Cholesterol - The Good, The Bad & The Ugly, part 1 • 02.11.09
Welcome back!

- Cholesterol Molecule via Wikipedia
When I first began in practice, the laboratory “normal” result for cholesterol was reported as a range and, depending on the lab, was (plus or minus) 150-300 mg/dL. Over time that range kept creeping lower until the range was eliminated and the “desired” level was anything less than 200. Now I’m no conspiracy theorist but I have to say that each lowering of the “normal” levels for cholesterol strangely coincided with the release of some new drug for lowering cholesterol. I know of one lab now that has started reporting cholesterol as a range again and they are using 125-200 as a reference.
Now, in my 28th year of clinical practice, I can say without hesitation that the sickest patients I have ever encountered were those with very low cholesterol. When there’s too little cholesterol your immune system begins to break down, nerves can’t transmit their signals properly, sex hormones can’t be manufactured in sufficient quantity. Vitamin D, the new “it” nutrient which has shown to be involved with just about everything from bone density to diabetes to heart disease to autism to cancer, is actually made in our body from cholesterol. Vitamin D’s scientific name is cholecalciferol - note the chole part, as in cholesterol. I’ve heard from some patients, especially those with diabetes (the adult onset type) and high blood pressure, that they have been advised to keep their cholesterol level down at around 120. I worry that these people will in for big trouble down the road if they maintain their cholesterol level that low.
In my next installment I will provide a little more detail about the different types of cholesterol and other important blood fats, discuss what those factors are that create the inflammation that causes cholesterol to become problematic and what can be done that is health promoting. So remember: cholesterol - good, inflammation - bad, and I’m sure by now you know what the ugly is.
Technorati Tags: cholesterol, inflammation, Vitamin D
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