HomeRoast Digest


Topic: Subject: Re: coffee and high cholesterol (2 msgs / 1226 lines)
1) From: Steve Bien
Bear in mind that elevated cholesterol in an of itself is a weak cardiac
risk factor, so most people with high cholesterol have nothing to worry
about. In addition it is the cholesterol/hdl ratio that matters far more
than any absolute number including triglycerides or Ldl. Risk factors
that really matter are diabetes, hypertension, smoking etc. 
The cholesterol thing has been terribly blown out of proportion by the
pharmaceutical industry and physicians who have been too uncritical of
the the studies, and the recent hub bub about zetia/vytoren only bears
this out. The Lipid Hypothesis, so called, is still just that, an
hypothesis. So drink coffee however you like and enjoy!!
Steve Bien, MD

2) From: Sandy Andina
Cholesterol only matters if the lipid profile is unhealthy AND there  
are other risk factors (such as the other two--diabetes and  
hypertension--of the Metabolic Syndrome "trifecta" or family history  
or smoking).  If testing shows no arterial plaques, then cholesterol  
is unlikely to be a factor in heart disease.  Just went to a dinner  
presentation on RAS blockade (Tekturna is apparently the new "rock  
star" of antihypertensive drugs) and it was agreed that in patients  
over 70 with clear arteries, there is no reason to prescribe statins  
regardless of lipid levels.
Sandy Andina
www.myspace.com/sandyandina
On Apr 27, 2008, at 7:00 AM, Steve Bien wrote:
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