Blood Lipid Question

[George]

I have read that HDL is a separate risk indicator for CVD
and that one should try to maintain HDL well above 40 (60 is
a suggested target) even if total cholesterol, triglycerides
and LDL are normal. Is this always true?

I'm male, 56 yrs, normal height and weight. Per my latest
physical, there is room for improvement in my HDL, which is
only 44. Yet my TC=117, TRIG=48 and LDL=63.

I've been following a program of exercise and diet, which
over the past 12 months has lowered my TC, TRIG and LDL
numbers, yet to my surprise also has lowered my HDL, from 49
to 44. HDL has worsened, but the ratios of HDL to TC and to
LDL have remained constant.

I understand that TC = HDL + LDL + triclycerides/5. So don't
low numbers for TC, LDL and TRIG imply a low "ceiling" on
one's achievable HDL and invalidate 60 as a general target?

Or, am I off base and should I work harder on my HDL? If so,
what is the best way to do so?

Thanks for any suggestions.

George

[Jim Chinnis]

"George" <look@signature_to.reply> wrote in part:

>I have read that HDL is a separate risk indicator for CVD
>and that one should try to maintain HDL well above 40 (60
>is a suggested target) even if total cholesterol,
>triglycerides and LDL are normal. Is this always true?

Yes, based on current knowledge.

>I'm male, 56 yrs, normal height and weight. Per my latest
>physical, there is room for improvement in my HDL, which is
>only 44. Yet my TC=117, TRIG=48 and LDL=63.

Very good overall.

>I've been following a program of exercise and diet, which
>over the past 12 months has lowered my TC, TRIG and LDL
>numbers, yet to my surprise also has lowered my HDL, from
>49 to 44. HDL has worsened, but the ratios of HDL to TC and
>to LDL have remained constant.

A low fat diet can lower HDL. You might see if increasing
fat (unsaturated fat) improves HDL.

>I understand that TC = HDL + LDL + triclycerides/5. So
>don't low numbers for TC, LDL and TRIG imply a low
>"ceiling" on one's achievable HDL and invalidate 60 as a
>general target?

I'd say that the measures that best predict atherosclerosis
are based on LDL, HDL, and triglycerides. Total cholesterol
mixes both negative and positive predictors.

>Or, am I off base and should I work harder on my HDL? If
>so, what is the best way to do so?

Most people would be very happy with your lipids. If you
have other risk factors, you should perhaps be concerned.

Increase unsaturated fats, maybe decrease carbohydrate.

Consume alcohol.

Lose weight.

Exercise more.
--
Jim Chinnis Warrenton, Virginia, USA

[Liam]

George wrote:
> I have read that HDL is a separate risk indicator for CVD
> and that one should try to maintain HDL well above 40 (60
> is a suggested target) even if total cholesterol,
> triglycerides and LDL are normal. Is this always true?
>
> I'm male, 56 yrs, normal height and weight. Per my latest
> physical, there is room for improvement in my HDL, which
> is only 44. Yet my TC=117, TRIG=48 and LDL=63.
>
> I've been following a program of exercise and diet, which
> over the past 12 months has lowered my TC, TRIG and LDL
> numbers, yet to my surprise also has lowered my HDL, from
> 49 to 44. HDL has worsened, but the ratios of HDL to TC
> and to LDL have remained constant.
>
> I understand that TC = HDL + LDL + triclycerides/5. So
> don't low numbers for TC, LDL and TRIG imply a low
> "ceiling" on one's achievable HDL and invalidate 60 as a
> general target?
>
> Or, am I off base and should I work harder on my HDL? If
> so, what is the best way to do so?
>
> Thanks for any suggestions.
>
> George
>
>
>
>

Stop being such a fuss budget, dear George.

[Dr. Andrew B. C]

George wrote:
>
> I have read that HDL is a separate risk indicator for CVD
> and that one should try to maintain HDL well above 40 (60
> is a suggested target) even if total cholesterol,
> triglycerides and LDL are normal. Is this always true?

Yes.

> I'm male, 56 yrs, normal height and weight.

"Normal" is not necessarily optimal.

Imho, "normal" weight in America is overweight.

> Per my latest physical, there is room for improvement in
> my HDL, which is only 44.

This is lower than optimal.

> Yet my TC=117, TRIG=48 and LDL=63.

