Cholesterol: Dispelling the Myth and Unveiling the True Culprits of Poor Heart Health
For decades, cholesterol has been portrayed as the bad guy behind heart disease and poor health. However, it has also been known for many years that cholesterol and especially consuming cholesterol foods are not the true culprit. As a dietitian committed to promoting natural foods and supplements for optimal health, it is essential to explore the link between blood cholesterol, high-sugar diets, and processed seed oils among other contributing factors. This blog hopes to provide some debunking around the cholesterol myth and highlight the true contributors to heart disease and overall well-being. Understanding Cholesterol Cholesterol is a crucial substance that plays a vital role in various bodily functions. While it often gets a bad reputation, it is important to understand that cholesterol is essential for our overall health. Our liver is primarily responsible for producing the cholesterol needed by our body, while a smaller amount is obtained through the foods we eat. One genetic condition, Familial Hypercholesterolaemia (FH), is where there is a fault in one of the genes involved in removing cholesterol from the blood via your liver. It happens when you inherit a ‘faulty’ gene (also known as an ‘alteration’ or ‘mutation’) from one of your parents. Many people go instantly to a no fat diet and this is not the answer. Using a healthy diet with select medication is required still ensuring healthy fats are not completely avoided. The Flawed Cholesterol-Heart Disease Connection Numerous studies have questioned the long-held belief that consuming foods high in cholesterol directly leads to elevated blood cholesterol levels and an increased risk of heart disease. Research is shedding more and more light on this topic, suggesting that the impact of dietary cholesterol on blood cholesterol levels may be minimal when compared to other factors such as overall diet quality and lifestyle choices. This has implications for individuals looking to make informed decisions about their dietary choices and overall cardiovascular health and I am so delighted to see this out-dated belief being challenged. Cholesterol – Focus on the Real Culprits Heart disease and poor health are complex issues cannot be solely due to one factor, such as cholesterol. Rather than singling out cholesterol, it is important to address the role of other factors that are involved. These include the well-known like lack of exercise, unbalanced diet, obesity, stress, lack of sleep, alcohol, smoking, and others not so obvious like trans fats, medications, diabetes, hormone dyregulation, an underactive thyroid, poor kidney function. The two primary factors I wish to expand on in this blog are high-sugar diets and processed seed oils. Both of which are unnecessary but deeply ingrained in our eating habits worldwide and are related to heart disease and poor heart health when consumed in the modern diet. High-Sugar Diets and Heart Disease A high intake of added sugars, particularly refined sugars found in ultra-processed and processed foods and sugary beverages, leads to chronic inflammation and oxidative stress in the body. Dietary sugars mainly refer to fructose and glucose which are naturally present in fruits and some vegetables. The molecular formula you may remember from school biology is C6H12O6 and they are isomers of each other. Fructose and glucose are both considered to be sweet sugars, fructose is however the sweeter of the two but here is the important part – fructose is absorbed differently in the body. Unlike glucose, which is used by cells as an energy source, fructose is metabolized by the liver, where it promotes the synthesis of fat. High Fructose Corn Syrup (HFCS) is a common sweetener and preservative made from the simple sugars fructose and glucose. HCFS-55 and HCFS-42, are the most commonly utilized form that are used in beverages and baked goods. As you can gusess the numbers indicate the amounts so HCFS -55 contains 55% fructose and HCFS-42 and 42% fructose, respectively, with the remainder of the of the syrup being glucose. Since the 1970s, the amount of HFCS has increased in foods firstly in the USA but are now common within the “Western diet” consumed worldwide. The consumption of these types of processed sugars, particularly in sugary soft beverages (SSB), became a major contributor to sugar intake, and the correlation between sugar-sweetened beverages (SSB) and cardiometabolic diseases highlights the potential impact of fructose and glucose on our health. Cholesterol intake or Triglyceride Imbalances? So why worry? Well increased sugar consumption stimulates the liver to convert excess sugar into triglycerides, a type of fat, and it is elevated triglyceride levels in the blood that are strongly associated with an increased risk of heart disease. As highlighted the consumption of processed sugar has reached worrying levels in our modern diet and I see this in my everyday practice. Patients are providing food diaries doing their best to eat what they consider healthy for their heart; all low fat, and in fact they are more inflamed than ever with not paying attention to the processed sugars they are consuming. While