Hello and welcome to
"Health for a Lifetime"
00:00:51.19\00:00:54.46
I'm Don Macintosh, your
host, and today we're joined by
00:00:54.49\00:00:58.97
Dr. Kevin Bryant,
from Wichita, Kansas
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Thank you, Dr. Bryant, for
being here! Good to be here.
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One of the things you do
as a family practice physician
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is deal with lots of people
when they receive lab tests.
00:01:08.39\00:01:12.14
And I understand you're
involved in a program in the
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community that looks
at really heart disease.
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Right, I have the pleasure
of being involved in a community
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outreach educational program
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called: "Coronary
Health Improvement Project"
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dealing specifically with
the risk factors that promote,
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and cause heart disease.
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How many people have you had
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go through that
program thus far?
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We have approximately 600 in
our community have gone through.
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And do you have any
followup for them once they...
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How long is the program, and
then do you have any followup?
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The program lasts for 30 days.
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It's a pretty intensive program.
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And then on a monthly basis,
we follow up continuing to
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check their lipid levels,
their blood cholesterol levels.
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Cholesterol.
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Do you see big changes?
Are people happy with that?
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Dramatic changes can
take place in 30 days.
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And, it's rewarding to me as a
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physician to see
people make those changes.
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How many times do
you do that a year?
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We do it about twice a year now.
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Well maybe some of the
folks that are watching today
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don't have the privilege of
being in a program like that...
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But let's say
they've gone to the hospital,
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or maybe seeing their physician,
and they've heard a lot about
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cholesterol.
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Today, really, we're
going to talk about how to tell
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the difference between
good and bad cholesterol,
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and would it be fair to say
that today it's going to be like
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they've just gotten
their lab tests back,
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and this would be a good
time for them to maybe get out
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those numbers, so that
they could learn about how to
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look at those and
find out what's happening.
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Yeah, this program today is
really designed to try and help
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people understand
what the numbers mean
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when they get those
reports back from their doctor.
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Okay, so if you're
watching today, and you had some
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lab tests that you've had
done, maybe cholesterol...
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Run and get those
tests, turn up the set,
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and you can hear
what's happening...
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But go get those
numbers because I think you'll
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really find some
things that can help you.
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One thing that kind of
intrigues me about the title of
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today's show...
You're saying that there is
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GOOD cholesterol and
that there is BAD cholesterol,
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I don't know which you
want to talk about first,
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but what does that mean?
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Well yeah, I think a lot
of people, their impression
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when they hear the word
"cholesterol," that it's bad.
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But there's actually
good and bad cholesterol,
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and we're going to try
and explain that today.
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And the first thing
that I find most people
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are confused about is...
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They get a report back
and it has cholesterol on it,
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triglycerides, and many people
are confused about even those
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terms... thinking that their
triglycerides and cholesterol
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are the same thing,
when in reality they are
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2 different completely separate
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chemical
compounds in our body...
00:04:04.68\00:04:06.93
And so, we have
to recognize there's
00:04:06.96\00:04:09.62
cholesterol and
then triglycerides.
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Cholesterol, if we had a
lump of it here in your hand,
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is kind of a waxy substance,
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as where triglycerides is just
a big name for OIL or FAT...
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And so your vegetable oils,
your margarine, your butter,
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those are triglycerides.
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And because both the
triglycerides and cholesterol
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are waxy or oily,
they don't mix with water.
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Oil and water doesn't mix.
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Well that's true in our body.
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Those substances,
cholesterol and triglycerides,
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in the
bloodstream would not mix.
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So they are 2
different things in other words.
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Two different
things, and because of the
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chemical structure, they
don't mix with water in the
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serum in our blood.
00:05:00.20\00:05:01.57
So our body has a way
to carry those 2 chemicals
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around in the bloodstream
produce protein molecules
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that carry the cholesterol.
00:05:11.77\00:05:15.88
They're like little
trucks in our bloodstream,
00:05:15.91\00:05:18.52
if you want to
think of them that way...
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that are carrying cholesterol
and triglyceride around because
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otherwise they would
not mix in the bloodstream,
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so they're carried by those.
