General fitness, health and nutrition · Public discussion

Blood Lipid Question

George · 2004-06-25T01:57:32+00:00

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

Started by George · 25 June 2004 · Last activity 25 June 2004 · 32 posts · 8,258 views

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Original section: General fitness, health and nutrition
Published: 25 June 2004
Last activity: 25 June 2004
Original author: George
Posts: 32
Discussion status: Public discussion
Total views: 8,258
Views / 30 days: 0
Topics: Cycling and heart health

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Original post
George
Archived post

25 June 2004, 01:57 UTC #1

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

Report
Jim Chinnis
Archived post

25 June 2004, 01:57 UTC #2

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

Report
Liam
Archived post

25 June 2004, 01:57 UTC #3

George said:
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.

Report
Dr. Andrew B. C
Archived post

25 June 2004, 01:57 UTC #4

George said:

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.
Quoted message said:
I'm male, 56 yrs, normal height and weight.
"Normal" is not necessarily optimal.
Imho, "normal" weight in America is overweight.
Quoted message said:
Per my latest physical, there is room for improvement in
my HDL, which is only 44.
This is lower than optimal.
Quoted message said:
Yet my TC=117, TRIG=48 and LDL=63.
These are optimal.
Quoted message said:
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.
Quoted message said:
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.
Quoted message said:
Or, am I off base and should I work harder on my HDL?
Imho, the latter.
Quoted message said:
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:
heartmdphd.comwtloss.asp
Quoted message said:
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
heartmdphd.comheartmdphd.com
**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.com
What is all this about?
makeashorterlink.commakeashorterlink.com
Is this spam?
makeashorterlink.commakeashorterlink.com

Report
Brad Sheppard
Archived post

25 June 2004, 01:57 UTC #5

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
hin.nhlbi.nih.govcalculator.asp
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
hsph.harvard.edufats.html
"George" <look@signature_to.reply> wrote in message news:<p-
[email hidden]>...
Quoted message said:
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

Report
Anonymous
Archived post

25 June 2004, 01:57 UTC #6

"George" <look@signature_to.reply> wrote in message
"]news:[email hidden]...
Quoted message said:
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

Report
George
Archived post

25 June 2004, 01:57 UTC #7

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-
[email hidden]...
Quoted message said:
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
Quoted message said:
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
Quoted message said:
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
Quoted message said:
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

Report
Dr. Andrew B. C
Archived post

25 June 2004, 01:57 UTC #8

--------------F0F64D9EC079268679B28246
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit
Brad Sheppard said:
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 hin.nhlbi.nih.govcalculator.asp
usertype=pub
Not if you have metabolic syndrome (MetS).
Quoted message said:

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.
Quoted message said:

2) replace some carbs with olive oil or other non-
saturated fat
Ime, your recommendation will not have much effect on
raising HDL.
Quoted message said:
3)stop eating trans-fat (prepared foods, etc)
Fyi, trans-fat is from the hydrogenation of unsaturated fat
rather than from preparing food.
Quoted message said:
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.
Quoted message said:
Low fat diets are not optimal for heart health.
Eating less if you are overweight is better for heart
health.
Quoted message said:
See Harvard's advice
hsph.harvard.edufats.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:
heartmdphd.comwtloss.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
heartmdphd.comheartmdphd.com
**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.com
What is all this about?
makeashorterlink.commakeashorterlink.com
Is this spam?
makeashorterlink.commakeashorterlink.com
--------------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,
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
 <a href="hin.nhlbi.nih.govcalculator.asp">hin.nhlbi.nih.govcalculator.asp</a></blockquote>
Not if you have metabolic syndrome (MetS).
<blockquote TYPE=CITE><a href="hin.nhlbi.nih.govcalculator.asp"></a>
 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>
 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)
 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. Indeed, for someone who might
have lower HDL from being overweight, this is likely bad advice.
<blockquote TYPE=CITE>Low fat
 diets are not optimal for heart health.</blockquote>
Eating less if you are overweight is better for heart health.
<blockquote TYPE=CITE> See Harvard's advice
 <a href="hsph.harvard.edufats.html">hsph.harvard.edufats.html</a>
 </blockquote>
"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:
<A HREF="heartmdphd.comwtloss.asp">heartmdphd.comwtloss.asp</A>
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
 <A HREF="heartmdphd.comheartmdphd.com">heartmdphd.comheartmdphd.com</A>
**
 Who is the humblest person in the universe?
 <A HREF="makeashorterlink.commakeashorterlink.com">makeashorterlink.commakeashorterlink.com</A>
What is all this about?
 <A HREF="makeashorterlink.commakeashorterlink.com">makeashorterlink.commakeashorterlink.com</A>
Is this spam?
 <A HREF="makeashorterlink.commakeashorterlink.com">makeashorterlink.commakeashorterlink.com</A>
 </html>
--------------F0F64D9EC079268679B28246--

