What role cholesterol medication?

A frequent conversation point among my patients, as well as participants in the www.cureality.com program, is "Are cholesterol medications really necessary?"

No, they are not. What IS necessary is to correct all manifest and hidden causes of coronary plaque. Among these causes, in my view, is LDL cholesterol of 60 mg/dl or greater. There are many other causes of coronary plaque--e.g., small LDL particles, unrecognized hypertension, Lp(a), hidden diabetic patterns, etc.--but reducing LDL to 60 mg is still an important part of a plaque-reversing effort.

Insofar as we wish to get LDL to this goal, the statin cholesterol drugs like Lipitor, Zocor, Crestor, etc. may play a role. However, they should only be considered after a full effort dietary program is pursued. Don't follow the American Heart Association's diet unless you want to fail. It's nonsense.

For a more detailed discussion of how to use nutrition and nutritional supplements to reduce LDL cholesterol, go to www.lef.org, the website for the Life Extension Foundation. I wrote an article for their magazine called "Cholesterol and Statin Drugs: Separating Hype from Reality". You'll find the article at http://search.lef.org/cgi-src-bin/MsmGo.exe?grab_id=0&page_id=1295&query=davis%20cholesterol%20natural&hiword=CHOLESTEROLA%20CHOLESTEROLS%20DAVI%20DAVID%20DAVIE%20DAVIES%20DAVIN%20DAVIO%20DAVISON%20DAVISS%20DAVIT%20NATURALBASED%20NATURALES%20NATURALIZED%20NATURALLY%20NATURALS%20NATURE%20NATURES%20cholesterol%20davis%20natural%20.)

Can your plaque-reversal efforts succeed without statin drugs? It depends on your causes. For instance, someone with small LDL and Lp(a) only may do great on our basic program and then add niacin. Unfortunately, another person with a starting LDL cholesterol of 240 mg/dl--sky high--will have more success with these drugs.

Believe me, I am no blind supporter of drug companies and their flagrantly profit-seeking practices which, in my view, are cut-throat, shoving anyone and anything out of their way to increase profits and market share. I share many of Dr. Dave Warnarowski's views on how vicious their tactics can be; see his recent Blog post at http://www.drdavesbest.com/blog/ called "I smell a rat".

Nonetheless, the deep and well-funded research of the pharmaceutical industry does yield some useful tools. You don't have to love the insect exterminator, but if your house is being eaten by termites, his services can be useful. Same thing with these drugs. Useful--not the complete answer, not even close, but nonetheless useful in the right situations. Sometimes antibiotics are necessary, even life saving. That's how cholesterol drugs are, too.

Take it all in the proper perspective. Your goal is not cholesterol reduction, per se, but plaque control, preferably reversal.

Supplement Mania!

Ever hear of "polypharmacy"? That's when someone takes too many medicines. People will have lists of 15-20 prescription medicines, for instance, with crazy interactions and oodles of side-effects.

Well, how about "poly-supplments"? That's when someone takes a large number of nutritional supplements.

Let me tell you about a 45 year old man I met.

In an effort to rid himself of risk for heart disease that he felt was likely shared with his family (brother and father diagnosed with heart attacks in their late 40s), Steve followed a program of nutritional supplementation. You name it, he took it: hawthorne, anti-oxidant mixtures, vitamins C, E, B-complex, saw palmetto, 7-keto DHEA, velvet deer antler, gingko biloba, policosanol, chronium picolinate, green tea, pine bark extract, St. John's Wort, CoEnzyme Q10, papain and other digestive enzymes...He became a distributor for a nutritional supplement company to allow him to afford his own extraordinary program.

To satisfy himself that he had indeed "cured" himself of heart disease, he got himself a CT heart scan. His score: 470, in th 99th percentile. Steve's heart attack risk based on this score was around 10% per year. High risk, no question.

For weeks after his scan, Steve admitted walking around in a daze, not knowing what to do. Years of telling himself that he had effectively dealt with his heart disease risk, now all down the drain.