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And those protein molecules
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are divided into
different categories,
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and, as you can see here, they
are divided roughly into 3...
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Actually there's, I think,
18 or 19 fractions or different
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We're giving us the 3 main
ones that you're going to see
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on a lab result.
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The first one is "LDL"
and we're going to talk
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in more detail about these,
00:05:53.64\00:05:55.40
but LDL has become
known as BAD cholesterol.
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"Lousy" density lipoprotein,
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and lipoprotein is
the name for the protein.
00:06:04.77\00:06:07.73
It just means "lipo"
is fat, and then protein.
00:06:07.76\00:06:10.80
So it's the
fat-protein combination.
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So LDL is considered bad because
it tends to carry cholesterol
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to the wall of the artery.
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It makes it fat;
makes it clogged up.
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That's the one that is kind of
a culprit and we'll look at that
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The good
cholesterol is called "HDL"
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So when you look at a lab
result you want to look for
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LDL - bad HDL is
the good cholesterol.
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"Happy" density lipo.
Lousy and happy... all right
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And it does
kind of the opposite.
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In a simplistic way,
it's doing the opposite of the
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bad cholesterol; it's
trying to take cholesterol
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out of the wall of the
artery where these plaques are
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in the artery, and
take them back to the liver.
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So the lousy dumps
it off in the artery;
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the happy says, "I'm not happy
with that and takes it away. "
00:07:05.21\00:07:08.69
In a simplistic way
that's the way to look at it.
00:07:08.72\00:07:11.50
And then, another one called
VLDL is a protein that carries
00:07:11.53\00:07:16.41
a lot of the triglycerides
or fat around in the bloodstream
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Which are totally different than
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cholesterol, what you've told us
Exactly, completely different.
00:07:21.49\00:07:25.08
Now, if we look
more specifically at the
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low-density lipoprotein, the LDL
what we called bad cholesterol,
00:07:31.44\00:07:37.70
we talk about it
carrying cholesterol around.
00:07:37.73\00:07:42.71
Now, in essence, the cholesterol
is the same cholesterol
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whether it's in an LDL,
or an HDL protein molecule.
00:07:46.99\00:07:52.68
But it's the protein molecule
that makes the difference
00:07:52.71\00:07:56.13
where that cholesterol is going.
00:07:56.16\00:07:57.95
Is it going to the wall
of the artery or out of the
00:07:57.98\00:08:00.81
wall of the artery back to
the liver to be disposed of?
00:08:00.84\00:08:04.41
And that protein molecule
is LDL?... is LDL or HDL
00:08:04.44\00:08:10.64
Now as time has gone on
and research has been done
00:08:10.67\00:08:16.06
on this LDL
molecule, we've discovered that
00:08:16.09\00:08:20.20
by itself, pure
cholesterol does not damage
00:08:20.23\00:08:26.29
the wall of the
artery or cause a problem.
00:08:26.32\00:08:29.88
It's only when that cholesterol
and that protein becomes
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oxidized, either exposed
to air in the animal products
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where the cholesterol may have
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been if you're
eating animal products...
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or if sometimes in
the body's metabolism
00:08:47.32\00:08:53.23
free radicals are produced
that oxidize the cholesterol
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and the LDL protein.
00:08:58.56\00:09:00.50
When that happens, the
body then begins to recognize
00:09:00.53\00:09:04.38
this as actually as
though it's a foreign body...
00:09:04.41\00:09:08.50
almost like a
bacteria, an enemy.
00:09:08.53\00:09:09.90
And so part of the
immune-fighting cells
00:09:09.93\00:09:15.13
particularly the ones called
macrophages, actually begin
00:09:15.16\00:09:19.08
to engulf those particles...
00:09:19.11\00:09:22.09
...the LDL particles in the wall
of the artery in an attempt to
00:09:22.12\00:09:27.47
...just like if it was an enemy.
00:09:27.50\00:09:30.67
Let me see if I
have this straight...