These are optimal.

> I've been following a program of exercise and diet, which
> over the past 12 months has lowered my TC, TRIG and LDL
> numbers, yet to my surprise also has lowered my HDL, from
> 49 to 44. HDL has worsened, but the ratios of HDL to TC
> and to LDL have remained constant.

Your TC/HDL is optimally less than 3 so that based on
Framingham date, there is a case to be made that your HDL
may very well be "optimal" for you.

However, imho, your HDL though possibly "optimal" for you
could still be part of diagnosing you with metabolic
syndrome (MetS).

For example, with your "lower" HDL and two other conditions
(i.e. high blood pressure and visceral adiposity), you would
have this diagnosis and still be at higher risk as a
consequence.

> I understand that TC = HDL + LDL + triclycerides/5. So
> don't low numbers for TC, LDL and TRIG imply a low
> "ceiling" on one's achievable HDL and invalidate 60 as a
> general target?

No.

> Or, am I off base and should I work harder on my HDL?

Imho, the latter.

> If so, what is the best way to do so?

If you have MetS, lose weight permanently.

Would suggest you ask your doctor about the 2PD approach:

http://www.heartmdphd.com/wtloss.asp

> Thanks for any suggestions.
>
> George

You are welcome, George.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

**
Who is the humblest person in the universe?
http://makeashorterlink.com/?L26062048

What is all this about?
http://makeashorterlink.com/?R20632B48

Is this spam?
http://makeashorterlink.com/?N69721867

[Brad Sheppard]

George,

Overall you have great numbers. Your ratio of tot chol/HDL
is 117/44 or 2.65 - an excellent ratio. Your HDL is above
40. Your 10 yr risk should be quite low (4 percent), see the
NIH's
http://hin.nhlbi.nih.gov/atpiii/calculator.asp?usertype=pub
To improve your HDL, you can try these strategies 1)
moderate drinking
2) replace some carbs with olive oil or other non-saturated
fat 3) stop eating trans-fat (prepared foods, etc) 4) add
oily fish. Low fat diets are not optimal for heart
health. See Harvard's advice
http://www.hsph.harvard.edu/nutritionsource/fats.html

"George" <look@signature_to.reply> wrote in message news:<p-
OoBc.8493$w07.4225@newsread2.news.pas.earthlink.net>...
> I have read that HDL is a separate risk indicator for CVD
> and that one should try to maintain HDL well above 40 (60
> is a suggested target) even if total cholesterol,
> triglycerides and LDL are normal. Is this always true?
>
> I'm male, 56 yrs, normal height and weight. Per my latest
> physical, there is room for improvement in my HDL, which
> is only 44. Yet my TC=117, TRIG=48 and LDL=63.
>
> I've been following a program of exercise and diet, which
> over the past 12 months has lowered my TC, TRIG and LDL
> numbers, yet to my surprise also has lowered my HDL, from
> 49 to 44. HDL has worsened, but the ratios of HDL to TC
> and to LDL have remained constant.
>
> I understand that TC = HDL + LDL + triclycerides/5. So
> don't low numbers for TC, LDL and TRIG imply a low
> "ceiling" on one's achievable HDL and invalidate 60 as a
> general target?
>
> Or, am I off base and should I work harder on my HDL? If
> so, what is the best way to do so?
>
> Thanks for any suggestions.
>
> George

[Anonymous]

"George" <look@signature_to.reply> wrote in message
news:pOoBc.8493$w07.4225@newsread2.news.pas.earthlink.net...
> I have read that HDL is a separate risk indicator for CVD
> and that one should try to maintain HDL well above 40 (60
> is a suggested target) even if total cholesterol,
> triglycerides and LDL are normal. Is this always true?
>
> I'm male, 56 yrs, normal height and weight. Per my latest
> physical, there is room for improvement in my HDL, which
> is only 44. Yet my TC=117, TRIG=48 and LDL=63.
>
> I've been following a program of exercise and diet, which
> over the past 12 months has lowered my TC, TRIG and LDL
> numbers, yet to my surprise also has lowered my HDL, from
> 49 to 44. HDL has worsened, but the ratios of HDL to TC
> and to LDL have remained constant.
>
> I understand that TC = HDL + LDL + triclycerides/5. So
> don't low numbers for TC, LDL and TRIG imply a low
> "ceiling" on one's achievable HDL and invalidate 60 as a
> general target?
>
> Or, am I off base and should I work harder on my HDL? If
> so, what is the best way to do so?
>
> Thanks for any suggestions.
>
> George
>
>
>

In addition to the other good suggestions, you might
consider taking niacin.