When we met, I persuaded him that to think that this collection of supplements would reverse heart disease was magical thinking. We trimmed his list down to the essentials and got him on the right track.

Heart disease is controllable and reversible, but not this way. Don't fool yourself into thinking that some collection of supplements will be enough to stamp out your heart disease risk. Just like taking an antibiotic when you don't have an infection achieves nothing, so does taking the wrong supplements.

What does heart scanning mean to you?

CT heart scans can mean different things to different people.


What does a heart scan mean to you? There are several possibilities:

1) A way of reducing uncertainty in your future.

2) A tool to crystallize your commitment to health.

3) A device to help you track how successful your heart disease prevention program is.

4) A trick to get you in the hospital.

5) A moneymaking tool for unscrupulous physicians hoping to profit from "downstream" testing, particularly heart catheterizations.


Like anything, heart scans can be used for both good and evil. How can you be sure that your heart scan is put to proper use--for your benefit and not someone else's profit?

Simple: Get educated. Understand the issues, be armed with informed questions.

If, for instance, you're a 55-year old female with a heart scan score of 90, active without symptoms, and you're told to have a heart catheterization right off the bat---run the other way. This is bad advice. A heart procedure like catheterization at this score in an asymptomatic woman is very rarely necessary. That decision can only be made after a step-by-step series of decisions are made by a truly interested, unbiased party. (A stress test is almost always required in this situation before the decision can be made to proceed with a catheterization.)

Unfortunately, in 2006, getting unbiased advice from your doctor is still a struggle. That's why we started Track Your Plaque---unbiased information, uncolored by drug or device company support, with an interest in the truth.

Coronary disease is drying up!

I had an interesting conversation with a device representative this morning. He was a sales representative for a major medical manufacturer of stents, defibrillators, and other such devices for heart disease.

Since I'm still involved with hospital heart care and cardiac catheterization laboratories, this representative asked me if I was interested in getting involved with some of the new cardiac devices making it to market over the next year or two. "The coronary market is drying up, what with coated stents and such. We've got to find new profit sources."

Well, doesn't that sum it up? If you haven't already had this epiphany, here it is:

HEART DISEASE IS A PROFITABLE BUSINESS!

Why else can hospitals afford billboards, $10 million dollar annual ad campaigns, etc.? They do it for PROFIT. Likewise, device and drug manufacturers see the tremendous profit in heart disease.

The representative's comments about the market "drying up" simply means that the use of coated stents has cut back on the need for repeat procedures. It does NOT mean that coronary disease is on the way out. On the contrary, for the people and institutions who stand to profit from heart care, there's lots of opportunity.

Track Your Plaque is trying to battle this trend. Heart disease should NOT be profitable. For the vast majority of us, it is a preventable process, much like house fires and dental cavities.

Mammogram for your heart

With the booming popularity of "64-slice CT scans", there's a lot of mis-information about what these tests provide.

These tests are essentially heart scans with added x-ray dye injected to see the insides of the arteries. However, to accomplish this, a large quantity of radiation is required. In addition, the test is not quantitative, that is, it is not a precise measure that can be repeated year after year.

It is okay to have a 64-slice CT coronary angiogram. It is NOT okay to have one every year. That's too much radiation. However, a heart scan can be repeated every year, if necessary, to track progression or regression. Once stabilization (zero change) or reduction is achieved, then you're done (unless your life takes a major change, like a 20 lb weight gain).

The tried-and-true CT heart scan is the gold standard--easy, inexpensive, precise, and repeatable. Not true for 64-slice angiograms.

Is your doctor using "leeches"?

What if you went to your doctor for a problem and he/she promptly placed leeches on your body?

Yeccchhhh! Would you go back? I'd bet that you'd run the other way as fast as your bleeding legs could take you. Outdated health practices like "bleeding" are outdated for good reason.

Then why would you allow your doctor to approach your heart disease prevention program by checking cholesterol and then waiting for symptoms to appear? That miserable approach leads to tragedy and death all too often--ask Bill Clinton! He might as well have had leeches!

