



• Vitamin C is an antioxidant that helps to control the free radicals and other oxidants that can convert LDL into its more dangerous, artery-clogging form.



• Vitamin C supplementation drives down cholesterol in people with high cholesterol and low levels of vitamin C in the blood. Adding pectin, or other agents that bind cholesterol, increases the effect.



• The level of vitamin C in the blood has been found to be related to the CHD-related angina pain. The higher the level of vitamin C, the less pain. Good sources of vitamin C include citrus fruits, strawberries and sweet red peppers.

VITAMIN E: Vitamin E is believed to prevent the oxidation of LDL, the bad cholesterol, thus reducing the risk of coronary heart disease. The vitamin may play a role in regulating the way that cells lining the arteries proliferate and repair themselves, and may protect them from the damaging oxidants. This helps to prevent the formation of blockages on the artery walls. Vitamin E supplementation may increase the protective HDL. The amount of vitamin E in the blood may be inversely related to the death from heart attacks. In other words, a greater level of vitamin E in the blood may translate to a lower risk of death. Vitamin E strengthens the immune system and heart muscle, improves circulation, and destroys free radicals. Caution: Use this supplement only under the supervision of a health care provider. Recommended Dosage: Start with 100-200 IU daily and increase slowly, adding 100 IU each week until daily dosage is 800-1,000 IU. If you take an anticoagulant drug, do not exceed 400 IU daily. Use d-alpha-tocopherol form.

SELENIUM: The amount of selenium in the blood and red blood cells may be related to the risk of CHD and heart attacks. The lower the level of selenium, the more the risk. Selenium activates glutathione proxidase, one of the most potent antioxidants, that prevents the free radicals from attacking LDL cholesterol and prevent its conversion into its more artery-damaging, oxidized form. Selenium also helps to "thin" the blood. When the blood is "thin," there is less chance that unnecessary blood clots will form and trigger a heart attack by lodging in an already-narrowed artery. Lower levels of selenium has also been linked to higher levels of the incidence of stroke. A 1982 study of 11,000 men and women in Finland found that people with low blood selenium levels had an increased risk of developing coronary artery disease. After accounting for other risk factors, 22 percent of the heart attack deaths in this population were attributed to low selenium levels. Another study of Finnish men in 1991 linked low selenium levels to atherosclerosis of the carotid arteries. A recent study has shown that those who had higher selenium levels in the blood had 60 percent lower risk of heart disease than people who had lower levels of this mineral. When patients who had heart attacks were treated with selenium or selenium-rich yeast, they had fewer second attacks than those who were given a placebo. Good sources of selenium include barley, shrimp and whole grains. Recommended Dosage: RDA for selenium is 70 micrograms for men, and 55 micrograms for women. If you are at high risk for heart disease, you may take 200 mcg daily under professional supervision. However, it you are pregnant, do not exceed 40 mcg daily. Selenium is provided by many foods including tomatoes, poultry, shellfish, garlic, meat, and egg yolks.

NIACIN (VITAMIN B-3): Recently, Niacin has got publicity for reducing cholesterol. It has also been found effective in reducing the incidence of second heart attack by 30 percent. Higher levels of Niacin can lead to hot flushes and liver damage. So, be very careful when taking therapeutical doses of this vitamin. Consult a qualified person before starting this treatment. Caution: Do not take niacin if you have a liver disorder, gout, or high blood pressure. Recommended Dosage: 50 mg daily. Do not exceed a total of 200 mg daily if you have a history of rheumatic heart disease or other valvular heart problem.

VITAMIN B-6 (PYRIDOXINE): Pyridoxine deficiency has been linked to heart disease. Extremely important for formation of red blood cells and neurotransmitters. Animal studies have shown that diets deficient in B-6 can lead to hardened, narrowed arteries. This may be because B-6 helps to prevent the unnecessary blood clots that can block arteries. B-6 is also necessary to control homocysteine that appears to damage artery linings and encourage heart disease. Recommended Dosage: 50 mg daily. B-6 is found in whole grains, lentils and sweet potatoes.

FOLIC ACID: Recent studies have shown that folic acid can ward of heart attacks and strokes. A deficiency of folic acid can increase the risk of heart disease 200 to 300 percent. Folic acid was shown to break down homocysteine, an amino acid. Homocysteine was shown to increase the risk of heart attack by 300 percent. Higher levels of homocysteine were found to cause significant blockages in the carotid arteries. (Carotid arteries are found in the neck. They deliver blood to the brain.) Ten percent of all heart disease in the United States is believed to be from high levels of homocysteine. Hence folic acid, which breaks down homocysteine, is a very important deterrent to the heart disease. It is found in foods such as navy beans, broccoli, orange juice, green leafy vegetables, fruits and legumes. Recommended Dosage: 400 mcg daily.

VITAMIN B-12: Shortage of Vitamin B-12 has been associated with elevated levels of the dangerous homocysteine. Elevated levels of homocysteine can damage the inner surface of arteries. This can be treated and/or prevented with vitamin B-12, vitamin B-6 and folic acid. Many cardiologists are now using B-vitamins to help prevent coronary artery disease.

CALCIUM: In the proper amounts, calcium may help to keep cholesterol under control and may prevent dangerous blood clots. Too much calcium may increase the risk of heart disease, especially if there is too much calcium in relation to magnesium. Sources of calcium include milk, sardines (with bones) and cheese.

MAGNESIUM: A lack of magnesium has been linked to an increased risk of CHD, heart attacks and improper heartbeats. Many health care providers report using magnesium as a first-line treatment for treating irregular heart rhythms. Magnesium supplementation may reduce the total cholesterol, increase the beneficial HDL and prevent unnecessary "clumping" in the blood that can trigger a heart attack. The mineral may also reduce the symptoms of angina or may prevent future attacks. What is remarkable is that magnesium is beneficial even when a heart attack is in progress. In a study involving 2,300 people, some patients were given magnesium injections while they were having heart attacks. The injections cut the death rate by 25 percent. Magnesium can be found in almonds, parsley and spinach. Caution : An excess of magnesium can cause diarrhea. If you develop loose stools, reduce the dosage slightly until you arrive at the best dosage for your body. If you suspect a heart attack, get medical attention immediately.

Calcium, magnesium and Vitamin B-6 should be taken together for proper absorption and effectiveness. Recommended Dosage: 1,500-2,000 mg calcium daily, in divided doses, after meals and at bedtime. 750-1,000 mg magnesium daily, in divided doses, after meals and at bedtime. Take with 50 mg vitamin B-6.

CHROMIUM: Chromium is a trace metal that is vital to human health. Nutritionists are not sure exactly what chromium does in the body or how much is needed to maintain health. Chromium supplements were found to help raise HDL cholesterol levels - an important benefit in CHD. Chromium is important for normal metabolic functions, particularly for carbohydrate metabolism. It plays a significant role in regulating blood sugar. A Recommended Daily Allowance has not been established for chromium. A daily intake of 50 to 200 micrograms is often recommended. It is estimated that 50 to 90 percent of Americans are not getting enough chromium in their diets. Trace amounts of chromium are present in many foods. The best dietary source is brewers yeast, which contains chromium in the form of GTF (glucose tolerance factor). Other good sources of chromium include peanuts, legumes, and whole grains. Chromium deficiency was found to increase the blood cholesterol levels of rats. Chromium supplementation, on the other hand, was found to bring the cholesterol values back down. More impressively, some rats were found to actually develop fatty plaques of atherosclerosis in their arteries as a result of chromium deficiency. Between 1968 and 1982 at least 6 independent trials investigated the effects of chromium supplements on blood cholesterol levels in healthy volunteers. Chromium supplements appeared to produce small reductions in serum cholesterol levels. What was significant, though, was that HDL levels rose by an average of 10 percent. A 1978 study checked blood chromium levels in patients undergoing coronary angiograms and found that low chromium levels could account for 17 percent of their atherosclerotic lesions, even after considering cholesterol and other cardiac risk factors. In a 1991 study, 63 men in North Carolina suffering from hypertension and taking beta-blockers were studied. (Beta blockers are known to lower HDL and raise LDL cholesterol levels.) Half the volunteers received chromium, while the others took a placebo. Complete cholesterol profiles were obtained at the start of the trial and after 2 months of treatment. The results were significant: chromium supplements boosted HDL cholesterol levels by an average of nearly 6 points, a 16 percent increase. No changes occurred in total cholesterol, triglycerides, or body weight. No side effects were observed. According to Harvey Simon, MD of Harvard Medical School, a 6-point increase in HDL, which was achieved in the chromium trial, should reduce the risk of heart attack by about 20 percent. HDL plays an important protective role in atherosclerosis. Unfortunately, it is very hard to boost HDL levels in some people. So chromium is a natural way to boost the HDL. Experts say that if your cardiac risk is rated moderate to high, and if your HDL is below 40, you should try to raise it. Exercise, maintenance of ideal body weight, and smoking cessation should be part of everyone's plan. But if these critical changes don't bring your HDL up to protective levels, consider chromium supplementation. Recommended Dosage: Take 200 micrograms 3 times a day.

ZINC: Zinc is an antioxidant that helps maintain proper immune function. Note: Take zinc with food to prevent stomach upset. If you take over 30 milligrams of zinc on a daily basis for more than one or two months, you should also take 1 to 2 milligrams of copper each day to maintain a proper mineral balance.

