00:00Welcome back Sunbro, we hope you all in great health and great money.
00:04Before we start, please at least subscribe so we can have little money for food and paying bills.
00:09Alright, today we are going to talk about cholesterol management, statins versus lifestyle changes.
00:16If your LDL is high, your risk of heart attack and stroke goes up.
00:21Doctors usually recommend diet and exercise first, and statins if your risk is higher.
00:251. What are statins? They're prescription drugs that lower LDL by changing how your liver makes cholesterol.
00:31They're usually for people with LDL over 190, heart disease, or those aged 40 to 75 with diabetes or high risk.
00:39Some statins cut LDL by up to 60%, and about 92 million Americans take them.
00:442. Side effects. Most people don't get them, but muscle pain, diabetes risk, or liver issues can happen.
00:50Especially if you're over 80, female, have type 1 diabetes, or liver disease.
00:553. What about diet? Cholesterol in food affects some people, but most benefit more from cutting saturated and trans fats.
01:02Eat more fruits, veggies, whole grains, fish, and soluble fiber, like oats or flaxseed.
01:08No side effects if you're eating enough.
01:104. Does exercise help? Exercise boosts HDL cholesterol, which helps clear LDL.
01:16It doesn't directly lower LDL but still helps long-term.
01:19High-intensity workouts may reduce artery stiffness almost like statins.
01:23Aim for 150 minutes of moderate activity weekly.
01:26If you have heart issues, start slow and talk to your doctor.
01:305. So, what's most effective?
01:32Statins lower cholesterol more than lifestyle changes, up to 50% versus 10-20% from diet and weight loss.
01:39If you can't take statins, PCSK9 inhibitors, like Repetha or Preluent, work well and may cause fewer side effects.
01:45If you skip meds, diet and exercise are key, especially diet.
01:49Simple lifestyle changes help most people, but if your levels stay high or your risk is serious, meds can make a big difference.
01:55Talk to your doctor about what's best for you.
01:58Thanks for watching, Sunbro.
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02:05Come again to our next meeting Sunbro.
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