Nutrition and Supplements  for Lowering Cholesterol

We recommend the following dietary changes that may help lower cholesterol levels. Some of the herbal and nutritional supplements that may lower cholesterol include:

1. Eat some nuts every day. Choose almonds, walnuts and cashews, all of which contain heart-healthy monounsaturated fat. Eating nuts regularly, especially walnuts and almonds, may help reduce cholesterol levels of LDL cholesterol.
2. Substitute whole soy protein for animal protein. Soy protein such as tofu, tempeh, soy milk, whole soy beans and roasted soy nuts has been shown to lower cholesterol levels. Choose organic products where possible.
3. Use fresh garlic regularly. Garlic has been shown to lower both cholesterol levels and blood pressure. Use one or two raw or lightly cooked cloves a day. According to some studies, garlic may decrease blood levels of total cholesterol by a few percentage points. Other studies, however, suggest that it may not be as beneficial as once thought. It may also have significant side effects and/or interaction with certain medications. Garlic may prolong bleeding and blood clotting time, so garlic and garlic supplements should not be taken prior to surgery or with blood-thinning drugs such as Coumadin.
4. Drink green tea daily. The antioxidants it contains help lower cholesterol and prevent the cholesterol in your blood from oxidizing. Green tea contains various compounds that lower LDL cholesterol levels. A study performed in Brazil where people consumed green tea extract in capsules resulted in a 4.5 percent lowering of LDL cholesterol levels.
5. Eat plenty of soluble fiber. Beans and lentils, apples, citrus fruits, oats, barley, peas, carrots and ground flax seed are all good sources of soluble fiber, which has a powerful cholesterol-lowering effect. Slow the absorption of cholesterol in the intestines by consuming foods such as oats, legumes, prunes, apples, carrots, broccoli and yams, all high in soluble fiber. Five to 10 grams daily can produce a 5 percent reduction in LDL cholesterol.
6. Limit refined carbohydrates. These include cookies, cakes, crackers, fluffy breads, chips and sodas, all of which can worsen cholesterol levels by lowering HDL and also increase triglyceride levels.
7. Take coenzyme Q10 (CoQ10). This powerful antioxidant benefits heart health by protecting LDL cholesterol from oxidation and by re-energizing the mitochondria in the heart cells, which is where energy metabolism occurs. CoQ10 may also help lower blood pressure.
8. Take fish oil. Fish oil contains an abundance of essential omega-3 fatty acids (omega-3s) that have been shown to lower triglyceride (blood fat) levels, minimize inflammation and clotting, and increase HDL (“good”) cholesterol. Research indicates that omega-3s may help reduce the risk and symptoms of a variety of disorders influenced by inflammation, including heart attack and stroke. You can add omega-3s to your diet by eating more cold water fish such as wild Alaskan salmon, sardines, herring, mackerel and black cod. If that’s not possible, We recommend taking two grams daily of a fish oil supplement that contains both essential omega-3 fatty acids, EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid). When choosing a supplement, look for one derived from molecularly distilled fish oils – these are naturally high in both EPA and DHA and low in contaminants. Also choose a supplement brand that has been independently tested and guaranteed to be free of heavy metals such as mercury and lead, and other environmental toxins including polychlorinated biphenyls, also known as PCBs.
9. Artichoke Leaf Extract:  Artichoke leaf extract my help lower cholesterol levels by limiting its synthesis in the our bodies. Additionally, the extract may increase the flow of cholesterol excretion from the liver.
10. Niacin: Niacin, or vitamin B-3 helps lower LDL cholesterol levels as much as 10% and raise HDL cholesterol levels by 15% to 30%. Because of its many side effects, niacin should only be used under the supervision of a health practitioner.
11. Guggulipid: Guggulipid is the gum resin of the mukul myrrh tree. In clinical studies performed in India, guggulipid significantly reduced blood levels of total cholesterol and LDL cholesterol. The enthusiasm for using guggulipid as a cholesterol-lowering herbal agent, however, diminished after the publication of negative results from a clinical trial in the U.S. Further research is necessary to determine the safety and efficacy of this herb.
12. Red yeast rice: Red yeast rice has been found to lower cholesterol in studies and was previously found in the over-the-counter supplement Cholestin. However, in 2001, FDA took Cholestin off the shelf because it contained lovastatin, a compound found in the cholesterol prescription medication Mevacor. Reformulated “Cholestin” no longer contains red yeast rice. Other red yeast rice-containing supplements currently available in the U.S. contain very small amounts of lovastatin. Their effectiveness is questionable
13. Chinese red yeast rice helps balance normal levels of cholesterol. Red yeast rice contains substances called monacolins, which are naturally-occurring and converted by the body to make a chemical inhibiting the production of cholesterol. One monccolin in particular, lovastatin, has been extracted and used in popular statin drugs, thus causing the FDA to view natural red yeast rice as an unproved drug and banning it in the USA. Consuming moderate amounts of natural red yeast rice as part of an overall diet helps maintain normal cholesterol levels. Extracting the active ingredient from the rice and using it in a drug formulation amplifies its effects, and may produce both muscle and kidney injuries. Supplies of red yeast rice supplements sold in the USA at this time do not contain any of the active ingredient to reduce cholesterol level
14. Policosanol: Policonsanol is a dietary supplement made from Cuban sugarcane wax. It is not readily available in the US; however, non-Cuban products are available here which are made from beeswax or wheat germ. It is used to regular total cholesterol levels and is touted to be as effective as statins and red yeast rice. It may produce mild side effects such as digestive upsets, headaches and insomnia and can take two months or longer to show results.  Produced from sugar cane, policosanol was found to be effective in lowering LDL cholesterol in several studies. Most policosanol supplements found in the U.S., including the reformulated Cholestin, contain policosanol extracted from beeswax and not the sugar cane policosanol. There is no evidence that policosanol extracted from beeswax can lower cholesterol. Additional studies on sugar cane policosanol are needed to determine its effectiveness in lowering cholesterol.
15. Other herbal products: The results of several studies suggest fenugreek seeds and leaves, artichoke leaf extract, yarrow, and holy basil all may help lower cholesterol. These and other commonly used herbs and spices — including ginger, turmeric, and rosemary — are being investigated for their potential beneficial effects relating to coronary disease prevention.

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