COPPER: Copper plays an important role in human metabolism and in the formation of red blood cells. It only takes one and a half to 3 milligrams of copper per day to fulfill these needs. Most of us get more than enough copper from cereals, barley, legumes, nuts, shellfish, and meats. It is possible that too much copper may be harmful. Studies from 1991 and 1992 in Finland reported an association between high blood copper levels and heart attacks. The association was strong; the highest copper levels were linked to a 4-fold increase in heart attacks. It is suggested that copper can promote oxidation of LDL cholesterol.

IRON: Iron is a vital nutrient. It's an essential component of hemoglobin, the oxygen-carrying pigment in red blood cells. Americans are often low in iron. Iron deficiency is the most common cause of anemia in the United States. Iron deficiency is particularly common in women, who lose red blood cells with each menstrual period. The best dietary source of iron is red meat. Iron is also present in deep green vegetables, legumes, and certain fish. Even so, American women are estimated to get only two-thirds of the iron they need from their diet. Health care providers often recommend iron tablets to women who are menstruating, pregnant, or lactating. The September 1992 issue of the journal Circulation reported that a high level of iron in the blood was an important heart attack risk factor. The study was performed in Finland, where 1,931 middle-aged men were observed for an average of 3 years. All the conventional cardiac risk factors were evaluated. Results showed that iron was strongly associated with the risk of heart attack. The men with the highest blood iron levels were 2.2 times more likely to suffer heart attacks than men with low blood iron. Each milligram of iron in the daily diet was found to increase the heart attack risk by 5 percent. The association between iron and heart attack persisted even after other risk factors were considered; in fact, iron was second only to smoking as a risk factor. It is postulated that iron promotes the formation of free radicals, which can oxidize LDL cholesterol, thus promoting atherosclerosis. However, five studies in the USA found no link between heart attacks and dietary iron intake, blood iron levels, or body iron stores. These were large population studies. One study (1993) evaluated the body iron stores of 22,071 men in the U .S. Physicians' Health Study. Another evaluated dietary iron intake in 45,720 male health professionals. The third study checked blood iron levels in 14,916 men, and the fourth monitored iron levels in 171 men and 406 women older than 62. The fifth study in 1994 evaluated body iron stores in 4,518 Americans who had been tracked for over 20 years. A 1994 study from Iceland also found no link between iron levels and heart attacks in 2,036 people who were observed for more than 8 years. Thus, the results are contradictory as to the risk of iron to heart attack.

ALPHA-LIPOIC ACID (ALA, ALPHA-LIPOTENE): Alpha-lipoic acid, works with other antioxidants in the body to increase their effectiveness against oxidative stress. It helps the body to recycle other antioxidants. Instead of these vitamins being used up during the metabolism, they're kept available and used again. Alpha-lipoic acid can also help the body rid itself of toxic heavy metals, such as mercury and cadmium. And as a strong antioxidant, alpha-lipoic acid helps to keep arteries clear by preventing the LDL ("bad") cholesterol from being incorporated into the artery walls. Since it is both fat and water soluble, it can work inside and outside of the body cells.

BROMELAIN: An enzyme found in pineapple, bromelain may "thin" the blood and help to clear away debris from artery walls. One study has shown that bromelain can relieve the pain of angina, which is associated with CHD.

COENZYME Q-10 (COQ10): Heart muscle biopsies in patients with various cardiac diseases showed a CoQ10 deficiency in 50-75 percent of the cases. All the well functioning hearts had an adequate amount of CoQ10 in the tissue. To make it more interesting, when supplemental CoQ10 was introduced into the ailing hearts, they started getting signs of new life. The obvious conclusion is that adequate levels of CoQ10 is necessary for a well functioning system. When the levels of CoQ10 drops below optimum levels, disease takes over or already had done so. CoQ10 increases oxygenation of heart tissue. Recommended Dosage: 50-100 mg 3 times daily.

L-CARNITINE: L-Carnitine is a non-protein amino acid that is found in the heart and skeletal muscle. Carnitine has been shown to lower triglyceride and total cholesterol levels, while at the same time improving HDL levels. Since foods that are rich in L-Carnitine such as red meat and dairy products are also high in saturated fat, it is recommended that supplements of L-Carnitine be taken instead.

LECITHIN: An antioxidant found in eggs, corn and soybeans, lecithin helps prevent the conversion of LDL into its more dangerous, artery-damaging form. Lecithin may also lower the total cholesterol.

PYCNOGENOL: Pycnogenol is found to be more effective than aspirin in reducing buildup of platelets in the arteries, a major risk factor in heart disease.

SOY PROTEIN: Eating soy protein is found to reduce moderate to high concentration of blood cholesterol significantly (average of 10 percent drop in blood cholesterol was observed in a University of Kentucky study.)

TAURINE: Taurine helps to stabilize the heart beat and correct cardiac arrhythmias. An important antioxidant and immune regulator, it is necessary for white blood cell activation and neurological function. The sublingual form is recommended. Recommended Dosage: 1,000 mg daily. Take with 50 mg of vitamin B-6 and 100 mg of vitamin C for better absorption.

ESSENTIAL FATTY ACIDS: Essential fatty acids help to prevent unnecessary blood clotting, reduce inflammation, and regulate blood pressure. They are found in black currant seed oil, borage oil, evening primrose oil, fish oil, and flaxseed oil. Recommended Dosage: Take 500 to 1,000 milligrams of any of these oils twice daily.

ACTIVATED CHARCOAL: Activated charcoal is a special type of capsulated charcoal that is used in hospital emergency rooms as an antidote to many poisons. In one study, seven patients with elevated cholesterol were given 8 grams of activated charcoal three times a day. Prior to this treatment, these patients had not responded to 10 years of treatment with cholesterol medicines. After four weeks of activated charcoal therapy, their total cholesterol fell by 41 percent, and their LDL (bad cholesterol) fell by 25 percent. Meanwhile, their HDL (good cholesterol) rose by 8 percent. Recommended Dosage: Start with half a gram. Gradually raise the dosage to a gram of activated charcoal twice a day, with meals.

PECTIN: Pectin is a fiber found in grapefruit, apples and other fruits and vegetables. Human and animal studies have verified the effectiveness of pectin in lowering or counteracting the effect of cholesterol. In one study, it was found that when patients were given pectin supplementation, their total cholesterol went down by 7.6 percent, and the harmful LDL by 10.8 percent after 8 weeks. The power of grapefruit pectin was studied in pigs, whose cardiovascular systems are similar to humans. Even when the animals were deliberately fed a high-cholesterol diet, the grapefruit pectin swept away fatty plaque deposits away from the artery walls.

RECOMMENDATIONS: Take Vitamin B-6, Vitamin C (1000 to 5000 milligrams), E (400 to 800 IU), Vitamin B Complex, Beta Carotene (daily supplements of 15 milligrams or 25,000 IU), Copper, Magnesium (400 milligram supplement per day) and Lecithin. Selenium tablets (200 micrograms) may help. Taking 400 micrograms of Chromium tablets daily may help prevent the buildup of cholesterol in arteries.

The following list summarizes the vitamin, mineral and herbal regimen to help control or reverse the heart disease:

• 1,500-2,000 mg Calcium daily, in divided doses, after meals and at bedtime. And 750-1,000 mg Magnesium daily, in divided doses, after meals and at bedtime. Take with 50 mg Vitamin B-6.
• 30-100 milligrams of Coenzyme Q-10 three times a day.
• 1000 milligrams of Vitamin C three times a day.
• 400 IU of Vitamin E twice per day.
• 200 micrograms of Selenium a day.
• 50 milligrams of Vitamin B-6 a day.
• 500 milligrams of Carnitine three times a day.
• One capsule of herb Ginkgo Biloba three times a day.

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HIGH CHOLESTEROL & CARDIOVASCULAR DISEASE SUPPLEMENTS & PRODUCTS

Information, supplements and products for high cholesterol, heart disease, cardiovascular disease, and Circulatory problems that include heart attack, stroke, and other disturbances to the heart and circulatory system.

Acai Green Tea, Superfruit Tea, Republic of Tea, 50 Tea Bags Açai (ah-sigh-ee) berry is one of the most nutritious fruits in the world. For centuries, inhabitants of the Amazon rainforest have gathered these berries from the azaicero palm tree for their powerful health benefits. This deep purple fruit has the rich flavors of concord grape and ripe blueberries.

Addiction Free Naturally; Liberating Yourself From Sugar, Caffeine, Food Addictions, Tobacco, By Brigitte Mars A comprehensive guide that helps you overcome addictions by using natural remedies including herbs, homeopathy, aromatherapy, flower essence remedies, color therapy, acupressure, and more.

Advanced Gamma E Complex, Vitamin W/ Mixed Tocopherol & Tocotrienols, 120 SoftGels Advanced Gamma E Complex vitamin provides the necessary full range of antioxidant protection because it contains a more natural balance of Tocopherols plus a full complement of Tocotrienols.

Alive! Whole Food Energizer, Ultra Multi-Vitamin Powder Shake Mix With Soy Protein, vanilla, Nature's Way, 2.2 lb. Alive Ultra Shake multi vitamin is the ultimate source for nutritional energy. In addition to being a comprehensive whole food multivitamin it has the added benefit of Solae soy protein. There are more invigorating nutrients from more natural sources in each serving than are contained in any other supplement.

Alive! Whole Food Energizer, Ultra Shake Soy Protein Powder, Apple Cinnamon, Nature's Way, 2.2 lb. Alive Ultra Shake multi vitamin is the ultimate source for nutritional energy. In addition to being a comprehensive whole food multi vitamin it has the added benefit of Solae soy protein. There are more invigorating nutrients from more natural sources in each serving than are contained in any other supplement.

