Discussion about this post

User's avatar
The Real Dr. Steven Horvitz's avatar

I’ve been in practice 30 years now. I used to believe in statins. That was just til about 20 years ago when after 10 years in practice my statin users just got heavier, became diabetic at a higher rate than non statin users. Statin users also still ended up seeing interventional cardiologists for stents or surgeons for bypass.

When I look now, most all of my senior patients in their 80s are NOT on statins, have higher cholesterol, and get this, none are diabetic and most have kept their cognitive abilities intact. This correlates well with a study that looks at octo-nonagenarians with good quality of life that all have HIGH levels of cholesterol.

So I look at cholesterol as one of the longevity markers, with the caveat being that they must also be Insulin Sensitive, which is truly the key to most cardiovascular risks.

Expand full comment
HappySlacker's avatar

I just posted this in response to the original article: This presumes that elevated cholesterol is indeed a causative factor in heart disease. Cholesterol is the substrate for ALL the steroid hormones -- alodosterone (fluid & mineral balance), stress & blood sugar management via cortisol, sex hormones -- not just reproduction but tissue repair & maintenance plus operations management. Testosterone is crucial for muscle maintenance -- isn't the heart a muscle? Cholesterol is the starting point for vitamin D, and the mevalonate pathway (the route statins inhibit) is also necessary for production of vitamins A, K2, and CoQ10. Cholesterol is also a key component of all cell membranes and myelin, among other roles. Focusing on one outcome is typical modern 'science-thinking', but it misses the whole picture. Maybe statins reduce risk of CVD by .5% but they increase risk for dementia, depression, homicide and suicide, cancer, diabetes, numerous other diseases, while seriously obstructing basic day to day functions. As a board certified clinical nutritionist (CCN) I studied LOTS of biochemistry with an eye to its practical implications. Weren't these basic roles covered in medical education as well? Very practically, the fat phobia mania has distracted us from the obvious. Our bodies need lipids -- fats and cholesterol -- to function. Every cell in our bodies (except mature RBCs) is capable of synthesizing cholesterol. Is this a careless oversight? When our forebears lived happily off the 'fat of the land' it's a safe bet it wasn't refined vegetable oils.

Expand full comment
84 more comments...

No posts