Report
Liam
Archived post

25 June 2004, 01:57 UTC #9

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

Report
Mirek Fidler
Archived post

25 June 2004, 01:57 UTC #10

"George" <look@signature_to.reply> pí¹e v diskusním pøíspìvku
"]news:[email hidden]...
Quoted message said:
Hehe ... I originally posted here with a constructive
question about

my HDL,
Quoted message said:
thinking I might get a reasonable reply from a medical
doctor, and

have
Quoted message said:
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

Report
Tiger Lily
Archived post

25 June 2004, 01:57 UTC #11

"George" <look wrote in message .net...
Quoted message said:
Hehe ... I originally posted here with a constructive
question about my

HDL,
Quoted message said:
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........ :-(

Report
George
Archived post

25 June 2004, 01:57 UTC #12

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" <[email hidden]> wrote
in message "]news:[email hidden]... 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
hin.nhlbi.nih.govcalculator.asp
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
hsph.harvard.edufats.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: heartmdphd.comwtloss.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
heartmdphd.comheartmdphd.com ** Who is the humblest person
in the universe? makeashorterlink.commakeashorterlink.com
What is all this about?
makeashorterlink.commakeashorterlink.com Is this spam?
makeashorterlink.commakeashorterlink.com

Report
Jim Chinnis
Archived post

25 June 2004, 01:57 UTC #13

"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in part:
Quoted message said:
Quoted message said:
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

Report
Brad Sheppard
Archived post

25 June 2004, 01:57 UTC #14

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" <[email hidden]> wrote
in message news:<[email hidden]>...
Quoted message said:
Brad Sheppard said:
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 hin.nhlbi.nih.govatpiii
/calculator.asp?usertype=pub
Not if you have metabolic syndrome (MetS).
Quoted message said:

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.
Quoted message said:

2) replace some carbs with olive oil or other non-
saturated fat
Ime, your recommendation will not have much effect on
raising HDL.
Quoted message said:
3)stop eating trans-fat (prepared foods, etc)
Fyi, trans-fat is from the hydrogenation of unsaturated
fat rather than from preparing food.
Quoted message said:
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.
Quoted message said:
Low fat diets are not optimal for heart health.
Eating less if you are overweight is better for
heart health.
Quoted message said:
See Harvard's advice
hsph.harvard.edufats.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:
heartmdphd.comwtloss.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
heartmdphd.comheartmdphd.com
** Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.com
What is all this about?
makeashorterlink.commakeashorterlink.com
Is this spam? makeashorterlink.commakeashorterlink.com
--

Report
George
Archived post

25 June 2004, 01:57 UTC #15

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

Report
Dr. Andrew B. C
Archived post

25 June 2004, 01:57 UTC #16

Jim Chinnis said:
"Dr. Andrew B. Chung, MD/PhD" <[email hidden]>
wrote in part:
Quoted message said:
Quoted message said:
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
heartmdphd.comheartmdphd.com
**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.com
What is all this about?
makeashorterlink.commakeashorterlink.com
Is this spam?
makeashorterlink.commakeashorterlink.com

Report
Dr. Andrew B. C
Archived post

25 June 2004, 01:57 UTC #17

Brad Sheppard said:
Chung, your two brain cell diet must be affecting you.
Ouch. You may have at the other cheek.
Quoted message said:
How can George have Mets without having any of the
conditions for it?
Have not examined him to know one way or another.
Quoted message said:
It probably means you didn't read his posts.
Reading someone's posts is not a substitute for
examining someone.
Quoted message said:
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?
Quoted message said:
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.
Quoted message said:
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.
Quoted message said:
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.
Quoted message said:
Re: moderate drinking - the key word is moderate.
This keyword is an adjective describing the level of
drinking.
Quoted message said:

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
heartmdphd.comheartmdphd.com
**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.com
What is all this about?
makeashorterlink.commakeashorterlink.com
Is this spam?
makeashorterlink.commakeashorterlink.com

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George
Archived post

25 June 2004, 01:57 UTC #18

On 22 Jun 2004 10:11:07 -0700, [email hidden] (Brad
Sheppard) said:
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.

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Mirek Fidler
Archived post

25 June 2004, 01:57 UTC #19

"George" <[email hidden]> píse v diskusním príspevku
"]news:[email hidden]...
Quoted message said:
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

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Tiger Lily
Archived post

25 June 2004, 01:57 UTC #20

"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
"]news:[email hidden]...
Quoted message said:
Quoted message said:
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?
Quoted message said:
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
hsph.harvard.edupyramids.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

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