THE HEALTHPLACE
A Private Medical Practice of David P. Kalin, M.D., M.P.H.
P.O. Box 6009
Palm Harbor, Fl 34684
Tel  813.966.1431
  Fax 813.925.1932

drkalin@drkalin.com

 
I THINK I’LL GET MY CHOLESTEROL CHECKED
                                          ...SHOULD I CHANGE MY DIET?

C

holesterol - by gosh, my mom told me twenty years ago I should be on skim milk, stop the french fries, boil the chicken.  

Surely great leaders are a function of their time and most certainly great ideas are too. We know the people of Japan have stomach cancers but little heart disease. Yet, in the doctor’s waiting room of the Western world, daily we hear – 

“I’m 375 pounds, had a physical and the doctor said I’m in great physical shape; only ... my cholesterol is elevated” or 

“Gee - I only eat a half gallon of ice cream at night before going to bed. I’m a compulsive eater (am I addicted?). So I flunked my exercise stress test.  Just because I can’t get my 250 pounds running uphill, do I really need to change my diet? I’ve been eating meat everyday for the last thirty years. Give up cigars and cigarettes? So what if I get short of breath - and I love those chocolate chip cookies. 

Is it really true - all I can eat are yogurt-covered raisins, nibble on carrots and chomp on granola bars (I’ve just read that even granola bars have a lot of fat)?  I’m sure I have a brain tumor - I can’t see. 

Do you think eating peanut butter on toast with fried eggs and mayonnaise several times a day could affect me? 

Sure I’m tired after I eat and yes, my dad did die of a heart attack at 47. Well my great uncle is jogging and doing marathons. Even my mother is “shrinking up” with that new nutrition program. 

Is it really true nutrition is the ultimate medication? And we are what we eat?”

A

s we all know by now - or will know surely by the end of the year - cholesterol is a steroid chemical present in foods mainly, although not exclusively, fatty foods (saturated). Small amounts are essential for making and maintaining nerve cells, synthesizing natural hormones, and producing bile salts and cell membranes. Cholesterol is supplied by foods of animal origin although the liver may utilize other foods to manufacture all the cholesterol we need.

 

Have you ever seen fat settle on the top of good chicken soup? 
or

s

ludge in the river? Or oil slicks? Can you imagine such “sludge” passing through your veins and arteries? (Remember “Itis and Algia”?) Well, the inflammatory reaction initiates the deposition of fat into the healing reaction with the resulting deposition similar to what we see in the leaching of limestone on old buildings.  Blood with its transport vehicles called lipoproteins “swishes” around the bends and curves with jets and eddies depositing the excess cholesterol into these inflammatory reactions on the arterial walls - a process known as atherosclerosis. The gradual deposition of “crud and sludge” leads to obstruction of the blood supply. Before you know it, no blood, no oxygen - poof! just plain lightheadedness, dizziness on standing or possibly pain in the legs on exertion - maybe even a heart attack.

H

igh density lipoprotein cholesterol, often referred to as “good cholesterol”, appears to protect the arteries against the buildup of these fatty deposits, whereas low density lipoprotein cholesterol is thought to contribute to an increased risk of coronary heart disease and early heart attacks.

T

he majority of adults in the United States are at risk and should - according to a national consensus of experts -maintain a cholesterol level below 200 mg. By seventy years of age, without any of the risk factors (high blood pressure, diabetes, smoking, obesity, family history) and a cholesterol of 200 or greater, one has more than a 60% chance of having narrowing of the arteries. The timetable accelerates with each additional risk factor. Actually, by the early 20s, arteriosclerosis is already apparent.

D

id you know each 10 mg rise of the cholesterol level increases the death rate by 5%? Unfortunately, as we age, we tend to increase cholesterol with our change in lifestyle and habits. By cutting all cholesterol-rich foods out of the diet, cholesterol content is lowered by 5-15%. This may make the difference between “easing” into old age or “diseasing” out of the picture altogether.

HIGH CHOLESTEROL
Whole milk, eggs, butter, beef, pork, bacon

LOW CHOLESTEROL

Fish, mono/polyunsaturated fats - corn oil, olive oil, vegetables, fruits

 

S

o, when you receive that certified letter from the IRS and your blood pressure goes up, before reaching for the cigarette and coffee and figuring only a meal of steak and French fries, coconut cream pie and ice cream will satisfy this high anxiety, first remember to look in the mirror - you are what you eat and what you see is probably a good estimate of your cholesterol level. Don’t tell this to your doctor, though. The doctor might be “out” an office visit and a test. But if you need a number (and most importantly a relationship) to help make a change, why not have your cholesterol checked and consider changing your diet.

Eh, what’s up doc?

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