High Cholesterol

What foods should I eat to help lower my cholesterol?

DEAR DOCTOR K: I know lots of foods raise cholesterol levels. But are there any foods that lower cholesterol?

DEAR READER: Indeed there are. But before talking about them, it's worth saying a few words about foods that raise your cholesterol. Except for a very few people who inherit genes that cause them to have high cholesterol, most of us who have had a "cholesterol problem" (which includes me) do it to ourselves by the foods we eat.

Is high HDL cholesterol good?

DEAR DOCTOR K: For years my doctor has been telling me about the benefits of high levels of HDL cholesterol. Now I read that high HDL may not protect against heart disease after all. Is "good" cholesterol still good for you?

DEAR READER: The HDL cholesterol story is a cautionary tale. It demonstrates once again that even the most persuasive theories about what should make us healthy need to be put to the test. It has been solidly established that people who have high levels of LDL (bad) cholesterol have a higher risk of developing heart disease. Moreover, it has been solidly established that treatments that lower LDL cholesterol reduce the risk of developing heart disease.

How can I lower my triglyceride level?

DEAR DOCTOR K: I recently had my cholesterol checked, and it turns out I have high triglyceride levels. Why are high triglycerides dangerous? What can I do about it?

DEAR READER: What's often called a "cholesterol test" really measures three different kinds of cholesterol and one other type of fat, triglycerides. Most people have heard of the three types of cholesterol: LDL ("bad") cholesterol, HDL ("good") cholesterol and total cholesterol. But not as many have heard of triglycerides.

What is metabolic syndrome?

DEAR DOCTOR K: A friend recently told me about a condition called metabolic syndrome. What is it? And what can I do if I have it?

DEAR READER: Metabolic syndrome may be the most common condition you've never heard of. Many of my patients have it; nearly 50 million Americans have it -- and many of them don't know it. Metabolic syndrome is dangerous. If you have it, you have a much higher risk of stroke or a heart attack, and of developing diabetes, kidney and liver disease.