As if this frightening list of potential side effects were not enough to discourage a patient from taking statins, it is also valu- able to keep in mind that cholesterol is: (1) used to manufacture the hormones cortisol (the fight-or-flight hormone) and vitamin D (less than optimal levels are linked with heart disease, osteoporosis, depression, cancer, weight loss difficulty, and all-cause mortality); and (2) a critical component of all cell membranes (especially those of the brain, nervous system, spinal cord, and peripheral nerves).
The Natural Statin Alternative Beyond Diet Changes: Dietary Supplements As discussed in Part 1, cardiovascular wellness begins with a healthy, clean diet. In my clinical practice, numerous dietary supplements have proven to be critical foundations of the path to long-term heart health, even if a patient prefers to follow his doctor’s advice to take a statin drug. Although the scope of this article does not allow for a complete discussion, Sinatra/ Bowden agree that these nutrients provide a solid starting point:
1. L-Carnitine (Ideally, as Aceytl L-Carni- tine Arginate). With CoQ10, D-ribose, and magnesium (see below), Sinatra recommends this amino acid as one of the “Awesome Foursome” in metabolic cardiology.
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It transports fatty acids into
the powerhouses of cells to be burned as energy. Sinatra/Bowden write, “Be- cause the heart gets 60 percent of its en- ergy from fat, it’s very important that the body has enough L-carnitine to shuttle fatty acids into the heart’s muscle cells.”
2. CoenzymeQ10 (CoQ10). This antioxi- dant, which Sinatra calls “the spark of life,” is critical to the generation of cel- lular energy (ATP) and enables oxygen utilization. It is highly concentrated in organs with higher energy requirements (especially those that manufacture it, the heart, liver, kidneys, and pancreas), but is also found in every cell of the body. Sinatra/Bowden recommend at least 100mg twice per day, especially for every patient taking a statin. Ideally, ubiquinol (the active, reduced form that is absorbed up to eight times better than regular, CoQ10) should be taken with a fat only in the morning and afternoon.
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