1. Khalid Zahid: Transforming Saudi Art
  2. Now Walk the Talk, Imran
  3. Violence against Minorities
  4. Unsheltered
  5. Lumbering Giant with a Midget’s Mentality
  6. How to Encourage Terrorism
  7. Faisalabad in 2028
  8. Mental Illness & the Progress of a Nation
  9. Child Sexual Abuse
  10. Living amongst the clouds : Aalia Bux
  11. Mental health – What soldiers can teach us
  12. Many Cookies still to Crumble
  13. Steering Through Turbulence
  14. ExxonMobil – Close to hitting huge oil reserves in Pakistan, bigger than Kuwait’s
  15. NAYA PAKISTAN?
  16. Making ADR work for Women
  17. Women’s Rights under Family Law
  18. Shutting the Door on Refugees
  19. Water Challenges and Opportunities
  20. In Conversation with Dr. Ghulam Rasul on Hydrology
  21. In Conversation with Shafqat kakakhel: Internal Water Management Practices
  22. Come on Skipper !
  23. GUMM
  24. Annus Horibilis
  25. The Inhumanity of Pakistan’s Coal Industry
  26. Iran Nuclear Deal The U.S Withdrawal
  27. Method in the Madness
  28. Legal System Reforms
  29. Power Over Impulse
  30. Refugees and Migrants are People too
  31. PTCL – A Nonstop Journey Towards Excellence
  32. Gulgee – The Last of The Greats
  33. Patrik Hoffmann – Sonraj
  34. Pakistan’s Primordial Hindu Heritage
  35. Pakistan’s Migrant Tragedy
  36. PTCL – Fastest Growing Brand in Pakistan
  37. Keep Pakistan’s Wagon Hitched To The China Star
  38. Anique’s Chocolate Cake
  39. Selfless & Fearless – Lahore Qalandars
  40. NEWS PICKS
  41. Intellectual Property and Tourism
  42. Fitness with the Mughal
  43. REBEL WITH A CAUSE
  44. The Big Fat Lie – Cholesterol (Part-1)
  45. Mummy’s Recipes Roast Chicken & Veg
  46. ENGAGING HEADS HEARTS AND HANDS
  47. The Big Fat Lie – Cholesterol (Part-2)
  48. Q & A with Star of Parchi
  49. Addressing Sexual Abuse
  50. Q & A with EMAN ZAEEM & MEHR SAAD
  51. Pakistan’s Lost Children
  52. ENGLAND AND THE INDUSTRIAL REVOLUTION
  53. STICK WITH FRIENDS AND DITCH THE ENEMIES
  54. The Phenomenon that Stephen Hawking was!
  55. In Conversation with ANUSHAY ZEESHAN
  56. Q & A with owner of District 6 – Anum Rafat
  57. Ali Rehman Khan – Naturally A Star
  58. MUNIBA`S Call for Tolerance & Justice
  59. Q&A Muniba Mazari
  60. Health Quotient (Dental health)
  61. Money for nothing, bits for free
  62. FinTech
  63. TRADING THREATS OF WAR
  64. Crisis of Civilization
  65. Child Sexual Abuse
  66. Education is the only Solution
  67. Fit for Purpose
  68. BLUE CHIP TALKS TO THE CREATOR OF TEETOO AND TANIA
  69. Mini meringue recipe
  70. NEW ANIMATED TV SERIES PAKISTANI
  71. Changing the Perception of Public Transport Motorway Express
  72. AUSTENISTAN DEBUTS WITH ELEGANCE AND ENTHUSIASM
  73. PAKISTAN’S WOMEN OF 2017
  74. THE BEAUTY IN BUSINESS
  75. PERCEPTIONS ARE ALSO REALITY
  76. Blue Chip Q/A with Atiqa Odho
  77. Five major political events of 2017
  78. WHAT DOES TRUMP’S TWEET MEAN FOR CPEC AND THE REGION
  79. THE GLOBAL ECONOMY IN 2017
  80. AFGHANISTAN GOING DOWNHILL
  81. 2017 FOR PSX – THE CLIMB AND THE DECLINE
  82. What we can learn from Ghalib
  83. QUINOA SALAD WITH THAI DRESSING
Sat, Feb 16, 2019
