Thursday, May 9, 2013

Why Statins are not the Answer





Statins (ie: Lipitor, Mevacor, Zocor, Lescor, Crestor, Advicor, Pravachol) are cholesterol-lowering medications prescribed for more people than any other drug type to aid in reducing the amount of fat in your blood. It is widely accepted that elevated cholesterol levels increase your risk of cardiovascular disease, although this theory is debatable. Prescriptions for these drugs have sky-rocketed over the past 15 years, with a startling 260 million prescriptions dispensed in the U.S. in 2011 alone. According to the CDC, 600,000 people die every year in the United States due to heart disease despite the fact that more people than ever are taking these cholesterol-lowering medications. These people simply did not die because they forgot to take their Lipitor.

Even more shocking, at least half of all heart attacks and strokes occur in people with acceptable cholesterol levels, yet cholesterol levels and LDL (Low Density Lipoprotein) continue to shoulder the blame. If half of the people who suffer stokes and heart attacks have normal cholesterol levels, then what caused their heart attack? The truth is,  cholesterol and low-density lipoproteins are actually a pretty poor indicator for assessing a person’s risk of developing cardiovascular disease. Virtually all major studies on statins were paid for and/or conducted by the pharmaceutical companies selling the drugs, or by scientists with financial ties to the pharmaceutical companies. The studies that report a 36% reduction in heart attacks for people taking Lipitor are reporting the relative risk rather than the more accurate absolute risk. In a large clinical study, 3% of patients taking a sugar pill, or placebo, had a heart attack, compared to 2% of patients taking Lipitor. For every 100 people who took the drug for 3.3 years, 3 people on the placebo suffered heart attacks compared to 2 people actually taking Lipitor. So, 100 people have to take the drug for more than 3 years to prevent 1 heart attack. The other 99 people increase their risk of side effects for essentially nothing. Data from one study showed that 1,000 people would have to be treated with statins for one year to reduce the number of deaths from 9 to 8.

So what is a strong risk factor for cardiovascular disease?

Homocysteine is an amino acid that derives from demethylation of methionine and causes vascular damage, leading to inflammation within the vessel walls. LDL or cholesterol can’t penetrate the walls of the vessel and become oxidized unless inflammation is present. To make a long story short, folic acid (vitamin B9) reverses homocysteine formation and helps prevent vascular inflammation so that LDL or cholesterol can’t be deposited into the injured vascular wall and become oxidized. Lowering your blood levels of homocysteine greatly reduces your risk of developing cardiovascular disease.

What can you do?


1)    Supplement with a multi-vitamin high in folic acid (B9) for the remethylation of homocysteine.
2)    Consume only grass-fed, certified organic meats.
3)    Supplement with a animal based omega-3 fatty acid with a DHA:EPA ratio of 18:12.
4)    Exercise at least 45 minutes per day making sure your heart rate is at 60-80% of your maximum heart rate.
5)    Reduce your daily stress levels.
6)    Get your spine checked by a chiropractic physician! Making sure your brain is communicating properly with the rest of your body is imperative to expressing health and wellness.



References:



1)    Antioxidant activity of vitamin B6 delays homocysteine-induced atherosclerosis in rats. British        Journal of Nutrition (2006), 95, 1088–1093

2)    The Cholesterol Conundrum. Nutrition News and Views,17(3) 1-6,  2013.

3)    The pathogenesis of atherosclerosis: a perspective for the 1990s. Nature 362,    801–809.

4)    Ross R (1999) Atherosclerosis - an inflammatory disease. N Engl J Med 340, 115–126.

5)    V Buonacorso, ER Nakandakare, et al, Am J Clin Nutr, Nov 2007, 86(5):1270-7; D Kim, JAMA21 Nov 2007, 298(19):2263-4

6)    A Kim, A Chiu, et al, J Am Diet Assoc, Nov 2011, 111(11):1720-9

7)    A Merchant, S Anand, et al, Am J Clin Nutr, Jan 2007, 85(1):225-30

8)    A Singh-Manoux, D Gimeno, et al, Arterioscler Thromb Vasc Biol, Aug 2008, 28(8):1556-62

9)    K Ray, S Seshasai et al, Arch Intern Med, 2010, 170:1024-31

10) M Gillman, S Daniels, B Psatu, et al, JAMA, 18 Jan 2012, 307(3):257-60

11) Robinson K, Mayer EL, Miller DP, et al. (1995) Hyperhomocysteinemia and low pyridoxal phosphate: common and independent reversible risk factors for coronary artery disease. Circulation 92, 2825–2830. Ross R (1993)