Guest guest Posted November 2, 2006 Report Share Posted November 2, 2006 Natural Alternatives for Lowering Cholesterol and Triglycerides Richard Conant, L.Ac., C.N. http://www.willner.com/article.aspx?artid=190 Fat and humanity are inseparable. Setting aside the fear and loathing about body fat that pervades our culture, we come to appreciate fat as our friend. More than that, we cannot live without it. The body contains many different kinds of fats and fat-like molecules. Known collectively as " lipids, " these fatty substances include fatty acids, lipoproteins, phospholipids, glycolipids, triglycerides, steroid hormones and the infamous, dreaded cholesterol. Lipids (fats) are found everywhere in the body, performing a variety of vital functions. The brain is a fat-rich organ. Brain neurons and nerve cells are surrounded by insulation in the form of myelin, made largely out of fat. Cell membranes consist mainly of phospholipids (phosphorus-containing fats) arranged in a sandwich-like double layer embedded with proteins. Sex hormones such as estrogen and testosterone are lipids, belonging to the group of complex fatty molecules called " steroids. " The body stores and transports much of its fat supply in the form of triglycerides. A triglyceride contains three fatty acid molecules, which have a chain-like structure, linked to backbone made of glycerol. (There are also mono- and diglycerides, which have one and two fatty acid chains, respectively, attached to glycerol.) Like many things necessary for life, fat is a two edged sword. Fat insulates us from the cold, cushions and protects our vital organs and serves as a storehouse for energy. Yet, when present in excess to the point of obesity, fat threatens health, happiness, self- esteem, social standing and longevity. Keeping fat in its proper place, not eliminating fat or reducing it drastically, is the goal we should seek. Lipids in the blood, primarily triglycerides and cholesterol, are essential. Yet they become a health threat when the blood contains too much of them. Blood lipids must be maintained at the proper levels and ratios. How do we keep the blood lipids we need balanced at healthy levels? Diet and exercise are the foundation; these basics must come first. Along with sound dietary and lifestyle practices, a number of natural approaches can be used to effectively maintain blood lipid health. They can also serve as alternatives to cholesterol-lowering drugs. We will now give several of the most effective among these a closer look. Gugulipid In the early 1990s, U.S. consumers were introduced to an herb used for centuries in the Far East to treat problems involving excess blood lipids. Known in India as " guggul, " this herb has proven itself to be one of the most effective natural cholesterol-lowing agents ever discovered. Guggul lowers total cholesterol, LDL and triglycerides. At the same time, it raises HDL, the non plaque- forming cholesterol molecule. The changes are substantial; guggul single-handedly normalizes the blood lipid profile, even in people with high initial cholesterol and triglyceride levels. Also called " gum guggul, " guggul is a gummy resin tapped from Commiphora mukul, a small shrub-like tree native to India. India's famed Ayurvedic herbalists have prized guggul, a cousin of myrrh gum, for at least 3,000 years. As far back as 600 B.C., guggul was recommended for rheumatism and poor health caused by overconsumption of fatty foods. One ancient Sanskrit text describes in detail " coating and obstruction of channels, " a condition said to result from disordered fat metabolism due to overeating and a sedentary lifestyle. Intrigued by the striking similarity between " coating and obstruction of channels " and atherosclerosis—the clogging of arteries by fatty plaque deposits—Indian researchers began a series of experimental and clinical studies in the 1960s to see if guggul could lower blood lipid levels. The results stimulated considerable interest in the ancient folk remedy. In both human and animal studies, guggul consistently lowered cholesterol and triglycerides. Pharmacological studies conducted by Indian scientists showed that guggul's lipid-lowering effects are produced by a group of compounds present in the resin called " guggulsterones. " An Indian pharmacetical firm then patented a standardized extract of guggul under the trade name " Gugulipid. " The product contains 2.5 percent guggulsterones, which is slightly higher than guggul resin in its natural state. Because Gugulipid guarantees a uniform intake of guggulsterones, it has become the preferred form of guggul for use in clinical research. Phase I safety trials and Phase II efficacy trials have continue confirmed Gugulipid's effectiveness for lowering cholesterol and triglycerides.,, To date, clinical studies on guggul and Gugulipid have involved relatively small numbers of subjects. Small-scale studies tend to leave medical scientists unconvinced until the results are duplicated in larger trials with a minimum of 200 to 500 people. A large, well-publicized double-blind Gugulipid trial would go a long way toward giving this time-honored herb the credibility it deserves. In the meantime, reports from the growing number of users in the U.S. tell a similar story: consistent, significant cholesterol and triglyceride reductions. Pantethine Another effective natural solution for blood lipid control that deserves to be better known is pantethine, a relative of pantothenic acid (vitamin B5). Pantethine is the active form of pantothenic acid in the body. Pantethine is converted to CoA, an essential coenzyme in