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How to Lower Cholesterol

How to Lower Cholesterol Naturally: A No-Medication Approach

Introduction

Cholesterol is a waxy substance and fat which is indispensable for the body. The cells are made, and hormones such as estrogen and testosterone are synthesized, thanks to cholesterol. However, when there is excess LDL-cholesterol, also known 'bad cholesterol,' the risk of heart diseases and stroke drastically increases. Consumption of drugs such as statins has been the traditional approach to lowering cholesterol levels. However, many individuals also want to control cholesterol levels naturally, that is, without drugs. This article presents an exhaustive and scientifically validated approach to lowering cholesterol in a 4-pronged way, namely diet, exercise, and lifestyle alterations. 


1. The Meaning of Cholesterol

What is Cholesterol?

Cholesterol is circulated in the blood through lipoproteins. The main classes are the following: 

Low-density lipoprotein (LDL): This is commonly known as "bad cholesterol," because it slowly builds up plaque in arteries.

High-density lipoprotein (HDL): This is known as "good cholesterol," since it helps to remove LDL from the bloodstream.

Triglycerides are also a type of fat that are held in the blood. When they are raised, they promote atherosclerosis. 

Best Cholesterol Levels

Total cholesterol: Less than 200 mg/dL

LDL cholesterol: Less than 100 mg/dL

HDL cholesterol: Greater than or equal to 60 mg/dL

Triglycerides: Less than 150 mg/dL

How to Lower Cholesterol
image credit: FREEPIK

2. Diet - Linchpin for Natural Cholesterol Control

1. Take More Soluble Fiber

Soluble fibers bring down the cholesterol absorption in the blood. Sources include:

- Oats and oat bran

- Barley

- Legumes like lentils, beans, and peas

- Fruits such as apples, pears, and citrus

- Psyllium husk

Mechanism: Fiber binds cholesterol in the digestive system and takes it away before entry to the bloodstream.

2. Choose Healthy Fats

Not all fats are bad. Replace saturated and trans fats with unsaturated fats:

Use: Olive oil, avocado oil, nuts, and seeds

Avoid: Fried foods, margarine, processed baked goods

Saturated fats (in red meat, butter, cheese) raise LDL levels; take less than 7% of your daily caloric intake.

3. Increase Plant-Based Foods

These foods do not have cholesterol per-se, but are very rich in nutrients and fiber. E.g.:

-Whole grains

-Vegetables (especially leafy greens)

-Fruits 

-Legumes

-Nuts and seeds

4. Use of Plant Sterols and Stanols

Plant sterols and stanols are natural compounds derived from plants that obstruct absorption. They occur in the following fortified foods: 

-Margarines (plant sterol fortified)

-Orange juice

-Yogurts

5. Incorporate Omega-3 Fatty Acids

These are algae oils for vegans but, in addition, omega-3 is known for reducing triglycerides and inflammation. The best sources are:

-Fatty fish (salmon, sardines, mackerel)

-Flaxseeds and chia seeds

-Walnuts

6. Limit Dietary Cholesterol

Though not as important as previously considered, some individuals still benefit from dietary cholesterol restrictions. This means reducing ingestion of:

-Egg yolk (in moderation)

-Organ meats such as the liver

-Shellfish

7. Avoid Sugar and Refined Carbs

Sugar has an adverse effect on triglyceride levels and, to some extent, HDL levels. Limit the intake of:

-Soda

-Candy

-White bread and pastries

-Sweetened breakfast cereals


3. Physical Activity: Move More to Improve Lipids

1. Aerobic Exercise

-Regular aerobic workout is good in increasing HDL and decreasing LDL and triglycerides.

-150 minutes of moderate-intensity aerobic activity per week are recommended, such as brisk walking, swimming, or biking

-Alternatively, 75 minutes of vigorous-intensity activities (running, HIIT, etc.)

2. Resistance Training

Strength training on 2 days a week may further reduce LDL and increase muscle mass, which in turn increases metabolism.

