23
Apr

Update: In the comment section of this blog, reader Angus asks what supplements I do use. I mention N-acetyl-cysteine (NAC) due to its proven liver protection. I would also like to add to that Resveratrol – basically the stuff you find in red wine but in a pill so you don’t need the alcohol. It does have a great deal of supportive evidence for cardiovascular health, but I would talk to your doctor before trying it just to ensure it will not interfere with current medications. I have noted a slight increase in blood pressure (about 3%-5%). I have tried various brands and have found them to be similar in terms of an increase in exercise tolerance. The only real difference seems to be the price. Some of it costs $80 a bottle, some are less than $50 a bottle. It has been featured on 60 minutes, Oprah, CNN, and a host of other channels. A Harvard study heralded Resveratrol as the best thing in medicine since antibiotics.

Almost everyone believes the main purpose of statins is to lower cholesterol and this lowering reduces the risk of a cardiovascular event. However, how do we explain heart attack victims with normal cholesterol levels? While there are many culprits, one of the main areas of interest is C-Reactive Protein, or CRP for short. Measuring your CRP level can be a good indicator of inflammation, and inflammation leads to unstable plaque. So what if you could lower your CRP levels and stabilize your plaque? Your chances of a cardiovascular event decreases significantly. Read Decreasing Markers Of Inflammation Is As Important For Statin Action As Decreasing Ldl Cholesterol (Jupiter Study). From Medical News Today:

A follow-up study on the JUPITER* trial has revealed that a key component of the action of statins is reduction of high sensitivity c-reactive protein (hsCRP), a marker of inflammation, as well as reducing levels of bad cholesterol. The findings are published in an Article published Online First and in an upcoming edition of The Lancet. Publication of the Article coincides with the announcement of the findings at the American College of Cardiology (ACC) meeting in Florida, USA.

Present guidelines for statin therapy emphasise the goal of reducing LDL or ‘bad’ cholesterol. However, statin therapy works best in the presence of inflammation, which is characterised by increased concentrations of the biomarker hsCRP. It is thought that reducing levels of hsCRP helps prevent inflammatory cell adhesion – the process by which inflammation promotes cells sticking together and forming plaques in arteries. Reducing hsCRP could also help by preventing these cells sticking to the endothelium (or inner lining) of the artery, and favourably affect metal-containing enzymes key to plaque stability.

I still recall the days when the reputation of statins was stained by alternative medicine and even some doctors. I also recall listening to those “reports” which showed that taking more of this or that vitamin or herb would have the same effect. Listening to junk science is why I am in the situation I am today. While I do agree there is some evidence for alternative therapies to treat various illnesses, the lack of FDA control on the quality of these supplements amounts to a patient playing Russian Roulette with their health. That is why I do quite a bit of research and self-testing prior to settling on a brand. For NAC I use the GNC brand and Resveratrol Select is my choice or Resveratrol as it provides excellent benefits for less cost than Resveratrol that has some doctor’s endorsement – which basically means they are getting paid to promote one product over another and that cost is being passed on to you.

I am also aware that statins are not for everyone. However, if one heeds the warnings and regularly checks their liver function, statins are safe. I am far more concerned about the Plavix I am on and any future non-elective surgeries I may require than I am about Crestor. Also, if you read My Story, you will note that my CRP levels are extremely low – .5mg/L, with anything less than 1mg/L considered low.

So don’t listen to the negative talk from so-called experts who are out to sell you their latest non-prescription cure for your ailment without doing a lot of research first. In my opinion, there is nothing wrong with adding an alternative approach as a complement to medical therapy as long as your doctor is aware of any other supplements you are taking. Don’t play around with your health, or you may not have it for long.

Category : Heart Disease

3 Responses to “Statins, C-Reactive Protein, and Plaque Stabilization”


Angus April 23, 2009

Were you using alternative or herbal treatments before or after your initial diagnosis and treatment?

I have a healthy skepticism about most of the alternative treatments, but would you mind explaining some of the treatments/supplements you used or considered using? What made you initially consider alternative treatments? Did you notice any adverse side effects from any of the alternative treatments, and do you think it is possible that some of them might have actually contributed in a negative way to your health?

Gerald April 23, 2009

Angus, good to hear from you.

I have tried it all before my first stent procedure and subsequent diagnosis of severe plaque buildup. Massive dosages of Vitamin D, then Vitamin E (a subsequent study showed this to be dangerous for the heart), fish oil supplements, including Flaxseed Oil and recently I tried Pomegranate extract. I have also heard Resveratrol is good for cardiovascular health, but again, with no double bind studies to back it up, and no control (other than the usual required “The FDA has not verified the above statements….”), you really have no idea what you are getting.

The only supplement that I believe works for me is N-Acetyl-Cysteine (NAC). I pick it up at GNC and take 600mg/day. In the cardiac unit at the hospital I had my procedures in, they would sometimes give me an oral preparation of NAC (nasty tasting stuff).

I originally started taking NAC when I was a smoker as the claim was it protected the lungs. When I did have a CAT scan of my lungs done about 5 years ago for reasons unrelated to my heart, the doctor and scan technician said they would not have known I was a smoker if I had not told them. Later, I found out that NAC is used in hospitals for emergency detoxification of the liver in acetaminophen overdoses. Subsequent research on my part indicated strong evidence that NAC was a good overall liver detox amino acid.

I quit smoking over a year ago, but I have been taking NAC for almost 8 years. With all the meds I am on that are metabolized by the liver, I just thought this would be a good idea. I have only had elevated liver enzymes on two occasions (both times due to another medication unrelated to heart meds), and these levels were not high and dropped rapidly after cessation of the offending medications.

As my cholesterol and other blood measurements (and I have just about everything measured multiple times) indicate the medications are working, I can honestly say, in my case, that NAC does not interfere with the medications or, if it does, the interference is mild.

I still take large dosages of fish oil (Omega-3 and 6) to assist with my unstable mood disorder. This was actually recommended to me by my psychiatrist. However, I have been warned by doctors not to overdo these as they can interfere with blood coagulation at high enough dosages and I don’t want to risk internal bleeding.

Best Regards,

Gerald

liver_ray_detoxdiet78 June 26, 2009

liver detoxification is very important since the liver is one of the organs responsible for removing waste materials out of the body.



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