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Updated on Tuesday 18th March 2008.

 

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Friday, 18 April 2003

Dear Mum,

I’ve just put together a few notes for you on:

Cholesterol – nutritional methods to reduce high cholesterol.

(See also cholesterol friendly recipes)

Some things to note first:

  1. The body needs cholesterol for the body to function properly: it is not “bad”. It is just that too much of it can be bad for your health. There actually are two kinds of cholesterol, but I haven’t gone into this level of detail, focussing instead on practical things you can do to improve and maintain your health.
  2. I also attach a paper on Cholesterol from an American Government information website that give a bit more medical information, including details about High Density Lipoprotein (“good” cholesterol) and Low Density Lipoprotein (“bad” cholesterol) that might be useful if you were talking to your doctor. As you will see from reading it, it isn’t just a question of “high” cholesterol – what matters as much is the relationship between “good” and “bad” cholesterol.
  3. It isn’t just a question of things you stop eating – there are loads of positive things to be done to improve the situation.
  4. Most of the life style choices that you, Mum, have already made (vegetarian, not-smoking, regular exercise) mean that you are already in the right direction!

Basic recommendations for those with High Blood Fats:

(I’ve put Check Boxes against them, so you can put ticks in all the things you are already doing right!)

Things to STOP doing:

q  Don’t smoke

q  Cut down on (or cut out) sugar and sugary-foods

q  Cut down or cut out fats that are hard at room temperature and foods containing such fats. (Butter, hard cheese, lard, hard margarines, poultry fat, suet – inc. vegetarian, chocolate…)

q  Cut down or cut out refined carbohydrates (mostly this means white flour and things made from it.)

q  Cut down or cut out animal (as in land animal) products (meat and meat products)

q  Cut down/cut out alcohol

q  Best to avoid shellfish and egg yolks (both contain high dietary cholesterol – but the scientific world is undecided about whether dietary cholesterol actually has any effect on blood cholesterol.)

Things to START doing – or increase:

q  Take regular moderate exercise (walking, swimming)

q  Substitute hard fats with yoghurt (this makes a good spread for sandwiches in place of butter or margarine!) 0% fat cottage cheese, occasional slice of Brie or wedge of Camembert cheese, and use olive oil for cooking. Be careful with soft margarines: the ones bought in a health food shop that don’t contain “trans-fatty acids” are best.

q  Eat fish two or three times a week, especially oily fish.

o       Tinned sardines, mackerel, pilchards, tuna and salmon are fine – but not if they are in vegetable oil (it leeches away the good fish oils). Okay in tomato sauce, but it is probably best to avoid fish in brine.

o       Although salt isn’t specifically an issue with cholesterol it is with high blood pressure, and obviously one wants to keep away from any more problems developing with the circulatory system. For the same reason, keep smoked fish to a minimum.

q  Eat loads of green leafy vegetables (e.g. cabbage, broccoli, sprouts, kale) and other vegetables every day: e.g. potatoes, tomatoes, including tinned, celery, sweet potatoes, peppers, especially red peppers, all root vegetables, all salad vegetables – in fact, go mad in the green grocers!

q  Onions, garlic, leeks, spring onions, shallots are all especially helpful.

o       But note: when using garlic, peel, cut it up or crush it and leave it for 20 minutes before putting into the cooking. It develops something that is helpful for cholesterol management during the contact with the air. (Ask Maggi for quick and simple recipe ideas for all vegetables if you want to.)

q  It is a good nutritional idea to use a teaspoonful of extra virgin (that means non-refined) Olive Oil to dress salads (e.g. whisk it with a little lemon juice and a pinch of salt, pepper and mustard) and to coat vegetables for roasting. (See the note to ask Maggi for recipe ideas!)

q  Eat loads of fruit every day – especially apples and oranges.

q  Eat porridge oats often – it has been shown to clear cholesterol from the system, not just reduce what is being made.

q  Eat beans (if your digestion can cope? Baked beans in tomato sauce on wholemeal toast is fine.) All dietary fibre (also known as “roughage”) helps to reduce the build up of cholesterol.

q  Take the following nutritional supplements:

o       Vitamin C (300mg – 1 g per day, say Drs Davies and Stewart. See note at the end of this information sheet.)

o       Vitamin E (400 – 800 International Units per day. Davies and Stewart.)

o       Grapeseed extract.

o       All of the above are contained in Revenol.

o       Vitamin B3 (contained, with other B vitamins, in Maximol)

o       Chromium (as trivalent chromic chloride solution) may be helpful for older people. Drs Davies and Stewart recommend 200 mcg daily, which is more than is in a daily dose of Maximol. Trivalent chromic chloride solution may only be obtainable on prescription, although it has very low toxicity apparently. You might want to ask your pharmacist or health food shop, or you could try taking Maximol twice a day, rather than just in the morning, as this would increase the B3 and the Chromium in a safe fashion.

o       Fish oil (essential fatty acids, Omega 3) may be useful if you don’t like eating lots of fish. (Good quality supplements of this will cost about £15 - £30 per month – be warned! It is something that I myself am debating whether I should make myself afford for my own health.)

q  If you are over-weight, see if you can reduce your weight. (Following the above dietary advice will probably have that effect in any case.)

q  One last note: chocolate contains anti-oxidants, so it less bad for you than some of the other “no-no”s. We all need to have treats, so go for chocolate with a high percentage of Chocolate Solids (ideally 70%). Dark chocolate will have more chocolate solids than milk and correspondingly less sugar and fat. A make called Green and Black is available is Health Food and Wholefood shops and is delicious! Sometimes Sainsbury’s has Cooking Chocolate drops made by the Chocolate Society… chocolate to die for, not die of!

  Lots of love and Good Health!

Maggi xxxxxx

Click here for cholesterol-friendly recipes.

Some of this information was taken from “Nutritional Medicine” written by Dr Stephen Davies and Dr Alan Stewart, 1987.

  (The authors are both British medical doctors who specialise in Nutritional Medicine both within and outside the NHS.)

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