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Old 27.10.2013, 12:52
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Low Cholesterol And Stroke

3 days ago my neighbor had a stroke.However, he is known by high cholesterol for the last 5 years. Now he is recovering but this got me thinking about this relation and what is that dangerous cholesterol limit so you can say that "you are safe below that line"
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Old 27.10.2013, 12:55
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Re: Low Cholesterol And Stroke

High cholesterol is just one of many factors, from what I understand. UK guidelines say below 4.
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Old 27.10.2013, 13:05
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Re: Low Cholesterol And Stroke

You can never be completely "safe", people have had strokes even with low cholesterol. But reducing it will help. 3.5-4 is the ideal I believe, not too low and not too high.
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Old 27.10.2013, 13:15
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Re: Low Cholesterol And Stroke

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3 days ago my neighbor had a stroke.However, he is known by high cholesterol for the last 5 years. Now he is recovering but this got me thinking about this relation and what is that dangerous cholesterol limit so you can say that "you are safe below that line"
There can never be such a 'safe' limit, as there are a lot of other factors, and indeed some very recent studies are challenging some of the assumptions of recent years, although not to the extent of saying that LDL/HDL levels don't have any effect, just that models are showing that it's not as simple a link as was previously thought.

If you're worried, ask your doctor.
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Old 27.10.2013, 13:23
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Re: Low Cholesterol And Stroke

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High cholesterol is just one of many factors, from what I understand. UK guidelines say below 4.
From the NHS website "The government recommends that total cholesterol levels for healthy adults should be 5mmol/L or less, with levels of low-density lipoprotein (LDL) being 3mmol/L or less.
Adults at high risk are defined as those with existing heart disease, high blood pressure (hypertension), diabetes or those with a family history of early heart disease. Those at high risk should have a total cholesterol level of 4mmol/L or less, with levels of LDL being 2mmol/L or less.
In the UK, two out of three adults have a total cholesterol level of 5mmol/L or above. On average, men in England have a cholesterol level of 5.5mmol/L and women have a level of 5.6mmol/L."

Having said that, the NHS would not pay for statins which are quite cheap, for my brother who was aged 53 with a level of 5.3.
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Old 27.10.2013, 21:17
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Re: Low Cholesterol And Stroke

Although you can have a good total level it is important to know how much good and bad make up the figure.

I take statins for high cholesterol. My last level was 3.6 but it is all the bad LDL and not the good cholestrol and I eat a very good diet. But my factor is that I do have heart disease and there are benefits in taking them.

Why don't you go and have yours tested - you do need some cholesterol for your body to function well.
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Old 27.10.2013, 21:25
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Re: Low Cholesterol And Stroke

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From the NHS website "The government recommends that total cholesterol levels for healthy adults should be 5mmol/L or less, with levels of low-density lipoprotein (LDL) being 3mmol/L or less.
Adults at high risk are defined as those with existing heart disease, high blood pressure (hypertension), diabetes or those with a family history of early heart disease. Those at high risk should have a total cholesterol level of 4mmol/L or less, with levels of LDL being 2mmol/L or less.
In the UK, two out of three adults have a total cholesterol level of 5mmol/L or above. On average, men in England have a cholesterol level of 5.5mmol/L and women have a level of 5.6mmol/L."

Having said that, the NHS would not pay for statins which are quite cheap, for my brother who was aged 53 with a level of 5.3.
Many drugs in the UK are cheaper than the prescription charge.

The cost of statins to the NHS for 2012 is estimated at 450 million pounds, which is a sizeable sum- so unless you have conditions which are likely to benefit from the treatment and are borderline, the guidelines are not to prescribe.
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Old 27.10.2013, 22:14
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Re: Low Cholesterol And Stroke

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Many drugs in the UK are cheaper than the prescription charge.

