Low HDL - Niacin - Gout?

Once upon a time, our fellow Sully rambled on about "Low HDL - Niacin - Gout?." Our champion De-
Medicalizing in sci.med.nutrition retorts, thusly ...

Quoted message said:

I have been on 2 g Niaspan daily for 2 years with an increase in HDL from 32 to 48. Quarterly blood
checks have shown no adverse effects. Recently I have been diagnosed with Gout. I have discussed
options with my Physician but I believe in studying many opinions. What is your opinion on
treatment for the low HDL in view of the Gout, and what treatment would you recommend for the Gout?

I hate to break the new to you, but your usage of Niaspan caused the Gout!

Just my opinion. But, I am *right* as usual!
--
John Gohde,
Feeling Great and Better than Ever!

Natural health is an eclectic self-care system of natural therapies
that builds and restores health by working with the natural
recuperative powers of the human body.
tutorials.naturalhealthperspective.comdefinition.htmlOpen ↗

I am aware the Niacin caused the Gout. My question is what are your opinions on treatment of both -
low HDL AND Gout?

Thanks

John 'the Man said:

Once upon a time, our fellow Sully rambled on about "Low HDL - Niacin - Gout?." Our champion De-
Medicalizing in sci.med.nutrition retorts, thusly ...

Quoted message said:

I have been on 2 g Niaspan daily for 2 years with an increase in HDL from 32 to 48. Quarterly
blood checks have shown no adverse effects. Recently I have been diagnosed with Gout. I have
discussed options with my Physician but I believe in studying many opinions. What is your
opinion on treatment for the low HDL in view of the Gout, and what treatment would you recommend
for the Gout?

I hate to break the new to you, but your usage of Niaspan caused the Gout!

Just my opinion. But, I am *right* as usual!

Once upon a time, our fellow Sully rambled on about "Re: Low HDL - Niacin - Gout?." Our champion De-
Medicalizing in sci.med.nutrition retorts, thusly ...

Quoted message said:

I am aware the Niacin caused the Gout. My question is what are your opinions on treatment of both -
low HDL AND Gout?

You treat Gout by stopping the cause which is in this case is Niaspan. In other words, discontinue
your use of Niaspan.

You treat low HDL the natural way: Exercise!
--
John Gohde,
Feeling Great and Better than Ever!

Alternative medicine was yesterday's quackery, is today's
complementary medicine, and will be tomorrow's new branch of medicine.
tutorials.naturalhealthperspective.comglossary.htmlOpen ↗

I run 30 miles a week and weight train 3x week. In view of that my Physician perscribed Niacin. I am
asking for advice of anyone who has had sucess with other meds since exercize does not raise the HDL
of some people enough to be safe.

John 'the Man said:

Once upon a time, our fellow Sully rambled on about "Re: Low HDL - Niacin - Gout?." Our champion
De-Medicalizing in sci.med.nutrition retorts, thusly ...

Quoted message said:

I am aware the Niacin caused the Gout. My question is what are your opinions on treatment of both
- low HDL AND Gout?

You treat Gout by stopping the cause which is in this case is Niaspan. In other words, discontinue
your use of Niaspan.

You treat low HDL the natural way: Exercise!

Once upon a time, our fellow Sully rambled on about "Re: Low HDL - Niacin - Gout?." Our champion De-
Medicalizing in sci.med.nutrition retorts, thusly ...

Quoted message said:

I run 30 miles a week and weight train 3x week. In view of that my Physician perscribed Niacin. I
am asking for advice of anyone who has had sucess with other meds since exercize does not raise the
HDL of some people enough to be safe.

Exercise works plain and simple. But, there may be other factors.

Other factors known to lower HDL are:
- Smoking
- excessive amounts of trans-fatty acids (ie, partially hydrogenated oils)
- Excessive zinc
- and "Glycaemic Index as a Determinant of Serum HDL-Cholesterol Concentration" (ie, too many
refined grains and starchy foods) atkinscenter.com11 160950.htmlOpen ↗ "Results
indicated that among the 1,420 participants with complete data, there was a negative relationship
between HDL-cholesterol concentration and the glycemic index of the diet for both men and women."

