New Guidelines for Treatment of Cholesterol: Prevention of Heart Disease and Stroke

Dr. Robert Baron, UCSF Professor of Medicine, explores guidelines for treating cholesterol and reducing cardiovascular disease. Recorded on 02/18/2015. [5/2015] [Show ID: 29280]

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More from: New Guidelines for Preventive Medicine in Adults: An Integrative Approach to Prevent Cancer, Stroke, Heart Disease, Infections and Other Diseases of Aging

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[josefinorivera]

We all need cholesterols in our body! My doctor prescribed myself 80 mg statin for a period of 30 years. It affected my muscles and got prostate cancer. My immune system was compromised by taking cholesterols medication. I’ll never never take the same mistake for the rest of my life. The one that keeping me going is eating low carb, high fat, moderate protein in my diet. Exercise regularly, keep your thoughts healthy, less stress. Leave the idiots to Mother Nature. Haha! Enjoy life!

[johnnyflores]

My triglyceride and HDL levels were great my LDL was about 152 and total cholesterol was 226 and the doc wanted me on statins im like no way ill just eat better and exercise more dam docs

[machia]

Calcium Scan score and determine if you’re insulin resistant. Change diet to address these root causes along with exercise and cholesterol takes care of itself.

[sce]

It is disturbing that academia is now characterized by uncritical acceptance of these guidelines.   I recommend the video: Questioning the Cholesterol Treatment Guidelines.

[StrategicMadness]

He said one very interesting things, dietary cholesterol doesn't seem to matter..actually recommends eggs to people. So, since your body actually produces cholesterol ...what are they saying - the body is stupid? Cholesterol is extremely impotant to the body, it is in every cell, forms the basis on certain hormones, plays an important role in body repair, etc. This video is 5 years old as of now. A lot of new stuff has come out since...the roles of inflammation, lp(a), etc...and new test to measure these levels. One of the things he doesn't mention is that a statin can also reduce inflammation, which might be the real reason..but there other ways to do that.

[meggarstang]

Pro statins - at least he said this up front before I wasted an entire hour listening to outdated info. I refuse to continue my statin Rx. I am working on lifestyle changes and paying close attention to insulin resistance instead. Lost 30 lbs effortlessly on a keto food plan.

[igaluitchannel]

Why does it need to be treated? Those with lower levels of cholesterol die much sooner than those with higher ones.

[svenhuber]

Well, all necessary nutrients of humans follow a U shape, too less you will die because your body does not function (Vitamins A, D, minerals like zinc, salt), if you have too much toxicity kicks in.
Cholesterol (TC) follows the same U shape, all Meta analyses show that there is that U shape.
There seems to be a difference for woman and man. Furthermore you should consider the allover cause mortality and not only CVD, due to the fact that cholesterol is also protective against infections and parasitic and other deceases (cancer).
The WHO Analyses of the worldwide allover mortality shows that there is a strong correlation of cholesterol with allover cause mortality and a week correlation to CVD.
The best range of Total cholesterol is from 200-240 mg/dl.
Even LDL shows the same U shape the best range is 100-160 mg/dl.
Even too much HDL shows a higher total mortality and follows a U shape the best range is 40-75 mg/dl.
That means lowering the cholesterol below TC 200 mg/dl or LDL 100 mg/dl is potentially dangerous.
Furthermore new factors as TC/HDL ratio and others seems to have a stronger correlation to CVD than total TC. Furthermore Age and Sex also plays a role some studies show that higher TC levels than 240 mg/dl are more protective in higher aged men then in higher aged women.
Sources:
PMC3442317
PMC4106641
PMC26598
PMC5053782

[publicme]

At 45 minutes, he creates confusion by calling administration of Statin to those at low risk as "primary prevention." Primary prevention means lifestyle change, diet and exercise, not drug administration.

[PatIreland]

His "1/4 reduction" with statins is a RELATIVE risk percentage. If you were at a 4 in 100 probability, and you get it to 3 in 100, you have a 25% reduction. BFD.

[rockybalboa]

After 15 years on statins my legs are permenantly damaged with agonizing pain. He's a shill.

[TalkingOutOfSchool]

1) Mortality study: 75 percent of all cardiac deaths have "normal" or low cholesterol.
2) Cholesterol's job is to race to a leak and plug it. It builds up in the artery only while attempting to plug a leak not randomnly. Sometimes it works, sometimes it doesn't.

[PatIreland]

This is now five years old. Any update required?

[annehynes]

What about preventive medicine like healthy diet and

[anthonymiller]

What about the destruction of testosterone by cholesterol-lowering drugs! LowC equals Low-t!

[zenpiper]

This man needs to listen to Stephanie Seneff and then get it right.

[autopeep]

Only made it to 20 minutes nothing said on. Didn't elaborate on muscle aches nothing about memory loss with statins

[juanluisfernandez]

I see a gap in the statins dosage between *high intensity* and *moderate intensity*, for instance: atorvastatin 40-80 mg in the high intensity, and 10-20 mg in the moderate intensity. What about 20-40 mg?

[publicme]

Let's get the entire world on Statins. Let's promote the drug companies.

No thanks. I dramatically reduced my risk by changing to a whole plant-based diet. See Dr Dean Ornish, John McDougall, Colin Campbell, Greger, and many others.

[publicme]

He places prevention of heart disease in a secondary by placing it as a secondary topic -- to be discussed later in the course. His job would be dissolved if people learned to be healthy via diet and exercise. 70-80% of medical costs in the US eliminated. So, that topic must be placed on the back burner, something we'll get to. Ha! Thus, his first statement, that is, he has no conflicts of interest, is entirely untrue. That's the lie we have to expose and overcome. Lifestyle change should be the focus, not medicine.