I worked in Pharamcy for years yall. If you are able bodied and Are NOT being hindered by a disease or aliment. Please exercise often and eat more fatty fish and more avocados and avoid saturated fats. I personally increased my HDL from 50 to 62 and dropped my LDL by 30 points in about 6 months
I’m taking omega 3 supplements to raise my HDL which has always been under 30 and a recent lipid profile showed it to be over 40! However my cholesterol has always been high. Even when I lost max weight and was doing exercise daily my LDL over 250. Hypercholesterolemia runs in the family. I’m wondering if I need to get on statins. I’m 37 years old
@@g_1673 that wasn't mentioned. Is calcium intended to stabilize plaques? Trading atherosclerosis for hardened arteries?? It seems like everyone should be taking one of these? What us the actual reduction in disease? If 3% have heart attacks without statins and 2% have heart attacks with statins, is that fair to claim a 50% reduction?
@@JohnWest4 good eye! everyone in this country needs a statistic class - simplified in jr high and then full on in high school. companies will lobby against it as well as our greedy politicians - especially the ones like DeSantis.
@@ehayes7849 We all exchange service for money, or product for money, but am on the fence if medical service should be a profit industry, like other things. Maximizing cost has not done us well. .. Something is worth what someone will pay for it? or should it be tempered by cost of manufacturing, certification and delivery? Pharma wants a blockbuster drug to fill its coffers, but its at the expense of the society. Insulin costs for example. should cost $35 a month? SHould Sugar industry help pay some of that?
Statin will kill your liver. It is normal for your Liver to manufacture cholesterol. Statin force and stop your liver from producing this cholesterol that is very important to the body. Especially the Brain. The best way is to control and change your diet not to take Statin. Statin will weaken your body over time. Many people have the impression that statin neutralize your cholesterol. But, it job is to stop your liver from producing the important Cholesterol for your body. Without Cholesterol you will die faster. Your body need Cholesterol to survive.
I agree; but, if your cholesterol is excessively high, then you may have to do both simultaneously (diet & drug), with the intent to get off drugs within months. One commenter stated he was on a statin for 40 years. This is too long; perhaps, dietary changes should have occurred 39 years ago. Maybe lack of helpful nutrition data was absent back then.
@@thomashilson4158if your triglycerides and hdl are optimal your LDL shouldn’t be an issue. That is if you’re otherwise fairly healthy. There is a place for statins but not for everyday use by millions. It’s being shown that there is a sweet spot for ldl which is around 200-240 ish where it’s been shown that people lived longer. Makes sense when you understand how much cholesterol is needed for proper functioning of the body
What you don't seem to realize is that some people's liver just produces too much cholesterol due to genetics. I have over 400 total Cholesterol since my 20s, as did my father. And we both were quite skinny.
Thank you for your video! There is some great information here and it helped me understand the cholesterol/statin process. I also liked the comment that said, please put the quiz answers at the end of the slide. It stimulates my brain's reward center when I get them all correct. ;)
One deca-liter or 1 daL is pronounced ˈdekəˌlēdər and is equal to 10L or ten liters. One deci-litter or 1 dL is pronounced ˈdesəˌlēdər and is equal to 0.1L or one tenth of a liter. Btw, awesome video. Thumbs up!😊👍👍
Good intro in general -- but did I miss how the general inhibition of Cholesterol leads to an decrease of LDL but not HDL since both libroproteins carry Cholesterol ? If it's just due to their corresponding binding kinetics that's pretty scary since it means that you inhibit cholesterol synthesis to such a degree that you starve the pathway to LDL but it isn't LDL specific per sé. (The bottle neck is to early so to say) Since Cholesterol plays such an important part in tons of other pathways you might hit those even harder and earlier. It's way to easy to jump on the pharma conspiracy band wagon but that really looks like a fancy biochemical inhibitor in search for it's application -- not the other way around. I sincerely believe that it has it's applications and can be live saving -- but it also seems the side effects (known and potential) have to be balanced very strongly and everybody needs to have a deep understanding what is going on with this very serious intervention into h(is|er) basic physiology. From what I see a nice intro to the risk assessment ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-R6FGaR7vOHk.html
agree totally ... thanks for posting. I also wish dr.s spent time going over good nutrition and getting tested for vitamin. mineral levels. Sugar is killing most of us.
