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Dx High Triglycerides Treatment:

*[Editor] Every man over the age of 45 and woman over the age of 60 should have a Coronary Artery Calcium Score (C.A.C.S.). This is a 30-second rapid C.T. scan of the chest that documents the presence, size, and volume of calcification. If he/she has calcification C.A.C.S. strongly predicted future major adverse cardiac events." On the positive side, having a score of zero or even a C.A.C.S. score less than 100, says the John Hopkin's group, "will find that individual is at virtually no risk of having a heart attack and "for older individuals without calcium in their arteries, it means they do not need routinely prescribed cholesterol lowering medications or aspirin because they are at a lower risk of a hear attack."

Medications Used in the Treatment:
1. Fibrates: fenofibrate; see list
2. Nicotinic Acid: Niacin; see list

*[Editor] "The published evidence is quite clear in documenting that the actual total cholesterol level itself is not the most important risk factor of cardiovascular disease.
  It is the ratio between the level of HDL-"good" cholesterol and total cholesterol that we need to be concerned about.
Therefore, in adults, the HDL-"good" cholesterol/total cholesterol ratio should be higher than 0.24 (just divide your HDL level by your cholesterol).
  Or more precisely, the HDL/total cholesterol ratio:
0.24 or higher is considered ideal
under 0.24 - low
less than 0.10 - very dangerous.

Generally speaking, the higher the ratio, the better (the lower your risk of a heart attack).
  However, HDL is closely related to triglycerides.
  It appears common for people with high triglycerides to have low HDL's, and these same people also tend to have high levels of clotting factors in their blood stream, which is unhealthy in protecting against heart disease.
  Therefore, in adults, the triglyceride/HDL-"good" cholesterol ratio should be below 2 (just divide your triglycerides level by your HDL). Or more precisely, the triglyceride/HDL ratio:
2 or less is considered ideal
4 - high
6 - much too high
And, since HDL (high density lipoprotein) is protective against heart disease, the lower the ratio, the better.
  In other words, the lower your triglycerides, or the higher your HDL, the smaller this ratio becomes.
It is now believed that the triglycerides/HDL ratio is one of the most potent predictors of heart disease."

The article goes on to state "A Harvard-lead study author reported: High triglycerides alone increased the risk of heart attack nearly three-fold.And people with the highest ratio of triglycerides to HDL -- the "good" cholesterol -- had 16 times the risk of heart attack as those with the lowest ratio of triglycerides to HDL in the study of 340 heart attack patients and 340 of their healthy, same age counterparts.
  The ratio of triglycerides to HDL was the strongest predictor of a heart attack, even more accurate than the LDL/HDL ratio (Circulation 1997;96:2520-2525)".

*[Editor]: To lower triglycerides, increase your omega-3 fatty acids (PUFAs), preferably in liquid form, to 3 grams per day. The liquid form mixes well in smoothies. If there are complaints of 'fish breathe' or 'burping', add 2 capsules of BetaineĀ® or Hydro-chloric Acid and 2 digestive enzymes capsules prior to ingesting the fish oil.

Recognize that dietary changes are more effective in women; men do not respond as well. Secondly, in diabetic men and women, dietary omega-3 polyunsaturated fatty acids (PUFAs) significantly lowered triglycerides. PUFAs raised VLDL only in trials of long durations. In diabetics, PUFAs may raise LDL cholesterol (non significant in subgroups) but has not effect on glycemic control (HgbA1c) or fasting insulin.

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