All Natural Travel Size Stevia Sweetener, SteviaClear Liquid, 6 ml., 60 Servings Stevia Sweetener an all natural, no calories, no carbs, no bitter aftertaste, with endless uses sweetener.

Alpha Lipoic Acid Nature's Ultimate Antioxidant, By Allan Sosin, M.D. & Beth Ley, Ph.D. This book shows how to fight back against aging and degenerative diseases with nature's powerful antioxidant.

Alpha Lipoic Acid, NOW Foods, 250 mg, 60 Caps Alpha-Lipoic Acid is a versatile water and fat soluble metabolic antioxidant. Another benefit is that it also acts as a potent free radical quencher and aids other vitamins in their antioxidant activities.

Aromatherapy Scent Inhaler, Appetite Control With Pure Essential Oils Each pocket-sized essential oil inhaler helps to address our unhealthy habits and daily concerns. They work by coordinating positive affirmations with a scientific blend of natural plant extracts. Scents: rosemary, basil, clove and black pepper.

Ayurvedic Remedies, Ayurvedic Cures For Common Diseases By Bhagwan Dash Ayurveda provides rational methods for the treatment of many diseases which are considered to be obstinate and incurable in other systems of medicine.

Back To Youth, TCM Formula, Congrong Huanshao, 100% Natural, 60 Caps Back to Youth, TCM Formula is made of extracts from prepared rehmannia root, common yam, achyranthes, wolfberry, dogwood fruit, poria, salty eucommia bark, polygala prepared with licorice, roasted morinda, schizandra fruit, salty fennel, chinquapin seed, cistanche, acorus root and common jujube fruit, Chinese herbs for aging.

Barlean's Fish Oil Capsule, Omega-3 EPA/DHA, 250 SoftGels Barlean's Fish Oil Capsule's signature formula is ideal for people who are seeking the absolute highest quality fish oil at the best value.

Barlean's Organic Fish Oil Premium Potency DHA Omega-3, 90 SoftGels Barlean's Organic Fish Oil with Super Potency DHA is a pure and pristine source of molecularly distilled, fish oil providing highly concentrated DHA omega-3 to support memory, cognition and emotional well-being for your vibrant health and energy.

Barlean's Organic Fish Oil, Fresh Catch Fish Oil, EPA-DHA Concentrate, 60 SoftGels Fresh Catch® Barlean's Organic Oil Super High Potency EPA - DHA is a pure and pristine source of fish oil providing highly concentrated EPA Omega-3 to support cardiovascular, joint, immune and colon health for your vibrant health and energy.

Barlean's Organic Oil, Super High Potency Omega-3 EPA, 60 SoftGels Fresh Catch® Barlean's Organic Oil Super High Potency EPA is a pure and pristine source of fish oil providing highly concentrated EPA Omega-3 to support cardiovascular, joint, immune and colon health for your vibrant health and energy.

Barlean's Fishery's Oil, Fresh Catch, Lemonade Flavor, Cod Liver Oil, 8 fl. oz. Barlean's Fishery brings you Fresh Catch® Cod Liver Oil, a pure and pristine source of molecularly distilled cod liver oil ideal for those who seek a naturally occurring, well-balanced ratio of EPA, DHA and vitamins A & D.

Barley Grass Tincture, 2 fl. oz. Super Greens like Barley Grass help with digestion, elimination, detoxification, internal cleansing, tissue repair, skin problems and healing.

Become Younger, By Dr. N.W. Walker, D.Sc., Paperback Gets you out of the rut to become younger today. Scores of aids to help, plus the philosophy necessary and plans for natural food meals.

Bitter Orange Extract (Citrus Aurantium), Standardized, Nature's Way, 450 mg, 60 Tabs Nature's Way Standardized Bitter Orange Extract provides high levels, 6%, of the key compound, Synephrine, which has been the focus of study for its thermogenic properties.

Black Cherry Concentrate, Organic, Kosher, Dynamic Health, 16 fl. oz. Our Black Cherry Concentrate is made from Organic Cherries, is kosher, fat free and has no sugar added.

Black Seed Theramune Ultimate With Garlic, 100 Caps Promotes healthy circulation, useful for arthritis and cardiovascular & respiratory support. It also supports digestion and is a natural remedy for ulcers. Garlic is known to lower cholesterol naturally.

Blood Circulator, 100% Natural, 450 mg, 60 Caps This time-honored formula is used in Chinese medicine to promote micro-circulation, increase blood flow to heart muscles, open and clear arteries, inhibit intestinal adhesion, soothe the liver, remove stasis and maintain healthy blood circulation and regular menses.

Blood Pressure Balance TCM Formula, Gegen Pingya, 100% Natural, 60 Caps Blood Pressure Balance TCM Formula is made of pueraria root and lotus embryo, this well-known blood pressure herb formula is used in Chinese medicine to maintain healthy blood pressure and blood flow.

Bloodroot Root (Sanguinaria Candadensis) Powder, 4 oz. Bulk BloodRoot (Sanguinaria canadensis) is chiefly used as an expectorant for chronic bronchitis and as a local application in chronic eczema, specially when secondary to varicose ulcers. Of value in pulmonary consumption, nervous irritation and helpful in lowering high pulse, and in heart disease and weakness and palpitation of heart of great use.

Breath Alive, 60 Caps Breath Alive helps promote weak lungs and works on strengthening their usage and effects.

Britemind Elder For Enhanced Brain Function, Luma Congmin, 100% Natural, 500 mg, 60 Caps This time-honored formula is used in Chinese medicine to maintain healthy brain and mental functions, and sexual potency.

Bungleweed Herb Powder, 100% Organic, 4 oz. Bulk Bugleweed is a mild narcotic similar to digitalis and it is used for treating mild hyperthyroidism (i.e. Grave's disease) symptoms such as rapid pulse, weight loss, sensitivity to heat, excessive sweating, fatigue, enlarged thyroid and bulging eyes.

Butcher's Broom Root, Nature's Way, 470 mg, 100 Caps Popular in Europe for improving circulation in the legs, Butcher's Broom Root contains a mixture of steroidal saponins which produce a vasoconstrictive effect.

Calcium Ionic Mineral Supplement, Fully Absorbable, 700 +/- ppm, 16 fl. oz. WaterOz Ionic Calcium is a pure liquid Calcium supplement. Calcium is one of the most essential of the major biochemical elements needed in human nutrition. It is needed in every organ of the body, including the brain. Calcium is called the "knitter" because it promotes healing or knitting everywhere in the body. It is valuable for tone, power, strength, longevity, vitality, and endurance, healing of wounds, counter-acting acids, and helping regulate metabolism.

CapsiCool, Cayenne Supplement, Nature's Way, 390 mg, 100 Caps CapsiCool is a special cayenne supplement that provides the benefits of Cayenne Pepper without the burning feeling and discomfort in the stomach that otherwise may be experienced.

Cardio EDTA Oral Chelation Formula, With Ethylene-Diamine-Tetra-Acetic Acid & Garlic, 690 mg, 120 Caps A Health Care Provider recommended, scientifically advanced, Cardio EDTA Oral Chelation Formula with 400 mg of EDTA, EthyleneDiamineTetraAcetic Acid, and Garlic to promote Cardiovascular Health and well being.

Cayenne Pepper Supplement, Nature's Way, 450 mg, 180 Caps Cayenne Pepper Supplement is a blood warming herb that has an invigorating effect on several body systems.

Cayenne Pepper Tincture, 100% Organic, 2 fl. oz. A strong stimulant, Cayenne is a digestive and heart tonic. Relaxes the stomach and colon, helps to heal ulcers, improves circulation, and stops bleeding. It stimulates the heart, increasing and strengthening the pulse.

Cayenne & Hawthorn Supplement With Vitamin E & Lecithin, Nature's Way, 480 mg, 100 Caps Nature's Way has formulated its Cayenne and Hawthorn supplement with Vitamin E and Lecithin with the greatest concern for its purity, safety and effectiveness.

Cellfood Liquid Multi-Vitamin, 100% RDA Spray, 1 fl. oz. CellFood Liquid Multi Vitamin has an absorption and assimilation rate of almost 20 times more than vitamin pill supplementation.

Cellfood Natural Weight Loss Formula, 4 fl. oz. Cellfood Natural Weight Loss Formula, with amino acids, electrolytes, digestive enzymes, and minerals helps regulate metabolism and breakdown organic material, while increasing your fat burning potential. Even while you sleep!

Cerebral Cardiovascular Cleanser, 100% Natural, Fibrinolytic & Hemolytic, Qilong Yufeng, 500 mg, 60 Caps Cerebral Cardiovascular Cleanser, Fibrinolytic and Hemolytic, is made of extracts of astragalus root, Chinese angelica root, common peony root, lumbricus (earthworm), cnidium, safflower flower and peach seed.

Chinese Red Yeast Rice, By Rita Elkins, M.H. "Woodland Health Series" This booklet examines the historical uses of red yeast rice, the recent scientific data documenting its applications and its safety and usage in reducing high cholesterol levels.

Chlorofresh, Chlorophyll Supplement, Nature's Way, 50 mg, 90 SoftGels Chlorofresh, Chlorophyll Supplement, is used chiefly as an aid to reduce odor from a colostomy or ileostomy and to reduce fecal odor due to incontinence.

Choledrene Natural Cholesterol Supplement, 100% Natural, Pharmaceutical Grade, High-Tech, 600 mg, 90 Caps Choledrene Natural Cholesterol Supplement has been thoroughly tested for three years to prove its efficacy and safety before bringing it to market.