The cost of statins to the NHS for 2012 is estimated at 450 million pounds, which is a sizeable sum- so unless you have conditions which are likely to benefit from the treatment and are borderline, the guidelines are not to prescribe.
They only will prescribe the cheap ones that cost under £5 a month, nothing new like Crestor which is £38 in Boots or 76 CHF here for 30 tablets.

You mentioned UK guidelines of 4.0 & I said they would not pay at 5.3 so hardly borderline in the context of what you wrote earlier.
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Old 27.10.2013, 23:09
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Re: Low Cholesterol And Stroke

As you stated yourself, 4 is in the case of certain conditions, like a history of heart disease, or diabetes, etc.

What's wrong with the 'cheap' ones- we are both on Simvastatin- very effective and no side-effect. Just because something is new, or more expensive, does not necessarily make it better. A lot of medical concern about side-effects of Crestor, including kidney damage, it seems.

Last edited by Odile; 27.10.2013 at 23:22.
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Old 27.10.2013, 23:35
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Re: Low Cholesterol And Stroke

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As you stated yourself, 4 is in the case of certain conditions, like a history of heart disease, or diabetes, etc.

What's wrong with the 'cheap' ones- we are both on Simvastatin- very effective and no side-effect. Just because something is new, or more expensive, does not necessarily make it better. A lot of medical concern about side-effects of Crestor, including kidney damage, it seems.
Well both parents have a history if heart conditions & uncle had diabetes for 48 years so clearly are higher risk but 5.3 not high enough for the NHS to pay in London.

I came off Crestor , however the cheaper ones have the same side effects, can't train as hard, so I take them part time!
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Old 31.10.2013, 16:47
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Re: Low Cholesterol And Stroke

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There can never be such a 'safe' limit, as there are a lot of other factors, and indeed some very recent studies are challenging some of the assumptions of recent years, although not to the extent of saying that LDL/HDL levels don't have any effect, just that models are showing that it's not as simple a link as was previously thought.

If you're worried, ask your doctor.
Yea I spoke to my doctor, he kind of said the same thing... but I wanted to know if there is anyone that can tell from his personal experience.
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Old 31.10.2013, 17:19
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Re: Low Cholesterol And Stroke

Those who've had very bad experiences are generally not around to tell the tale. A good friend of ours in UK, tall and very slim, very simple vegetarian diet- refused to go on statins despite high cholesterol due to what he had read on the internet. He cannot tell you what happened a year later, sadly.
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Old 05.11.2013, 02:15
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Re: Low Cholesterol And Stroke

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From the NHS website "The government recommends that total cholesterol levels for healthy adults should be 5mmol/L or less, with levels of low-density lipoprotein (LDL) being 3mmol/L or less.

Not sure what to make of my readings.....

Total cholesterol = 3.1mmol/L
LDL= 1.4mmol/L

Here is the bummer though, my HDL is low too .87mmol/L
Triglycerid is 1.9mmol/L

I am fit, eat generally very healthy diet and also exercise regularly. According to some online calculators I am high risk others say very low risk? Some people say low HDL is not relevant when LDL levels are very low.

I really don't know what to make of it
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Old 05.11.2013, 08:40
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Re: Low Cholesterol And Stroke

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Not sure what to make of my readings.....

Total cholesterol = 3.1mmol/L
LDL= 1.4mmol/L

Here is the bummer though, my HDL is low too .87mmol/L
Triglycerid is 1.9mmol/L

I am fit, eat generally very healthy diet and also exercise regularly. According to some online calculators I am high risk others say very low risk? Some people say low HDL is not relevant when LDL levels are very low.

I really don't know what to make of it
What's your blood pressure?? Swiss doctors in my experience are unconcerned by cholesterol levels and very focussed on blood pressure...
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Old 05.11.2013, 12:12
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Re: Low Cholesterol And Stroke

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What's your blood pressure?? Swiss doctors in my experience are unconcerned by cholesterol levels and very focussed on blood pressure...
Thanks for the reply. Based on the attached image my BP falls in ideal blood pressure range and lot of times on the border between ideal and low BP.

What should I make of it all?

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