Your not mentioning all the awful side effects, muscle detriation fatigue, headaches and more you need to let people know what vitiams to take that will help if your taking stations to lower the size effects. Why always pills when you could help by cutting some food and help with what we should be doing to reduce high LDL
Please explain what mechanism the statins use to attack muscle fibres and can they attack cardiac muscle also? Can you also explain the high risk and mechanism of developing type 2 diabetes? Surly that would be counter productive
They stop production of co-enzyme q10 and our mitochondria in muscles and braincells get out energy ehat they need.LDL has 8 different types and statines lower useful too but we need to lower only really harmful oxidysed ldl or small LDL who really is bad.
As always the Partlcle sizes of LDL are never mentioned. Not all LDL is bad. How would one know unless a particle size blood test is done. The answer , of course is, you wouldn’t know. BTW every organ in your body NEEDS cholesterol. Try a Mediterranean diet., and walk for 1/2 hour every day.
The body needs cholesterol. Some types of cholesterol are essential for good health. Our body needs cholesterol to perform important jobs, such as making hormones and building cells. Cholesterol travels through the blood on proteins called lipoproteins. The liver produces cholesterol.
Thanks for your useful video. One thing you didn’t cover is what happens if we stop using statins? Are we going to have a ordinary cholesterol level after few years or as soon as we stop using the cholesterol goes back to high level like before? Appreciate if you answer. Thanks again.
From my understanding, statin are a lifelong treatment. Stopping them would result in your levels going back to what they were pretreatment. Also, they're used in combination with lifestyle modification.
@@misumobo gotta watch dopesick movie before we take pharma fav blockbuster. More for profit than health? why should we take a drug forever? Why not look at causes for dysregulation?
Great video! Thank you for this breakdown. Please consider doing the top 200 😁😉 Question, due to the statins work in our livers and can cause a certain amount levels of toxins in the liver.. would this medication be considered an NTI? If no, why not? Thanks in advance.
I had a question if you could help me solve. I've been on Crestor 10 mg since 4 months, My LDL cholesterol reduced from 165 mg/dL to 78 mg/dL in a month. My question : What I wondered is when a statin stops the cholesterol production, how does the LDL reduce so quickly ? Does the body use it up for energy and begin the depletion of cholesterol since it no longer produces as it once did? Or The statins begin pushing LDL out of the body and eliminate it ? Or That Vitamin D and testosterone begin consuming the remainder of whatever cholesterol that the body has now that statin has stopped it's production ? I'd appreciate a response. Thanks for the best video on statins on YT.
Thats awesome to hear! Yes statins work very quick, and they do the job of lowering LDL the best (First line treatment). When statins stop the liver from making LDL, our liver naturally responds by making more LDL receptors to uptake the excess LDL in out bloodstream. Once it takes the LDL from the bloodstream, it will use it for other processes like you mentioned. So the cholesterol will now be used for Vitamin D and hormone synthases!. Hope this clears some things up!
@@Kjuken69 well, I have a gene Lp(a), and my family history (both sides) have cardiac illnesses ! I've changed immensely since then with all my lifestyle and diet and herbs, so much more than just that.
I've tried two different stations. The last one made my muscles ache. Then the bones in my hands started hurting. I would rather die of high cholesterol than the side effects of statins.