  1. Khalid Zahid: Transforming Saudi Art
  2. Now Walk the Talk, Imran
  3. Violence against Minorities
  4. Unsheltered
  5. Lumbering Giant with a Midget’s Mentality
  6. How to Encourage Terrorism
  7. Faisalabad in 2028
  8. Mental Illness & the Progress of a Nation
  9. Child Sexual Abuse
  10. Living amongst the clouds : Aalia Bux
  11. Mental health – What soldiers can teach us
  12. Many Cookies still to Crumble
  13. Steering Through Turbulence
  14. ExxonMobil – Close to hitting huge oil reserves in Pakistan, bigger than Kuwait’s
  15. NAYA PAKISTAN?
  16. Making ADR work for Women
  17. Women’s Rights under Family Law
  18. Shutting the Door on Refugees
  19. Water Challenges and Opportunities
  20. In Conversation with Dr. Ghulam Rasul on Hydrology
  21. In Conversation with Shafqat kakakhel: Internal Water Management Practices
  22. Come on Skipper !
  23. GUMM
  24. Annus Horibilis
  25. The Inhumanity of Pakistan’s Coal Industry
  26. Iran Nuclear Deal The U.S Withdrawal
  27. Method in the Madness
  28. Legal System Reforms
  29. Power Over Impulse
  30. Refugees and Migrants are People too
  31. PTCL – A Nonstop Journey Towards Excellence
  32. Gulgee – The Last of The Greats
  33. Patrik Hoffmann – Sonraj
  34. Pakistan’s Primordial Hindu Heritage
  35. Pakistan’s Migrant Tragedy
  36. PTCL – Fastest Growing Brand in Pakistan
  37. Keep Pakistan’s Wagon Hitched To The China Star
  38. Anique’s Chocolate Cake
  39. Selfless & Fearless – Lahore Qalandars
  40. NEWS PICKS
  41. Intellectual Property and Tourism
  42. Fitness with the Mughal
  43. REBEL WITH A CAUSE
  44. The Big Fat Lie – Cholesterol (Part-1)
  45. Mummy’s Recipes Roast Chicken & Veg
  46. ENGAGING HEADS HEARTS AND HANDS
  47. The Big Fat Lie – Cholesterol (Part-2)
  48. Q & A with Star of Parchi
  49. Addressing Sexual Abuse
  50. Q & A with EMAN ZAEEM & MEHR SAAD
  51. Pakistan’s Lost Children
  52. ENGLAND AND THE INDUSTRIAL REVOLUTION
  53. STICK WITH FRIENDS AND DITCH THE ENEMIES
  54. The Phenomenon that Stephen Hawking was!
  55. In Conversation with ANUSHAY ZEESHAN
  56. Q & A with owner of District 6 – Anum Rafat
  57. Ali Rehman Khan – Naturally A Star
  58. MUNIBA`S Call for Tolerance & Justice
  59. Q&A Muniba Mazari
  60. Health Quotient (Dental health)
  61. Money for nothing, bits for free
  62. FinTech
  63. TRADING THREATS OF WAR
  64. Crisis of Civilization
  65. Child Sexual Abuse
  66. Education is the only Solution
  67. Fit for Purpose
  68. BLUE CHIP TALKS TO THE CREATOR OF TEETOO AND TANIA
  69. Mini meringue recipe
  70. NEW ANIMATED TV SERIES PAKISTANI
  71. Changing the Perception of Public Transport Motorway Express
  72. AUSTENISTAN DEBUTS WITH ELEGANCE AND ENTHUSIASM
  73. PAKISTAN’S WOMEN OF 2017
  74. THE BEAUTY IN BUSINESS
  75. PERCEPTIONS ARE ALSO REALITY
  76. Blue Chip Q/A with Atiqa Odho
  77. Five major political events of 2017
  78. WHAT DOES TRUMP’S TWEET MEAN FOR CPEC AND THE REGION
  79. THE GLOBAL ECONOMY IN 2017
  80. AFGHANISTAN GOING DOWNHILL
  81. 2017 FOR PSX – THE CLIMB AND THE DECLINE
  82. What we can learn from Ghalib
  83. QUINOA SALAD WITH THAI DRESSING