Other factors known to increase HDL levels are:
1)500 mg a day of curcumin
2)Fat in your diet

The following is all the info that I have on the subject of increasing hdl.

Subject: Exercise: How to Raise Good Hdl Cholesterol Date: Sun, 25 Aug 2002 22:45:09 +0000

"Exercise before you eat fat. A study at the University of Missouri shows that exercising regularly
before eating high-fat meals raises HDL cholesterol considerably."

To get the maximum effect from exercise on HDL you should always exercise at least one hour
before consuming a meal with fat. This effect depends a lot on the intensity of the exercise
performed, but low-intersenty exercises, like fast-walking, will work provided you exercise for
long periods of time.

And, if you engage in intense aerobic exercise you can effective use this technique to cheat on your
low-fat diet, with an occasional high-fat meal. Further, the high-fat meal can be consumed up to 12
hours after exercising.

"The purpose of this study was to examine the optimal time to exercise (before or after a fat meal)
to magnify the effect of exercise on postprandial TG and HDL responses."

"At 24 h, HDL2-Ch concentrations in both the 1 h-Pre and 12 h-Pre trials were significantly higher
than in Control."

"The TG-lowering effect in the premeal-exercise trials is accompanied by elevation of HDLtot-Ch and
HDL2-Ch. These findings suggest that the detrimental effects of eating fat during a meal can be
decreased by exercise before the meal. Furthermore, exercising 12 h before a fat-rich meal intake
may magnify this beneficial effect on the TG response and HDL metabolism, which may more efficiently
blunt the postprandial-induced atherosclerotic process."

How to Raise Good Hdl Cholesterol drmirkin.com8756.htmlOpen ↗ "Gabe Mirkin, M.D.

If your good HDL cholesterol is below 35, you are at increased risk for heart attacks. You can
reduce chances of suffering a heart attack by two percent for every mg/dl rise in HDL.

To raise HDL cholesterol, run at least seven miles a week or burn at least 1200 calories with
exercise per week. Lose weight. For every pound of fat lost, expect a one percent rise in HDL (1).

Exercise before you eat fat. A study at the University of Missouri shows that exercising regularly
before eating high-fat meals raises HDL cholesterol considerably (2). Exercise stimulates the fat-
clearing enzyme, lipoprotein lipase, which drops triglycerides to produce more HDL cholesterol."

Zhang JQ, Thomas TR, Ball SD. Effect of exercise timing on postprandial lipemia and HDL cholesterol
subfractions. ncbi.nlm.nih.govquery.fcgiOpen ↗
9&dopt=Abstract J Appl Physiol. 1998 Oct;85(4):1516-22. PMID: 9760349

FREE Full Text of article at Journal of Applied Physiology Online:
jap.physiology.org1516Open ↗

"Fig. 3. A: effect of acute exercise on plasma total high-density lipoprotein-cholesterol"
jap.physiology.orgjapp06053003x.jpegOpen ↗

Aldred HE, Perry IC, Hardman AE. The effect of a single bout of brisk walking on postprandial
lipemia in normolipidemic young adults. ncbi.nlm.nih.govquery.fcgiOpen ↗
db=PubMed&list_uids=8028506&dopt=Abstract Metabolism. 1994 Jul;43(7):836-41. PMID: 8028506

Avoid taking 100 mg or more Zinc a day. I would not supplement with more than 50 mg a day of Zinc.