Cholesterol Guard Capsule (Blood Fat Cutter), TCM Formula, Shanze Xiaozhi, 60 Caps Cholesterol Guard Capsule is made of extracts of medicinal rhubarb root, wolfberry, cistanche, Chinese hawthorn fruit, alisma, lotus leaf and cassia seed, cholesterol herbs.

Cholesterol Guard Herbal Tea, 20 Tea Bags A caffeine free Herbal Tea designed to disperse stagnant blood, soften and dilate blood vessels, to maintain healthy cholesterol level and normal blood pressure.

Cholesterol Lowering & Controlling - 3 Week Plan Handbook & Cookbook (Revised) By Patricia & Edward Krimmel Anyone, regardless of age, gender or ethnic background, can develop a high cholesterol level without even being aware of it. Are you one of the many individuals who has or is at risk for developing cardiovascular disease?

Cholesterol Support Formula With Policosanol, Tocotrienols, PureGar Guggul & Chromium, NOW Foods, 90 VCaps Recommended by Dr. James Balch, Cholesterol Support is an herbal cholesterol supplement specifically formulated to support your body's natural metabolism of cholesterol.

Cholesterol Support Wellness Oil, 2 fl. oz. Simply apply one to two pumps of Cholesterol Support Wellness Oil to inner wrists or shoulders.

Choline Supplement, 100% Natural, Nature's Way, 500 mg, 100 Tabs Nature's Way Choline Supplement is 100% natural choline with improved absorption.

Chromium Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz. WaterOz Ionic Chromium is a pure liquid chromium supplement. Chromium helps the body regulate metabolism, regulate insulin and blood sugar levels, helps the body lose weight by stimulating enzymes that metabolize glucose, burns fat. Chromium deficiencies may contribute to Infertility and decreased sperm count.

Chrysanthemum Tea, 30 Tea Bags Chrysanthemum Tea is caffeine free and flavored with jasmine flower. Chrysanthemum tea has adenine, choline, vitamins A, B, amino acids, glycosides, volatile oil and more.

Cinnamon Bark (Cinnamonum Verum), NOW Foods, 600 mg, 240 Caps Experiments conducted by the USDA have shown that this - the variety we call "True Cinnamon" can lower blood sugar by mimicking insulin, activating insulin receptors and working with insulin in the cells to reduce blood sugar by up to 20%.

Circulation Formula Tincture, 100% Organic, 2 fl. oz. The Circulation formula helps with circulatory problems, dizziness, fainting and heart problems as well as chills.

Clear Eye & Sharp Ear, TCM Formula, Shanze Xiaozhi, 60 Caps Clear Eye & Sharp Ear Chinese Formulas are made of extracts from astragalus root, pueraria root, seashore vitex, common peony root, cimicifuge, phellodendron, licorice, cnidium, Chinese angelica root (Dong Quai) and ginseng.

Coconut Cures By Bruce Fife, N.D. Discover the amazing health benefits of coconut meat, milk, water and oil. Learn how to use coconut to prevent heart disease, balance blood sugar and control diabetes, protect against cancer, lose excess body fat and more.

Coenzyme Q10: All-Around Nutrient For All-Around Health! Latest Research As A Heart Strengthener, Energy Promoter, Aging Fighter & Much More. This book discusses an amazing antioxidant that helps patients with heart failure, hypertension, coronary artery disease, high cholesterol levels and other diseases.

Complete Cardio Heart & Cholesterol Health, Heart Supplement, Irwin Naturals, 110 Liquid SoftGels Complete Cardio Heart & Cholesterol Health Heart Supplement provides an effective addition to a healthy diet and exercise program, helping to support heart function, help maintain healthy cholesterol levels and protect heart and vascular tissues from the oxidative effects of stress and aging.

Complete Heart II Without Hormones, Allergy Research Group / Nutricology, 300 g Take Heart II is a powdered, comprehensive cardiovascular support formula. Take Heart II supports general nutrition, ATP (adenosine triphosphate) production, catabolism and homocysteine metabolism, antioxidant function, maintenance of serum viscosity and cardiovascular health.

Copper Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz. WaterOz Ionic Copper is a pure liquid Copper supplement. Copper influences protein metabolism and general healing, improves vitamin c oxidation and is integral in the formation of RNA.

CoQ10, All Natural, Hypoallergenic, Nature's way, 60 mg, 60 SoftGels CoQ10 is vital for cellular energy production and is a powerful antioxidant and free radical scavenger.

CoQ10 With Omega-3 Fish Oils, 60 Gels Years of research has shown that CoQ10 supports healthy cardiovascular and immune system functions in addition to its vital role in energy production.

CoQ10, NOW Foods, 400 mg, 60 Softgels As an active contributor to all aspects of cellular function, coq10 has become universally regarded as one of the most vital nutrients ever made available to the public.

CoQ10 With Vitamin E, NOW Foods, 200 mg, 90 Lozenges Our new orange flavored chewable CoQ10 200 mg is formulated with 100 IU of Vitamin E in a base of non-genetically engineered Soy Lecithin.

Coronary Ease For Heart Health, TCM Formula, Dansheen Shuxion, 500 mg, 60 Caps Made of extracts from red sage root, notoginseng root with rosewood oil, this well-known formula is used in traditional Chinese medicine to maintain regular heart beat and coronary health.

Coral Calcium (Okinawa) Plus Magnesium & Vitamin D, 100% Natural, NOW Foods, 500 mg, 100 VCaps Okinawa Coral Calcium Plus with Magnesium, Vitamin D and 70 other trace minerals provides essential minerals, restores body alkalinity, supports the immune system, and is bio available for better absorption.

Daily Green Tea, Ginger Peach, Republic of Tea, 50 Tea Bags Ginger Peach Green Tea offers the lushness of a ripe peach and the tingle of spicy ginger in a fresh green tea base. This flavorful and healthy cup will make the head wiggle with delight.

Daily Honey Ginseng Green Tea, Republic of Tea, 50 Tea Bags Republic of Teas relaxing blend Honey Ginseng Tea combines the ancient healthy properties of China green tea with Panax ginseng and full blossom honey.

Devil's Claw Root (Harpagophytum Procumbens) Powder, 4 oz. Bulk Devil's claw root is recognized by The British Herbal Pharmacopoeia as possessing analgesic, sedative and diuretic properties.

DHEA / Dehydroepiandrosterone, Pharmaceutical Grade, Anti-Aging Support, Hypoallergenic, 25 mg, 180 Caps DHEA (Dehydroepiandrosterone) is the most abundant steroid in the blood stream produced mainly in the adrenal glands. DHEA is the biochemical building blocks for the synthesis of other hormones.

DHEA / Dehydroepiandrosterone, Pharmaceutical Grade, Anti-Aging Support, Hypoallergenic, 50 mg, 180 Caps DHEA may be used for immune system dysfunction, heart disease, diabetes, obesity, osteoporosis, arthritis, anti-aging and auto-immune diseases.

DMG Supplement N,N-Dimethyl Glycine, NOW Foods, 125 mg, 100 Caps NOW Foods DMG Supplement is a methylated amino acid found in all cells. DMG is an antioxidant and methyl donor that has a number of beneficial effects. It has shown to have potential in increasing immune response to the flu and salmonella.

Dr. Dean Ornish's Program for Reversing Heart Disease, The Only System Scientifically Proven to Reverse Heart Disease Without Drugs or Surgery, By Dr. Dean Ornish, M.D. Dr. Dean Ornish's Program For Reversing Heart Disease, is a medically proven program that combines the all natural concept of prevention and diet, exercise, meditation, visualization and stress reduction to reduce the risk of heart disease.

Eat More, Weigh Less: Dr. Dean Ornish's Life Choice Program for Losing Weight Safely While Eating Abundantly, By Dean Ornish, M.D. As this groundbreaking book, a NEW YORK TIMES BEST SELLER, clearly shows it's not just how much you eat it's primarily what you eat. Dr. Ornish's program takes a new approach: abundance rather than deprivation.

EFA-Gold Mega DHA Supplement, Nature's Way, 1000 mg, 60 SoftGels This Mega DHA Supplement contains the premier fish oil source of DHA - an essential fatty acid for healthy metal and visual function.

EGCg Green Tea Extract, Vegetarian Formula, NOW Food, 400 mg, 90 VCaps Green Tea Extract contains numerous compounds, including Polyphenols and Catechins, that provide potent antioxidant benefits. One Catechin in particular, EGCg, has demonstrated extraordinary free radical quenching power in laboratory studies. In non-clinical studies, EGCg has also been shown to be protective against chemical and environmental assault on tissues and helps to support healthy cell cycle regulation.

Eleutheroccocus Senticosus (Siberian Ginseng) Powder, Alternative Health & Herbs, 4 oz. This variety is suitable for women as well as men. Improves cerebral circulation and detoxifies the blood. Considered one of the best tonics. Protects against radiation damage, stress, fatigue, high blood sugar. Increases endurance and balances hormones.

Eleutheroccocus Senticosus (Siberian Ginseng) Tincture, 2 fl. oz. Siberian Ginseng root is suitable for women as well as men and improves cerebral circulation and detoxifies the blood.

Encyclopedia of Nutritional Supplements: The Essential Guide For Improving Your Health Naturally, By Michael T. Murray, N.D. The companion volume to the Encyclopedia of Natural Medicine offers detailed profiles of vitamins, minerals, essential fatty acids, and other nutritional supplements. What sets this guide apart from similar works is the impressive list of references for each entry (55 pages in total).