Bill

[George]

Hehe ... I originally posted here with a constructive question about my HDL,
thinking I might get a reasonable reply from a medical doctor, and have
since been "diagnosed" with MetS, hostility and whatever else. Oh well, I
wasn't paying for medical advice and shouldn't complain. If nothing else,
this NG has entertainment value ... :o)

George the original poster (not the other George)

"George" <look@signature_to.reply> wrote in message news:pO-
oBc.8493$w07.4225@newsread2.news.pas.earthlink.net...
> I have read that HDL is a separate risk indicator for CVD
> and that one should try to maintain HDL well above 40 (60
> is a suggested target) even
if
> total cholesterol, triglycerides and LDL are normal. Is
> this always true?
>
> I'm male, 56 yrs, normal height and weight. Per my latest
> physical, there is room for improvement in my HDL, which
> is only 44. Yet my TC=117,
TRIG=48
> and LDL=63.
>
> I've been following a program of exercise and diet, which
> over the past 12 months has lowered my TC, TRIG and LDL
> numbers, yet to my surprise also
has
> lowered my HDL, from 49 to 44. HDL has worsened, but the
> ratios of HDL to TC and to LDL have remained constant.
>
> I understand that TC = HDL + LDL + triclycerides/5. So
> don't low numbers for TC, LDL and TRIG imply a low
> "ceiling" on one's achievable HDL and invalidate 60 as a
> general target?
>
> Or, am I off base and should I work harder on my HDL? If
> so, what is the best way to do so?
>
> Thanks for any suggestions.
>
> George
>

[Dr. Andrew B. C]

--------------F0F64D9EC079268679B28246
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

Brad Sheppard wrote:

> George,
>
> Overall you have great numbers. Your ratio of tot chol/HDL
> is 117/44 or 2.65 - an excellent ratio. Your HDL is above
> 40. Your 10 yr risk should be quite low (4 percent), see
> the NIH's http://hin.nhlbi.nih.gov/atpiii/calculator.asp?-
> usertype=pub

Not if you have metabolic syndrome (MetS).

>
> To improve your HDL, you can try these strategies 1)
> moderate drinking

Imho, having treated many alcoholics for DTs,
encephalopathy, cirrhosis, and cardiomyopathy, this in not
worth the risk of alcoholism.

>
> 2) replace some carbs with olive oil or other non-
> saturated fat

Ime, your recommendation will not have much effect on
raising HDL.

> 3)stop eating trans-fat (prepared foods, etc)

Fyi, trans-fat is from the hydrogenation of unsaturated fat
rather than from preparing food.

> 4) add oily fish.

Ime, oily fish will not raise HDL. Indeed, for someone who
might have lower HDL from being overweight, this is likely
bad advice.

> Low fat diets are not optimal for heart health.

Eating less if you are overweight is better for heart
health.

> See Harvard's advice
> http://www.hsph.harvard.edu/nutritionsource/fats.html
>

"You can lower your blood cholesterol level and your risk of
heart disease by exercising regularly; maintaining a healthy
body weight;"

Enter the 2PD Approach:

http://www.heartmdphd.com/wtloss.asp

Ime, works *every* time for permanent weight loss.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

**
Who is the humblest person in the universe?
http://makeashorterlink.com/?L26062048

What is all this about?
http://makeashorterlink.com/?R20632B48

Is this spam?
http://makeashorterlink.com/?N69721867

--------------F0F64D9EC079268679B28246
Content-Type: text/html; charset=us-ascii
Content-Transfer-Encoding: 7bit