00:09:30.70\00:09:32.07
So LDL, the lousy
density lipoproteins,
00:09:32.10\00:09:39.12
are those that have been
exposed to air either outside
00:09:39.15\00:09:41.96
the body, so food would
be like any dairy products,
00:09:41.99\00:09:46.51
or anything that
have been exposed to air,
00:09:46.54\00:09:49.16
or INSIDE the body that even
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happens inside your body
without your doing anything,
00:09:51.17\00:09:54.28
and so the point of
this really is there are ways
00:09:54.31\00:10:01.56
trying to prevent
that from taking place...
00:10:01.59\00:10:04.34
because that's
the important point.
00:10:04.37\00:10:06.28
Just having the
cholesterol, the LDL there,
00:10:06.31\00:10:09.86
is not going to damage the wall
00:10:09.89\00:10:13.89
of the artery until
it becomes oxidized.
00:10:13.92\00:10:16.19
So if we can prevent that
oxidation from taking place...
00:10:16.22\00:10:20.30
Either on the outside...
either by not eating those
00:10:20.33\00:10:23.80
animal products because
they have oxidized cholesterol
00:10:23.83\00:10:28.00
in them, which is going to be
harmful to your vascular system,
00:10:28.03\00:10:34.07
or, and this is where our
what we call antioxidants,
00:10:34.10\00:10:39.52
vitamins that are
antioxidants are very important.
00:10:39.55\00:10:44.19
So ANTIOXIDATION...
anti what the air is doing.
00:10:44.22\00:10:48.17
Right. They, in other
words, prevent that process
00:10:48.20\00:10:52.08
from taking place.
00:10:52.11\00:10:53.82
So we know that even if
we have 2 different groups of
00:10:53.85\00:10:59.96
people that have the
same cholesterol levels;
00:10:59.99\00:11:03.12
one group is eating those things
that are high in antioxidants
00:11:03.15\00:11:08.83
which are fruits and vegetables.
00:11:08.86\00:11:10.48
The other group was eating
low; they don't have as many
00:11:10.51\00:11:14.67
antioxidants.
00:11:14.70\00:11:16.09
The group that is NOT eating
the antioxidants in their food
00:11:16.12\00:11:21.42
are going to be at
GREATER risk for heart disease,
00:11:21.45\00:11:24.09
even though their
cholesterol levels are the same.
00:11:24.12\00:11:26.42
So they got their lab
sheet out at home and they're
00:11:26.45\00:11:28.43
looking at it and it
says my total cholesterol,
00:11:28.46\00:11:30.40
let's say it says it's 200,
that's not enough to look at.
00:11:30.43\00:11:34.22
They've got to look at,
what does it say concerning LDL;
00:11:34.25\00:11:37.50
what does it say concerning HDL?
00:11:37.53\00:11:38.97
We've TALKED about the LDL,
what's a good number for LDL?
00:11:39.00\00:11:41.83
Okay right... well, LDL numbers,
and this may be somewhat
00:11:41.86\00:11:46.28
different from if you
have your lab value there
00:11:46.31\00:11:48.81
in front of you, the labs
frequently put a reference
00:11:48.84\00:11:52.38
number, what's normal...
and then they have a little
00:11:52.41\00:11:55.29
star that comes up
if it's abnormal. Right
00:11:55.32\00:11:57.50
And, we're finding now
that if that number is below 90,
00:11:57.53\00:12:04.05
that that's the ideal range.
00:12:04.08\00:12:08.06
There may be
what's normal in America,
00:12:08.09\00:12:10.80
but we want to be ideal,
and so 90 or below is really
00:12:10.83\00:12:14.72
the ideal range
that we want to be in.
00:12:14.75\00:12:18.34
Now usually in
those normal sheets,
00:12:18.37\00:12:20.54
what do they normally
say in your lipid area?
00:12:20.57\00:12:25.37
What do they say is
normal in your area?
00:12:25.40\00:12:28.64
Normally in America,
below 130 is considered normal.
00:12:28.67\00:12:35.18
So that's quite a
bit different than 90.
00:12:35.21\00:12:37.72
Right, we still find a lot
of people with heart disease
00:12:37.75\00:12:40.79
with the LDL
numbers between 100 and 130.
