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January 02 2008
Total Cholesterol Almost Always Irrelevant to Heart Disease Risk

Investigators were able to demonstrate a profound effect on the atherosclerotic disease process in patients with low cholesterol levels by using pravastatin to improve their cholesterol patterns.

Circulation May 12, 1998;97:1784-1790


Dr. Mercola's Comment:

Unless one has a genetic defect of LDL which usually results in cholesterol levels above 350, the total cholesterol level is just about worthless in determining one's risk for heart disease. This study done in the prestigious cardiology journal used a drug to "prove" this point. One does not have to pay the price with their income or loss of health though by using these drugs to achieve this benefit. It can be done with diet for just about everyone.

It is important to note what lab values ARE associated with risk for heart disease. The two most important are the HDL/Cholesterol and Triglyceride/HDL ratios. Generally the HDL ratio should be above 25 and preferably in the 30s. If it is in the 40s, that nearly guarantees immunity from heart disease. Whereas if it is below 15, and certainly below 10, a heart attack is inevitable. To calculate the ratio simply divide your TOTAL cholesterol by your HDL and multiply by 100 (move the decimal point over two places to the right). It is just a matter of when, not if, it will happen. The triglyceride ratio should be below 2.0.


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Community Comments ( 3 )
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KathleenT
[ Joined on 05/08 ] [ Posted on July 17, 2008 ]
       
   
 
Novice User

Optimum cholesteral is 222 according to the research of Dr Hal Huggins and others. The death rate is lowest at this number.

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Jolan Hegedus
[ Joined on 10/06 ] [ Posted on March 30, 2008 ]
       
   
 
Novice User

What are considered to be healthy levels of cholesterol?

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KathyKmetz
[ Joined on 10/07 ] [ Posted on February 19, 2008 ]
       
   
 
Novice User

I am a little confused.  If I divide my total Cholesteral by my HDL (236/64) I get 3.68 x 100 = 368.  That doesn't seem correct.  Should I possibly be dividing my HDL by total? (64/236=.271 and multiply that by 100 = 27)  And how do I get the triglyceride ratio?  Do I use the same formula?  I would like to know, because of heart disease in my family history and I am trying everything I can to stay off of a cholesteral lowering medicine.  My doctor is working with me, but is recommending something at a very low dose.  I was on Lipitor for several years and have taken myself off of it.  I feel much better and have worked at changing eating habits and exercise along with some weight loss.  My total cholesteral went up from 176 to the 236 after 4 months, but my HDL also went from 60 to 64.

Any help you can give would be appreciated at this time.

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