I am sure that you have heard so much about cholesterol and LDL and HDL
that it has become nothing short of baffling. I will try to write a bit
about cholesterol in plain old English... or close to it anyway...
What is a lipid?
A lipid is simply fat or cholesterol. They are both Lipids. Fat is
found in items such as butter, margarine, and oils but also in many foods
high in animal protein. By the way, only animal products have cholesterol
in them.
HDL?
HDL is short for High Density Lipoprotein. HDL has the task of
carrying cholesterol to the liver so the liver can take up the cholesterol
and convert it to Bile salts. For this reason, HDL is considered the
"good" one to have around. Bile is used in the digestive process to
emulsify fats so that they can be digested and used by the body so you can
understand why it would be helpful to have a healthy level of HDL around
to keep carrying that cholesterol out of the blood.
LDL?
LDL is short for (You guessed it) low density lipoproteins. LDL is the
one you always hear about being the "Bad" one to have a lot of. LDL
carries cholesterol from the liver to the cells and we certainly do not
want too much of that to happen since it leads to deposits on the arterial
walls. These deposits can lead to atherosclerosis, a disease that causes
heart attacks and strokes. Cholesterol builds up on the artery walls much
the same way grease can build up in the plumbing of your sink at home.
Over time the buildup becomes so great that blood flow becomes difficult
and the pressure begins to build up behind it causing a shutdown of the
heart or a stroke.
Does my body make cholesterol?
Yes as a matter of fact, it does. Your liver is
manufacturing cholesterol as you read this page. Approximately 800-1500
milligrams per day give or take. The liver can use fragments derived from
carbohydrate, protein or fat as the starting material from which to make
cholesterol. Remember the body needs cholesterol to create bile so it is
not all bad. The trick is to try to regulate it so that we only have the
cholesterol that we need and can use.
What do I do about Cholesterol?
Cholesterol synthesis depends on the availability of raw materials, the
extent of bile production and the presence of regulating hormones such as
insulin. So in a nutshell, eating a low fat (under 30%) diet and
spreading our dietary intake over the entire day by eating several small
meals. This helps keep insulin levels down and cholesterol synthesis
slows down.