Much of What Passes for High Cholesterol Is Harmless

Filed Under: Heart Health, Cholesterol

Much of what passes for September is National Cholesterol Education Month, so I thought this was a good time to debunk one of the biggest myths—that high cholesterol is harmful. We know our bodies have many forms of cholesterol, some harmful and some not. Plus, manufacturers have created drugs to lower some components of cholesterol and to raise others.

Despite the great strides we’ve made in educating ourselves about high cholesterol, a huge number of myths still abound.  One of them is that what passes for “high cholesterol” is in fact harmless.

Why "High Cholesterol" Is Often Not a Concern

Because your body makes more cholesterol on its own than you could possibly consume, the numbers from total cholesterol tests don’t really mean much. You need to pay more attention to the fraction patterns than your total cholesterol numbers.

An unhealthy cholesterol reading isn't "high cholesterol" but one that contains a dominant pattern of dense, small cholesterol particles, which are the most highly inflammatory and dangerous cholesterol particles. Ideally, your cholesterol particles should be predominantly large and “fluffy.” In fact, dense HDL particles can be more harmful than light LDL particles. That's far more important than so-called high cholesterol.

Since the common cholesterol tests just look for high cholesterol and don’t check for fraction patterns, I recommend asking your doctor to prescribe the VAP test or the lipoprotein particle test. Both cholesterol tests are covered by Medicare and most insurance plans.

What Do the Cholesterol Tests Tell You?

If the cholesterol tests reveal that you have a lot of small, dense particles I suggest taking niacin (vitamin B3), which research shows helps to neutralize the toxic particles. Because niacin can cause flushing, I recommend starting with a low dose of 100 mg, and gradually increasing the dose to 1,000 mg daily. I also recommend taking 1–2 grams a day of omega-3 fatty acids and a garlic supplement. Then, after you try these steps you can ask to have these cholesterol tests repeated.

Now it’s your turn: Has your doctor focused on high cholesterol?

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DISCLAIMER: The content of is offered on an informational basis only, and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified health provider before making any adjustment to a medication or treatment you are currently using, and/or starting any new medication or treatment. All recommendations are "generally informational" and not specifically applicable to any individual's medical problems, concerns and/or needs.

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