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How to Lower Cholesterol Without Medication

Jefferson University Hospital Blog Josh Goldstein

A couple of years ago, my primary care doctor told me it was time to consider a cholesterol-lowering statin drug. My cholesterol had been creeping up over the years and was at a level that put me at increased risk of coronary artery disease – a heart attack.

But like many people who have no known heart disease, I balked at the idea of taking a cholesterol-lowering drug every day for the rest of my life. So, I wondered if there were any alternatives for people like me, with rising cholesterol levels, who want to stay away from a life-long regimen of medications and avoid developing heart disease.

It came as no surprise when David H. Wiener, MD, director of clinical operations for the Jefferson Heart Institute, told me to start with diet and exercise.
Alternatives to statins and other medications

First, Dr. Wiener stressed that it is critical to distinguish between people who have had a heart attack or are known to have coronary artery disease for whom maintaining low cholesterol levels is critical. But for people like me, he said, who don’t yet have heart disease, there are some good options to try before turning to statins or other medications.

If you fix your diet – reduce the amount of saturated fats you consume, increase your fiber intake to between 5 grams and 10 grams a day, and make other heart-healthy food choices – you can reduce your cholesterol level by 15 percent to 20 percent, Dr. Wiener explained. Add in weight loss – often a result of combining better diet and exercise routines – and you can push your numbers down even further. Lose 10 pounds and you could drop those cholesterol totals an additional 5 to 8 percent!

In large doses, vitamin B3 – niacin – can lower cholesterol, but for the prescription doses needed to work, niacin often causes flushing and itching.

Many people wonder about dietary supplements, and there are lots that claim to help with this problem. Most don’t work, Dr. Wiener said.

And the one that impacts cholesterol, red yeast rice, has many of the same properties as statin drugs and can cause similar side effects. For that reason, Dr. Wiener cautions patients against taking red yeast rice supplements without consulting a doctor and getting regular blood checks for liver problems.

Another popular supplement – fish oil – doesn’t have a major impact on cholesterol but can help heart health for some people.

So there is hope. I’ve managed to get my cholesterol down into the “good” zone by losing weight, improving my diet and exercising regularly.
Cholesterol Levels: What The Numbers Mean

Can’t get your HDL and LDL straight? There’s an easy way to remember which is which.

HDL, your “good” cholesterol, is made mostly of protein and a small amount of fat. It helps move cholesterol out of your body. To remember this, the “H” in “HDL” can stand for “higher.” The higher your HDL, the better.

LDL, your “bad” cholesterol, is made mostly of fat and a small amount of protein. It can cause hardening of the arteries. To remember this, the first “L” in “LDL” can stand for “lower.” The lower your LDL, the better.

Read the entire article the look at the levels you should aim for to be at a lower risk of heart disease.