So all statins do is create/ add more “receptors” in our liver to remove the cholesterol from our bloodstream. But what about the glycated cholesterol damaged by sugar which is not recognized by these receptors and so just continue to float around the bloodstream causing most of the problems. As for the buildup of LDL in your bloodstream. That’s because there’s already damage from other things. The LDL which is not cholesterol but Carry’s cholesterol is a unit of repair and so if there’s buildup it’s because there’s already some sort of stress in your arteries. Sugar is the culprit. Cholesterol is like an ambulance trying to fix damage. Is cholesterol the fireman or the arsonist??? Statins also promote diabetes Ascvd- eliminate sugar/ reduce carbs Get your hdl higher and triglycerides as low as possible much lower than 150. Love that we give diabetics statins. The underlying issue with any of this as any nurse or doctor will tell you, is getting people to comply. Compliance is an issue due to flat out laziness or massive confusion because there’s a pill for a pill for a pill and people don’t want that. They don’t understand why they have to keep taking another pill and another. Lastly, food is so addictive now that why do I want to stop eating all this good stuff? It’s so good! But it’s also slowly killing you. Why are you basing statins on ldl base of 70? Key words” based on clinical judgement” are there studies (double blind) to support that judgement. Most of this video is wasted on the average person because of the language.
Why do you not pronounce the second t in the word statin. You say sta-ins. I never heard an accent that only leaves out random letter t’s in the middle of words. Is it a thing?
Great vid. I do have an issue with people who can't pronounce the words they are teaching. It's not "sta,ins" it's statins. And it's not "de(k)olitre" it's "de(s)olitre". No really issue just a pet peeve of mine.
I noticed that the pharmacist still recommends atorvastatin and rosuvastatin be taken before bed. Is there actually a benefit to this, or would the blood level be about the same if it were taken anytime within 24 hours?
Hi, I've heard that simvastatin is bad and that makes me a little worried, Im taking simvastatin 10mg because of high scholesterol, in conclusion it is 100% safe to take it?
They may lower your LDL but for many the side effects are worse than the benefits that they derive. I have taken statins for coming on 40 years but had to stop due to sever side effects.
Actually, those having bad side effects are a minority. Statins are so effective and protective, especially over time, that some countries are talking about adding them to the water supply. A better approach would be to change dietary recommendations and consumption of alcohol, cigarettes and sugar, but statins save lives.
Very lightweight video. No mention of impact of statins on type 2 diabetes and no mention of the ACTUAL risk reduction being only about 1.1% for both Lipitor and Crestor.
According to many videos, TG are made by adipocytes from excess glucose converted to glycerol and fatty acids from liver which is again made from excess glucose in the insulin dominant state. .. secondly by liver from glycerol from excess glucose and fatty acids. It also seems that 80 percent of dietary fat is excreted and only 20% is used for making chylomicrons which ultimately end up as cholesterol. So is it direct to say 70% of TG comes from dietary sources?
Adipocytes don't manufacture fatty acids, they're a storage site for TG. FA synthesis occurs in the liver during post prandial states via TCA cycle intermediates (when citrate builds up it is shunted out of the mitochondria for FA synthesis, likewise DHAP from the glycolytic pathway is shunted into G3P production).
Thank you for this and your other videos! You've answered questions that I've had, but as is always the case, raise new ones in their place. I'm wondering about the inputs to the cholesterol synthesis process when HMG-CoA is blocked. I gather from your other videos there are processes that convert free fatty acids to triglycerides, triglycerides to vldl, vldl to ldl; do we know more specifically where in the whole chain Hmg-CoA is involved? I'm under the impression that statins reduce not just ldl, but also triglycerides, so my guess would be it's similar to fish oils blocking the conversion of free fatty acids into triglycerides. If that's the case, I wonder what happens to the free fatty acids that would have otherwise been converted? Does the body have a harmless outlet for them? Or do they or other resultant products (adipose?) accumulate? Inquiring minds want to know! PS your pronounciation of decilitre had me very confused for a moment; it sounded to me like you were saying daL (10L) instead of dL (100mL). As a Canadian growing up with metric units, I've always known deci to be pronounced as "dessi", so as not to be confused with deca (dekka).
