What do you use to lower cholesterol without statins?

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My cholesterol levels keep going up while taking Femara and now GP wants to start me on statins. I refuse to statins with all their side effects and have permanent neuropathy from chemo.  The elevated cholesterol is certainly do to taking Femara but taking another medication is not the answer IMO.  I avoid red meat and eat lots of seafood, poultry, veggies, fruit - minimal dairy.  Do daily walks and exercise.  So is there a supplement anyone has used with success to keep their cholesterol within limits?

Did some research and will swap my low-fat coconut milk to rice milk. It appears coconut milk does elevate cholesterol in some individuals. Frown

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Comments

  • momoschki
    momoschki Member Posts: 682
    edited September 2013

    I take both red rice yeast capsules and a product called Cholestpure, as per my integrative onc's recommendations. I have a diet very similar to yours-- in my case, I suspect elevated cholesterol levels are hereditary (mother has high cholesterol.). The combination of these 2 supplements brought my total level down to 190 from 240. No side effects at all.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited September 2013

    I was on a statin for years prior to my BC diagnosis, for elevated cholesterol from hysterectomy/ooph.  I changed my diet a bit after diagnosis and while my total number is still somewhat higher than I would like, my ratio is great and the total is high due to the amount of HDL.  I tapered my statin dose down and then added CoQ10 and non-flushing Niacin. 

  • momoschki
    momoschki Member Posts: 682
    edited September 2013

    I take both red rice yeast capsules and a product called Cholestpure, as per my integrative onc's recommendations. I have a diet very similar to yours-- in my case, I suspect elevated cholesterol levels are hereditary (mother has high cholesterol.). The combination of these 2 supplements brought my total level down to 190 from 240. No side effects at all.

  • ruthbru
    ruthbru Member Posts: 57,235
    edited September 2013

    I take Niacin. It is over the counter, but I am doing it under my doctor's supervision. I tried different doses until I found one that got my cholesterol to where we wanted it. In my case that is 1500 mg a day. Do NOT take 'no flush' niacin, as it isn't as effective. I use a brand called 'Slo Niacin' (which I get at Walmart), and the ingredients are released slowly so that you don't get the flushing effect that niacin can have. I would for sure try this before I went to a statin, but would get the GPs OK and have him/her check your cholesterol every couple months at first to see if you are at a dose that will do the trick or if you need the tweak it.

  • proudtospin
    proudtospin Member Posts: 5,972
    edited September 2013

    a friend of mine on WW has recently been successful with help from a nuitritionist, she had horrible SE from all the statins but this is working for her.  Maybe you could try that?  Her diet is lo card, lots of protein and small meals many times.  Me I take lipitor to keep mine in line but sure hoping when I end the dang AL that things will be better

  • Lily55
    Lily55 Member Posts: 3,534
    edited September 2013

    Read up on statins and cholesterol levels as they moved the level from 240 to 200 instantly creating loads more patients for statin drugs......!!

  • cp418
    cp418 Member Posts: 7,079
    edited September 2013

    Thanks for your replies.  I've been reading all the side effects and certainly will not start this drug until I've exhausted diet/exercise changes.  I can't believe they want the public to believe statins are as safe as daily aspirin!! Lily55 - I hear you you!  I saw the ranges changed on my last lab report!  Also - latest in the news is "long-term" use of statins is linked to breast cancer. 

    http://www.naturalnews.com/041605_statin_drugs_breast_cancer_prostate.html

    http://www.ncbi.nlm.nih.gov/pubmed/23833125

    http://www.greenmedinfo.com/blog/long-term-cholesterol-drug-use-doubles-risk-breast-cancer-1

  • GrammyR
    GrammyR Member Posts: 702
    edited September 2013

    How about Almond Milk. Its creamier and as far as I can see zero cholesterol. I use it now instead of cows milk for my estrogen pos BC. I did buy some rice milk but found it too watery on cereal. The best way my hubby and I kept cholesterol down was "OATMEAL" . Yep I baked oatmeal raisin cookies and we ate oatmeal a lot for breakfast. My DH was able to get off his statins and my borderline high went down a lot. Of course now my PCP where I moved to has not even checked mine in over a year. Medicare crunching the funding I suppose.

  • crabbiepattie
    crabbiepattie Member Posts: 108
    edited September 2013

    Lots of good suggestions!  I'm afraid of statins too.  A doc I trust told me the lowest dose is usually safe.  I was planning on that, with CoQ10, when I was diagnosed.

    Berberine, which stabilizes and reduces blood sugar levels, may also lower cholesterol.  My naturopath has me taking this.

    Niacin is supposed to boost HDL while reducing LDL.  I'm taking Slo Niacin with food and still flushing sometimes.  Need to increase my dosage before next year's blood test but I hate the flushing.

    Hypothyroidism, even slight, increases cholesterol.  My endocrinologist is sure I'm overmedicated but I now feel halfway decent and my cholesterol levels are good so I'm not going to back down.