Freeland-Graves JH, Friedman BJ, Han WH. Effect of zinc supplementation on plasma high-density
lipoprotein cholesterol and zinc. ncbi.nlm.nih.govquery.fcgiOpen ↗
Med&list_uids=7081096&dopt=Abstract Am J Clin Nutr. 1982 May;35(5):988-92. PMID: 7081096

Hooper PL, Visconti L, Garry PJ. Zinc lowers high-density lipoprotein-cholesterol levels. ww-ww-Open ↗
w.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7420708&dopt=Abstract JAMA.
1980 Oct 24-31;244(17):1960-1. PMID: 7420708

smartbodyz.comherbal cardiovascular formula Text.htmOpen ↗ "When 500 mg a day of curcumin was
given to ten volunteers, there was a 29% increase in beneficial HDL cholesterol after only 7 days.
Total cholesterol was reduced by 11.6% and lipid peroxidation was by 33% (Indian Journal of
Physiology
2(1):273-275 1992)."

Soni KB, Kuttan R. Effect of oral curcumin administration on serum peroxides and cholesterol levels
in human volunteers. ncbi.nlm.nih.govquery.fcgiOpen ↗
=1291482&dopt=Abstract Indian J Physiol Pharmacol. 1992 Oct;36(4):273-5. PMID: 1291482
--
John Gohde,
Feeling Great and Better than Ever!

Healers who believe in the healing power of nature,
Vis Mediatix Naturae, worship Hygeia and the vital force.
tutorials.naturalhealthperspective.comhistory.htmlOpen ↗

I am just curious what levels have you achieved yourself? If you gave us the starting points on your
lipids and how they have changed over time, along with other numbers that you changed. The reason
I'm curious is that you really do seem to use a strong holistic approach and you are very optimistic
about always improving on your health.

3 years ago when I thought I could improve my colestrol with exercize I was 260lbs at 6'3 and my HDL
was at 30. Total colestrol was at 200. I started a weight management and exercize program and in a
year I had lost 45lbs and raised my HDL by 2 to a whopping 32. Since starting the Niaspan I have
raised it to 48, total colestrol is 150, and I have maintained my weight loss. I would still like to
drop 20lbs.

Idealy I would like to achieve my health goals without high doses of anything, however I'm not
willing to risk a heart attack to do it. Since the Gout, I have been searching for ways to manage
all of these issues with the least side effects.

I appreciate everyone's input and value each suggestion. Knowledge is so powerful!

Mike Sullivan

John Applebaum said:

I am just curious what levels have you achieved yourself? If you gave us the starting points on
your lipids and how they have changed over time, along with other numbers that you changed. The
reason I'm curious is that you really do seem to use a strong holistic approach and you are very
optimistic about always improving on your health.

Once upon a time, our fellow Sully rambled on about "Re: Low HDL - Niacin - Gout?." Our champion De-
Medicalizing in sci.med.nutrition retorts, thusly ...

Quoted message said:

Since starting the Niaspan I have raised it to 48

A HDL of 48 is pretty bad.

Just thought that you might want to know. 🙂

Ha, ... Hah, Ha!

Current guidlines for those at risk are 40 for m and 45 for w. Each percent of increase has a
decrease of risk for cvd. If one is starting at a much lower level, getting it that high is good,
good/bad being relative to some goal; one might have thought you know this already.

Quoted message said:

Quoted message said:

Since starting the Niaspan I have raised it to 48

A HDL of 48 is pretty bad.

Once upon a time, our fellow [email hidden] rambled on about "Re: Low HDL - Niacin - Gout?." Our
champion De-Medicalizing in sci.med.nutrition retorts, thusly ...

Quoted message said:

Current guidlines for those at risk are 40 for m and 45 for w. Each percent of increase has a
decrease of risk for cvd. If one is starting at a much lower level, getting it that high is good,
good/bad being relative to some goal; one might have thought you know this already.

HDL doesn't become a negative risk factor until it is in the 60+ range.

Cheers ...
--
John Gohde,
Feeling Great and Better than Ever!

