Cholesterol Is Not The Cause Of Heart Disease with Dr. Elizabeth Boham
Oct 5, 2020
auto_awesome
Dr. Elizabeth Boham, a physician and nutritionist at The UltraWellness Center, dives deep into the misconceptions surrounding cholesterol and heart disease. She challenges the traditional views on cholesterol management, emphasizing that high cholesterol isn't synonymous with high risk. The discussion highlights the need for advanced testing methods, the role of inflammation in heart attacks, and personalized nutrition strategies—spotlighting how dietary choices can significantly influence heart health. Boham advocates for a holistic approach to cardiovascular wellness.
Cholesterol is a key factor in cardiovascular health, but it should not be viewed as the sole determinant of heart disease risk.
Standard cholesterol tests are outdated as they fail to measure particle size and number, which are crucial for assessing cardiovascular risk.
Lifestyle changes, particularly in diet, play a vital role in improving cholesterol levels and reducing heart disease risk through inflammation management.
Deep dives
Understanding Cholesterol's Role in Heart Disease
Cholesterol is a significant factor influencing cardiovascular disease risk, but it is not the only one. While many people receive recommendations to lower their cholesterol levels, it's important to note that not everyone with elevated cholesterol needs to panic or require medication like statins. The risk factors for heart disease extend beyond cholesterol numbers and include genetic predispositions, blood sugar levels, and lifestyle choices. Understanding which individuals are truly at risk for heart disease involves assessing a broader array of health indicators, including insulin levels and metabolic health.
The Limitations of Traditional Cholesterol Testing
Standard cholesterol tests typically measure total cholesterol, LDL, HDL, and triglycerides but may not present the complete picture of cardiovascular risk. The quantity and size of cholesterol particles, akin to 'dirt and dump trucks', matter greatly; smaller, dense particles carry more risk for plaque buildup in arteries than larger, less harmful varieties. Regular cholesterol panels do not distinguish between particle sizes or the total number of particles, which is crucial for assessing cardiovascular risk. More advanced testing options, such as NMR lipoprofile, can provide valuable insights regarding particle size and count, helping to tailor treatment more effectively.
The Impact of Lifestyle on Cholesterol Levels
Lifestyle choices profoundly influence cholesterol levels and cardiovascular health, particularly through diet. A diet high in processed carbohydrates and sugars contributes to insulin resistance, often reflected in poor cholesterol profiles. Conversely, implementing dietary changes that emphasize healthy fats, fiber, and nutrient-rich foods can lead to significant improvements in cholesterol and overall health. Tailored dietary plans focused on reducing insulin spikes can address both weight management and lipid profiles, making lifestyle intervention a powerful tool in preventing heart disease.
The Role of Inflammation in Heart Disease
Inflammation and oxidative stress have emerged as key contributors to heart disease, often overshadowing the focus on cholesterol alone. Factors such as excess visceral fat can lead to increased inflammation, which in turn impacts cholesterol metabolism and cardiovascular risk. Studies suggest that individuals with high LDL but low inflammation possess a significantly lower risk for heart disease compared to those with both high inflammation and cholesterol levels. Addressing sources of inflammation through lifestyle changes, including diet and physical activity, may provide a more comprehensive approach to reducing heart disease risk.
Personalized Approaches to Cholesterol Management
The path to managing cholesterol and reducing heart disease risk varies greatly between individuals and often requires personalized strategies. Genetic factors, lifestyle habits, and existing health conditions all play a role in determining the most effective interventions for each person. For some, dietary changes incorporating healthy fats and fiber can lead to substantial improvements, while others may need to explore alternatives beyond conventional statin medications based on their unique metabolic profiles. A comprehensive assessment, including particle testing and family history, empowers healthcare providers to customize treatment plans that address the root causes of lipid disturbances.
Cholesterol Is Not The Cause Of Heart Disease | This episode is brought to you by Perfect Keto
We have all heard that the secret to living a long, healthy, heart disease-free life is lowering your cholesterol, but is that really true? The reality is, most of us have little understanding about our cholesterol levels in our blood and the whole topic is much more complicated than we thought. Moreover, the standard cholesterol testing is outdated because it doesn’t check for particle size and particle number, and this information is what is needed to tell what’s really going on with your cholesterol.
In this episode, Dr. Hyman sits down with Dr. Elizabeth Boham to discuss why cholesterol is only one factor in determining your overall health. They also discuss the factors that influence your cholesterol and whether or not statin drugs are the most effective way to prevent heart attacks.
Elizabeth Boham is a physician and nutritionist who practices functional medicine at The UltraWellness Center in Lenox, MA. Through her practice and lecturing she has helped thousands of people achieve their goals of optimum health and wellness. She witnesses the power of nutrition every day in her practice and is committed to training other physicians to utilize nutrition in healing. Dr. Boham has contributed to many articles and wrote the latest chapter on Obesity for the Rankel Textbook of Family Medicine. She is part of the faculty of the Institute for Functional Medicine and has been featured on the Dr. Oz show and in a variety of publications and media including Huffington Post, The Chalkboard Magazine, and Experience Life. Her DVD Breast Wellness: Tools to Prevent and Heal from Breast Cancer explores the functional medicine approach to keeping your breasts and whole body well.
This episode is brought to you by Perfect Keto. Right now, Perfect Keto is offering Doctor’s Farmacy listeners 20% off plus free shipping with the code DRMARK. Just go to perfectketo.com/drmark, and make sure you try their Nut Butters and Keto Cookies.
In this conversation, Dr. Hyman and Dr. Boham discuss:
If elevated cholesterol is always a problem
The cholesterol test you should be getting (either an NMR Lipid Panel from LabCorp or the Cardio IQ Test from Quest Diagnostics), and why cholesterol particle size matters
How diet, lifestyle, environmental influences, and genetics influence cholesterol
The role that insulin resistance, pre-diabetes, diabetes, and metabolic health play in heart disease and overall health
Oxidative stress, free radicals, and their influence on heart health
The benefits, side effects, and risks of taking statin drugs