natural sugar can provide a quick burst of energy and is fine as part of a balanced intake, excessive intake can have detrimental effects on our health. As mentioned elevated levels of triglycerides in the blood have been identified as a significant risk factor for heart disease. When triglyceride levels rise above normal limits, it can lead to plaque buildup in the arteries, increasing the chances of heart disease and related complications. I explain and teach this to my patients. It is crucial for individuals to monitor and decrease their sugar intake, they are also required to check blood levels and maintain healthy triglyceride levels, this will reduce their risk of heart disease and other inflammatory conditions. Processed Seed Oils and Heart Disease So what about seed oils? The imbalance of omega-6 and omega-3 fatty acids is a common dietary concern. Omega-6 and omega-3 fatty acids are both essential fats that our bodies need for various functions, such as proper brain function, healthy skin, and the regulation of inflammation. However, in today’s Western diet, the ratio
Wegovy – New Diet Drug
Wegovy – New Diet Drug 121 Dietitian is excited by the launch of the New Diet Drug Wegovy for weight loss and obesity. A game changer for weight loss, but not without consequences. If you decide this is for you, you need to ensure you get the maximum results possible. As weight loss experts 121 Dietitian wants the best for you, we are seeing a massive push on online prescribing. What support do you get with this????? In most cases, it is lip service and not personalised. These drugs are not a quick fix, they are expensive, require 18 months of time commitment and stop working when you don’t inject. So what can you do? How to get maximum results with Wegovy- new diet drug If you decide Wegovy is for you. You may be surprised to read that the only way to get maximum results is by working with a Specialist. Dietitians like us here at 121 being the gold standard! Wegovy is not the golden ticket to weight loss. We know and have many years of experience assisting thousands of people with optimising their diet and health for life. Wegovy what you need to know As a Dietitian for nearly 30 years, I have watched many drugs come and go regarding weight loss. Wegovy is one of the newer kids on the block. Big breakthroughs have been the headlines over the years and many people eager to get their hands on the latest launch, pay big bucks for something they know nothing about. Creating drugs to allow for a substantial amount of weight loss without serious side effects is the dream for many pharmaceutical companies and many attempts have been made. In this blog, I hope to provide you with all you need to know about these medications the positives and negatives of taking these drugs and what alternative may work better for you long term. How Do These Anti-Obesity Drugs Work? In normal digestion, the gut secretes hormones after food intake, stimulating insulin secretion. These pharmaceutically created peptides (Wegovy) mimic these same gut hormones and provide more GLP-1 to flood the system and allow for additional weight loss. Wegovy and Mounjaro work differently in the body but both keep you fuller for longer by delaying gastric emptying, increasing insulin sensitivity, decreasing glucagon, and reducing high glucose levels. Both drugs reduce triglycerides, LDL and raise HDL cholesterol, along with reducing blood pressure. Who is eligible for Wegovy? Wegovy is intended for use by adults aged 18-75 who have a BMI of 30 or above, or a BMI of 27 or above AND a weight-related health condition such as (asthma, cardiovascular disease, depression, diabetes, fatty liver disease, gallbladder disease, high blood pressure, a history of certain cancers, osteoarthritis or gout, or polycystic ovary syndrome (PCOS). Side effects of Wegovy – New Diet Drug Something that is often overlooked or underplayed is the side effects of drugs. For Wegovy and Mounjaro (Tirzepatide) include nausea vomiting abdominal pain constipation diarrhoea There is a concern of 4.5 x higher intestinal obstruction in 25,000 people studied. Fatigue and headache are also very common, mainly as doses increase. Other common side effects include: feeling lightheaded excess passing wind gastroesophageal reflux injection site reactions hair loss hypoglycemia in patients with type 2 diabetes Less common side effects have been noted with these drugs including allergic reactions gallstones (which can occur with a large amount of weight loss) the potential of medullary thyroid cancer You are also at risk of acute kidney injury. In rare cases, there can be serious side effects, such as pancreatitis or anaphylaxis. A list NOT to be ignored. How is Wegovy Given and Practical Considerations Wegovy (Semaglutide), is in a prefilled self-injection delivered under the skin in the arm, abdomen or thigh. 