The Truth About Cholesterol

by Dr. Jennifer Cardinal 🔶

How many times have you heard the phrase “cholesterol is bad for you!”?

In the realm of health and wellness, few topics have stirred as much controversy and confusion as cholesterol. Often labeled as the villain behind cardiovascular diseases, cholesterol is a complex lipid molecule that plays crucial roles in the human body.

The truth is cholesterol is a fundamental component of cell membranes and a precursor to essential hormones. It’s a vital substance for our body’s proper functioning.

Despite its importance, the mere mention of cholesterol often triggers alarm bells due to prevalent myths that have led to widespread fear and unnecessary dietary restrictions.

The primary objective of this blog post is to shed light on the truths about cholesterol, hopefully providing you with a well-rounded understanding of its significance and dispelling the myths that have overshadowed its positive contributions.

Let’s unveil the truth about cholesterol!

Understanding Cholesterol

There are two different types of cholesterol:

  • Low-density lipoprotein (LDL)
  • And high-density lipoprotein (HDL)

Understanding what role LDL and HDL play in the body is key to demystifying cholesterol’s impact on our health.

LDL cholesterol, often dubbed the “bad cholesterol,” has earned a notorious reputation. However, it’s crucial to recognize that LDL isn’t inherently harmful; rather, it plays a crucial role in transporting cholesterol from the liver to various tissues.

The common misconception arises when excess LDL cholesterol circulates in the bloodstream, leading to a potential buildup on arterial walls, a phenomenon as sociated with atherosclerosis. In essence, while LDL is important for your health, the prevailing conventional thoughts are that an imbalance or excess can pose risks.

On the flip side, HDL cholesterol, often hailed as the “good cholesterol,” operates as a scavenger, picking up excess cholesterol from tissues and arteries and transporting it back to our liver for elimination. Elevated levels of HDL are generally considered beneficial, as they contribute to the removal of cholesterol from areas where it could potentially cause harm.

LDL and HDL are like specialized courier services, shuttling cholesterol to and from various destinations in the body. LDL delivers cholesterol to tissues, while HDL collects excess cholesterol and ensures its safe return for processing.

Why Not ALL Cholesterol is Bad

One of cholesterol’s fundamental roles is its contribution to the structural integrity of cell membranes. Cholesterol acts like a mortar between the bricks, providing stability and flexibility to the membranes. Without this crucial lipid, our cells would struggle to maintain their integrity and proper functionality. Understanding this pivotal role underscores the importance of cholesterol in maintaining the overall health of our cells and tissues.

Beyond its structural role, cholesterol serves as a precursor for the production of our hormones, such as estrogen, testosterone, and cortisol. Acknowledging this vital contribution helps us appreciate cholesterol as a building block for essential compounds that govern our body’s intricate hormonal balance.

Contrary to the notion that cholesterol is solely associated with heart health, it’s crucial to recognize its significance for our brain function. The brain, a cholesterol-rich organ, relies on this lipid for the formation and maintenance of synapses – the connections between nerve cells. Cholesterol is integral to the insulation of nerve fibers, ensuring efficient and rapid transmission of signals. Furthermore, research suggests that adequate cholesterol levels are linked to cognitive function and memory retention.

In the broader context of overall health, cholesterol plays an indispensable role in various bodily functions, from aiding in the digestion of fats to supporting the production of vitamin D. Recognizing the diverse contributions of cholesterol dispels the oversimplified narrative that paints it as a health hazard.

PMID: 29262185

The Link Between Cholesterol and Heart Health

Atherosclerosis, a condition characterized by the buildup of plaques on arterial walls, is a critical heart condition. LDL cholesterol, often labeled as “bad” cholesterol, has been traditionally labeled as “the” contributer to atherosclerosis when present in excess. As the LDL particles accumulate on artery walls, they can initiate an inflammatory response, leading to the formation of plaques. Over time, these plaques can narrow arteries, impeding blood flow and potentially triggering heart-related issues.

Understanding this process can help us further unpack the cholesterol story though. Beyond looking at LDL alone, assessing further factors including:

  • Inflammatory markers such as hs-CRP and homocysteine which some argue can be even more problematic than the just the cholesterol alone and predispose us to the cardiovascular disease process.
  • Particle sizes of cholesterol with the smaller sizes being more “sticky” thus potentially problematic for our blood vessels.
  • Individual risk factors and family history.
  • Elevated triglycerides which have been shown to be pro-inflammatory.

Looking at the whole story gives us a much broader understanding of our overall health and potential risks than the current “LDL cholesterol is bad” narrative.

Conventional thoughts around cholesterol are changing even today and we will likely continue to learn more. Just keep in mind that it’s a controversial subject at best even amongst health practitioners. Like most subjects, it’s nuanced.

Another prevailing myth suggests a direct correlation between dietary cholesterol and blood cholesterol levels. However, the relationship is much more nuanced. While dietary cholesterol may influence cholesterol levels to some extent, other factors, such as our genetics, OVERALL diet composition, and lifestyle habits play significant roles.

Lifestyle choices, including a whole foods based diet, regular exercise, adequate sleep, and stress reduction practices play crucial roles in achieving and maintaining optimal cardiovascular health.

Strategies to Support Healthy Cholesterol

By incorporating dietary interventions, embracing regular exercise, and making lifestyle changes, we can work towards cultivating a robust cardiovascular system and healthy protective cholesterol.

Certain dietary choices can positively impact our cholesterol levels. This includes the following:

1.) Heart-healthy fats

  • Avocados
  • Olive oil
  • Fatty fish like salmon
  • Raw Nuts and seeds

2.) High fiber foods

3.) Antioxidant-rich fruits and vegetables

  • particularly those with vibrant colors, provide additional benefits for heart health. Berries, citrus fruits, and leafy greens not only support HDL levels but also contribute to an overall nutrient-dense diet.

Engaging in regular exercise whether through aerobic activities like brisk walking, running, or cycling, or resistance training, has also been shown to elevate HDL levels.

  • Aim for at least 150 minutes of moderate-intensity exercise per week and consider incorporating strength training exercises two or more days a week for comprehensive cardiovascular benefits.
  • What’s the best exercise ? The one you will do! Do something that brings you joy.
  • Consider whether you prefer something solitary or a group type of class.  Consider having a buddy to help keep you on track.
  • If you are just getting started, even 10 minutes of daily movement counts! Build a bridge from where you are today to get to where you want to be tomorrow and remember:

“Perfect is the enemy of good!

– Voltaire

In addition to dietary and exercise interventions, certain lifestyle changes further contribute to higher HDL levels and overall cardiovascular well-being:

  • Avoiding tobacco
  • Limiting alcohol intake
  • Managing stress levels
  • Maintaining a healthy weight
  • Getting 8-9 hours of quality sleep per night

Conclusion

As we conclude, let’s emphasize the importance of adopting a holistic approach to cholesterol management. Small, sustainable changes in diet, exercise, and lifestyle can lead to significant improvements in overall heart health.

Consistency, rather than drastic measures, is the key to lasting results.

If you’re seeking extra support and guidance on your path to heart health, consider scheduling a complimentary consultation with me. I would love to learn more about you and discuss how I can help. Together, we can explore personalized strategies, address concerns, and chart a course towards a heart-healthy lifestyle that nurtures your well-being. 

Learn more about me here: http://www.hopehealthwellness.com

Dr. Jennifer Cardinal 
Functional Medicine – Nutrition – Health Coaching
Your hope, health & wellness resource. 

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