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[OM] [OT] The cholesterol myth, was: Re: List etiquette for replies

Subject: [OM] [OT] The cholesterol myth, was: Re: List etiquette for replies
From: Chuck Norcutt <chucknorcutt@xxxxxxxxxxxxxxxx>
Date: Thu, 14 Dec 2006 12:42:11 -0500
I hate to say it but, if I were you, I'd be very concerned instead of 
elated.  You might want to read a book called "The Cholesterol Myths"
by Swedish physician Uffe Ravnskov.  Not a crackpot but a well published 
researcher (mostly in the Lancet) who will show you that the emperor has 
no clothes.  Furthermore, at levels of total cholesterol of 110 I would 
be very concerned that you are setting yourself up for potential health 
problems unrelated to heart disease.  Total cholesterol levels below 180 
are statistically associated with increasing death rates from many 
causes.  In fact, if you're over the age of 65 or 70, the people who 
live the longest are the ones with the highest cholesterol levels.  See:
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&list_uids=11502313&dopt=medline>
which is just one of many studies which demonstrate this point.  You can 
also see that the researchers are extremely timid in their conclusions 
lest they be seen as bucking the conventional wisdom.

But it really shouldn't be a surprise.  Cholesterol is a critical 
building block for the nervous system.  Something else that's critical 
throughout your body is Coenzyme Q10 the production of which is also 
reduced by statin drugs since it is produced along the same metabolic 
pathway as cholsterol.

In 1998 I had a triple bypass and was put on Lipitor to bring down my 
cholesterol.  I stayed on it for about 7 years but I believe that the 
Lipitor (a statin drug just like Vytorin) is responsible for long term 
muscle aches throughout much of my body.  I can't prove that but it 
caused me to start probing deeply into the statin drug phenomena which 
is now like a steamroller pushed by drug industry money.  Unfortunately, 
good science seems to be something that has been pushed over by the 
steamroller.  See the following paper by Richard Smith, former editor of 
the British Medical Journal
<http://medicine.plosjournals.org/perlserv/?request=get-document&doi=10.1371/journal.pmed.0020138>

When I first started reading Ravnskov's book I was very skeptical until 
I read a claim that he made about the failings of the peer review 
process in medical journals.  He made a statement that I considered 
outrageous... that doctors only read the summaries of papers and that 
these papers frequently contain assertions not supported by the data in 
the body of the paper.  I just couldn't believe that was true.  So I 
logged onto Medline and picked two short papers (3 pages) at random 
having to do with cholesterol and statin drugs.  I chose short ones 
since I thought I might have a vague chance of following the medicine 
but would at least understand the statistics.  I was astounded.  Even in 
such little papers I found that Ravnskov was right.  Both authors made 
claims in the summaries that were not supported by the data in the body 
of the paper.  Absolutely incredible for peer reviewed papers.  I even 
had a discussion about it with my (Harvard teaching hospital) 
cardiologist who said he knew it was a problem.  Amazingly, it didn't 
seem to bother him in the least... as he tried to convince me to resume 
taking Lipitor.

To be sure, Ravnskov points out that statin drugs do (slightly) reduce 
the incidence of heart attack and stroke for people with pre-existing 
coronary artery disease (meaning me).  But they do so independent of 
cholesterol level.  So, while the statin drugs are beneficial in one 
respect, it can't be that it's due to cholesterol lowering.  It's 
another mechanism which is not yet understood.  But the statins may be 
promoting other long range maladies such as cancer (and in the elderly) 
increased suceptibility to infectious disease due to the reduction of 
cholesterol levels.

I urge anybody who is concerned about cholesterol and is taking statin 
drugs to read Ravnskov's book and check the details he provides about 
the major studies used to drive the cholesterol/CHD hypothesis.  I don't 
understand the medicine in detail but I do understand the statistics. 
I'm afraid the scientific method has been seriously compromised and 
tossed on its head.

If you don't read the book you might at least read the reviews on 
Amazon's page above.  I feel exactly like this reviewer who said:
-----------------------------
Having had many an unpleasant argument with my doctor (and then the 
poorly informed nutritionist he refered me to) about taking cholesterol 
lowering drugs for a cholesterol level that is only marginally higher 
than the UK average, it is reassuring to have a book that brings 
together all the strands of evidence against the mainstream "cholesterol 
is bad" view. Although I am not a physiologist (I'm a physicist), I have 
been interested in the lack of solid evidence for my 
doctors/nutritionist's advice for several years, and have read many of 
the original studies in that time. In discussions with my doctor I have 
raised this lack of evidence and have even spent time looking at the 
hard data in his office when a heated debate continued long after my 
appointment should have ended. The data don't support the medical 
establishments advice. And, interestingly, although my doctor could see 
this fact, he could not bring himself to actually acknowledge it.
What is best about this book is that it brings together so many of the 
key studies in one place, and shows what is wrong with them. And that's 
not to say that there is no connection between blood cholesterol and 
coronary heart disease, but rather that the connection is not simple and 
is not what the regulatory bodies have told us it is.
In short, I thoroughly recommend this book, but you should also go to 
the original sources (clearly given in the bibliography) and have a look 
for yourself.
--------------------------------

Good luck, John.  With a total cholesterol reading of only 110 you might 
well need it.

ps:  There's lots more free and informed reading here:
<http://www.thincs.org/>

Chuck Norcutt



John Hermanson wrote:

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> 
> Way OT but yesterday I heard from my doctor that through the use of 
> Vytorin, I've gotten my cholesterol down to 110 (from 218).



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