<!doctype html public "-//w3c//dtd html 4.0 transitional//en">
<html>
Brad Sheppard wrote:
<blockquote TYPE=CITE>George,
<p>Overall you have great numbers.&nbsp; Your ratio of tot chol/HDL is
117/44
<br>or 2.65 - an excellent ratio. Your HDL is above 40.&nbsp; Your 10 yr
risk
<br>should be quite low (4 percent), see the NIH's
<br><a href="http://hin.nhlbi.nih.gov/atpiii/calculator.asp?usertype=pub">http://hin.nhlbi.nih.gov/atpiii/calculator.asp?usertype=pub</a></blockquote>
Not if you have metabolic syndrome (MetS).
<blockquote TYPE=CITE><a href="http://hin.nhlbi.nih.gov/atpiii/calculator.asp?usertype=pub"></a>&nbsp;
<br>To improve your HDL, you can try these strategies 1) moderate drinking</blockquote>
Imho, having treated many alcoholics for DTs, encephalopathy, cirrhosis,
and cardiomyopathy, this in not worth the risk of alcoholism.
<blockquote TYPE=CITE>&nbsp;
<br>2) replace some carbs with olive oil or other non-saturated fat</blockquote>
Ime, your recommendation will not have much effect on raising HDL.
<blockquote TYPE=CITE>3)
<br>stop eating trans-fat (prepared foods, etc)</blockquote>
Fyi, trans-fat is from the hydrogenation of unsaturated fat rather than
from preparing food.
<blockquote TYPE=CITE>4) add oily fish.</blockquote>
Ime, oily fish will not raise HDL.&nbsp; Indeed, for someone who might
have lower HDL from being overweight, this is likely bad advice.
<blockquote TYPE=CITE>Low fat
<br>diets are not optimal for heart health.</blockquote>
Eating less if you are overweight is better for heart health.
<blockquote TYPE=CITE>&nbsp;See Harvard's advice
<br><a href="http://www.hsph.harvard.edu/nutritionsource/fats.html">http://www.hsph.harvard.edu/nutritionsource/fats.html</a>
<br>&nbsp;</blockquote>
"You can lower your blood cholesterol level and your risk of heart disease
by exercising regularly; maintaining a healthy body weight;"
<br>&nbsp;
<p>Enter the 2PD Approach:
<p><A HREF="http://www.heartmdphd.com/wtloss.asp">http://www.heartmdphd.com/wtloss.asp</A>
<p>Ime, works *every* time for permanent weight loss.
<br>&nbsp;
<p>Servant to the humblest person in the universe,
<p>Andrew
<p>--
<br>Dr. Andrew B. Chung, MD/PhD
<br>Board-Certified Cardiologist
<br><A HREF="http://www.heartmdphd.com/">http://www.heartmdphd.com/</A>
<p>**
<br>Who is the humblest person in the universe?
<br><A HREF="http://makeashorterlink.com/?L26062048">http://makeashorterlink.com/?L26062048</A>
<p>What is all this about?
<br><A HREF="http://makeashorterlink.com/?R20632B48">http://makeashorterlink.com/?R20632B48</A>
<p>Is this spam?
<br><A HREF="http://makeashorterlink.com/?N69721867">http://makeashorterlink.com/?N69721867</A>
<br>&nbsp;</html>

--------------F0F64D9EC079268679B28246--

[Liam]

You don't have to worry about your cholesterol : don't you
get it ? You do have to worry about your hypochondria... Ask
your friends whether you worry too much about your health..
See what they say.

liaM

[Mirek Fidler]

"George" <look@signature_to.reply> pí¹e v diskusním pøíspìvku
news:NTrCc.11890$w07.7594@newsread2.news.pas.earthlink.net...
> Hehe ... I originally posted here with a constructive
> question about
my HDL,
> thinking I might get a reasonable reply from a medical
> doctor, and
have
> since been "diagnosed" with MetS, hostility and whatever
> else. Oh
well, I

BTW, with your numbers (low TG, low TG/HDL ratio, normal
BMI), it is very unlikely you have MetS.

Mirek

[Tiger Lily]

"George" <look wrote in message .net...
> Hehe ... I originally posted here with a constructive
> question about my
HDL,
> thinking I might get a reasonable reply from a medical
> doctor, and have since been "diagnosed" with MetS,
> hostility and whatever else. Oh well, I wasn't paying for
> medical advice and shouldn't complain. If nothing else,
> this NG has entertainment value ... :o)
>
> George the original poster (not the other George)
>

and you are only lucky you haven't been called anti-
christian yet

that will be the next post..... hissing snipped from the
dark corners of smc as only ONE person has the way, the
truth and the light in the entire readership here (oh no....
and 3 sock puppets)

sorry George.... welcome to andie's world........ :-(

[George]

Dr. Chung, in your opinion what would be my ideal weight?
I'm slightly over 5' 10" in height and weigh 170 lbs,
muscular build, no visible fat. At 165 lbs I start to
look gaunt (ribs pronounced, shallow cheeks).