Healers who believe in the healing power of nature,
Vis Mediatix Naturae, worship Hygeia and the vital force.
tutorials.naturalhealthperspective.comhistory.htmlOpen ↗

Once upon a time, our fellow [email hidden] rambled on about "Re: Low HDL - Niacin - Gout?." Our
champion De-Medicalizing in sci.med.nutrition retorts, thusly ...

Quoted message said:

Current guidlines for those at risk are 40 for m and 45 for w.

Ha, ... Hah, Ha!

Whose guidelines?

Yeah, ... Sure, Right! Those doctors who don't care if you live or die because the HMO is the
bill payor.

Ha, ... Hah, Ha!

Quoted message said:

one might have thought you know this already.

One might have thought that Geeks had a brain, too. But, I guess not!

Ha, ... Hah, Ha!

"... you have my sympathies" Science Officer Ash to Ripley, in the movie ALIEN.

"Whose guidelines?"

Do a bit of google, it goes a long way. There is much discussion about what the hdl number
indicates. One idea has it that hdl appears in responce to small particle ldl, such that if ldl is
under control hdl is not likely to be very high. In any case, do your own homework, we thought you
need to know.

Sully <[email hidden]> wrote in message news:<[email hidden]>...

Quoted message said:

3 years ago when I thought I could improve my colestrol with exercize I was 260lbs at 6'3 and my
HDL was at 30. Total colestrol was at 200. I started a weight management and exercize program and
in a year I had lost 45lbs and raised my HDL by 2 to a whopping 32. Since starting the Niaspan I
have raised it to 48, total colestrol is 150, and I have maintained my weight loss. I would still
like to drop 20lbs.

Idealy I would like to achieve my health goals without high doses of anything, however I'm not
willing to risk a heart attack to do it. Since the Gout, I have been searching for ways to manage
all of these issues with the least side effects.

I appreciate everyone's input and value each suggestion. Knowledge is so powerful!

Mike Sullivan

I have used 300mg of allopurinol daily for the last 20 years to successfully control gout. No side
effects noted. Relatively inexpensive.

eldred30

In article <[email hidden]>, [email hidden] says...

Quoted message said:

I am just curious what levels have you achieved yourself? If you gave us the starting points on
your lipids and how they have changed over time, along with other numbers that you changed. The
reason I'm curious is that you really do seem to use a strong holistic approach and you are very
optimistic about always improving on your health.

Does anyone think John the Mam is a self-centered dork for not answering this question? Anyone think
it cause swallowing problems for him for a few minutes?

Once upon a time, our fellow John Applebaum rambled on about "Re: Low HDL - Niacin - Gout?." Our
champion De-Medicalizing in sci.med.nutrition retorts, thusly ...

Quoted message said:

In article <[email hidden]>, [email hidden] says...

Quoted message said:

I am just curious what levels have you achieved yourself? If you gave us the starting points on
your lipids and how they have changed over time, along with other numbers that you changed. The
reason I'm curious is that you really do seem to use a strong holistic approach and you are very
optimistic about always improving on your health.

Does anyone think John the Mam is a self-centered dork for not answering this question? Anyone
think it cause swallowing problems for him for a few minutes?

Merry X-Mas, dork!

Just thought that you might want to know. 🙂

In article <[email hidden]>, [email hidden] says...

Quoted message said:

Once upon a time, our fellow John Applebaum rambled on about "Re: Low HDL - Niacin - Gout?." Our
champion De-Medicalizing in sci.med.nutrition retorts, thusly ...

Quoted message said:

In article <[email hidden]>, [email hidden] says...

Quoted message said:

I am just curious what levels have you achieved yourself? If you gave us the starting points on
your lipids and how they have changed over time, along with other numbers that you changed. The
reason I'm curious is that you really do seem to use a strong holistic approach and you are
very optimistic about always improving on your health.

Does anyone think John the Mam is a self-centered dork for not answering this question? Anyone
think it cause swallowing problems for him for a few minutes?

Merry X-Mas, dork!