-Bodyweight exercises (pushups, squats)

-Resistance bands

-Weight lifting

3. Consider Increasing Daily Movement

Even non-exercise movement helps:

-Take the stairs

-For short errands, walk or bike

-Use a standing desk

-During sedentary work, stretch or move every hour


4. Weight Management 

1. Lose Excess Body Fat 

Cholesterol levels can be improved significantly by reducing 5 to 10% of body weight. Always aim for slow and sustainable weight loss. 

2. Don't Starve Yourself 

This would contribute to a decline in HDL levels and metabolism in the long run. Opt for a steady, healthy diet. 

3. Check Your Waist Circumference 

Abdominal fat increases the likelihood for high cholesterol and cardiovascular disease; Waist management goes: 

Men: <40 inches (102 cm)

Women: <35 inches (88 cm)


5. Lifestyle Changes 

1. Quit Smoking 

Smoking lowers HDL and raises LDL. Rewards of quitting include:

-Improved HDL levels within a few weeks

-Reduced risk of heart disease in months

-Long-term return to normal cholesterol levels

2. Limit Alcohol Intake 

For some people, a little may help raise HDL, but too much contributes to high triglycerides and damages the liver.

Men: 2 max drinks per day 

Women: 1 max drink per day

Better yet, if cholesterol is elevated, go alcohol-free. 

3. Stress Management 

Stress for long periods can elevate cholesterol indirectly by its hormonal effects and directly by encouraging certain eating habits.

Ways to relieve stress: 

-Meditation or breathing techniques 

-Yoga 

-Journaling 

-Talking to a counselor 

-Time in nature 

4. Sleeping Patterns 

Sleeping poorly can cause an increase in LDL and decrease in HDL.

-Aim for 7–9 hours of sleep each night. 

-Keep consistent sleep hours. 

-Limit screen time before bed.


6. Potentially Effective Supplements 

1. Red Yeast Rice

Contains statin-like compounds by reducing LDL; one must exercise caution and check with the physician.

2. Psyllium Husk

Psyllium acts as a supplement to provide soluble fibers that lower LDL.

3. Omega-3 Supplements

Omega-3 fish oil and vegan supplements are known to decrease triglycerides levels.

4. Niacin (Vitamin B3)

Under medical supervision, high doses can increase HDL and reduce LDL due to side effects.

5. Garlic Extract

Might reduce cholesterol a little.

Note: Supplements don't replace lifestyle changes and may interfere with drug interactions; please consult your doctor or dietitian before starting any supplements. 


7. Monitoring Progress

1. Regular Testing

Have a lipid panel done at least yearly and more often if you are at risk. Track total cholesterol, bad cholesterol (LDL), good cholesterol (HDL) and triglycerides.

2. Journal Keeping

Record your diet, workouts, stress, and sleep. This will help in recognizing trends and sustaining motivation.


8. Special Consideration

Genetic Hypercholesterolemia

Most patients inherit high cholesterol (familial hypercholesterolemic) in his or her family and, even after perfect changes in lifestyle habits, may still need some medicines. But they would always benefit from lifestyle modifications. 

Women and Cholesterol

Because hormones, especially in the menopause period, can make cholesterol levels fluctuate, wise guidelines indicate that women should test and manage cholesterol well.

Older Adults 

While it may usually be a good thing in older adults to have a high HDL level, a lower LDL may not always call for aggressive treatment. Changes in lifestyle do still have merits for good well-being.


Conclusion: How to Lower Cholesterol

Indeed, lowering cholesterol naturally is possible, and it is very healthy for the future. Through this combination of diet, exercise, management of weight, and all other aspects of lifestyle, many can improve their lipid profiles significantly without any medication. Although some may need medication because of their genetic condition or illness, a foundation of any cholesterol-lowering plan should be through a healthy, sustainable lifestyle. 

Remember, small changes should be incremental, not all at once. For instance, instead of changing to olive oil instead of butter, he could add something to his meal, such as a serving of vegetables. These things grow by multiplicities and ultimately improve health and cholesterol forever.

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