1. Dissecting Pakistan’s Problem with Discrimination
  2. Preparing Tweets As Important As Preparing Guns
  3. Using Cricket to Heighten Hate
  4. The Art of Perception Management
  5. India’s Toxic Nationalism with a Runaway Media
  6. India’s Unhinged Media
  7. Khalid Zahid: Transforming Saudi Art
  8. Now Walk the Talk, Imran
  9. Violence against Minorities
  10. Unsheltered
  11. Lumbering Giant with a Midget’s Mentality
  12. How to Encourage Terrorism
  13. Faisalabad in 2028
  14. Mental Illness & the Progress of a Nation
  15. Child Sexual Abuse
  16. Living amongst the clouds : Aalia Bux
  17. Mental health – What soldiers can teach us
  18. Many Cookies still to Crumble
  19. Steering Through Turbulence
  20. ExxonMobil – Close to hitting huge oil reserves in Pakistan, bigger than Kuwait’s
  21. NAYA PAKISTAN?
  22. Making ADR work for Women
  23. Women’s Rights under Family Law
  24. Shutting the Door on Refugees
  25. Water Challenges and Opportunities
  26. In Conversation with Dr. Ghulam Rasul on Hydrology
  27. In Conversation with Shafqat kakakhel: Internal Water Management Practices
  28. Come on Skipper !
  29. GUMM
  30. Annus Horibilis
  31. The Inhumanity of Pakistan’s Coal Industry
  32. Iran Nuclear Deal The U.S Withdrawal
  33. Method in the Madness
  34. Legal System Reforms
  35. Power Over Impulse
  36. Refugees and Migrants are People too
  37. PTCL – A Nonstop Journey Towards Excellence
  38. Gulgee – The Last of The Greats
  39. Patrik Hoffmann – Sonraj
  40. Pakistan’s Primordial Hindu Heritage
  41. Pakistan’s Migrant Tragedy
  42. PTCL – Fastest Growing Brand in Pakistan
  43. Keep Pakistan’s Wagon Hitched To The China Star
  44. Anique’s Chocolate Cake
  45. Selfless & Fearless – Lahore Qalandars
  46. NEWS PICKS
  47. Intellectual Property and Tourism
  48. Fitness with the Mughal
  49. REBEL WITH A CAUSE
  50. The Big Fat Lie – Cholesterol (Part-1)
  51. Mummy’s Recipes Roast Chicken & Veg
  52. ENGAGING HEADS HEARTS AND HANDS
  53. The Big Fat Lie – Cholesterol (Part-2)
  54. Q & A with Star of Parchi
  55. Addressing Sexual Abuse
  56. Q & A with EMAN ZAEEM & MEHR SAAD
  57. Pakistan’s Lost Children
  58. ENGLAND AND THE INDUSTRIAL REVOLUTION
  59. STICK WITH FRIENDS AND DITCH THE ENEMIES
  60. The Phenomenon that Stephen Hawking was!
  61. In Conversation with ANUSHAY ZEESHAN
  62. Q & A with owner of District 6 – Anum Rafat
  63. Ali Rehman Khan – Naturally A Star
  64. MUNIBA`S Call for Tolerance & Justice
  65. Q&A Muniba Mazari
  66. Health Quotient (Dental health)
  67. Money for nothing, bits for free
  68. FinTech
  69. TRADING THREATS OF WAR
  70. Crisis of Civilization
  71. Child Sexual Abuse
  72. Education is the only Solution
  73. Fit for Purpose
  74. BLUE CHIP TALKS TO THE CREATOR OF TEETOO AND TANIA
  75. Mini meringue recipe
  76. NEW ANIMATED TV SERIES PAKISTANI
  77. Changing the Perception of Public Transport Motorway Express
  78. AUSTENISTAN DEBUTS WITH ELEGANCE AND ENTHUSIASM
  79. PAKISTAN’S WOMEN OF 2017
  80. THE BEAUTY IN BUSINESS
  81. PERCEPTIONS ARE ALSO REALITY
  82. Blue Chip Q/A with Atiqa Odho
  83. Five major political events of 2017
  84. WHAT DOES TRUMP’S TWEET MEAN FOR CPEC AND THE REGION
  85. THE GLOBAL ECONOMY IN 2017
  86. AFGHANISTAN GOING DOWNHILL
  87. 2017 FOR PSX – THE CLIMB AND THE DECLINE
  88. What we can learn from Ghalib
  89. QUINOA SALAD WITH THAI DRESSING
Thu, Apr 25, 2019
  1. Dissecting Pakistan’s Problem with Discrimination
