This is a true story that I am sure plays out several times a day in several doctors offices throughout the world. A guy in his late thirties goes into the doctor for a regular check up and gets his blood panel. The doctor looks at the results, sees a total cholesterol somewhere over 200mg/dL and the conversation goes like this.(again this actually happened to a friend)
Doctor: Your cholesterol is a little high, I am going to put you on Lipitor to get it down.
Friend: I'm not a big fan of being on medication doc, is there anything else I can do?
Doctor: You can cut back on the high fat foods, but I still want you to take the Lipitor, so we can get the number down.
Friend: But doc I really don't want to take medication and would rather try to fix it on my own.
Doctor: With a confused look on his face says, I am on Lipitor. What's the alternative, death?
This is one striking example, but Dawn and I have had several friends and family members go through a version of this same conversation with their doctors and most of them left with a prescription for a Statin. My friend in the above example held strong, knowing that he just had a baby and sold a business and his lifestyle was not as healthy as it could be at that particular time. He made a few adjustments and amazingly without medication was able to lower his cholesterol. It is not our place to say whether one should take a Statin or not, that is a personal decision that individuals need to make, but we hope that by providing information, people will feel empowered to take more control of their health.
This post is not so much about cholesterol as a number or the need to reach an ideal cholesterol level. It is more about what cholesterol is and how it has come to be synonymous with DEATH.
What is Cholesterol?
Cholesterol is a soft, fat-like substance. It is a building block of body cells and hormones, it makes up 50 percent of your nervous system, and is necessary for metabolism. Cholesterol is essential for all human life. So how did it come to equal heart disease and death?
Guilty by association or chicken and the egg
Cholesterol is produced in response to issues in the body. It is a repair substance that works it's way to places of need such as the walls of damaged or inflammed arteries(heart disease) and does it's best to repair this damage. Because it is around these dammaged arteries, it becomes associated with the damage and as such a cause for heart disease. As pointed out by Lierre Keith in
The Vegetarian Myth, "It's like blamming the fire department for the fire."
The medical field has been working on the notion that if we just lower everyone's cholesterol we can cure heart disease, but like many of the other medical approaches that take an acute approach to chronic problems that
Diane Sanfilipo talked about in her seminar, it just does not work. It's like putting perfume on body odor, you smell a little better but you didn't fix the problem.
The perfume in this case has become a multi-billion dollar industry known as Statins. Statins work to immediately lower your cholesterol number by blocking an enzyme in the liver that is responsible for making cholesterol. If you can't make cholesterol your numbers improve and your cured, right? Except we tend to dismiss the issues that led to the rise in cholesterol in the first place. Remember, cholesterol is an essential substance that forms in response to some sort of trigger. We feel strongly that lifestyle and nutrition play a critical role in preventing or reversing the effects of these triggers, if given the chance. When was the last time your doctor even asked you about your nutrition or your lifestyle? With statins there are considerable side effects, whereas with a change in lifestyle and nutritional habits there are numerous benefits. See the difference?
Chris Kresser writes a blog called
The Healthy Skeptic and we really enjoy his work. He wrote one of the best posts on the whole issue of cholesterol I have read
here.
We are not anti-doctor, or even anti-medicine. We just feel that the first line of defense and the first area that needs to be addressed when things start to go awry are your nutrition and lifestyle practices. Instead we have created a health care system based on instant gratification, where doctors do not have time to hear about your lifestyle or advise on nutrition. We demand and are provided a pill to fix whatever ails us, but at what cost?