Don't allow your doctor's ignorance or disinterest impede your prevention program. Get your coronary plaque measured, then attack it from all sides by knowing all causes, hidden and obvious. That's why Track Your Plaque is such an effective program.

I often wonder why more doctors aren't using this unbelievably powerful approach to deal with heart disease. But when I see colleagues implanting stents, defibrillators, and the like for many thousands of dollars per patient, the answers are obvious. Given a choice of a rational, effective program of prevention that pays the doctor a few hundred dollars for his time, versus $2000 to $10,000 for a procedure, you can see that the temptation is irresistible for many physicians.

All in the family--What to do if there's heart disease in your family

What should you do if a close relative of yours is diagnosed with coronary disease?
This question came up recently with a patient of mine. The patient--a strapping, 47 year old businessman who looked the absolute picture of health--was undergoing bypass surgery. Although I'd met him for the purposes of plaque reversal, he was already having symptoms and his stress test was flagrantly abnormal, all discovered after a heart scan score of 765. On the day after the patient's bypass, the patient's brother came to me. Understandably concerned about his own health, he asked what he should do. The answer: get a heart scan.
Measure the disease with the easiest test available. If his heart scan score is zero, great--he's at exceptionally low (near zero) risk for heart attack. A modest program of long-term prevention is all that's necessary. What if his score is like his brother, should he get in line for his bypass? No, absolutely not! But he will need two things: 1) a stress test to ascertain whether or not he's safe (60% likelihood a stress test would be normal), and 2) an effort to determine how the heck he got so much plaque. (We favor lipoprotein testing, of course, for greatest diagnostic certainty.)
Message: Learn from the lessons your own family provides. Don't let this valuable information go to waste.
A wheat-free 2010

A wheat-free 2010

A Heart Scan Blog reader sent this fascinating description of his wheat-free adventure.

Whenever I discuss this notion of going wheat-free and the incredible health effects that develop, I invariably receive comments or emails saying something like "I eat wheat and feel fine. That can't be true." The problem is that not everybody needs to go wheat-free. 20-30% of people can include wheat in their diet and suffer little more than weight gain, some not at all.

But stories like Michael's (below) are commonplace in my experience. I've had many patients who, at first, refused to believe that wheat exposure might be the underlying cause for health struggles. But they finally give it a try and find that rashes, arthritis, acid reflux, irritable bowel symptoms, mood swings, anger, etc. are miraculously improved or gone.

Anyway, hear what Michael has to tell us:


Dr. Davis,

I want to thank you. I was browsing the web a while back and happened to stumble upon your blog post about wheat belly. The first thing that caught my attention was that I thought you had somehow gotten a photograph of me. The young man you posted an image of looked exactly like me. So I read what you had to say. After reading, I thought "Four weeks isn’t so bad. I think I can handle this."

It has now been nine weeks and all I can say is that I am completely amazed. Let me say first that twice in the past twenty years I have been tested for allergies. The first time I was tested I showed a slight reaction to Timothy Grass, but not enough to cause me any problems. The second testing I did not show a reaction to anything. So, I have always assumed that my chronic sinus problem were due to sensitivities to environmental pollutions. Now I am not so sure. I would like to list for you everything that has happened to me since I eliminated wheat from my diet.

1. I have lost a total of 12 pounds in the last 9 weeks.
2. I have lost 1 ¼ inches of belly fat
3. I have lost a tremendous amount of fat from my neck.
4. My entire life I have had problems with oily hair. I could wash my hair and three hours later I looked as if I hadn’t washed in a week. Now my hair stays clean and soft for two to three days without shampoo.
5. My hair was always flat and stringy. Now it has lots of body.
6. I used to have thick layers of dry skin on my scalp. It would come loose in chunks as large as a fingernail. That dry scalp is gone.
7. I used to have dry flaky skin that seemed to secrete oil. That no longer happens. My skin is now soft and smooth.
8. I have lived with bad acne for at least 35 years. Now it is hard to find a pimple on my body.
9. I have always had to fight dehydration. That is no longer a problem.
10. I used to drink two large cups of coffee every morning just to be able to function. I now have enough energy that I have eliminated caffeine from my diet.
11. I sleep more soundly than ever before and my dreams are clear and vivid.
12. My thought processes are more active and clear than they have ever been.
13. My chronic sinus issue is now a thing of the past.
14. I used to have problems with getting the “shakes” if I had gone more than a couple of hours without eating. It was as if I was suffering from low blood sugar. I would even be afraid that I would pass out. Now all I feel is hunger. I can go all day without eating and never feel in danger of losing consciousness.