0.25 mg for a month, increasing monthly to a maximum dose of 2.4 mg in the 5th month. It takes a year to 18 months to have full effect. As with any medication, there are positives and negatives and I have spent most of the last 15 years in my clinics trying to reduce my patient’s medication lists where possible! I am aware however that some medications are beneficial, and it is a major hope that these drugs will genuinely assist in weight loss for the select individual. One thing for sure is that they do seem to be a better option than bariatric surgery which is a blog for another day! Currently, the hype is big and no doubt we will find out more as time goes by, but for now, I prefer to recommend you don’t get swept up too soon and spend extortionate amounts of money without doing the following first. Wegovy -Work with a Dietitian Obesity is a complex, chronic disease with multifactorial causes, and taking a drug and expecting life-changing weight loss is too simplistic. For those seeking to improve their health and lose weight and really stuck these drugs may be a short sharp kickstart but no more. It is clear from the research that when people stop taking Wegovy/Ozempic, they rapidly regain the weight. It is very expensive and there are important issues that need to be highlighted regarding everyday considerations like how alcohol impacts blood sugar control, fasting, health risks and other medication interactions. Verdict on Wegovy – New Diet Drug As a Dietitian, I have been asked repeatedly about weight loss drugs. I always consider all options and for the greater good of all who may be thinking about using these and believe in working on lifestyle, diet and fitness interventions first or alongside any targeted medication. I am concerned that vulnerable people who are really in need of significant weight loss may need to stay on Wegovy indefinitely in order to maintain any weight loss achieved, and this definitely raises concerns about long-term use. As 121 Dietitian offer weight loss services it is something for you to consider. You can invest in a 121 Dietitian programme, the
Metabolic syndrome – are you at risk?
Metabolic syndrome – It’s estimated that 25% of the world’s population has “Syndrome X.” Sounds like a spy code and sadly it can be as deadly if not dealt with. Syndrome X is the underlying factor for a whole host of common health problems we treat every day at our clinic. In a nutshell, Metabolic syndrome “Syndrome X” is a cluster of simple abnormalities leading to hyperglycemia, hyperinsulinemia, and glucose intolerance followed by reduced insulin sensitivity, further leading to hypertension, hypercholesterolemia, obesity, and T2 Diabetes. What’s going on in Metabolic Syndrome? Insulin resistance is a condition where your body produces insulin but doesn’t use it properly. Insulin (a hormone secreted by the pancreas) helps your body use glucose for energy. When you’re healthy, your digestive system breaks your food down into glucose. This is absorbed into the bloodstream and travels throughout your body. As your blood glucose level rises after eating, the pancreas releases insulin to help your cells take in and use the glucose. This is a normal process and all settles pretty quickly until the next time. But when someone is insulin resistant, the cells in their muscle, fat, and liver don’t respond like they should to insulin. They “lock the door” and won’t let the glucose in. As a result, their body needs MORE insulin to help glucose enter their cells. This increases stress on the pancreas which is trying to keep up with this increased demand for insulin, but eventually the pancreas fails. The excess glucose then builds up in your bloodstream, and you are on route to Type II diabetes. The hidden dangers of Syndrome X (insulin resistance) People with metabolic syndrome are at a greater risk for developing these medical problems as well: * High blood pressure * Elevated triglycerides * Coronary artery disease * Heart attack * Obesity How Metabolic Syndrome happens Insulin resistance is largely due to eating a daily diet of refined carbohydrates (sugars, white flour, white rice, pasta, bread, cake, biscuits and all products made with them. There are thousands of them you would never realise). This over time takes its toll on your body. Also important and needs more research is the role of genetics as well as a deficiency in Omega-3 essential fatty acids. We now know about eating too many refined carbohydrates, but do you know about Omega -3? Omega-3 Omega-3 fatty acids (EPA and DHA) are found at every level of your body. They’re a major part of your cell membranes where they help control cell signalling, immune responses, inflammation and other metabolic functions. Including the production and release of insulin. EPA and DHA are important building blocks of nearly every organ and organ system and play a crucial role in your health. Your body depends on having the appropriate balance of Omega-6 to Omega-3 fatty acids. Having an imbalance leads to inflammation, sickness and disease. An estimated 6 out of 10 in western societies have far too much Omega-6. They are also seriously low in Omega-3. This is because our typical diet of convenient processed foods and lots of processed meat is heavy in Omega-6 fatty acids. The studies prove it Many studies have been performed that show when animals are fed a diet high in Omega-6 oils, they become insulin resistant and obese. But when the animals were given Omega-3 their metabolism became normal. Even when they continued to eat lots of Omega-6 fats. Prevent metabolic