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publication date: Mar 21, 2009
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author/source: Dr. Forrest Smith
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Dr. Forrest Smith
Crabapple Internal
Medicine
If your doctor has prescribed for you a statin drug such as Lipitor, Zocor, 
and others, you should know a few facts before filling that prescription. For 
many years we have had mounting studies which seemingly prove the use of 
statins in the prevention and treatment of coronary artery disease. Most of 
these studies are funded by the manufacturers of the very drugs they study. 
Also important to know is that the studies are time limited. We do not have 
the data for long-term use of these drugs. Would I prescribe statins to a 60-
year-old man who has elevated LDL and coronary disease? Yes, absolutely, but 
there is less evidence for statins as prevention.

In the next two weeks I would like to share some information and concerns 
about the frequent use of this class of drugs for many Americans with 
elevated, and more and more commonly, normal levels of cholesterols. These 
concerns are well researched by the forward thinking cardiologist Stephen 
Sinatra, MD in his book The Sinatra Solution.

The notion that high cholesterol causes heart disease has allowed the 
pharmaceutical industry to saturate us with millions of prescriptions for 
cholesterol-lowering drugs. The truth is that half of the people who have a 
heart attack don't have high cholesterol. Cholesterol has been perceived as 
the bad guy. The truth is that LDL cholesterol is needed by every cell in the 
body to grow and repair itself, and the body uses it to produce hormones - 
including sexual hormones. Scientists do not currently understand what impact 
lowering cholesterol levels may have long term. Researchers have already 
linked low LDL cholesterol to Parkinson's disease and possibly to Lou Gehrig's 
Disease. It is known that statins inhibit the synthesis of cholesterol in the 
brain, specifically by blocking the growth of new synapses between nerve 
cells. This may account for the amnesia, confusion, disorientation and 
dementia reported by some statin takers. Also, by blocking this biochemical 
pathway, statins inhibit the production of other vital biochemicals, notably 
heart-friendly Co-Q10.  

Before trying a statin drug, consider other interventions for your heart 
health. Exercise! Endurance exercise, such as jogging or cycling, is one of 
the best ways to lower inflammation and increases beneficial HDL levels. Aim 
for 30 to 45 minutes of aerobic exercise 5 times a week. Lose that belly fat! 
Women with waists that measure more than 35 inches (more than 40 for men) 
likely have high inflammation in the body. This greatly increases risk for 
heart disease and diabetes. And quit smoking! 

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