Today is Thursday. This past Monday my wife and I were eating out and I ordered a burger without a bun. What I didn’t realize was that the burger would arrive covered in onion rings. I knocked the mountain of onion rings onto the plate but there were still a couple that were embedded in the cheese. I decided, what the hell, a couple of onion rings shouldn’t make that much of a difference. I will not make that mistake again anytime soon. Within 30 minutes I felt like there was a steel spike going through my left eye socket. I don’t remember ever being in that much pain. My sinuses were exploding. This morning, as I write this, I still feel the vestiges of that pain. Just enough that I know it is there. But after two and a half days, I am at least able to function again.

I owe you a debt of gratitude. You may have just saved my life. In the very least you have given me the means to improve my life in ways that I never thought possible.

Thank you so much,
Michael B.



Now, if wheat exposure can do that in Michael, what damage can it do in other people?

Personally, I previously experienced many of the same symptoms that Michael suffered, all gone with wheat elimination.

My advice: If you have any inkling that you might have a wheat sensitivity, make a New Year's resolution to stay wheat-free for 4 weeks and see whether you can feel any difference. Not everybody will, but many will be telling us about the dramatic health turnarounds they experienced.

Comments (22) -

  • Anonymous

    1/2/2010 4:22:52 AM |

    worrisome. with such a dramatic reaction to wheat, should he consider testing for celiac? Should he encourage his relatives to test for gluten sensitivity? should he make the effort to avoid even miniscule amounts of gluten, such as in OTC meds or supplements?

  • Eclecbit

    1/2/2010 4:23:40 AM |

    Wheat-free is the way to be! Before going wheat-free I was taking anti-histamines and decongestants several times a week and my sinuses would still be hurting. My doctor was no help, he would just blame it on allergies. Now that I'm wheat-free I can go for months without a sinus headache and when I do get one I can usually trace it to something that I ate.

    I also haven't had a cold or flu in the 1 1/2 years that I've been wheat-free and the joint pain in my knees and fingers is gone along with my chronic cough. Now I'm just dealing with some linger thyroid issues.

    I see so many people at my work that would benefit from going wheat free, but it's difficult to bring up the subject with them. I guess my New Year's resolution will be to convince at least one person that I know to go wheat-free for at least 4 weeks.

  • elanecu

    1/2/2010 7:21:54 AM |

    Are we to infer that the belly was from wheat and the sinus problem from onions?

  • Dr. William Davis

    1/2/2010 1:40:31 PM |

    I should have mentioned that the majority of people who show positive effects of wheat elimination  are negative for antibodies for celiac.

    While somewhere around 1 in 100-133 Americans have celiac disease (and the Celiac Disease Foundation estimates that only 3% know it), I would estimate that many, many times that have some form of wheat intolerance.

  • Anonymous

    1/2/2010 4:08:11 PM |

    Gluten is poison.

    A good post by Dr. Harris
    http://www.paleonu.com/panu-weblog/2009/12/28/avoid-poison-or-neutralize-it.html

    "The biggest circle in the Venn diagram encompasses 83% of the population –all the smaller circles plus those who might show evidence of an innate response but in whom testing for antibodies may show nothing, and who therefore would never be known to have been damaged by gluten consumption, even if they had MS, schizophrenia, Hashimoto’s thyroiditis, Grave’s disease. Lupus, Type I diabetes, Sjogren disease, etc. or any other of the many diseases that travel with celiac as a consequence of leaky gut and ensuing molecular mimicry that occurs when you damage your gut with wheat."