syndrome – What you can do To avoid being a Syndrome X statistic, it’s essential to ensure that you follow a suitable dietary intake for your health, take exercise, lose weight if required. Ensure where possible you are not elevating your blood sugars and creating insulin resistance. It is important your body has essential Omega-3 fatty acids and consciously avoid foods high in omega 6. You may require several supplements initially. This will ensure you are nutritionally optimal to allow your body to heal itself. Picking the correct supplement to your needs is crucial to get right. It can be a minefield and so if you have any concerns with: blood pressure, cholesterol and lipid levels, weight gain, excess weight around your abdomen, blood sugar control issues… we can help you so do get in touch. 121 Dietitian are the experts assisting you in turning the clock back on inflammatory health concerns. Nutritional programmes are completely created to suit you. They take into account your food likes and dislikes, your activity levels, your abilities to cook, if you have a family to include, if you travel with your job, your health parameters, your blood tests, body composition and much more…. The most worrying fact about metabolic syndrome: Even if you don’t have any of the associated health issues as mentioned at present in your body, it can still be showing normal while you have problems starting 10-15 years in advance. The body can store up problems and this is a certainty if you are eating incorrectly and slowly gaining weight. Don’t get to the stage where your body and bloods are showing ill health. Unsure of how to change your eating habits, or need help optimising the foods you eat please do contact us. We would love to help you or your family and friends with any nutrition related queries big or small. In the meantime do please check out our 121Dietitian Shop If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Why not visit our YouTube Channel for more on keeping your health optimal. How can a Dietitian help Book a consultation via our Online Portal About Gillian Killiner Check out our tailored dietary programmes Gillian x [instagram-feed]
This valentine’s day take care of your heart!
Its national heart month and Valentine’s day so what can you do to help your heart? You may be taking a medication to lower your cholesterol or perhaps wishing to avoid the risk. By following some key advice it might be possible to manage your cholesterol reducing the need for medication. If you have high cholesterol, it is of concern, because over time plaque build up can lead to a blockage resulting in a heart attack or stroke. Test results should be broken down as follows: • HDL – “good” cholesterol. Aim to have a good level as HDL works to clean up your blood vessels. • LDL – “bad” cholesterol. Should be low. High levels can cause arterial plaque build up. • Triglycerides – You want this number to be low. Research has shown the following dietary changes to be effective in improving cholesterol levels . . . If your HDL cholesterol is too low you need to: • Exercise regularly, Eat monounsaturated fats and Omega-3’s: olive oil, almonds, walnuts, fatty fish, avocado, and flaxseed, Maintain a healthy body weight, Incorporate colourful fruits and vegetables such as beets, plums, red cabbage, and red grapes, Quit smoking, Limit simple carbohydrates such as white flour, sugar, and fizzy drinks, choose wholegrain foods, fruits and vegetable, pulses. If your LDL cholesterol is too high: • Limit your intake of saturated fats, Avoid hydrogenated oils (trans fat), Get adequate fibre from whole grains, legumes, fruits, and vegetables, Incorporate food high in antioxidants: rich colourful diet, Incorporate more healthy fats listed above. If your Triglycerides are too high: • Limit simple carbohydrates as above, Eat oily fish, Limit alcohol. Unsure what to eat? A Dietitian can create a personalised plan to assist you further. Pancake Day Of course at 121 Dietitian it hasn’t skipped our notice that today also happens to be pancake day. In honour of the occasion we’d also like to share with you an alternative pancake recipe! Apple & Cinnamon Batter Puddings. 55g plain wholemeal flour 25g light soft brown sugar 11/2tsp ground cinnamon 1 large egg 125ml semi skimmed milk 2 small apples 2 tsp sunflower oil Prep time 15 mins Baking time 20 mins Serves 4 Set oven to 220◦C and allow to preheat. Mix the flour, cinnamon & sugar in a bowl. Make a well in the centre of the flour. Add the egg to the well with a little milk & whisk together with the flour. Gradually whisk in the remaining milk. Make sure to draw the flour in from the sides of the bowl to mix into a smooth batter. Pour batter into a jug & set aside. Peel core & cut the apples into 8 wedges. Add 1/2tsp into each well of a Yorkshire oudding tin. Heat the tin in the oven for 2-3 mins. Remove the tin from the oven & place 4 apple wedges into each well ( be careful of hot oil splashes!) Stir the batter again before pouring it evenly into the wells over the apple wedges. Bake in the oven for around 20 mins or until the puddings are cooked, have risen and are nicely browned. Remove puddings & serve immediately. Information checked & correct on 16th May 2018.