  2. Preparing Tweets As Important As Preparing Guns
  3. Using Cricket to Heighten Hate
  4. The Art of Perception Management
  5. India’s Toxic Nationalism with a Runaway Media
  6. India’s Unhinged Media
  7. Khalid Zahid: Transforming Saudi Art
  8. Now Walk the Talk, Imran
  9. Violence against Minorities
  10. Unsheltered
  11. Lumbering Giant with a Midget’s Mentality
  12. How to Encourage Terrorism
  13. Faisalabad in 2028
  14. Mental Illness & the Progress of a Nation
  15. Child Sexual Abuse
  16. Living amongst the clouds : Aalia Bux
  17. Mental health – What soldiers can teach us
  18. Many Cookies still to Crumble
  19. Steering Through Turbulence
  20. ExxonMobil – Close to hitting huge oil reserves in Pakistan, bigger than Kuwait’s
  21. NAYA PAKISTAN?
  22. Making ADR work for Women
  23. Women’s Rights under Family Law
  24. Shutting the Door on Refugees
  25. Water Challenges and Opportunities
  26. In Conversation with Dr. Ghulam Rasul on Hydrology
  27. In Conversation with Shafqat kakakhel: Internal Water Management Practices
  28. Come on Skipper !
  29. GUMM
  30. Annus Horibilis
  31. The Inhumanity of Pakistan’s Coal Industry
  32. Iran Nuclear Deal The U.S Withdrawal
  33. Method in the Madness
  34. Legal System Reforms
  35. Power Over Impulse
  36. Refugees and Migrants are People too
  37. PTCL – A Nonstop Journey Towards Excellence
  38. Gulgee – The Last of The Greats
  39. Patrik Hoffmann – Sonraj
  40. Pakistan’s Primordial Hindu Heritage
  41. Pakistan’s Migrant Tragedy
  42. PTCL – Fastest Growing Brand in Pakistan
  43. Keep Pakistan’s Wagon Hitched To The China Star
  44. Anique’s Chocolate Cake
  45. Selfless & Fearless – Lahore Qalandars
  46. NEWS PICKS
  47. Intellectual Property and Tourism
  48. Fitness with the Mughal
  49. REBEL WITH A CAUSE
  50. The Big Fat Lie – Cholesterol (Part-1)
  51. Mummy’s Recipes Roast Chicken & Veg
  52. ENGAGING HEADS HEARTS AND HANDS
  53. The Big Fat Lie – Cholesterol (Part-2)
  54. Q & A with Star of Parchi
  55. Addressing Sexual Abuse
  56. Q & A with EMAN ZAEEM & MEHR SAAD
  57. Pakistan’s Lost Children
  58. ENGLAND AND THE INDUSTRIAL REVOLUTION
  59. STICK WITH FRIENDS AND DITCH THE ENEMIES
  60. The Phenomenon that Stephen Hawking was!
  61. In Conversation with ANUSHAY ZEESHAN
  62. Q & A with owner of District 6 – Anum Rafat
  63. Ali Rehman Khan – Naturally A Star
  64. MUNIBA`S Call for Tolerance & Justice
  65. Q&A Muniba Mazari
  66. Health Quotient (Dental health)
  67. Money for nothing, bits for free
  68. FinTech
  69. TRADING THREATS OF WAR
  70. Crisis of Civilization
  71. Child Sexual Abuse
  72. Education is the only Solution
  73. Fit for Purpose
  74. BLUE CHIP TALKS TO THE CREATOR OF TEETOO AND TANIA
  75. Mini meringue recipe
  76. NEW ANIMATED TV SERIES PAKISTANI
  77. Changing the Perception of Public Transport Motorway Express
  78. AUSTENISTAN DEBUTS WITH ELEGANCE AND ENTHUSIASM
  79. PAKISTAN’S WOMEN OF 2017
  80. THE BEAUTY IN BUSINESS
  81. PERCEPTIONS ARE ALSO REALITY
  82. Blue Chip Q/A with Atiqa Odho
  83. Five major political events of 2017
  84. WHAT DOES TRUMP’S TWEET MEAN FOR CPEC AND THE REGION
  85. THE GLOBAL ECONOMY IN 2017
  86. AFGHANISTAN GOING DOWNHILL
  87. 2017 FOR PSX – THE CLIMB AND THE DECLINE
  88. What we can learn from Ghalib
  89. 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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