Energy Drink, Ola Loa Vitamin Energy Supplement Powder Drink Mix, Orange Repair, 30 Packets Ola Loa is the most extensive vitamin and mineral supplement available in a great tasting effervescent energy drink.

Enzymes, All Complete, 250 mg, 90 Caps All Complete Enzymes, dietary supplement, is an important combination of critical enzymes that help support normal digestive function, cholesterol levels, fat metabolism and more, all in one convenient tablet.

EPA 18 (Eiscosapentanoic Acid) High Potency Fish Oil With Vitamin E, Nature's Way, 1000 mg / 20 IU, 200 SoftGels Nature's Way EFAGold is the highest quality cold water Fish Oil guaranteed to contain 18% EPA and 20% DHA.

EPA 30 (Eiscosapentanic Acid) High Potency Fish Oil With Vitamin E, Nature's Way, 1000 mg / 10 IU, 90 SoftGels Nature's Way EFAGold is the highest quality cold water Fish Oil - guaranteed to contain 30% EPA and 20% DHA.

EPA 30 (Eiscosapentanic Acid) High Potency Fish Oil With Vitamin E, Nature's Way, 1000 mg / 10 IU, 180 SoftGels Nature's Way EFAGold is the highest quality cold water Fish Oil - guaranteed to contain 30% EPA and 20% DHA.

Fish Oil Update By Richard Passwater, Ph.D. Why and how marine lipids exercise a beneficial effect on many degenerative and autoimmune diseases such as lupus, arthritis, migraines, heart disease and even cancer.

Fisol Fish Oil Supplement, EPA/DHA, Enteric Coated, Nature's Way, 500 mg, 90 Softgels Fisol, enteric coated, fish oil supplement delivers 30% EPA and 20% DHA. The unique coating withstands stomach acid so Fisol dissolves in the small intestine and maximizes the body's absorption of Omega-3 Essential Fatty Acids.

Flush Free Niacin, 320 mg, 90 Caps This flush free Niacin is formulated to avoid Niacin flush, a red tingly rash.

Formula One With Chromium Picolinate, Healthy Associates, 120 Caps Healthy Associate's Formula one with Chromium Picolinate is formulated to help you loose weight and have some extra energy.

Fresh Catch Fish Oil, Liquid Fish Oil Supplement, EPA/DHA, World's Freshest Fish Oil, Barlean's, 8 fl. oz. Barlean's Fresh Catch Liquid Fish Oil Supplement, is a pristine source of ultra-purified fish oil providing naturally occurring levels of EPA and DHA for your vibrant health and energy.

Garlicin Cholesterol Control, Odor Free, Nature's Way, 350 mg, 90 Enteric Coated Tabs SmartRelease Garlicin odor free garlic supplement is the most effective garlic supplement on the market today.

Garlic Tincture, 100% Organic, 2 fl. oz. The Europeans use garlic as an all-around treatment for preventing atherosclerosis, the cause of heart disease and strokes.

Ginger Root Tincture, 100% Organic, 2 fl. oz. Ginger root has also been recommended as a treatment for atherosclerosis, migraine headaches, rheumatoid arthritis, high cholesterol, burns, ulcers, depression, impotence, and liver toxicity.

Ginkgo Biloba Extract, Standardized, Nature's Way, 60 mg, 120 Vegetarian Caps Nature's Way Ginkgo biloba extract is a technically and scientifically advanced herbal extract standardized to 24% Ginkgo flavone glycosides and 6% terpene lactones, supported by whole Gotu Kola herb.

GinkGold Ginkgo Biloba Extract, Standardized, Nature's Way, Vegetarian, 60 mg, 150 Tabs Backed by over 35 years of extensive research, including over 400 published scientific and clinical studies, Nature's Way Ginkgold ginkgo biloba extract has been proven to support healthy circulation to the brain as well as the extremities.

Ginkgo Leaf Tincture, 100% Organic, 2 fl. oz. Preliminary studies show that Gingko Leaf is helpful in ordinary age-related memory loss as well.

Glucomannan (Konjac Fiber), Nature's Way, 665 mg, 180 Caps Nature's Way Glucomannan (Amorphophallus konjac fiber) is a 100% dietary fiber source obtained from the root of the konjac plant.

Golden Flax Seeds, NOW Foods, Whole Bulk, 16 oz. Flax Seeds are an important source of polyunsaturated fatty acids, including Omega-3, plus Magnesium, Zinc and dietary fiber. Flax oil from flax seeds is the richest known source of linolenic acid. It contains protein, mucilage, phytosterols and lignans, which are naturally included at 100 times the level of the next best source, wheat bran.

Grape Seed Extract, 350 mg, 90 Caps A very powerful antioxidant, this standardized Grape Seed Extract helps maintain capillary health, and has the ability to neutralize free radicals.

Green Chai Tea, Yogi Tea, Certified Organic, 16 Tea Bags Our Organic Green Chai By Yogi Tea in a refreshing alternative to the rich, dark flavor of our Black Chai.

Green Blends Light Appetite, 180 Caps Green Blends Light Appetite is a unique and natural formula for supporting weight maintenance.

Green Herbal Tea, Kiwi Pear Tea, Republic of Tea, 50 Tea Bags This green herbal kiwi pear tea is luscious with the naturally sweet flavor of ripe pears and tropical tang of kiwi.

Green Tea & Apple Blossom Daily Tea (50 Tea Bags) Green Tea & Apple Blossom is enriched with the crisp tart-sweet flavor of apples and the floral note of fruit blossoms. This tea has traveled far to protect the body and mind.

Green Tea Extract Diet Support With Panax Ginseng, 10.2 fl. oz., 30 vials For Weight Management: Prince of Peace green tea Extract With Panax Ginseng is an excellent dietary supplement to accompany a healthy diet and regular exercise plan.

Green Tea, Pineapple Ginger Tea, Republic of Tea, 50 Tea Bags Daily Green Tea - Fragrant, fresh China green tea paired with fruity pineapple and the tingle of spicy ginger. This cup helps you simultaneously relax and pay attention. Excellent iced.

Green Tea Tincture, 100% Organic Green Tea, Natural, 2 fl. oz. Green Tea inhibits cancer growth, kills cancer cells, lowers LDL cholesterol levels, inhibits abnormal clotting (reducing heart attack risks), burns calories, and prevents tooth decay!

Green Tea, Wild Berry Plum Tea, Republic of Tea, 50 Tea Bags This deep flavored green tea is buoyant with the nectar of sweet wild berries and balanced with the tart flavor of ripe plums.

GTF Chromium Polynicotinate, Nature's Way, 200 mcg, 100 Caps Nature's Way GTF Chromium polynicotinate is the patented ChromeMate polynicotinate form. Chromium polynicotinate meets all the requirements for GTF. It contains no artificial ingredients or preservatives.

Hawthorn Berries, Nature's Way, 510 mg, 180 VCaps Hawthorn berries of this European species have been used since ancient times for well-being and as a cardiovascular tonic.

Hawthorn Berry Tincture (Heart Herb), 100% Organic, 2 fl. oz. Throughout Europe, Hawthorn berry is recognized as a safe and effective treatment for the early stages of congestive heart failure (CHF).

Healthy Adult From Barlean's Organic Oils, Omega-3 Concentrate, 60 SoftGels Fresh Catch® Healthy Adult formula is one of Barlean's Organic Oils, a pure and pristine source of molecularly distilled fish oil formulated with the ideal dose and ratio of highly concentrated EPA and DHA omega-3 for the vibrant health and energy of healthy adults.

Healthy Mom Fish Oil Pregnancy Supplement, High Potency Omega-3, EPA DHA Nutrition During Pregnancy & Lactation, Lemon Flavored, 90 SoftGels Healthy Mom Fish Oil Pregnancy Supplement is a pure and pristine source of molecularly distilled, pharmaceutical grade fish oil formulated with the ideal dose and ratio of DHA and EPA to address the health and nutrition priorities of pregnant and lactating women.

Heart & Cholesterol Support, Cholesterol Supplement, TheraVedas Narsimha, 60 VCaps TheraVeda's Narsimaa Cholesterol Supplement Formula was developed using unique herbs to support the heart by regulating lipid metabolism and promoting healthy cholesterol levels.

HeartCare, Hawthorn Extract, Nature's Way, 80 mg, 120 Tabs HeartCare improves blood and nutrient flow to the heart muscle. It also supports efficient circulation and blood flow to the heart by reducing flow resistance in the peripheral blood vessel.

Heart Formula Tincture, 100% Organic, 2 fl. oz. The Heart Formula can be used for anemia, fatigue, and heart problems.

Heart Formula With Hawthorn CoQ10 & Vitamin E, Nature's Way, 60 Caps Heart Formula with Hawthorn CoQ10 & Vitamin E represents the powerful synergy of current scientific research and traditional herbal medicine. Key ingredients include Hawthorn Extract, CoQ10, and Natural Vitamin E.

Heart Formula Supports Proper Function of the Heart, Banyan Botanicals, 90 Tabs Heart Formula is a rejuvenating combination of herbs that promotes the proper function of the heart and circulatory system. As a cardiac tonic, Heart Formula nourishes and strengthens the heart muscle, thereby stimulating blood circulation and allowing an increase of oxygen flow to the heart. Ingredients such as hawthorn berry and guggulu promote healthy cholesterol levels, thus aiding in the defense against arteriosclerosis and coronary heart disease.