  • JD

    1/2/2010 4:49:15 PM |

    Here is an interesting abstract from Science Daily on the possible cause of irritable bowel syndrome: Breakthrough on Causes of Inflammatory Bowel Disease http://www.sciencedaily.com/releases/2009/12/091217094905.htm

    ""All the food that we eat is foreign to our body," Dr Eastaff-Leung says. "In healthy people the immune system has a mechanism to tolerate these foods and not react. But some people do not have enough of these regulatory cells and their body overreacts and goes into attack mode. That is where the inflammation occurs," she says."

    One would think wheat causes varying degrees of inflammation as well.

  • Ryan Koch @ Health Matters to Me

    1/2/2010 5:56:03 PM |

    Great post, Dr. Davis.  I reference your blog frequently to explain wheat's affects on health.  You are doing a great service to many people by promoting such a simple, yet transformational dietary change.

    Thank you!

  • Flowerdew Onehundred

    1/2/2010 8:02:53 PM |

    If your health improves from eliminating gluten grains, why even *bother* testing for celiac?  There's no treatment except to continue eating a clean diet, so what's the point of having an official diagnosis?

    No one demands to see your celiac card to serve you a burger without a bun or a salad without croutons!

    I had pretty random symptoms until I developed what turned out to be secondary lactose intolerance.  I had never had a problem with lactose, but I tried taking lactaid first...and that did absolutely nothing.  I researched why that would be, and I wound up eliminating gluten.  

    In the rear-view mirror, it all makes sense now.  My mystery rash *was* dermatitis herpetiformis after all.  I always felt like a million bucks on Atkins induction and my digestion *improved* - this is not what most people report the first week they do Atkins.  I used to have tinnitus, and if I accidentally eat wheat, it comes back.  I had a very hard time controlling my weight, and now I know why.

    I now only eat almost no grains at all, and I have no desire to go back to the bad old days of being bloated and crabby and experiencing a late-afternoon sleepy spell!

    Oh, and after eight weeks off gluten, the lactose intolerance completely disappeared.

  • Anne

    1/2/2010 9:17:10 PM |

    elanecu - the problem with the onions is they were probably coated in wheat.

    Scientists and doctors try to discovery how to change genes and manipulate the immune system, but the real answer to many chronic diseases may be as close as the food on our dinner plate.

  • Neonomide

    1/2/2010 11:46:55 PM |

    I'm going to try going 100% wheat-free, thanks! But it's easier said than done, as it's everywhere. I seem to have a very different reaction to grains depending largely on what I eat. Often (occasional) piece of bread is OK, but cereals are not. Bloating and periods on excess and unlogical hunger may follow.

    I hate to always talk about how things are here in Finland, but we also have that stupid "eat grains 6-9 times a day" dogma that americans have. Yet I think we have, on average, a bit more choice as rice, oat, barley and rye are just as popular here as wheat. But wheat still exists in so many foods, because gluten is so versatile in food processing and baking.

    If you have an access I beg you to check out this study in GUT on gluten if you haven't yet:

    http://gut.bmj.com/content/56/6/889.extract


    If a staggering 83% of the population might show evidence of an innate response to gluten, how can we know who is safe from ravages of wheat consumption ?

  • Amy B.

    1/3/2010 12:49:46 AM |

    elanecu - I am Michael B.'s wife - the problem with the onion rings was that they had been battered (with a wheat-flour based batter) and fried.

    I have been on this wheat-free diet along with Michael. The changes that I have experienced are minuscule in comparison to his, but I have experienced an increase in energy and better hydration. As Dr. Davis has pointed out, not everyone will experience such drastic changes. But I have seen first-hand that it DOES work wonders for some people, and even though I haven't experienced any drastic changes, I do plan to continue eating wheat-free along with Michael. And I would like to add my thanks to you, Dr. Davis!

  • Peter

    1/3/2010 1:17:19 PM |

    I wonder about flourless bread made from sprouted wheat, quite popular here in Portland, OR.  It doesn't seem to budge my blood glucose much at all.  If it doesn't raise my blood glucose is it unlikely to be raising small LDL?

