• April 10, 2022
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Cholesterol: is it really that bad?

Today I want to talk to you about cholesterol (cholesterol) and https://pillintrip.com/ru/medicine/citoles. What is it in our heads when we hear this word? “He’s bad and you should eat less fat!” Admit it, caught yourself thinking? Surely …

Let me nevertheless clarify some points:
Cholesterol is an integral component of every cell of our body (part of the cell wall)
CS is the base on which steroid hormones are synthesized (testosterone, estradiol, progesterone, glucocorticoids, mineralocorticoids)
And also vitamin D, so beloved by us, is synthesized from CS.
CS ensures the normal functioning of the nervous system
CS participates in the synthesis of bile acids necessary for normal digestion

It turns out not everything is so simple – bad and that’s it! The fact is that CS itself does not do much harm, on the contrary. But!!! There is one caveat. We have carrier proteins in our bodies – lipoproteins. They are:
HDL – high density lipoproteins (the so-called “good” cholesterol) transfer cholesterol from the vascular wall for processing
LDL – low density lipoproteins (so-called “bad” cholesterol) form together with cholesterol plaques on the vessels.

Thus, it is imperative that HDL is dominated over LDL. Then the plaques on the vessels will not form so rapidly. Can we influence this balance? Oh sure. We will not be able to influence only genetics. But it is within our power to establish proper nutrition, organize regular physical activity, change the way of life.

In order to slow down the development of atherosclerosis, you need to determine what level of LDL you should have, that is, what value you need to strive for. Because for each person, the norm will be different, depending on the state of the cardiovascular system and concomitant pathology.
According to the recommendations of the European Society of Cardiology from 2019 (last revision), the target LDL level is set:
less than 3.0 mmol / l for low-risk patients: these are people who do not have diabetes mellitus, there are no plaques in the vessels, and most importantly there are no cardiovascular diseases associated with atherosclerosis (heart attack, stroke, etc.)
less than 2.6 mmol / L for moderate-risk patients: these are the same people, but their calculated SCORE risk is higher due to higher blood pressure, cholesterol levels, or, for example, if the person still smokes
less than 1.8 mmol / L for high-risk patients: these are people with diabetes mellitus with other risk factors, people with a plaque in the vessel (even if it narrows the lumen by 10-15%), people with familial hypercholesterolemia, as well as people with reduced kidney filtration rate 30-60 ml / min
less than 1.4 mmol / L for very high risk patients: people who have atherosclerotic cardiovascular disease, people with long-term diabetes mellitus (with the development of complications from the kidneys, nerves, eyes), people with plaques in the vessels blocking the lumen by 50% or more, well, people with a reduced kidney filtration rate of less than 30 ml / min

HDL should be more than 1 mmol / L (for men) and more than 1.2 mmol / L (for women). The higher it is, the better.

Take care of yourself and your loved ones!