fat metabolism. CoA transports " active acetate, " an important byproduct of fat metabolism that provides fuel for generating cellular energy. By promoting the burning of fats for energy, pantethine helps keep triglyceride levels under control. Japanese researchers began studying the effect of pantethine on blood fats nearly twenty years ago. They reported promising findings from animal studies, at the Seventh International Symposium on Drugs Affecting Lipid Metabolism, held in Milan, Italy in 1980. Few in the medical or scientific communities took notice. Italian researchers followed up on this research with several small clinical trials that confirmed results of the preliminary reports.6,, An excellent cholesterol and triglyceride lowering agent that is safe and free of side effects, pantethine remains for the most part ignored by mainstream science, although its usage is growing in alternative medical circles. Pantethine will no doubt prove to be one of the most important supplements for maintaining healthy blood lipid levels. Niacin When taken in high enough doses, niacin (vitamin B3) substantially lowers cholesterol. This has been known to medical science for many years. Studies on niacin as a cholesterol-lowering agent go back to the 1950s. There was a fair amount of initial enthusiasm for niacin because, unlike most lipid-lowering drugs, it improves all parameters of the blood lipid profile. Niacin reduces total cholesterol, LDL cholesterol (the unstable, plaque-forming cholesterol) and triglycerides. It also raises HDL quite well. Interest in niacin has faded, in part because the necessary dose, 1200 milligrams a day or more, can cause side-effects such as flushing and stomach upset. Very high doses of niacin may be harmful to the liver if taken for long periods. There is a solution to the side-effect problem with niacin which, again, has failed to garner much attention. Inositol hexanicotinate is a flush-free form of niacin composed of six niacin molecules bonded to one molecule of inositol, a B complex nutrient. Inositol hexanicotinate is absorbed intact and metabolized slowly, releasing free niacin into the bloodstream over a period of hours following ingestion. The flushing effect of ordinary niacin, which metabolizes much more rapidly, does not occur. Taking up to four grams per day has not been reported to raise liver enzymes or cause other side- effects, although prudence dictates that people with liver problems should avoid very high doses of inositol hexanicotinate, or any other form of niacin. Tocotrienols Vitamin E is often thought to be synonymous with d-alpha tocopherol. Vitamin E is actually an entire family of compounds that includes various tocopherols and a group of lesser-known but highly beneficial substances called tocotrienols. All have vitamin E activity. Tocotrienols are similar in chemical structure to tocopherols, but they have important differences that give them unique properties for human health. Vitamin E is one of the most recognized antioxidants, nutrients that deactivate potentially toxic byproducts of oxygen metabolism called " free radicals. " Vitamin E neutralizes peroxides, which result from the oxidation of lipids by free radicals. Vitamin E protects cell membranes from being torn apart by peroxides; it is at the membrane level where vitamin E plays its most important role as an antioxidant. While d-alpha tocopherol has generally been regarded as the form of vitamin E with the strongest antioxidant activity, tocotrienols are even stronger. The tocotrienol story is another example of a natural product slow to gain recognition. In 1991, a University of California team discovered that d-alpha tocotrienol is over six times more effective than d-alpha tocopherol at protecting cell membranes from free radical damage. In the presence of vitamin C, which recycles vitamin E-like compounds, its antioxidant activity is 40 to 60 times higher than d-alpha tocopherol. Despite these monumental findings, it is safe to say that few cardiac physicians are well-informed or excited about tocotrienols. It would be a tremendous service to public health if they were, because the benefits of toctrienols go far beyond their stellar antioxidant ability. Tocotrienols also lower total cholesterol and triglycerides, by impressive percentages. In a double-blind, crossover trial, 47 people with high blood cholesterol took 200 mg of tocotrienols for four weeks. Cholesterol was reduced by 15 to 22 percent, while drops in LDL of 10 to 20 percent were recorded. Another double-blind study looked at the cholesterol-lowering effect of tocotrienols in combination with the National Cholesterol Education Program (NCEP) Step-1 diet, which limits the intake of cholesterol, saturated fat and total fat. Subjects taking tocotrienols enjoyed reductions of 17 percent in total cholesterol and 24 percent in LDL. Those on the low fat diet alone posted modest 5 and 8 percent reductions in total cholesterol and LDL. Derived from food oils such a palm and rice bran oil, tocotrienols have the same lack of toxicity as ordinary vitamin E. Disclaimer The information provided on this site, or linked sites, is provided for informational purposes only, and should not be used as a substitute for advice from your physician or other health care professional. Product information contained herein has not necessarily been evaluated or approved by the U.S. Food and Drug Administration, and is not intended to diagnose, treat, cure or prevent disease. Quote Link to comment Share on other sites More sharing options...
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