  • Susan

    1/3/2010 8:00:00 PM |

    I too thought gluten was fine with me -- right up until I was diagnosed with an autoimmune disease, and no matter how many drugs they threw at me I didn't improve AT ALL until I eliminated wheat. It took a year for me to figure this out, and I'm so glad I did, because my doctors never mentioned it as a possibility.

    I now eat no grains, potatoes, soy, corn, or sugar and I've experienced a dramatic improvement in my condition.

  • Anonymous

    1/4/2010 12:54:09 PM |

    Neonomid,
    Wheat, barley, rye all contain gluten. Oats are frequently cross contaminated by gluten grains.
    Some celiacs also have trouble with avenin, the gluten in oats.

  • Anonymous

    1/4/2010 1:04:41 PM |

    Flowerdew Onehundred,

    If you have a formal diagnosis of DH, you are considered to have celiac. Getting a biopsy for DH is the easiest way to go for sure, compared to imperfect blood tests, endoscopys, and pathology reports.

    Any one individual may not consider a formal diagnosis worthwhile in the short run, but the health care system is set up differently. Good luck with the pharmacy and the insurance, if you should ever need a gluten free medication. And best wishes should you ever be hospitalized and need a special diet.  

    It can also help family members get the proper screening. All first degree relatives of celiacs should be screened periodically, even if asymptomatic.

  • joe

    1/4/2010 1:49:46 PM |

    For years I was using two inhalers to deal with severe seasonal allergies. When I went on the Atkins diet, I noticed that I didn't need the inhalers, and, in fact, didn't have so much as a runny nose. Through trial and error, I discovered it was the wheat that was triggering the allergies. I haven't used an inhaler in more than 10 years now, and I definitely don't eat wheat, or any other grain for that matter.

  • O Primitivo

    1/25/2010 12:54:11 AM |

    "Britons May Be Avoiding Wheat Unnecessarily, UK" - http://www.medicalnewstoday.com/articles/176895.php

  • Anonymous

    3/29/2010 10:02:45 AM |

    I had a similar reaction to wheat, but genetic testing was negative for celiac disease, putting me in the more common camp of "gluten intolerant".

  • Deb

    7/14/2010 8:49:51 AM |

    I was wondering about the spelt flour used in some health food store breads. Is that wheat free? Or is there an acceptable brand of bread available? I noticed at a yoga center my sinuses were much better due to absence of eggs, meat and I believe also wheat products.

  • Viagra Online

    8/24/2010 5:31:53 PM |

    I always try to take cake myself by I just want to know which could be the perfect diet to be healthier. I'm diabetic.

  • buy jeans

    11/2/2010 8:53:04 PM |

    Personally, I previously experienced many of the same symptoms that Michael suffered, all gone with wheat elimination.

  • Shreela

    3/22/2011 6:03:27 PM |

    I also follow Dr. Scot Lewey, a GI, who posted this:
    Gluten Proven to Cause Digestive Symptoms and Fatigue in Non-Celiacs

    My GP tested my blood for celiac, even though I told him I hadn't eaten any wheat in many weeks, but he looked it up in a lab book which didn't say being wheat free was necessary (I suspect that lab book might have been outdated, but forgot to ask at that time). I was negative.

    Although eventually my 3rd GI figured out I'm most likely intolerant to food additives (which ones are up to me to figure out via my own rule out diets - figured 3 out, but either there's more, or I haven't figured out all the names for the same food additives).

    Well anyway, I went back on wheat since white wheat didn't trigger my "gut attacks" (extreme inflammation), and noticed my sinus problems returned.

    Also, I was able to go much longer without hypoglycemic symptoms (not diabetic, but quite familiar with low blood sugar symptoms).

    So now I "mostly" avoid wheat, and can still tell if I've overdone it (more than 1-2 times a week with a moderate amount). My sinuses act up, and once I had a few days of shakes and light-headedness until I stayed off wheat for a few more weeks.

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