00:12:40.82\00:12:45.78
Should someone panic if their
number says 120 or 30 today?
00:12:45.81\00:12:50.00
Not necessarily, I think
that's a call to that person
00:12:50.03\00:12:53.92
to find out how do I lower that
number... how do I get that down
00:12:53.95\00:12:59.29
And I think you've mentioned,
sort of how to do that...
00:12:59.32\00:13:03.62
stay away from oxidized foods.
00:13:03.65\00:13:06.40
Well, right... because one
of the main ways that LDL is
00:13:06.43\00:13:12.94
is raised in the bloodstream
is by either eating cholesterol,
00:13:12.97\00:13:18.25
animal products
that have cholesterol,
00:13:18.28\00:13:20.85
OR foods that are high in fat,
particularly what are called
00:13:20.88\00:13:25.50
saturated fats.
00:13:25.53\00:13:27.34
Primarily those fats that are
found in the animal products...
00:13:27.37\00:13:31.59
they are what cause
the body to produce more of
00:13:31.62\00:13:35.37
this LDL protein to
carry that cholesterol around.
00:13:35.40\00:13:40.21
We've been talking
with Dr. Kevin Bryant.
00:13:40.24\00:13:43.59
He is a doctor
in family practice.
00:13:43.62\00:13:48.19
He focuses on heart disease
and helps people understand
00:13:48.22\00:13:51.60
their lab tests
and their values.
00:13:51.63\00:13:53.25
We've talked about cholesterol,
the bad type of cholesterol...
00:13:53.28\00:13:56.54
And when we come back, we're
going to look further at a good
00:13:56.57\00:14:00.62
type of cholesterol... HDL
00:14:00.65\00:14:03.61
We hope that you join us.
00:14:03.64\00:14:05.86
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00:14:17.43\00:14:20.44
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00:14:20.47\00:14:22.96
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00:14:22.99\00:14:25.90
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00:14:25.93\00:14:28.81
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Welcome back, we've been
talking with Dr. Kevin Bryant
00:15:27.88\00:15:32.10
from Wichita, Kansas,
00:15:32.13\00:15:33.59
He's a specialist
in family practice...
00:15:33.62\00:15:36.06
And today, we're
talking about heart disease.
00:15:36.09\00:15:38.84
And really, what we've
been talking about is lab tests,
00:15:38.87\00:15:43.15
cholesterol... how can we tell
whether or not we've had a good
00:15:43.18\00:15:46.93
result or not.
00:15:46.96\00:15:48.33
If you've just joined us,
and you recently had a lab test,
00:15:48.36\00:15:51.64
and you know where it is,
00:15:51.68\00:15:53.05
why don't you run and go get
that lab test and have it there
00:15:53.08\00:15:56.08
as you're
listening to Dr. Bryant.
00:15:56.11\00:15:57.74
On the first part of
the program we talked about
00:15:57.77\00:16:00.17
low-density lipoprotein,
did I say that right?
00:16:00.20\00:16:03.50
You've got it down.
00:16:03.53\00:16:04.90
"Lousy" cholesterol
because what it does is
00:16:04.93\00:16:07.40
it puts, you see if I'm right,
00:16:07.43\00:16:09.73
I'm seeing if
you're a good teacher...
00:16:09.76\00:16:11.13
It puts the cholesterol right
in the walls of our arteries
00:16:11.16\00:16:15.31
and thickens them up, and
that can cause real problems.
00:16:15.34\00:16:18.44
So we don't want that to happen.
00:16:18.47\00:16:20.64
And so we explained that LDL,
but now we want some good news.
00:16:20.67\00:16:25.52
We've had the bad
news; do you have some
00:16:25.55\00:16:27.61
good news for us today, doctor?
00:16:27.65\00:16:29.02
Obviously, we've talked
about the bad cholesterol,
00:16:29.05\00:16:33.05
now we want to look at the
flip side, the good cholesterol,
00:16:33.08\00:16:36.68
and again, it's
the same cholesterol,
00:16:36.71\00:16:38.87
it's just a different carrier
truck that we've talked about;
00:16:38.90\00:16:43.34
the protein
molecule is different.