Regarding diet, I eat almost no fried food, cakes or
candies, little trans-fat, saturated fat or carbs, mainly
baked/broiled fish, chicken, veggies, fruits and nuts (raw
almonds for monounsaturated fat), all small meals. Also
drink coffee and have 1-2 alcoholic drinks per day for
medicinal purposes only ... :o)

For exercise I lift weights and run on treadmill 3x per
week. The running expends around 800 calories weekly. Could
do more there, I suppose.

From the above additional info, can you suggest ways to
improve my HDL besides losing more weight?

One additional question please. Is it reasonably possible to
have an HDL of say 60 with such low TC, TRIG and LDL
numbers? That would mean TC/HDL <
2.. If TC is constant at 117 then TRIG and LDL would have to
drop even further than they are now to support higher HDL,
as I understand it.

Isn't it actually the ratio of HDL to TC (or to LDL) that
matters - in other words, whether there is sufficient volume
of HDL to provide good transport back to the liver given the
volume of TC and LDL present?

Thanks for your help, Dr. Chung.

George

------------------

"Dr. Andrew B. Chung, MD/PhD" <andrew@heartmdphd.com> wrote
in message news:40D76507.E803D6AF@heartmdphd.com... Brad
Sheppard wrote: George, Overall you have great numbers. Your
ratio of tot chol/HDL is 117/44 or 2.65 - an excellent
ratio. Your HDL is above 40. Your 10 yr risk should be quite
low (4 percent), see the NIH's
http://hin.nhlbi.nih.gov/atpiii/calculator.asp?usertype=pub
Not if you have metabolic syndrome (MetS).

To improve your HDL, you can try these strategies 1)
moderate drinking Imho, having treated many alcoholics for
DTs, encephalopathy, cirrhosis, and cardiomyopathy, this in
not worth the risk of alcoholism.

3) replace some carbs with olive oil or other non-saturated
fat Ime, your recommendation will not have much effect on
raising HDL.
4)stop eating trans-fat (prepared foods, etc) Fyi, trans-fat
is from the hydrogenation of unsaturated fat rather than
from preparing food.
5) add oily fish. Ime, oily fish will not raise HDL. Indeed,
for someone who might have lower HDL from being
overweight, this is likely bad advice. Low fat diets are
not optimal for heart health. Eating less if you are
overweight is better for heart health. See Harvard's
advice
http://www.hsph.harvard.edu/nutritionsource/fats.html

"You can lower your blood cholesterol level and your risk of
heart disease by exercising regularly; maintaining a healthy
body weight;"

Enter the 2PD Approach: http://www.heartmdphd.com/wtloss.asp
Ime, works *every* time for permanent weight loss.

Servant to the humblest person in the universe, Andrew
--
Ds. Andrew B. Chung, MD/PhD Board-Certified Cardiologist
http://www.heartmdphd.com/ ** Who is the humblest person
in the universe? http://makeashorterlink.com/?L26062048
What is all this about?
http://makeashorterlink.com/?R20632B48 Is this spam?
http://makeashorterlink.com/?N69721867

[Jim Chinnis]

"Dr. Andrew B. Chung, MD/PhD" <andrew@heartmdphd.com> wrote in part:

>> 4) add oily fish.
>
>Ime, oily fish will not raise HDL. Indeed, for someone who
>might have lower HDL from being overweight, this is likely
>bad advice.

Actually, there is a pretty extensive literature in the
journals now showing that omega-3 fatty acids raise HDL.
--
Jim Chinnis Warrenton, Virginia, USA

[Brad Sheppard]

Chung, your two brain cell diet must be affecting you. How
can George have Mets without having any of the conditions
for it? It probably means you didn't read his posts. re:
replacing carbs with fat, Harvard says: "In studies in which
polyunsaturated and monounsaturated fats were eaten in place
of carbohydrates, these good fats decreased LDL levels and
increased HDL levels." My personal HDL went from 35 to 66
from this strategy and from moderate drinking. Re: Trans-
fats and prepared foods it should have read "commercially
prepared foods": Harvard says: "Most of the trans fats in
the American diet are found in commercially prepared baked
goods, margarines, snack foods, and processed foods." Re:
fish oil and HDL - if the fish oil replaces carbs HDL will
rise. Fish oil's primary benefit is lowering heart disease
risk, tho. Re: moderate drinking - the key word is moderate.
Current AHA opinion does side with you in not recommending
drinking to non-drinkers.