Heart Fortifier Herb Tea, 20 Tea Bags Heart Fortifier Herb Tea is used to invigorate blood supply and circulation, nurture the blood and maintain normal heart functions.

Heart Plus, 100 Tabs Along with the base of vitamins and minerals, research proven nutrients are in Heart Plus to support a healthy heart.

Jiaogulan Herbal Tea, Organic, 40 Tea Bags Get all the remarkable benefits of jiaogulan with this slightly bitter, slightly sweet tasting tea.

Jiaogulan Tea Pills, 20 mg, 200 Pills Each Jiaogulan tea pill contains the equivalent of approximately 60 mg. of standardized gypenisides.

Kombucha Miracle Fungus, Kombucha Tea Benefit's, By Harald Tietze, Paperback One time best seller, Kombucha Miracle Fungus is all about synergy and Kombucha Tea Benefit's it is an easy read for those interested in the synergy Kombucha offers or Kombucha benefit's.

Kombucha 2000, Concentrated, 30 Caps Concentrated Kombucha Capsules are new to the market, but Kombucha 2000 is one of the very first successful kombucha tea producers in the United States.

Kombucha Tea, 100% Organic, Original Flavor, 64 fl. oz Kombucha's benefits to the physical body vary widely. It is said to enhance the immune system. By detoxifing the body, kombucha makes it unlikely for disease causing bacteria and viruses to find a suitable growth environment. This results in a healthier physical body!

L-Arginine, Pharmaceutical Grade, Free Form, NOW Foods, 500 mg, 100 Caps L-Arginine is a conditionally essential basic amino acid involved primarily in urea metabolism and excretion as well as DNA synthesis.

L-Carnitine, Liquid Double Strength, NOW Foods, 16 fl. oz. NOW® L-Carnitine Liquid provides all of the extensive benefits of Carnitine in a highly absorbable liquid form. L-Carnitine Liquid is a non-essential amino acid that helps to maintain overall good health by facilitating the transfer of fatty acid groups into NOW® L-Carnitine 2X Liquid provides double (1g) the potency of some competing brands per serving size.

L-Carnitine Liquid, Plus Pantothenic Acid, Dynamic Health, 16 fl. oz. Dynamic's Health's liquid L-Carnitine can help boost energy, build new muscle and improve mental performance.

L-Carnitine, Stable Tartrate Form, NOW Foods, 250 mg, 30 Caps Pure L-Carnitine is an amino acid that normally attracts water which can cause it to deteriorate rapidly. This is a tartrate form to help ensure that NOW L-Carnitine maintains stability and full potency.

Lecithin Concentrate, Nature's Way, 400 mg, 100 SoftGels Nature's Way Lecithin Supplement is 100% natural from soy oil and it contains no artificial ingredients or preservatives.

Lecithin Fine Vegetarian Granules, NOW Foods, 97% Phosphatides, Pure & Fresh, 1 lb. Contains Choline & Inositol which are essential for the breakdown of fats and cholesterol. It helps prevent arterial congestion, helps distribute bodyweight, increases immunity to virus infections, cleans the liver and purifies the kidneys.

Lick The Sugar Habit, By Nancy Appleton, Ph.D. Nancy Appleton, Ph.D., shows you how sugar upsets the body chemistry and devastates the endocrine and immune systems, leading to a host of diseases and conditions including hypoglycemia, diabetes, osteoporosis, arthritis, cancer, heart disease, headaches, allergies, asthma, obesity, periodontal disease, tooth decay, and more.

LipoGar, Black Seed With High Potency, Garlic & Lecithin, 100 Caps Lecithin is a rich source of choline, which the body requires to make acetyl choline, a neurotransmitter which is essential for normal nerve function.

Maitake Mushroom whole, Certified Organic, 4 oz. Dry Weight The Maitake Mushroom is not only the medicinal mushroom that leads as an anti-cancer agent specializing in breast and prostate cancers, but is also renown for it's ability to regulate blood sugar, cholesterol, blood pressure, inflammation, and blood clots.

Man Kind Tea, Blueberry Green Tea, Republic of Tea, 2.65 oz. Premium China green tea with blueberries for men's prostate health, benefiting the Prostate Cancer Foundation.

Molecular Distilled Omega-3, NOW Foods, 1000 mg, 90 Softgels The Natural Fish Oil Concentrate used in NOW Foods Omega 3 is molecularly distilled and manufactured under strict quality control standards.

Nattokinase for Circulatory Health, NOW Foods, Vegetarian, 100 mg, 60 VCaps Natto has been consumed safely for thousands of years for its numerous health benefits. More recently, both clinical and non-clinical studies have demonstrated that Nattokinase supports heart health and promotes healthy circulation.

Natural Fiber Supplement, Truman's, 12 oz. Truman's Natural Fiber Supplement formula helps to give bulk to the stool and to check diarrhea; thus, creating balance in the bowel movements.

Natural Hormone Replacement For Women Over 45, Jonathan Wright, M.D. & J. Morgenthaler Finally, an alternative to conventional hormone replacement therapy - compelling evidence that natural hormone replacement (NHR) provides all the benefits of conventional HRT but with drastically reduced risks of unwanted side effects and cancer.

NephroEase for Kidney Health, TCM Formula, Luma Yushen, 100% Natural, 500 mg, 60 Caps Used in Chinese medicine for its nutritive, brain nurturing, cardiotonic, diuretic, kidney tonifying, liver supporting, bone and muscle strengthening, spleen and kidney warming.

Niacin Supplement (Vitamin B-3), 100% Natural, Nature's Way, 100 mg, 100 Caps Niacin or vitamin B-3, is necessary for normal breakdown of fats and fatty acids and the release of energy from carbohydrates. It is also an excellent vasodilator and may be useful in maintaining proper cholesterol levels.

Noni Juice, Trace Minerals, 32 fl. oz. Trace Minerals Noni Juice product may provide nutritional support for Bio-Electric Health & Body Mineral Balancing.

Oat Bran Extract, Standardized 54% Beta Glucan, Vegetarian, Nature's Way, 60 VCaps One serving of Nature's Way standardized Oat Bran Extract provides 750 mg of this soluble fiber. Oat Bran Extract is standardized to 54% beta glucan.

Odorless Garlic Supplement, NOW Foods, 50 mg, 250 SoftGels Odorless Garlic supplement is extracted from Allum sativum and is a specially made Japanese product. Our Odorless Garlic yields high amounts of Scordiin, a unique sulfur compound which may be responsible for many of garlic's renowned benefits.

Omega-3,6,9 Oil, Mega EFA Blend, Lime Flavored, Nature's Way, 1350 mg, 90 Softgels Omega-3,6,9 Oil MEGA EFA BLEND is the most complete daily source of Omega 3-6-9 fatty acids for healthy skin, joints and cardiovascular function.

Omega-3 Fish Oil, NOW Foods, Lemon Flavored, All Natural, 7 oz. Omega-3 Fish Oil is important for mental and cardiac development.

Omega-3 Fish Oil Supplement, Mood Aid, EFA Gold, Enteric Coated, Nature's Way, 60 SoftGels Mood Aid Fish Oil Supplement is a highly concentrated source of EPA (Eicosapentaenoic acid) from pure cold water fish oil.

Organic Coconut Oil, Virgin Unrefined Premium Nutritional Edible Oil, Vegetarian, NOW Foods, 12 oz. NOW Organic Coconut Oil is a high grade, virgin unrefined premium nutritional edible oil obtained from the first cold pressing of organic coconut (Cocos nucifera) kernels.

Organic Flax Protein / Fiber / Lignan Cold Milled Powder Plus Omega-3, Certified, Nature's Way, 16 oz. Nature's Way EFAGold is the highest quality flax seed protein powder, and one of nature's richest sources of protein, fiber & essential fatty acids.

Ovary & Uterus Clean, TCM Formula, Guifu Ankum, 500 mg, 60 Caps This time-honored formula is used in Chinese medicine for its blood circulation promoting, blood vessel dilating, stasis dispersing, internal secretion and hormone regulating, immune system supporting, hemolytic, analgesic and anti-inflammation properties to maintain healthy ovary and uterus and their proper functions.

PainEase (Analgesic Formula), 100% Natural, 350 mg, 60 Caps Made of corydalis tuber and angelica root, this well-known formula is used in Chinese medicine for its tranquilizing, analgesic, antibacterial, and anti-hypoxia properties to regulate the Qi, promote normal blood circulation, protect mucous membrane of the stomach and to stop pain.

Papaya Juice, Natural, Kosher, Dynamic Health, 16 fl oz. Papaya juice is a great everyday drink and also good in ice cold smoothies, mixed drinks, and even for baking.

Papavol Male Volume Enhancer, Palo Alto Labs, 60 Caps Revolutionary Breakthrough in Male Sexual Performance Bodybuilders, especially those who have used anabolic substances, often suffer from extremely low levels of testosterone, which is one of the main causes leading to a decline in libido function.

Periwinkle (Vinpocetine) Tincture, 100% Organic, 2 fl. oz. Rosy Periwinkle produces 70 known alkaloids, some of which are used by the pharmaceutical industry for the treatment of childhood leukemia, Hodgkin's disease, testicular cancer and cancerous tumors.

PlasminPlus Thrombolytic, 250 mg, 36 Caps In China, Plasmin Plus Thrombolytic is used for stroke victims that have suffered paralysis or brain damage, blood clots in the legs and brain, poor circulation, clogged arteries, and to prevent thrombosis associated with airline travel.