00:16:43.37\00:16:45.46
So now, the good cholesterol
is carried by an HDL protein,
00:16:45.49\00:16:51.58
so when you look
at your lab result,
00:16:51.61\00:16:53.53
the HDL is good cholesterol.
00:16:53.56\00:16:57.62
Happy! "Happy"
density lipoprotein is
00:16:57.65\00:17:01.18
one way of looking at it.
00:17:01.21\00:17:08.11
Now, the function that HDL
has is opposite to the LDL.
00:17:08.15\00:17:12.83
It's reversing... it's taking
cholesterol out of that wall
00:17:12.86\00:17:17.51
of the artery back to the heart.
00:17:17.54\00:17:19.49
It's almost like there's
this tug-of-war between these 2
00:17:19.52\00:17:23.45
protein molecules.
00:17:23.48\00:17:25.58
Bad cholesterol protein LDL
00:17:25.61\00:17:28.24
putting it into the
wall of the artery...
00:17:28.27\00:17:30.64
HDL trying to take it back out.
00:17:30.67\00:17:33.10
And so there's a balance
here going on between the 2.
00:17:33.13\00:17:36.97
And that's why you want the
bad cholesterol portion, the LDL
00:17:37.00\00:17:42.40
to be as low as possible.
00:17:42.43\00:17:44.38
You want the good
cholesterol to be high.
00:17:44.41\00:17:49.22
So is there ever
anyone that has a lab test
00:17:49.25\00:17:54.47
where there's no LDL?
00:17:54.50\00:17:57.53
Where there's no LDL? No
00:17:57.56\00:18:01.72
You would probably be
"dead" if you had none.
00:18:01.75\00:18:06.20
Okay, so you'd
have to have some.
00:18:06.23\00:18:08.10
Is there ANYTHING good about
LDL that we have to have some?
00:18:08.13\00:18:12.72
Well actually, I mean, it is
one of the carriers that carries
00:18:12.75\00:18:16.76
cholesterol; all of
our cells NEED cholesterol.
00:18:16.79\00:18:19.92
So the arteries... they need
cholesterol, the actual wall,
00:18:19.95\00:18:25.72
but the problem in
America is they get too much.
00:18:25.75\00:18:27.70
They get too much... right,
begins to clog the system up.
00:18:27.73\00:18:31.25
So, we can kind of tip the
scale as who's going to win this
00:18:31.28\00:18:35.88
tug-of-war by what
we eat or don't eat,
00:18:35.91\00:18:37.80
all those different
kinds of things. Right
00:18:37.83\00:18:39.20
And now what we eat, affects
00:18:39.23\00:18:41.53
the LDL, the bad cholesterol.
00:18:41.56\00:18:44.42
What affects the HDL and
raises that because we want more
00:18:44.45\00:18:49.17
of that... to take
the cholesterol back out
00:18:49.20\00:18:51.58
of the wall of the artery;
try and open the arteries up.
00:18:51.61\00:18:54.36
There are 3 main
things that affect that.
00:18:54.39\00:18:57.27
Let us know those 3 things.
00:18:57.30\00:18:58.90
What are those 3 things, because
we want to happy, happy, happy!
00:18:58.93\00:19:02.14
Well the first is our weight.
00:19:02.17\00:19:06.21
If we're overweight, obesity
LOWERS the HDL, decreases it...
00:19:06.24\00:19:14.63
So as a person loses weight,
over time, that will help
00:19:14.66\00:19:19.81
the HDL level rise.
00:19:19.84\00:19:22.14
And it doesn't happen overnight,
00:19:22.17\00:19:24.89
it happens usually in several
months, sometimes up to a year.
00:19:24.92\00:19:30.62
As that weight is coming down,
that the HDL number will go up.
00:19:30.65\00:19:34.77
We find, in this
program that I'm involved with,
00:19:34.80\00:19:37.58
that in 30 days, the LDL,
the bad cholesterol number
00:19:37.61\00:19:41.38
can come down dramatically,
00:19:41.41\00:19:43.16
but it may take months to a
year for the HDL level to rise.