  • crabbiepattie
    crabbiepattie Member Posts: 108
    edited September 2013

    Grammy,

    So, two servings of oatmeal a day?  Or large servings so maybe four?  I might be able to get my DH to eat the cookies.  He can't remember to take the berberine yet.

    I have switched to almond milk to reduce calories. Delicious but low in protein compared to cow's milk. I wonder if that has made a difference for me.

    As always,
    Crabbie

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2014

    Niacin is effective in lowering cholesteral, BUT, it can have same effect as statins, causing a rise in blood glucose.

    CO Q 10, extra virgin olive oil, raw almonds, good quality Nordic Natural Fish oil, no red met, no butter, light dairy, fruit, veggies, lean chicken, fish.  NO JUNK FOOD - which is easy if you're gluten free, which is what also kept me pain free during my 5 years on Arimidex.  Still gluten free just cuz I feel so much better this way.

    All the AI's raise cholesteral, I'm curious to see what my levels will be this year now that I've finished Arimidex.

  • cp418
    cp418 Member Posts: 7,079
    edited September 2013

    I will definitely try the almond milk. All summer I was eating cold Cherios (oat based to lower cholesterol) with raspberries and blueberries BUT using Coconut milk.  Undecided  In the winter I eat hot oatmeal and have been avoiding diary.  I will contact my nutritionist next week regarding supplements and will show her my labs.  crabbie - good point about thyroid as I am borderline hypothyroid as well recently.  Sunflowers - your post sounds pretty close to how I eat so I am really hoping the long use of cococ-milk this year is my problem.....

  • ruthbru
    ruthbru Member Posts: 57,235
    edited September 2013

    Mine had dropped 20 points after just being off for 2 months, so I am curious to see if the trend continues down. I have to get back to my oatmeal, which I ate religiously until this summer when I was doing too much vacation eating!

  • SpecialK
    SpecialK Member Posts: 16,486
    edited September 2013

    I have to take the non-flushing Niacin even if it doesn't work as well because I have a wicked hot flash about once an hour - I have since surgical menopause 12 years ago.  The flashing did not change throughout chemo, and has not gotten worse or better on either AI I have taken.  Neither Femara or Arimidex seemed to raise my cholesterol, but the hyst/ooph did a number on it - it went from the 150s to 260 in pretty short order.  It is hovering around 200 off the statin, but my ratio is super so my PCM is not concerned.

  • peggy_j
    peggy_j Member Posts: 1,700
    edited September 2013

    Great thread. I had taken a class called "Nutrition for Disease Prevention." I can't find my notes right now but I remember they recommended increasing soluble fiber to reduce bad cholesterol. (oatmeal is one option but there are many others, if you like to mix it up). Here's the Mayo Clinic's opinion:

    http://www.mayoclinic.com/health/cholesterol/CL00002

  • hopefour
    hopefour Member Posts: 459
    edited September 2013

    You may want to research the supplement Red Yeast Rice...I was told this was to lower cholesterol, but never researched it or use it...have no idea if this is true!!

  • MelissaDallas
    MelissaDallas Member Posts: 7,268
    edited September 2013

    Red yeast rice does work but can also cause some of the liver problems, etc. that statins do.

  • coraleliz
    coraleliz Member Posts: 1,523
    edited September 2013

    cp-I noticed you joined in 2006. I'm guessing you've done at least 5yr of antihormonals? Your numbers aren't listed in your sig line but with my numbers I'd probably stop. Especially if other related problems start to show up. It just sounds like you're doing so many of the right things already.

  • Momine
    Momine Member Posts: 7,859
    edited September 2013

    Intermittent fasting for 2 months dropped my cholesterol 20 points. You basically eat only 600 calories 2 days a week, normal eating the rest of the time.

    I do the first 4 on the Mayo Clinic list as well. In general, it is important to get lots and lots of fibre. It can also help get rid of stray estrogen, will keep your colon healthy etc. I eat a no-sugar muesli with whole grains, nuts etc for breakfast, then loads of veggies and salads and beans/lentils.

  • wrenn
    wrenn Member Posts: 2,707
    edited September 2013

    Mine went down when i switched to low carb

  • bluepearl
    bluepearl Member Posts: 961
    edited September 2013

    Intermitant fasting....metamucil.

    Additionally, if you can't do the fasting, you can also do two days (your pick) of eating high protein, low fat meals and less than 50 g of carbs (make them complex). Interestingly, high protein DOES NOT raise cholesterol done this way and in fact, lowers it. If you can have a large breakfast, medium lunch and small supper helps too.