You explaind the deposit of LDL in the artery, but forgot to explain HOW the deposit came in there!Knowing that might REVERSE the cause and thereby lowering the necessity of taking a Statin Drug at all.Thanks.
Good video. Statins are not a replacement for a diet low in saturated fat and regular exercise. Taking a pill won’t protect if your not doing these other things. Also drinking booze, smoking, high stress and a terrible diet won’t be offset by a statin. Aprox 60% of heart attacks are with people with normal cholesterol and/or on statins.
Great video! Thanks for making such informative video. The video was very well made. Does anyone know what software is used to make this presentation? Thanks
Excellent video and excellent channel. I'm just studying to be an A.C.T but I love the pharmacology and this channel will definitely be added to my study material
Yes! Number 3 is B! -Great catch! Atorvastatin 40 - 80mg is considered high Intensity. Now it is true that Pravastatin is lipophobic (penetrating into muscles less, causing less muscle pain), but Rosuvastatin is the MOST lipophobic because of the sulfonamide functional group (because there are 2 oxygens attached to a sulfer). Hope this clears some things up!
I was recently diagnosed with high cholesterol and put onto a Simvastatin. I started by taking it at night but found myself sweating and waking up during sleep. I now take it in morning and lm fine.🤷🏼♀️
Amazing video!!!! Thank you so much!! They are super easy to follow and help to remember the concepts! Love the illustrations and organization of the information. Thanks!!!!
Quick question: Is it DeCIliter or DeCAliter? Deci is usually abbreviated dL and Deca is dcL in Francophony or daL in anglosax countries. A little confused about that part since there is a factor difference of 100 between both (daL = 10 L whereas dL = 0.1 L or 100 mL)
Great question! @Vensie , 1 DecaLiter is = to 100ml and is abreaviated as dL (In the USA). Other countries and locations have different abbreviations, but typically in pharmacology we stick with DecaLiters (100ml's)
@@DrugChug dL is deciliter = 1/10 liter = 100 mL, and daL = deka-/decaliter = 10 litres. Used in other words like "decimal" or "to decimate" (literally reduce by a tenth) and "decathlon" which is a contest in 10 different disciplines.
I was under the impression that statins work by doctors scaring you into taking them, then big pharm giving the doctor some financial kickback for adding another person to the pharmacy cattle farm.
I must be in category 3. I have LDL of 174, and recently went on Simvastatin. I was wondering why I had to take it at night! I wish doctors explained everything in detail like this.
@@stefanserroul3572 not really doctors get commissioning pushing these-kind of drugs so they owe it you to take one extra minute and explain it . But they don’t
@@stefanserroul3572 Astoundingly NAIVE statement. You see the SAME doctor; the person "handling" your filled prescription could be any 1 of 6 people. The doctor MUST explain; not 6 people giving you six interpretations.
question related to 5:36 : do Statins somehow prevent Macrophages from breaking already builp up LDL in arteries ? Or really Statins main aim is to prevent new LDL buildup?
thank you, make sense. I just wanted to be sure as one doctor told me that "Statins directly prevent artery blockage" => So pretty much that claim is not true. Now it may be that I've just misunderstood her, and she meant something else but I wanted to be 100% sure (that's why this question)
@@tomasvalent3876 I think you misunderstood a second time. If the drug works IN the LIVER by preventing the liver from making MORE cholesterol, since too much is already in the blood & vessels walls, then your doctor's explanation is CORRECT.
this is how Stanton's work the doctor gets you freaked out about cholesterol numbers prescribes you a pill gets a kickback in the pharmaceutical company gets Rich that's how they work
@@sirclarkmarz If it's based on research then what does it matter who paid for it? I'm sure heart attack, stroke and death rate was linked to higher numbers and statins lower that number, so... Yeah, I get your big pharma pessimism because of capitalism, but that's different from placebos and imaginary numbers.
So does the reducing of production of LDL in the liver just stop all LDL , including the small LDL. I read it stops all LDL both the fluffy ones (good LDL) and smaller bullet type LDL.