Pomegranate Extract, Standardized to 40% Ellagic Acid, Nature's Way, 60 VCaps Pomegranate Extract is standardized to 40% ellagic acid from a pure whole-fruit source to maximize its antioxidant benefits.

Prickly Ash (Xanthoxylum Americanum) Powder, 4 oz. Bulk Prickly Ash is an alterative, antispasmodic, blood purifier and stimulant. The Prickly Ash is a small North American tree growing in the open air in this country.

Pure Virgin Coconut Oil Cream, Cosmetic Cream, NOW Foods, 7 oz. NOW Foods Pure Virgin Coconut Oil Cream can be used in recipes as it is food grade, but also as an excellent hair and skin treatment.

Pushkarmool (Inula Racemosa), 450 mg, 120 Caps Pushkarmool (Inula) is used for angina pectoris, heart disease and decreases cholesterol.

Raw Energy Nut Mix, Unsalted, 1 lb. Eating 1.5 ounces per day of most nuts, such as Almonds, Pecans, Cashews or Walnuts as part of a diet low in saturated fat and cholesterol may reduce the risk of heart disease.

Red Yeast Rice Extract, Vegetarian, NOW Foods, 600 mg, 120 VCaps Red yeast rice extract offers some very valuable therapeutic benefits.

Red Yeast Rice, Hi-Tech Pharmaceuticals, 90 Tabs Hi-Tech Pharmaceuticals Red Yeast Rice supports Healthy Cardiovascular Function with its essential blend of 9.4 mg of Mevinolinic Acid per serving.

Reishi Mushroom Powder, 100% Organic, 4 oz. Reishi is used as a tonic to help increase energy, improve digestion and sleep, strengthen resistance to disease, and regulate the immune system. It is widely used to improve the cardiovascular system, lower HDL (the "bad" cholesterol), and reduce excess fatty acids.

Resveratrol Synergistic Formula, Nature's Way, 37.5 mg, 60 Caps Japanese knotweed is a potent source of Resveratrol and has been used for the heart, liver and blood vessels.

Reversing Heart Disease, Revised Edition By Julian Whitaker, M.D. Here is an update of the complete guide to cardiac care packed with new ways to conquer heart disease without drugs or bypass surgery! Hundreds of thousands of heart patients have used Dr. Julian Whitaker's best-selling Reversing Heart Disease to successfully deal with cardiac problems naturally. Now, drawing on nearly 20 years of experience at his Whitaker Wellness Institute, Dr. Whitaker examines modern medicines latest diagnostic techniques, treatments, and drugs and offers the newest improvements to his comprehensive cardiac program.

Rosemary Leaf (Rosmarinus Officinalis) Tincture, 100% Organic, 2 fl. oz. Rosemary has been traditionally used for tension headaches, stimulating circulation, strengthening the nervous system. Good tonic for the heart and for high blood pressure.

Salmon Oil Capsule, NOW Foods, 120 EPA / 80 DHA, 2000 mg, 250 SoftGels NOW Food's Salmon Oil is a nutritional supplement that supplies Omega-3 fatty acids which may reduce the risk of coronary heart disease.

Selenium Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz. WaterOz Ionic Selenium is pure liquid Selenium supplement. Selenium promotes normal body growth, enhances fertility, encourages tissue elasticity and is a potent antioxidant that naturally reduces the retention of toxic metals in the body. Selenium is crucial for the proper functioning of the heart muscle and there is evidence that it can help the body fight cancer.

Selenium 100% Natural, 200 mcg, 100 Caps Selenium is an essential component of glutathione, the body's most potent natural antioxidant system. It is a popular choice in many antioxidant regimens.

Serrazimes, NOW Foods, 20,000 Units, 90 Caps Serrazimes promotes cardiovascular and immune health.

Slim-Aid, 60 Caps Obesity clearly poses a danger to health, having been associated with numerous health problems including heart disease, high blood pressure, diabetes and certain types of cancer.

Slimdun, 90 Pills Supplement for maintaining healthy cholesterol level and reducing weight.

Solid Bone for Bone & Muscle Strength, TCM Formula, Luma Zhuanggu, 500 mg, 60 Caps This time-honored formula is used in Chinese medicine for its bone and muscle strengthening to maintain healthy, strong bones and muscles.

Soy Protein, Unflavored, NOW Foods, 1 lb. Soy Protein also provides beneficial proteins such as Genistein and Diadzein, which have been shown to support good health through various biochemical processes.

Spirulina Digest & Flora, 180 Caps Provides an all-inclusive proprietary formula to support gastrointestinal function, antioxidant protection and immunity.

Spirulina Greens Blends Cleansing Formula Powder, 7.4 oz. Earthrise Green Blends Cleansing Formula is a Spirulina-based green food that contains five key ingredients to help detoxify the body naturally.

Spirulina Natural, 500 mg, 180 Tabs Earthrise Spirulina Natural is a concentrated source of antioxidants and total carotenoids which help protect the body from damaging effects of free radicals.

Spirulina Natural Powder, 6.3 oz. Earthrise Spirulina Natural is a concentrated source of antioxidants and total carotenoids which help protect the body from damaging effects of free radicals.

Stomach Fortifier, Balanceuticals, TCM Formula, 100% Natural, 60 Caps Chinese medicine uses it to strengthen the spleen and stomach, normalize peristalsis of the stomach and intestines, promote absorption of water and chlorine ion, improve metabolism, nurture the lung, balance bowel movement and increase energy.

Super Fisol Fish Oil Supplement, 70% EPA/DHA, Nature's Way, 90 Enteric Coated Softgels Nature's Way Fisol, enteric coated, DHA fish oil supplement delivers 40% EPA and 30% DHA with a unique coating that withstands stomach acid so Fisol dissolves in the small intestine and maximizes the body's absorption of Omega-3 Essential Fatty Acids.

Super Lignan, Herbal Estrogen Supplement, Nature's Way, 60 VCaps EFAGold (TM) Super Lignan is an ideal herbal estrogen supplement for supporting breast health during the menopausal phases of life helping alleviate breast tenderness and pain associated with the menstrual cycle.

Syndrome X: The Complete Nutritional Program To Prevent & Reverse Insulin Resistance By J. Challem, B. Berkson, M.D., M. Smith This book introduces a three-step program-including easy-to-follow diets, light physical activity and readily available vitamins and nutritional supplements-guaranteed to safeguard you against Syndrome X or reverse it if you already have it.

Sytrinol Cholesterol Control, Natural Cholesterol Supplement, With Fish Oil, All Natural, 120 SoftGels Sytrinol Natural Cholesterol Supplement, is a patented blend of bioflavonoids, polymethoxylated flavones, and tocotrienols extracted from natural citrus and palm fruits.

Sytrinol Cholesterol Control With CoQ10, Natural Cholesterol Supplement, 60 SoftGels Sytrinol Cholesterol Control with CoQ10, Natural Cholesterol Supplement is a patented Complex blend of bioflavonoids and tocotrienols extracted from natural citrus and palm fruits.

Sytrinol Cholesterol Control With Phytoserols, Natural Cholesterol Supplement, 60 SoftGels Sytrinol Natural Cholesterol Supplement, is a patented blend of bioflavonoids, polymethoxylated flavones, and tocotrienols extracted from natural citrus and palm fruits.

Sytrinol Cholesterol Control, Natural Cholesterol Supplement, 150 mg, 60 SoftGels Sytrinol Natural Cholesterol Supplement, is a patented blend of bioflavonoids, polymethoxylated flavones, and tocotrienols extracted from natural citrus and palm fruits.

The Anti-Inflammation Zone By Barry Sears, Ph.D. Dr. Sears reveals how to combat silent inflammation in order to reduce the risk of heart disease, cancer and dementia. Research confirms that obesity is a primary cause of silent inflammation.

The Coconut Oil Miracle, 4th Edition, By Bruce Fife, C.N., N.D. Dr. Fife says Coconut oil can help protect from heart disease, cancer and other degenerative conditions, improve digestion, strengthen the immune system, beautify skin and hair and much more.

The Cure For All Advanced Cancers Book By Dr. Hulda Regehr Clark According to the Author, Cancer Can Now Be Cured,not only the early stages, but also advanced cancer, stages four and five, including imminent death.

The Green Pharmacy: The Ultimate Compendium Of Natural Remedies From The World's Foremost Authority On Healing Herbs, By James Duke, Ph.D. The world's foremost authority on medicinal plants and herbs shares his knowledge of thousands of safe, natural remedies that lie untapped in jungles, forests and herbal gardens throughout the world as hidden reserves of healing power.

The Peoples Green Tea, Republic of Tea, 50 Tea Bags In the purest sense, this green tea is celebrated for its refreshing subtle taste and health benefits. The true essence of this green tea will energize harmony and spirit.

The Rite - Type Diet Plan For Type A Placemat Take the stress off your digestive system by using this guide while shopping, for blood type A.

Triphala Guggulu - Metabolic Function, Banyan Botanicals, 90 Tabs Triphala Guggulu effectively decongests the channels of the body and scrapes away toxins held within the tissues. It is particularly useful for weight management as it enkindles the digestive fire, promotes healthy metabolism and releases excess kapha from the system. Used preventively, Triphala Guggulu minimizes the accumulation of toxins in the GI tract, blood and joints by supporting proper digestion and elimination.

Ultimate Oil, Essential Fatty Acids Supplement, Nature's Secret, 90 SoftGels This delicate blend of four gentle oils soothes and lubricates the digestive and eliminative systems while providing your body with the perfect blend of Omega 3 and Omega 6 Fatty Acids necessary for optimum health.

