Cholesterol and/ or triglycerides high

To lower cholesterol start by limiting saturated fats. While lowering dietary saturated fats is a good idea, unfortunately cholesterol can usually only be lowered by 30 % by dietary changes. If you want an ideal lipid profile ,you will keep your LDL below 70 mg/dl, your total cholesterol below 200 and your triglycerides below 150 mg/dl. Triglycerides are fatty components found in the blood stream which may increase the risk of hardening of the arteries. One could think of them as a cousin to cholesterol. Levels above 150 mg/dl after a thirteen hour fast are considered at risk.

Dietary considerations: Sweets and foods with a high glycemic index may elevate triglycerides.This diet also seems to work better for cholesterol.

Medications: Medicines classified as beta-blockers can elevate triglyceride levels.

Guidelines for cholesterol and triglyceride management:

HDL- "good cholesterol" -Target: above 40 mg/dl

LDL- "bad cholesterol"- Target: below 160 mg/ dl if no risk factors,

below 130 if one risk factor such as high blood pressure, hardening of the arteries or diabetes and

below 100 if two risk factors. Some doctors are recommending a number below 70 mg/ dl if you have any risk factors.

Total cholesterol- Target: below 200 mg/dl

Triglycerides- Target: below 150 mg/dl

1. Medical references

2. Management: When attempting to treat elevated lipids with supplements, there is a protocol one should follow.

    A. If both cholesterol and triglycerides are high: Attempt to lower the triglycerides first.

       1. Start with the omega three fatty acids (EPA Ultimate),one twice a day .For maximum effect one may need to take a total of 4000 mg per day of fatty acids or three twice a day. Side effects:May can be bleeding or a fishy after taste may be experienced. Choosing a highly refined product such as EPA Ultimate will reduce the chances of the fishy taste.

       2. If this is not effective in lowering triglycerides below 150 mg/dl, add Niacin, flush free, 750 mg. Start with twice a day and monthly increase by two a day until target is reached. Maximum effect is reached at three twice a day.

Tips on taking Niacin

Niacin can be very useful in lowering triglycerides and raising HDL levels. The biggest challenge with taking niacin is the flushing that often accompanies it. Start with one dose at bedtime. If flushing occurs and is intolerable, try taking a baby aspirin, 81 mg, with the niacin or one hour ahead. If flushing continues, it usually only last about two weeks. After that it seems the body often gets used to the product. Check cholesterol levels monthly.The maximum therapeutic dose is 500 mg, three twice a day.Make sure you are supervised by a medical doctor to check for liver toxicity.



After triglycerides are stabilized,start to target cholesterol by adding one compound a month until desired level is reached.


1. Policosanol- 20 mg twice a day with food

2. Odorless Garlic- one daily

3. Vitamin B Complex- one twice daily

4. Guggul extract - twice a day with meals

5. Add or continue NiacinNiacin, flush free, 750 mg.








Last update:26June2012