Just thought that you might want to know. 🙂

You couldn't even answer the simplest of questions. It's hard to let yourself be pinned down when
you insist on being King in an imaginary castle in the sky. I predict a bunch of lurkers are really
getting impressed with your contributions over time and are going to push your website over the top.
People from everywhere will be looking for your detailed and rich understanding of nutrition and
health...... .

Once upon a time, our fellow John Applebaum rambled on about "Re: Low HDL - Niacin - Gout?." Our
champion De-Medicalizing in sci.med.nutrition retorts, thusly ...

Quoted message said:

Quoted message said:

Quoted message said:

> I am just curious what levels have you achieved yourself? If you gave us the starting points
> on your lipids and how they have changed over time, along with other numbers that you changed.
> The reason I'm curious is that you really do seem to use a strong holistic approach and you
> are very optimistic about always improving on your health.
>
Does anyone think John the Mam is a self-centered dork for not answering this question? Anyone
think it cause swallowing problems for him for a few minutes?

Merry X-Mas, dork!

Just thought that you might want to know. 🙂

You couldn't even answer the simplest of questions. It's hard to let yourself be pinned down when
you insist on being King in an imaginary castle in the sky. I predict a bunch of lurkers are really
getting impressed with your contributions over time and are going to push your website over the
top. People from everywhere will be looking for your detailed and rich understanding of nutrition
and health...... .

This THREAD is a good commentary on the differences between Treating the Patient and Treating the
Disease. It also explains why physicians prefer treating the disease. 🙂

When Treating the Patient you have to figure out what the patient has been doing W-R-O-N-G! One
could easily speculate that Sully has been doing a number of things wrong. Engaging in abusive forms
of exercise would certainly be one possibility. Certainly, runners suffer from a common form of
mental illness: namely that their chosen form of abuse is healthy. Ha, ... Hah, Ha! Taking excessive
amounts of Zinc would be another possibility. And, a lack of adequate amounts of fat in the diet
would certainly be another possiblity.

Naturally, an obviously problem with treating the patient is that you have to deal with the mental
problems of the patient: D-E-N-I-A-L! And, I am not talking about the Nile. Ha, ... Hah, Ha! Sully
obviously could write a book on his denial and his other mental problems. 🙁

John Applebaum is the type of patient who is likely to become verbally abusive. 🙁

John Applebaum wants answers. The problem is that John Applebaum cannot even deal with a factual
presentation of the facts, let alone an exposé on where John Applebaum has failed in life, let alone
in the exercise department. Ha, ... Hah, Ha!

John Applebaum is obviously another HDL failure, still walking. Ha, ... Hah, Ha! Maybe that is why
you have failed? Ha, ... Hah, Ha!

Just my opinion. But, I am *right* as usual!

Ha, ... Hah, Ha! X-Mas, Dorks!

eldred30 said:

Sully <[email hidden]> wrote in message
news:<[email hidden]>...

Quoted message said:

3 years ago when I thought I could improve my colestrol with exercize I was 260lbs at 6'3 and my
HDL was at 30. Total colestrol was at 200. I started a weight management and exercize program
and in a year I had lost 45lbs and raised my HDL by 2 to a whopping 32. Since starting the
Niaspan I have raised it to 48, total colestrol is 150, and I have maintained my weight loss. I
would still like to drop 20lbs.

Idealy I would like to achieve my health goals without high doses of anything, however I'm not
willing to risk a heart attack to do it. Since the Gout, I have been searching for ways to
manage all of these issues with the least side effects.

I appreciate everyone's input and value each suggestion. Knowledge is so powerful!

Mike Sullivan

I have used 300mg of allopurinol daily for the last 20 years to successfully control gout. No side
effects noted. Relatively inexpensive.

eldred30

I have been taking the same dosage of allopurinol as yours since 1964. Likewise, no side
effects noted. My HDL is in the 60s and total cholesterol is in the 150s while triglycerides
are less than HDL.

Frank