"Dr. Andrew B. Chung, MD/PhD" <andrew@heartmdphd.com> wrote
in message news:<40D76507.E803D6AF@heartmdphd.com>...
> Brad Sheppard wrote:
>
> > George,
> >
> > Overall you have great numbers. Your ratio of tot
> > chol/HDL is 117/44 or 2.65 - an excellent ratio. Your
> > HDL is above 40. Your 10 yr risk should be quite low (4
> > percent), see the NIH's http://hin.nhlbi.nih.gov/atpiii-
> > /calculator.asp?usertype=pub
>
> Not if you have metabolic syndrome (MetS).
>
> >
> > To improve your HDL, you can try these strategies 1)
> > moderate drinking
>
> Imho, having treated many alcoholics for DTs,
> encephalopathy, cirrhosis, and cardiomyopathy, this in not
> worth the risk of alcoholism.
>
> >
> > 2) replace some carbs with olive oil or other non-
> > saturated fat
>
> Ime, your recommendation will not have much effect on
> raising HDL.
>
> > 3)stop eating trans-fat (prepared foods, etc)
>
> Fyi, trans-fat is from the hydrogenation of unsaturated
> fat rather than from preparing food.
>
> > 4) add oily fish.
>
> Ime, oily fish will not raise HDL. Indeed, for someone who
> might have lower HDL from being overweight, this is likely
> bad advice.
>
> > Low fat diets are not optimal for heart health.
>
> Eating less if you are overweight is better for
> heart health.
>
> > See Harvard's advice
> > http://www.hsph.harvard.edu/nutritionsource/fats.html
> >
>
> "You can lower your blood cholesterol level and your risk
> of heart disease by exercising regularly; maintaining a
> healthy body weight;"
>
>
> Enter the 2PD Approach:
>
> http://www.heartmdphd.com/wtloss.asp
>
> Ime, works *every* time for permanent weight loss.
>
>
> Servant to the humblest person in the universe,
>
> Andrew
>
> --
> Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist
> http://www.heartmdphd.com/
>
> ** Who is the humblest person in the universe?
> http://makeashorterlink.com/?L26062048
>
> What is all this about?
> http://makeashorterlink.com/?R20632B48
>
> Is this spam? http://makeashorterlink.com/?N69721867
>
>
> --

[George]

It seems like the answers we now get from the good Dr. Chung
are like a recorded message. Good health will result from
starving on his 2PD and very little insight of worth. Too
bad he (and many of the other whackos around this NG) have
driven off credible medical professionals.

This NG is stricly for entertainment purposes now. Look for
reasonable answers elsewhere.

>Actually, there is a pretty extensive literature in the
>journals now showing that omega-3 fatty acids raise HDL.

[Dr. Andrew B. C]

Jim Chinnis wrote:

> "Dr. Andrew B. Chung, MD/PhD" <andrew@heartmdphd.com>
> wrote in part:
>
> >> 4) add oily fish.
> >
> >Ime, oily fish will not raise HDL. Indeed, for someone
> >who might have lower HDL from being overweight, this is
> >likely bad advice.
>
> Actually, there is a pretty extensive literature in the
> journals now showing that omega-3 fatty acids raise HDL.
> --
> Jim Chinnis Warrenton, Virginia, USA

You are certainly welcome to cite them. Should be easy for
you if truly they are extensive.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

**
Who is the humblest person in the universe?
http://makeashorterlink.com/?L26062048

What is all this about?
http://makeashorterlink.com/?R20632B48

Is this spam?
http://makeashorterlink.com/?N69721867

[Dr. Andrew B. C]

Brad Sheppard wrote:

> Chung, your two brain cell diet must be affecting you.

Ouch. You may have at the other cheek.

> How can George have Mets without having any of the
> conditions for it?

Have not examined him to know one way or another.

> It probably means you didn't read his posts.

Reading someone's posts is not a substitute for
examining someone.