00:19:43.19\00:19:48.56
Oh, so in other words,
if the LDL is going down,
00:19:48.59\00:19:50.95
you've started some
good lifestyle things,
00:19:50.98\00:19:53.52
you need to wait
a while for the HDL.
00:19:53.55\00:19:56.59
Yeah, don't expect that
one to change overnight.
00:19:56.62\00:19:59.11
So weight is one issue.
00:19:59.14\00:20:01.16
Smoking is another issue.
00:20:01.19\00:20:03.70
Smoking also drives the HDL
level down. How does that work?
00:20:03.73\00:20:08.88
Not exactly sure how
that connection is there;
00:20:08.91\00:20:12.41
we've just seen that
relationship that individuals
00:20:12.44\00:20:16.25
smoking have lower HDL
levels and when they quit,
00:20:16.28\00:20:20.26
over time, that
level rises again.
00:20:20.29\00:20:22.95
So losing
weight, stopping smoking,
00:20:22.98\00:20:25.52
and then the 3rd, probably
one of the most powerful ways
00:20:25.55\00:20:28.86
to raise the HDL
level is exercise.
00:20:28.89\00:20:32.69
And it's really what we
call dose-dependent relationship
00:20:32.72\00:20:37.41
...The more you exercise,
00:20:37.44\00:20:39.21
the more effect it has
on raising the HDL level.
00:20:39.24\00:20:43.63
Let me ask you a
question about that...
00:20:43.66\00:20:45.27
Can you lose
weight without exercising?
00:20:45.30\00:20:47.74
You can lose weight...
00:20:47.77\00:20:51.56
Just by caloric or
by what you take in...
00:20:51.59\00:20:53.64
You could lose weight that way.
00:20:53.67\00:20:55.04
So exercise really
should be looked at as something
00:20:55.07\00:20:58.18
different than losing weight.
00:20:58.21\00:21:00.03
I mean they may be
related, but what you're saying
00:21:00.06\00:21:03.72
is that it's not enough
to just lose weight by not
00:21:03.75\00:21:05.59
eating as much food;
you need to be out there
00:21:05.62\00:21:08.28
if possible putting
some pep in your step,
00:21:08.31\00:21:11.71
and spunk in your
trunk just moving it.
00:21:11.74\00:21:14.16
Yeah, the exercise is
what's going to help you
00:21:14.19\00:21:15.93
maintain that weight loss...
00:21:15.96\00:21:19.34
What if I can't walk?
00:21:19.38\00:21:21.26
What kind of
exercise do I do then?
00:21:21.29\00:21:23.92
Maybe able to swim. Okay
00:21:23.95\00:21:26.60
Cycle. Water aquatics or
something like that. Right
00:21:26.63\00:21:29.51
Anything to raise that HDL.
00:21:29.54\00:21:33.05
So lose weight, stop
smoking, and exercise. Right
00:21:33.08\00:21:39.52
And the number that
we're shooting for is above 40;
00:21:39.55\00:21:45.68
somewhere in the
range of 40 or greater.
00:21:45.71\00:21:49.85
In fact, the higher you can
get that number, the better.
00:21:49.88\00:21:53.70
So, let me just
review a a little bit;
00:21:53.73\00:21:55.66
maybe someone
just was joining us.
00:21:55.69\00:21:57.31
The LDL needs to be 90 or below.
00:21:57.34\00:22:02.87
The HDL, if possible,
needs to be 40 or above. Right
00:22:02.90\00:22:09.64
Okay, now those are looking
at the cholesterol issues.
00:22:09.67\00:22:15.05
Now, we're going to turn
and focus on triglyceride.
00:22:15.08\00:22:19.15
What you've said is different,
00:22:19.18\00:22:20.55
completely
different than cholesterol.
00:22:20.58\00:22:22.20
It's a different molecule.
00:22:22.23\00:22:23.65
It might be on the
same sheet of paper,
00:22:23.68\00:22:25.05
you're looking at your
lab tests, but it's different.