We are told to reduce red meat consumption and that eggs are bad, and still the rate of heart disease is rising, well could it be the advice is wrong? Seems likely. We all know there is good and bad cholesterol, right? Wrong. Well, you’re half right. The good-bad cholesterol notion is often followed with HDL as good and LDL as bad, and therefore we should do everything we can to get our LDL numbers down. HDL (High Density Lipoprotein) and LDL (Low Density Lipoprotein) are transporters of cholesterol and triglycerides (fat cells) to muscles for energy and cells for synthesis. The statement that HDL is “good” is correct. Reason being that HDL takes cholesterol to the liver where it can be synthesised or expelled from the body. Not much goes wrong there. HDL gets the thumbs up.

The statement that LDL is “bad” is false. LDL is the primary transporter of cholesterol and triglycerides (fats) to cells that need it. LDL also travels through the arteries and this is why it can get stuck there. At this point I’m sure you’re thinking eat less fat, less triglycerides, less LDL to go through my arteries and voila! reduced risk of heart disease. I’m afraid that’s not quite the full story.

Firstly, total LDL is not the issue but rather the number of particles in our blood is. Doctors measure total LDL (also known as LDL-C) and not LDL particles (LDL-P). Why do we care about the particles and total amount? Think of it like this, is the total amount of metal on our roads or the number of cars on our roads the concern for road traffic accidents? The more cars we have the more likely one is to lose control and collide into the barriers. It’s the same process in our arteries, the more particles we have the more chances of them getting stuck in our arteries, even when you keep the total LDL the same.

Another important distinction to make here is that the issue is not really the LDL particles getting stuck in our blood, but rather what occurs afterwards. Once a particle gets stuck in our arterial walls the bodies defence system (the immune system) sends its clean-up-crew (white cells) to go and deal with the issue. The white cells whilst doing their job of clearing out the stuck LDL particle actually end up creating a bit more damage. That damage creates more opportunity for other LDL particles to get stuck, and this results in more white cells being sent, so on and so forth.

This starts to occur in our bodies at a very early age and continues ever since. And with each instance the blood vessel gets narrower (please note – this is a very simplified explanation of the process). If you’re thinking then that the older you are there will be more instances of these particles being stuck in your blood then you are right. Age is the best indicator of coronary heart disease. This does not mean young people are free of this disease, it just means the older you are the more likely your chances.

Most cholesterol tests will not measure the number of LDL particles but instead the total number of LDL cholesterol. And this too is not an accurate measure it’s a guess based on a formula. You could be reading this article and be concerned about your cholesterol because of a test but in reality there is nothing to worry about. You might argue that it’s better to manage LDL cholesterol even if in reality its not a problem, and I would likely agree with you, except for that the way you are managing your LDL numbers is likely increasing your risk.

As I mentioned earlier, most tests only show LDL-C numbers not LDL-P. The common approach in reducing LDL-C is to cut down on cholesterol consumption, reduce fat intake, and avoid fattier cuts of meat. This reduction in fat calories is often balanced by an increase in carbohydrate calories; bread, sugar, pasta, wheat, cereals etc… After all people don’t just go hungry because they have high LDL-C numbers. The problem with this is that increased carbohydrate consumption results in increased triglycerides and increased LDL-P. Let me reiterate, the most common approach to lower your cholesterol and that recommended by “experts” is having the complete opposite effect on the one measure (LDL-P) that to date is the most accurate measure of heart disease.

Recall in my last article I finished off by stating that we have been told for many decades now to reduce our cholesterol and fat consumption – particularly saturated fat. We are told to reduce red meat consumption and that eggs are bad, and still the rate of heart disease is rising, well could it be the advice is wrong? Seems likely. In the next and final instalment of this three-part article I will discuss the nutritional and training protocols we can follow that will help reduce our risk of being found in the back of an ambulance.

 

By Hanan Burki

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LATEST POSTS

Now Walk the Talk, Imran
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LATEST POSTS

Now Walk the Talk, Imran
Violence against Minorities
Unsheltered

Unsheltered

November 5, 2018
Lumbering Giant with a Midget’s Mentality