Vanadium Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz. WaterOz Ionic Vanadium is a pure liquid Vanadium supplement. Vanadium regulates the circulatory system, helps reduce cholesterol levels and buildup in the central nervous system, lowers elevated blood sugar and is believed to help reduce the incidence of heart attack.

Vitamin B-12 Lipospray, NOW Foods, 2 oz. This combination of key B-vitamins may aid the body's regulation of homocysteine, a potentially harmful byproduct of protein metabolism.

Vitamin B-12 Liquid Supplement With Folic Acid, 50 mcg / 400 mcg, 1 fl. oz. This liquid B-12 supplement with its combination of B vitamins can be a very effective revitalizer in supporting the nervous system, prenatal child health, vegetarians, and heart health.

Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps Nature's Way Vitamin C with Bioflavonoids provides antioxidant protection for many of the body's important enzyme systems.

Vitamin C 500 With Bioflavonoids, Nature's Way, 100% Natural, 500 mg, 250 Caps Vitamin C 500 With Bioflavonoids provides antioxidant protection for many of the body's important enzyme systems.

Vitamin C 500 W/ Rosehips, 100% Natural, 500 mg, 250 Caps Nature's Way Vitamin C with rose hips offers a rich whole plant source of vitamin c.

Vitamin E 400, 100% Vegetarian, Nature's Way, 400 IU, 100 Liquid VCaps Nature's Way Vitamin C is a 100% Vegetarian dietary supplement. Natural Vitamin E as d-alpha tocopherol is a powerful antioxidant that combats damaging free radicals. It also prevents oxidation of LDL cholesterol.

Vitamin E, Natural D-Alpha-Tocopherol, 400 IU, 100 Softgels Vitamin E has potent antioxidant activity, supplies oxygen to the blood, aids in strengthening capillary walls, and plays a beneficial role in cancer and cardiovascular disease prevention, anti-aging benefits, circulation, wound-healing, immune function, nervous system function, PMS, hot flushes, diabetes, vascular disease, eye health, tissue repair, athletic performance, leg cramps, skin and hair health, and alleviating fatigue.

Vitamin E, 100% Natural D-Alpha-Tocopherol Acetate, 400 IU, 250 SoftGels Vitamin E is a major antioxidant and the primary defense against lipid peroxidation. It is particularly important in protecting the body's cells from free radical/oxidative damage.

Water, The Ultimate Cure, Discover Why Water Is The Most Important Ingredient In Your Diet & Find Out Which Water Is Right For You, By Steve Meyerowitz (Sproutman) Discover why one's drinking habits may be the cause and cure of headaches, lower back pain, stress and depressions, high blood pressure, high cholesterol and excessive weight.

What Your Doctor May Not Tell You About Menopause, The Breakthrough Book on Natural Hormone Balance, By John R. Lee, M.D., & Virginia Hopkins Dr. Lee brings you lifesaving facts that even your health care provider may not know about Premarin, Provera, and other HRT drugs; gives you an easy-to-follow non-prescription "Hormone Balance" program; and tells you how to stay energized, strong, sexually vigorous, and free from "female problems" before menopause, during the menopausal years, and beyond.

What Your Doctor May Not Tell You About Pre-Menopause, Balance Your Hormones & Your Life From 30 to 50, By John R. Lee, M.D., & Jesse Hanley, M.D. Presents a safe, revolutionary, non-prescription program to balance hormones, restore gynecological health, energy and sex drive and slow the aging process before menopause and even after.

Whole Reishi Mushroom, 4 oz. Reishi is used as a tonic to help increase energy, improve digestion and lower HDL (the "bad" cholesterol), and reduce excess fatty acids. Also, Reishi has been shown to prevent and treat hardening of the arteries.

Whole Shiitake Mushroom, 4 oz. Shiitake Mushroom is a mainstay in the Japanese diet - very high in nutrition.

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HIGH CHOLESTEROL

HerbalRemedies: High Cholesterol Information

HerbalRemedies: High Cholesterol Supplements, Information & Products

CARDIOVASCULAR & CIRCULATORY DISEASE

HerbalRemedies: Arteriosclerosis / Atherosclerosis Information

HerbalRemedies: Arteriosclerosis / Atherosclerosis Supplements & Products

HerbalRemedies: Heart Attack / Myocardial Infarction Supplements, Information & Products

HerbalRemedies: Heart Disease / Cardiovascular Disease Information

HerbalRemedies: Heart Disease / Cardiovascular Disease Supplements & Products

HerbalRemedies: High Blood Pressure / Hypertension Information

HerbalRemedies: Circulatory Problem Information

HerbalRemedies: Circulatory Supplements, Information & Products

HerbalRemedies: Stress / Tension Supplements, Information & Products

RELATED MOONDRAGON LINKS

MoonDragon's Nutrition Information: Diet Index

MoonDragon's ObGyn Information: Smoking

MoonDragon's Health Therapy: Biofeedback

MoonDragon's Health & Wellness: Hypertension

MoonDragon's Health & Wellness: Cardiovascular Disease

MoonDragon's Health & Wellness: Cardiovascular Nutrition & Recommendations

MoonDragon's Health & Wellness: Introduction to the Circulatory System

MoonDragon's Health & Wellness: Common Heart Problems & Procedures

MoonDragon's Health Care Information: Cardiovascular Patient Care

MoonDragon's Health & Wellness: Arteriosclerosis & Atherosclerosis

MoonDragon's Health & Wellness: Hypertension (High Blood Pressure)

MoonDragon's Health & Wellness: High Cholesterol

MoonDragon's Health & Wellness: Hypothyroidism

MoonDragon's Health & Wellness: Raynaud's Phenomenon

MoonDragon's Health & Wellness: Varicose Veins

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FOR FURTHER INFORMATION

BOOKS

American Heart Association Low-Fat Low-Cholesterol Cookbook
-- By American Heart Association

Eater's Choice: A Food Lover's Guide to Lower Cholesterol
-- By Nancy Goor, Ronald Goor

ORGANIZATIONS

American Heart Association (AHA)
7272 Greenville Avenue
Dallas, TX 75231
Phone: 1-800-AHA-USA1 (1-800-242-8721)
Web Address: http://www.americanheart.org

Call the American Heart Association (AHA) to find your nearest local or state AHA group. The AHA can provide brochures and information on support groups and community programs, including Mended Hearts, a nationwide organization whose members visit heart patients and provide information and support.

National Cholesterol Education Program (NCEP)
of the National Heart, Lung, and Blood Institute
of the National Institutes of Health
P.O. Box 30105
Bethesda, MD 20824-0105
Phone: (301) 592-8573
E-mail: NHLBIinfo@rover.nhlbi.nih.gov
Web Address: http://www.nhlbi.nih.gov

Contact the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health (NIH) for information on the National Cholesterol Education Program (NCEP). The NCEP can provide information on high cholesterol as a risk factor for heart disease and stroke. You will also find information on cholesterol-lowering diets, recipes, exercise, weight loss, and lifestyle changes.



NOTIFY YOUR HEALTH CARE PROVIDER IF...

High cholesterol usually has no symptoms. Sometimes, the first sign that you have high cholesterol or other risk factors for heart disease is a heart attack, a stroke, or a transient ischemic attack. If you have any symptoms of these, call 911 or other emergency services.

Call your health professional for an appointment if:

• You think you may have diabetes.
  
• You have family members who have high cholesterol, coronary artery disease, or diabetes.
  
• You are concerned about your cholesterol.
  

If a screening test shows that your cholesterol is high or borderline high, talk with your health professional about ways to reduce your LDL cholesterol or triglyceride levels. Doing this, along with reducing other risk factors for coronary artery disease, can reduce your risk of having a heart attack or stroke.

A regular cholesterol test is important for people who have been diagnosed with heart disease and those at high risk for heart disease. For people who have no other signs or risk factors for heart disease, testing may not be needed as often.

Almost any health professional can order a cholesterol test. Most commonly, a cholesterol test is ordered as part of a routine physical exam. These health professionals can also evaluate risk factors, provide counseling and education, or provide a more complete evaluation if needed. In some cases, a nurse specialist, registered dietitian, or pharmacist can help set up a treatment plan for your high cholesterol.

People who have rare lipid disorders, which can be more difficult to treat, may need to see a lipid specialist, often an endocrinologist.

If you have already been diagnosed with coronary artery disease or other heart disease, you may have your cholesterol levels tested and treated by a cardiologist, who specializes in heart diseases.

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HELPFUL RELATED LINKS

The Cholesterol Myths (An interesting perception to Cholesterol & Treatment)

High Cholesterol - Treatment and Information

Natural Medicine for High Cholesterol

Vitacost: Science & Research - High Cholesterol

MotherNature.com: New Choices in Natural Healing: High Cholesterol

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HELPFUL PRODUCTS & FURTHER EDUCATION

Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch - 2nd Edition

Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch - 4th Edition

Prescription for Herbal Healing: The A-To-Z Reference To Common Disorders
-- by Phyllis A. Balch

The Complete Guide to Natural Healing



If you see a suggested Amazon product "not there" as indicated by an orange box with the Amazon logo, this only means the specific product link has been changed by Amazon.com. Use the "click here" icon on the orange box and it will bring you to Amazon.com and you can do a search for a specific product using keywords and a new list of available products and prices will show. Their product and resource links are constantly changing and being upgraded. Many times there are more than one link to a specific product. Prices will vary between product distributors so it pays to shop around and do price comparisons.

Educational materials and health products are available through Amazon.com. Use the search box provided below to search for a particular item.

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