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High Cholesterol Message Board

High Cholesterol Board Index

I think that a nice long walk would be just fine. You don't have to go out and run marathons or train for the olympics.

I see you've already been given some good advice. I may add that a low-carb diet may possibly be best for someone in your situation. You really should cut way back on the starches, sugars, breads, pasta, or any other white flour products. Cut out sweets, junk foods, and anything else that contains hydrogenated fats. Emphasize high protein foods, like meat, fish, and eggs. A low-carb diet works best for lowering triglycerides and raising HDL levels, and that's exactly what your problem is.

Supplemental fish oil will also help lower triglycerides. About 4-6 fish oil capsules per day should be sufficient. A couple of tablespoons of granular lecithin sometimes helps raise HDL. A garlic supplement, standardized to contain a minimum of 4000mcg allicin is also helpful in raising HDL. Take antioxidants vitamin C and vitamin E. They both help minimize the oxidation of LDL. Niacin is great for raising HDL, but I would not advise that you do that since you are taking Zocor. That you would need to discuss with your doctor. In fact, you may be better off switching from Zocor to niacin, but that's up to you and your doctor to decide.

Also keep in mind that all LDL is NOT the same. There is Pattern A LDL, which consists mostly of large buoyant LDL. This is a more benign form of LDL, and is not considered as damaging as Pattern B LDL, which consists mostly of small, dense particles. Pattern B is highly subject to oxidation, and has a higher tendency to be deposited as plaque. Pattern A correlates more strongly with low triglycerides and high HDL, while Pattern B correlates more strongly with high triglycerides and low HDL. With your numbers (high triglycerides and low HDL), it is far more likely that you have Pattern B. But only an actual measurement of your LDL can determine that for certain.

So you see, it's not just how much LDL is present, but which pattern type you are. If you can lower those triglycerides and raise up the HDL, you would also likely be increasing overall LDL particle size. The reason why I favor niacin is because not only will it increase HDL, but it also promotes larger LDL particle size.

Here is a link that you can copy and paste in your browser concerning small, dense LDL.

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