00:22:25.08\00:22:27.00
Right, and for a number of
years, we weren't really sure
00:22:27.03\00:22:31.10
if triglycerides really affected
your risk for heart disease...
00:22:31.13\00:22:36.25
We now know that it does.
00:22:36.28\00:22:39.46
Now triglycerides, again,
are carried by what's called...
00:22:39.49\00:22:42.97
"VLDL" another protein
molecule that's carrying
00:22:43.00\00:22:47.25
the triglycerides, so
when you look at your lab tests
00:22:47.28\00:22:50.22
you'll look down
sometimes and see "VLDL"
00:22:50.25\00:22:53.29
and that's mainly
carrying triglycerides,
00:22:53.32\00:22:56.31
and also some of the
cholesterol is carried in that,
00:22:56.34\00:22:59.38
and we'll talk about that.
00:22:59.41\00:23:01.16
But we know that if that
value for triglyceride levels is
00:23:01.19\00:23:07.72
greater than 150, then
the risk for heart disease
00:23:07.75\00:23:12.18
begins to go up...
00:23:12.21\00:23:13.58
And this is independent of
what your cholesterol level is.
00:23:13.61\00:23:17.33
So, wait a minute, the
triglyceride level, if it's
00:23:17.36\00:23:20.39
greater than 150...
00:23:20.42\00:23:22.09
Over 150, the risk for
heart disease begins to go up
00:23:22.12\00:23:27.55
irregardless of what your
cholesterol level might be.
00:23:27.58\00:23:31.23
So just standing
alone looking at it...
00:23:31.26\00:23:33.28
You know, I've seen some
tests, even my own lab tests
00:23:33.31\00:23:37.39
where the triglycerides
one day seems to be real high,
00:23:37.42\00:23:40.46
the next day
seems to be real LOW...
00:23:40.49\00:23:42.64
Is it, is it? Well,
and this is how the blood
00:23:42.67\00:23:46.17
is drawn is very important.
00:23:46.20\00:23:48.13
To get an accurate measure
of the triglyceride level,
00:23:48.68\00:23:51.60
you have to be
fasting for at least 12 hours.
00:23:51.63\00:23:54.79
Oh, I see... So if someone
is looking at a lab test today
00:23:54.82\00:23:58.89
and they just went
in and got it drawn,
00:23:58.92\00:24:00.47
they went into the
emergency room or something,
00:24:00.50\00:24:02.54
and they haven't been fasting,
00:24:02.57\00:24:03.94
then that's really not
even something to look at. Right
00:24:03.97\00:24:06.01
Can't judge then.
00:24:06.04\00:24:07.93
Now there are a number of
things that are involved in
00:24:07.96\00:24:11.77
raising and lowering
those triglyceride levels,
00:24:11.80\00:24:14.99
and our illustration
goes through a number of the
00:24:15.02\00:24:18.16
major determinates
for triglyceride levels.
00:24:18.19\00:24:22.49
Excess weight,
again, the weight RAISES
00:24:22.52\00:24:27.73
triglyceride levels.
00:24:27.76\00:24:29.13
Since
triglycerides are fat molecules,
00:24:29.16\00:24:32.37
it only stands to reason that
if you have a high fat intake,
00:24:32.40\00:24:36.27
you're going to have high
fat levels in the bloodstream.
00:24:36.30\00:24:39.98
STRESS is an interesting one.
00:24:40.01\00:24:43.42
The higher the stress
level, because of some of the
00:24:43.45\00:24:47.62
hormones that are produced
from the stress reaction,
00:24:47.65\00:24:51.65
they stimulate the body
to release fat and raises the
00:24:51.68\00:24:56.80
fat levels in the bloodstream.
00:24:56.83\00:24:58.69
I see, and then the
other ones were the same...
00:24:58.72\00:25:00.19
lack of exercise, high
fat intake and exercise. Right
00:25:00.22\00:25:03.94
And STRESS as well, so wow...