  • cp418
    cp418 Member Posts: 7,079
    edited September 2013

    coraleliz - I'll try not to bore anyone with long background hx. When I switched onc 2 years ago he wants me to stay on AI minimum 7 years.  I was (age 49) dx IDC stage 2a, 1.8cm, 1/18 nodes and ER+100%, PR+100%, Her2neg, Ki67 was 20.  They found lung nodules during preop chest x-ray and thought I was stage 4 at the start.  Lung biospy identified fibroma as I had long hx of bronchitis and resp infections, allergies.  I still got 2 periods during chemo and felt them coming back during rads.  I tried tamoxifen for several months and had a really rough time with side effects.  So I insisted on ooph to switch to AI - Femara.  I swear I was floating in hormones!  Frown

    So I've made the necessary life style changes with better diet and daily exercise.  I confess I've cheated a few times this summer and maybe my body just creates alot of cholesterol.  I love all the suggestions provided here as it really helps me get back on track again.  It starts me thinking of more recipe items to try out.  I think we had such an awful hot/humid summer that I was not very motivated to be creative with food.  Although I love a daily greens salad with chicken for lunch and diced apple/fruit like a warldorf.  

    During the winter, I had made oatmeal muffins with banana and nuts but looking back realized I was adding shredded coconut and using coconut milk.  I think in my creative moments I was turning something healthy back to a high calorie item.  Embarassed  Interesting how the container for coconut milk states NO cholesterol which I selected to avoid dairy and hormones..........

  • toomuch
    toomuch Member Posts: 901
    edited September 2013

    I replaced all white flour with whole grains for bread and pasta and replaced white rice with brown rice. I try to get 1 -2 Tbsp of olive oil a day into my diet and have eliminated most dairy. I still eat organic greek yogurt. That combined with exercise reduced my cholesterol over 40 points even though I had an oophorectomy and started Arimidex.

  • Golden01
    Golden01 Member Posts: 916
    edited September 2013

    http://www.webmd.com/cholesterol-management/features/low-cholesterol-diet-plant-sterols-stanols?page=2

    Check out info on plant sterols. Supplements can add to the amount you get in your diet. Here's one brand to consider: http://www.naturemade.com/products/segments/cholestoff

    Metamucil can help lower cholesterol too. 

  • Momine
    Momine Member Posts: 7,859
    edited September 2013

    Golden, thanks for the link. It looks like the stanols lower LDL. In my case, the HDL is a lot higher than the LDL, so to lower my cholesterol, I would have to lower the "good" cholesterol somehow. I wonder if that is even possible or advisable.

  • Golden01
    Golden01 Member Posts: 916
    edited September 2013

    I don't think it is ever advisable to lower your good cholesterol. What you want to do is lower the LDL and shift the ratio. Depending on your levels, sometimes they are not concerned about the total being a little high if the HDL is remarkably high. My family has LDL's in the 70+s which I think is unusual. Still, we've got several family members that are working hard at getting those LDLs down where they should be for good health. From this info, it looks like trying to get the LDL below 100 is what we should aim for: http://www.nhlbi.nih.gov/health/public/heart/chol/cholesterol_atglance.pdf

  • SewStrong
    SewStrong Member Posts: 399
    edited September 2013

    I take Slo-Niacin, but I do get the flushing unless I take my 81mg aspirin at least one hour before the niacin. I have no flushing at all when I do that. I cannot take statins. They cause significant pain in my upper arms. The niacin works well for me.

  • ruthbru
    ruthbru Member Posts: 57,235
    edited September 2013

    It is the ratio between the good & bad that is the most important....for the 'good', the higher the better.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited September 2013

    momine - you and I are in the same boat - my good cholesterol is driving my total number high, but my primary care doc is watching me as I came of Lipitor about 6 months ago.  I am having a lipid panel every 90 days and so far I am holding my own.  I took a tapering dose, ending with 10mg.  They said if I maintained on 10mg I could come off. 

    As far as diet I try to follow a low-glycemic index diet, with high-fiber organic fruits and veggies.  I do eat lean grass-fed meats, and free-range chicken and eat pasture-raised chicken eggs.  I have tried to cut out dairy as I am not that comfortable eating things from a lactating animal, but I do eat a bit of non-fat Greek yogurt now and then.  I am trying to avoid gluten since there seems to be a link to inflammation and my joints hurt enough from the AIs.  I think most of this has contributed to lowering my cholesterol enough to come off the statin even though I think some of my issue was also genetic.  I ate a fairly healthy low-fat diet prior to BC because I had reflux surgery in '95 and I can't tolerate high-fat food.  I naturally gravitate to fruits and vegetables and grew up eating them.  I am not much of a sweet eater and gave up soda a long time ago, and I don't drink (also because of the reflux surgery - it gives me a stomach ache) - I have no probably resisting dessert, and usually only partake on birthdays or special occasions.  Dessert for me as a child was fruit so I still have that.  Interesting about the low-dose aspirin and the slo-niacin.  I have esophageal pain with daily 81mg aspirin (again, the reflux surgery) so I take it every other day.

  • ruthbru
    ruthbru Member Posts: 57,235
    edited September 2013

    Some studies are showing that taking a daily low dose aspirin may also lower BC recurrence risk.

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