Hyperlipidemia : The silent accomplice
Hyperlipidemia is cholesterol which is a waxy substance made by the liver and important for healthy cell membranes, brain, hormones, fat soluble vitamin (vitamins A,D,E,K). Too much cholesterol leads to vascular diseases of different kinds including heart disease, stroke, peripheral artery disease. Smoking and increased inflammation worsens the possibility of developing atherosclerosis.
- Excessive alcohol consumption
- Taking medications, such as hormones or steroids
- Diabetes and metabolic syndrome
- An underactive thyroid gland, or hypothyroidism
- Sedentary lifestyle
The best way to prevent excessive cholesterol is to eat moderately, not drink excessively or smoke, exercise regularly
- Nutrition : The more whole foods plant based we adopt the better it is. There is strong data to show a whole-foods plant- based diet helps to control cholesterol.
- Exercise : Exercise minimum 150 minutes weekly. It can be broken up into any blocks. I recommend aerobic exercise 30 min 3x week and strength training 2x week. It is important to do stretching before and after exercising.
- Stress : High stress increases cortisol which increases the production of cholesterol because it is the building block needed to make cortisol. Also, when we are stressed we eat the wrong foods which of course increases our cholesterol.
- Sleep hygiene : Lack of sleep seems to be associated with increased triglycerides and decreased good cholesterol particularly in women, however we do not have enough definitive data. It is very important that we get an adequate amount of sleep, 7-8 hours.
- Supplements : There are many options out in the marketplace. Some are good and others are not. Please discuss with your doctor.
- Statins are the most common medication used for high cholesterol. They have the most data to suggest possible benefits and all can agree to disagree on this point. A thorough discussion must be made with your doctors regarding the validity of the various concerns.
- Niacin is a good option if you can tolerate the natural flushing and itching associated with it.
- Fibrates are particularly directed to elevated triglycerides.
- PCSK9 inhibitors are newer injectable medications that are promising for those who have failed all other therapies.
Our patients are learning to focus on self-care, and they are feeling better and experiencing improved health outcomes.
Dr. Abraham is very thorough, and she is always honest and upfront with me. She has a great staff and it feels like family here. I love that they work with me when I need to get in and see the doctor.
I am willing to drive a long way to see Dr. Abraham. She listens to me and she is honest with me. She guides me in the best direction to go for my health and works with me as an individual without judgement.
I am very happy that Dr. Abraham is my doctor. She is always helpful and answeres all of my questions. I recommend others to her and they are pleased also. Her staff is always pleasant and helpful