00:25:03.97\00:25:07.01
And sometimes diet areas...
the high carbohydrate intake,
00:25:07.04\00:25:14.27
high sugar intake,
alcohol intake can raise
00:25:14.30\00:25:18.88
the triglycerides.
00:25:18.91\00:25:20.73
Now, we've talked
about the bad cholesterol,
00:25:20.76\00:25:27.00
good cholesterol,
the triglyceride, VLDL.
00:25:27.03\00:25:33.68
If you add all those
up, LDL, HDL, and the VLDL,
00:25:33.71\00:25:40.35
all those numbers,
VLDL has to be divided by 5,
00:25:40.38\00:25:44.68
add those all up and that will
give you your total cholesterol.
00:25:44.71\00:25:48.82
Okay so, say I
have an LDL of 100,
00:25:48.85\00:25:51.75
I have an HDL of 50, and
then I have an VLDL say of 200,
00:25:51.78\00:25:57.30
divided by 5 is 40.
00:25:57.33\00:25:59.48
That will give you
your total cholesterol.
00:25:59.51\00:26:02.61
So your total cholesterol
is carried in the blood by
00:26:02.64\00:26:05.46
these different
protein molecules.
00:26:05.49\00:26:07.15
That's what that
number means. Right.
00:26:07.18\00:26:08.62
LDL, HDL, VLDL divided by
5, all added together. Right
00:26:08.65\00:26:13.46
And that total cholesterol
number really even though
00:26:13.49\00:26:19.72
some of the labs still
report it as normal below 200,
00:26:19.75\00:26:24.24
and when we look
around the world,
00:26:24.27\00:26:26.46
we find that populations that
have total cholesterol levels
00:26:26.49\00:26:31.44
below 150 on the average,
we don't find heart disease,
00:26:31.47\00:26:35.67
and so many of the researchers
in this field are pushing
00:26:35.70\00:26:41.25
for a lower total
cholesterol level.
00:26:41.28\00:26:43.83
Doctor, we have 30 seconds...
00:26:43.86\00:26:45.45
We've talked about...
00:26:45.48\00:26:46.85
I want to give you 30
seconds for this little answer.
00:26:46.88\00:26:49.66
We've talked about LDL.. "lousy"
00:26:49.69\00:26:52.17
We've talked about how to
get that out of your system.
00:26:52.20\00:26:55.17
We've talked about HDL.
00:26:55.20\00:26:56.86
We've talked about
how that's "happy"...
00:26:56.89\00:26:58.64
we want to elevate that.
00:26:58.67\00:27:00.14
And what are some...
just summarizing some
00:27:00.17\00:27:03.95
things that people can do
to have a good cholesterol?
00:27:03.98\00:27:07.65
Obviously, looking at diet.
00:27:07.68\00:27:11.43
Diet is going to
be the foundation #1.
00:27:11.46\00:27:13.55
Okay, diet... what else?
00:27:13.58\00:27:15.12
#2 is going to be
the exercise... Exercise
00:27:15.16\00:27:17.86
#3... is going to be looking
at their weight... losing weight
00:27:18.50\00:27:22.87
And then you
said.. #4... Smoking
00:27:22.90\00:27:24.52
Smoking and then maybe stress.
00:27:25.26\00:27:27.34
And stress.
00:27:27.37\00:27:28.74
Thank you so much for
being with us, Dr. Bryant.
00:27:28.77\00:27:31.52
We've been talking
with Dr. Kevin Bryant
00:27:31.55\00:27:33.64
from Wichita, Kansas.
00:27:33.67\00:27:35.18
We've learned that
there's good cholesterol,
00:27:35.21\00:27:37.37
we've learned that
there's bad cholesterol.
00:27:37.40\00:27:39.72
We've learned how to really
00:27:39.75\00:27:41.84
have a good
cholesterol and what to do.
00:27:41.87\00:27:43.81
We hope that what you've learned
today will be a help to you,
00:27:43.84\00:27:46.96
but not only you,
maybe others that you know.
00:27:46.99\00:27:50.48
And as a result of today's
program, that you will have
00:27:50.51\00:27:53.99
health that
lasts for a lifetime!
00:27:54.03\00:27:55.49