Regarding vascular health supplements?
Ms.
Liao is currently taking aspirin capsules, Concor 1.25, Kadyx extended-release tablets, Lipitor, Gastrogel, and Crestor.
She takes Lipitor twice a day, while the others are taken once in the morning.
To improve her health, she has also been seeing a traditional Chinese medicine practitioner at the same hospital, but she hasn't felt any benefits over the past year and a half.
Additionally, she is reluctant to take medication all day, so she is considering stopping the traditional Chinese medicine.
Given her current Western medications, she is seeking advice on what types of foods would be appropriate for maintaining vascular and heart health.
Furthermore, her total cholesterol levels are consistently approaching the upper limit, which is why she has resumed taking Crestor after initially stopping it.
There were concerns regarding Crestor based on data from 2004, and she is curious about the latest information on this medication.
Thank you for your guidance.
Mr. Zhang, 50~59 year old female. Ask Date: 2016/03/13
Dr. Liao Lingmei reply Pharmacology
Hello:
1.
The best methods for maintaining vascular and cardiac health include avoiding high-cholesterol dietary habits and increasing cardiovascular exercise.
Therefore, diet and exercise remain the optimal approaches.
2.
Concerns have been raised regarding specific classes of lipid-lowering medications, including potential impacts on liver function, cognitive impairment, increased glycated hemoglobin levels, and drug interactions.
At that time, the Food and Drug Administration issued a notice reminding healthcare professionals to carefully evaluate the clinical benefits and risks when prescribing statin medications.
Patients currently taking these medications should not discontinue them without consulting their physician.
Rosuvastatin is generally effective for most cases of hyperlipidemia, and if there are no significant side effects, please continue taking it as prescribed by your doctor.
Wishing you health and happiness!
Reply Date: 2016/03/13
More Info
When it comes to maintaining heart and vascular health, dietary choices play a crucial role alongside any medications you may be taking. Based on your current medication regimen, which includes aspirin, statins (like冠脂妥), and other cardiovascular drugs, it's important to consider how your diet can complement these treatments and help manage your cholesterol levels.
Essential Dietary Supplements for Heart and Vascular Health
1. Omega-3 Fatty Acids: These are found in fatty fish (like salmon, mackerel, and sardines) and can help lower triglycerides, reduce blood pressure, and decrease the risk of heart disease. If you don’t consume fish regularly, consider omega-3 supplements derived from fish oil or algae.
2. Fiber: A diet high in soluble fiber can help lower cholesterol levels. Foods rich in soluble fiber include oats, beans, lentils, fruits (like apples and pears), and vegetables. You might also consider a fiber supplement if you struggle to meet your daily intake through food alone.
3. Antioxidants: Foods high in antioxidants, such as berries, dark chocolate, and green tea, can help reduce inflammation and oxidative stress, which are linked to heart disease. While dark chocolate can be beneficial, moderation is key due to its calorie and sugar content.
4. Coenzyme Q10 (CoQ10): This antioxidant is often recommended for heart health and may help improve energy production in cells. Some studies suggest it may be beneficial for those taking statins, as these medications can lower CoQ10 levels in the body.
5. Plant Sterols and Stanols: These substances can help lower cholesterol levels and are often added to margarine and other spreads. They work by blocking the absorption of cholesterol in the intestines.
6. Magnesium: This mineral is important for heart health and can help regulate blood pressure. Foods rich in magnesium include nuts, seeds, whole grains, and leafy green vegetables.
7. Vitamin D: There is emerging evidence that vitamin D may play a role in heart health. If you have limited sun exposure or dietary intake, consider discussing vitamin D supplementation with your healthcare provider.
Dietary Considerations
While supplements can be beneficial, it’s essential to focus on a balanced diet rich in whole foods. Here are some dietary strategies to consider:
- Mediterranean Diet: This diet emphasizes fruits, vegetables, whole grains, legumes, nuts, and healthy fats (like olive oil) while limiting red meat and processed foods. It has been associated with a reduced risk of heart disease.
- Limit Saturated and Trans Fats: These fats can raise cholesterol levels. Focus on healthy fats from sources like avocados, nuts, and olive oil.
- Reduce Sodium Intake: High sodium intake can lead to hypertension, a significant risk factor for heart disease. Aim for less than 2,300 mg of sodium per day, or even lower if you have hypertension.
- Stay Hydrated: Drinking plenty of water is essential for overall health and can help maintain optimal blood circulation.
Monitoring and Consultation
Given your concerns about cholesterol levels and the medications you are taking, it’s crucial to have regular check-ups with your healthcare provider. They can monitor your cholesterol levels and assess the effectiveness of your current treatment plan. If you’re considering stopping any medications, including traditional Chinese medicine, it’s vital to discuss this with your doctor first to ensure it’s safe and appropriate for your situation.
Conclusion
In summary, while dietary supplements can support heart health, they should complement a well-rounded diet and not replace medications prescribed by your healthcare provider. Focus on incorporating heart-healthy foods, maintaining a balanced lifestyle, and regularly consulting with your healthcare team to optimize your cardiovascular health.
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