> re: replacing carbs with fat, Harvard says: "In studies in
> which polyunsaturated and monounsaturated fats were eaten
> in place of carbohydrates, these good fats decreased LDL
> levels and increased HDL levels."

Who is "Harvard" and where are the studies?

> My personal HDL went from 35 to 66 from this strategy and
> from moderate drinking.

It is doubtful that you are the study "Harvard" was
referring to.

> Re: Trans-fats and prepared foods it should have read
> "commercially prepared foods": Harvard says: "Most of the
> trans fats in the American diet are found in commercially
> prepared baked goods, margarines, snack foods, and
> processed foods."

Apology for mistake accepted.

> Re: fish oil and HDL - if the fish oil replaces carbs HDL
> will rise. Fish oil's primary benefit is lowering heart
> disease risk, tho.

Sounds like back-pedalling to me.

> Re: moderate drinking - the key word is moderate.

This keyword is an adjective describing the level of
drinking.

>
> Current AHA opinion does side with you in not recommending
> drinking to non-drinkers.

... even if the drinking is moderate.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

**
Who is the humblest person in the universe?
http://makeashorterlink.com/?L26062048

What is all this about?
http://makeashorterlink.com/?R20632B48

Is this spam?
http://makeashorterlink.com/?N69721867

[George]

On 22 Jun 2004 10:11:07 -0700, Brad@sheppardsoftware.com (Brad
Sheppard) wrote:

>Chung, your two brain cell diet must be affecting you. How
>can George have Mets without having any of the conditions
>for it? It probably means you didn't read his posts. re:
>replacing carbs with fat, Harvard says: "In studies in
>which polyunsaturated and monounsaturated fats were eaten
>in place of carbohydrates, these good fats decreased LDL
>levels and increased HDL levels." My personal HDL went from
>35 to 66 from this strategy and from moderate drinking. Re:
>Trans-fats and prepared foods it should have read
>"commercially prepared foods": Harvard says: "Most of the
>trans fats in the American diet are found in commercially
>prepared baked goods, margarines, snack foods, and
>processed foods." Re: fish oil and HDL - if the fish oil
>replaces carbs HDL will rise. Fish oil's primary benefit is
>lowering heart disease risk, tho. Re: moderate drinking -
>the key word is moderate. Current AHA opinion does side
>with you in not recommending drinking to non-drinkers.

I seriously doubt that the good cardiologist we have
inherited in this NG has any real (in the flesh at his
office/hospital) patients these days. His advice and
opinions get less meanigful daily to the point of having
absolute zero value to anyone in need.

Wonder what must have happened to derail what on paper
looked like a good education.

[Mirek Fidler]

"George" <George@nowhere.com> píse v diskusním príspevku
news:jeogd05ico32cvo67qqghi1ml67t0p8gch@4ax.com...
> It seems like the answers we now get from the good Dr.
> Chung are like a recorded message. Good health will result
> from starving on his 2PD and very little insight of worth.
> Too bad he (and many of the other whackos around this NG)
> have driven off credible medical professionals.

Welcome to the sci.med.cardiology.... :) Only unfortunate
thing about it is that as crazy as Andrew is, he is still
best real cardiologist regulary posting here...

BTW, I will be probably stoned for my advice, but in your
case I would seriously consider eating more saturated fat -
while it raises LDL, it is also the most potent from all
fats in raising HDL too.

There are might be some adverse effects associated with your
lipid profile (very low TC) - aggresive behaviour and
increased risk for stroke. Try google.

Mirek

[Tiger Lily]

"Dr. Andrew B. Chung, MD/PhD" <andrew@heartmdphd.com> wrote in message
news:40D8A00B.27B59F08@heartmdphd.com...

> > re: replacing carbs with fat, Harvard says: "In studies
> > in which polyunsaturated and monounsaturated fats were
> > eaten in place of carbohydrates, these good fats
> > decreased LDL levels and increased HDL levels."
>
> Who is "Harvard" and where are the studies?

> Dr. Andrew B. Chung, MD/PhD Board-Certified

Harvard is a well known university

here is the link that has been quoted many times over

http://www.hsph.harvard.edu/nutritionsource/pyramids.html

this is a starting point...... use their search engine to
update your frame of reference to include the last 10 yrs of
nutrition studies that have been performed and reported on

take care Andie