❤️Cardiovascular

Good vs Bad Cholesterol

It's not about total cholesterol — it's about the particles

What is Good vs Bad Cholesterol?

The "good cholesterol/bad cholesterol" narrative is oversimplified. HDL removes cholesterol from arteries (protective). LDL delivers it (potentially harmful — but particle size matters). Small dense LDL is dangerous; large buoyant LDL is relatively benign. Triglyceride-to-HDL ratio is a better predictor of heart disease than LDL alone. Insulin resistance is the primary driver of the dangerous lipid pattern.

Common Symptoms

Usually no symptoms
Chest pain or shortness of breath (advanced)
Xanthomas on tendons
Family history of early heart attacks

Root Causes

  • Insulin resistance (drives small dense LDL)
  • Excess refined carbohydrates
  • Trans fats and seed oils
  • Genetic factors
  • Hypothyroidism
  • Chronic inflammation
  • Sedentary lifestyle

Natural Ingredients That Help

Evidence-based natural interventions supported by clinical research

🐟

Omega-3 (EPA+DHA)

Raises HDL, lowers triglycerides, shifts LDL to large buoyant pattern. 2-4g/day therapeutic

Niacin (Vitamin B3)

Most effective natural HDL raiser (+15-35%). Also reduces Lp(a). Use extended-release form

🌱

Plant Sterols/Stanols

Block intestinal cholesterol absorption. 2g/day reduces LDL by 8-10%

🌾

Soluble Fiber (Psyllium)

Binds bile acids, forcing liver to use cholesterol to make more. 10g/day reduces LDL by 7%

Key Biomarkers to Track

Total CholesterolLDL-CHDL-CTriglyceridesTG/HDL RatioApoBLp(a)LDL Particle Size

When to See a Doctor

If TG/HDL ratio is above 3.5, ApoB above 90 mg/dL, or if you have family history of heart disease before age 55.

Related Conditions

Get Personalized Guidance

Our metabolic physician can create a targeted protocol for your specific situation.

Chat on WhatsApp