The Best Diet for Familial Hypercholesterolemia | DrEricBergDC

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you know I get this question very often

what type of diet should someone with a

genetic cholesterol problem have and I’m

talking about familial

hypercholesterolemia now you would

logically think that if someone has a

problem with cholesterol okay and with

this condition you have like 50 percent

of the LDL receptors than a normal

person so that means you’re going to

have a buildup of LDL so logically it

makes sense to just start reducing your

cholesterol and your saturated fats

especially right makes total sense and

this is something that has been

recommended for probably I don’t know 80

years it’s your standard recommendations

from most medical professionals but

there’s a fascinating

research paper that I want to summarize

right here that actually blew my mind

and I’m going to kind of give you the

simple version and then you can click

down below and read it for yourself of

course check with your doctor and don’t

come off any medications because of me

there is extremely poor evidence

of recommending lowering your

cholesterol and your saturated fats

for the better outcomes if you have this

genetic cholesterol problem despite

these recommendations lowering saturated

fats and cholesterol to people with

genetic cholesterol problems they still

have a significant increased risk of

dying from a heart attack and the name

of this research paper is called dietary

recommendations for familial

hypercholesterolemia and when they

mention evidence-free Zone they’re

talking about a severe lack of evidence

85 percent of the population who has

genetic problems with their cholesterol

don’t even know the habit and I’m

definitely not telling you that having

high LDL or high cholesterol is not

going to affect your heart in a negative

way I’m just sharing a new Viewpoint

that you really seriously need to look

at if you have high cholesterol and I

really just want you to start

questioning if lowering your cholesterol

and the saturated fat in your diet is

the best strategy you should be focusing

on they also quoted a additional study

that compared one group consuming low

fat okay the other group consuming low

carb and both groups had this genetic

cholesterol problem and the group that

lowered their carbohydrate had a

significantly lowered risk of dying from

a heart attack and this is despite okay

despite consuming three times the amount

of saturated fat so in other words the

low carb group consumed three times more

fat than the dietary low fat Group which

is just fascinating but if someone’s

going to start lowering their dietary

fat okay and their cholesterol usually

they’re going to replace it with more

carbs so let me just summarize a couple

things about the study the current

dietary guidelines for management of

coronary disease in familial

hypercholesterol anemia is based on

outdated and unsupported information

number two there’s no evidence to

support the recommendations which are

given to these individuals with this

cholesterol genetic problem of consuming

a low saturated fat diet or a low

cholesterol diet number three a low

carbohydrate diet was found to

significantly improve cardiovascular

disease biomarkers and we’re talking

about these indicators like obesity high

blood pressure

coronary artery calcification test which

is a really good indicator to tell

what’s going on inside also High insulin

or insulin resistance inflammation or

inflammatory biomarkers and then we have

high triglycerides and high glucose as

in diabetes you see those factors are so

much more important than just trying to

lower your cholesterol another factor

that you should really look at through

an advanced lipid profile test to look

at your your LDL okay to see what type

of particle size that you have there’s

two different types of LDL one type is

the small dense particle size and the

other is the large buoyant particle size

and you want the large buoyant particle

size because the small dense particles

can Lodge into the inside of the artery

and create a problem and it just so

happens that a high carbohydrate diet is

associated with these small dents ldls

those are the pathogenic ones that you

have to be aware of the other thing to

focus more on would be the clotting

factors to see if you clot more so

unfortunately that’s kind of downplayed

sometimes when it actually is a way more

significant risk factor than just having

high LDL and another point they

mentioned in the summary section of this

study is that there is sufficient

rationale for conducting clinical trials

to assess the effects of a low carb diet

unfamilial hypercholesterolemia

individuals with insulin resistance okay

which I think is a really really

important point if you have a genetic

problem with cholesterol and you manage

the risk factors obesity insulin

resistance the high blood pressure and

all these other things by being on a low

carb diet

year outcomes are going to be so much

better but to get the entire medical

profession on board we need these

clinical trials so and this is just my

opinion

instead of focusing on lowering the

saturated fat okay lowering your

cholesterol you should be focusing on

lowering your carbohydrates now this

flies right into the face of the medical

profession this is definitely not the

consensus

it’s definitely an alternative View and

all I’m asking you to do is to take a

look at it look at the research for

yourself and then test things out go on

a ketogenic diet and then go get your

your values tested and then go on the

other diet that everyone’s recommending

and then you compare the results to see

what’s best for you but the point is

that we assume that this research is

already done and it’s this science is

settled but it’s it’s not settled so if

you have this genetic problem there’s a

couple things that you really need to

focus on right number one going on the

healthy version of the ketogenic diet

because the biggest risk factor for this

condition is heart problems right so the

healthy version of the ketogenic diet

has the ingredients that support the

inside lining of the heart I would also

recommend doing intermittent fasting

which will lower insulin because going

in the high carb diet creates more

inflammation in the arteries and we’re

trying to prevent a heart attack okay

not create it a couple key nutrients

that I would recommend would be and this

is based on some some pretty powerful

research extracts of red yeast and then

another one called polycosanol now

that’s believe it or not from sugarcane

but there’s no sugar in it okay but it’s

apparently it’s a a good combination

with the red yeast to help keep the

cholesterol in check niacin not

niacinamide is another good thing to

take to help regulate cholesterol and of

course exercise is important garlic can

help thin the blood and prevent the

stickiness to the platelets and then the

last thing that I would recommend is

tocatrinols that’s a type of vitamin E

that really supports the inside layer of

your arteries to prevent against

oxidation prevent against scarring and

plaquing and it’s probably one of the

best antioxidants for the heart

tocatrinals don’t buy it with the

tocopherols get it as a standalone other

points in addition to that would be to

realize that steroids and stress can

increase cholesterol and I’m talking

about the bad type okay also birth

control pills or estrogen therapy can

increase your cholesterol and of course

any type of sugar will do it smoking

will greatly worsen this situation and

of course alcohol

and diuretics can also worsen the

situation as well as beta blockers now

like I said before like 85 of the

population doesn’t even know they have

this condition but there are a few

indicators that can give it away other

than getting a test okay one is these

little fat deposits on your Achilles

tendons okay and they also can form on

your wrists

as well as on your eyelids they’re

called xanthomas it’s basically

cholesterol building up in the tissues

you can also have a condition called

Arcus sinilis which is a little

whitening around the iris of your eye so

again check with your doctor before

taking any of these recommendations I

just wanted to create this video

food for thought

something to look at something to

question and if you have not seen my

video on niacin that’s a really good one

to get the full picture and I put that

up right here