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Home > Anti-aging Research > HDL.

High-density Lipoproteins (HDL)

Note:  I see a lot of orders for no-flush niacin.  I assume the reason people are buying this is to raise HDL cholesterol.  I couldn't find any research that no-flush niacin works to increase HDL.  It's probably a waste of money for the no-flush.  Just do a Medline search of  hexanicotinate HDL, hexaniacinate HDL or no-flush niacin.  Here are the the only studies I could find:

Accumulation of chylomicron remnants and impaired vascular reactivity occur in subjects with isolated low HDL cholesterol: effects of niacin treatment - Atherosclerosis. 2006 Jul;187(1):116-22 - "evaluation of no-flush niacin treatment ... Twenty-two low HDL subjects with reduced FMD were randomized into two groups, one given 1.5 g/day niacin and a placebo group. After 3-month treatment, plasma lipids and chylomicron kinetics were not changed by niacin treatment"

Varying cost and free nicotinic acid content in over-the-counter niacin preparations for dyslipidemia - Ann Intern Med. 2003 Dec 16;139(12):996-1002 - "Commonly used over-the-counter niacin preparations (500-mg tablets or capsules) from the 3 categories of immediate-release, sustained-release, and no-flush were purchased at health food stores and pharmacies and from Internet-based vitamin companies ... The average content of free nicotinic acid was 520.4 mg for immediate-release niacin, 502.6 mg for sustained-release niacin, and 0 for no-flush niacin ... No-flush preparations of over-the-counter niacin contain no free nicotinic acid and should not be used to treat dyslipidemia. Over-the-counter sustained-release niacin contains free nicotinic acid, but some brands are hepatotoxic. Immediate-release niacin contains free nicotinic acid and is the least expensive form of over-the-counter niacin"

I’ve been taking three grams per day of the immediate release niacin (Twinlab).  It raised my HDL from 39 to 57.  Then I switched from Actos to Avandia (both to prevent diabetes) and my HDL went back down to 47. I’m switching back to Actos when I run out of Avandia. I don’t experience any flushing from the IR anymore. I think it took a couple months to get used to it plus I built up to three grams gradually. The IR didn’t have any noticeable effect on my liver enzymes. My ALT is 35. My doctor thinks that’s great. Normal goes up to 60 but I read that you want it below 30 but the 35 was about what it was before the niacin. My father died of liver cancer so I keep an eye on my liver enzymes but my father drank like a fish plus he was 87 when he died.  See:

Elevated ALT Levels Predict Risk of Death From Liver Cancer - Medscape, 11/2/06 - "Upper limits of normal range from 30 IU/L to 60 IU/L, depending on the laboratory. "We want to reset it southward of 30 IU/L," ... ALT levels are a reflection of the general vascular condition ... If the level is above 30, then that person probably has a problem — fatty liver or some vascular disease, including occlusive coronary artery disease"

http://www.lipidsonline.org/slides/slide01.cfm?tk=25&dpg=34 shows that with extended release niacin, HDL peaks out at 2,500 mg.  http://www.lipidsonline.org/slides/slide01.cfm?q=effect+of+niacin&dpg=4 shows immediate release crystalline niacin compared to Niaspan.  There isn't much gain in HDL with the immediate release crystalline niacin after 1,000 mg per day.  After seeing that, I'll probably cut down from 3,000 mg but from the slide it appears that there is a significant advantage to lowering triglycerides by going to 3,000 mg plus there is a linear decrease in LDL-C by going to 3,000 mg immediate release crystalline niacin.  This graph also shows that immediate release crystalline niacin is significantly better at raising HDL and lowering triglycerides compared to Niaspan.  Also see the slide titled CHD Risk According to HDL-C Levels.

I’ve never seen any studies on Niaspan and liver damage but it would seem like it would be similar to the slow release niacin. The only study I’ve seen on that is:

A comparison of the efficacy and toxic effects of sustained- vs immediate-release niacin in hypercholesterolemic patients - JAMA. 1994 Mar 2;271(9):672-7 - "None of the patients taking IR niacin developed hepatotoxic effects, while 12 (52%) of the 23 patients taking SR niacin did"

Be sure to see a doctor to have your liver enzymes checked before and after taking any niacin supplement.  See the bottom of http://www.lipidsonline.org/slides/ for some great slide shows on HDL.  The January 2007 Harvard Men's Health Newsletter has a good article on HDL cholesterol but it is a paid subscription.  See Source Naturals 100 mg niacin at iHerb and Twinlab niacin 1000mg at iHerb.

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  • HDL Cholesterol Linked to Lower Extremity Performance in Elderly - Medscape, 5/2/08 - "HDL-C levels were significantly associated with all indices of function ... participants with the highest HDL-C levels having the best physical performance"
  • Combination Niacin-Laropiprant Plus Simvastatin Reduces Cholesterol by Almost 50% - Doctor's Guide, 11/6/07 - "When patients with dyslipidemia added simvastatin to their experimental combination of extended-release niacin and laropiprant -- a novel anti-flushing agent -- they reported reductions in low density lipoprotein cholesterol (LDL-C) of as much as 48% from baseline ... high density liopoprotein cholesterol (HDL-C) was increased by 28% and triglycerides decreased by 33%"
  • The effects of extended-release niacin on carotid intimal media thickness, endothelial function and inflammatory markers in patients with the metabolic syndrome - Int J Clin Pract. 2007 Nov;61(11):1942-8 - "After 52 weeks of treatment, there was a change of carotid IMT of +0.009 +/- 0.003 mm in the placebo group and -0.005 +/- 0.002 mm in the niacin group (p = 0.021 between groups). Endothelial function improved by 22% in the group treated with niacin (p < 0.001), whereas no significant changes were seen in the placebo group. High sensitivity C-reactive protein decreased by 20% in the group treated with niacin for 52 weeks (p = 0.013). Niacin increased HDL-C (p < 0.001) and decreased low-density lipoprotein cholesterol and triglycerides (p < 0.001) significantly, and there were no adverse effects on fasting glucose levels after 52 weeks of treatment" - See Twinlab niacin 1000mg at iHerb or Source Naturals 100 mg niacin at iHerb.
  • Dietary glycemic index and glycemic load are associated with high-density-lipoprotein cholesterol at baseline but not with increased risk of diabetes in the Whitehall II study - Am J Clin Nutr. 2007 Oct;86(4):988-994 - "At baseline, dietary GI and GL were associated inversely with HDL cholesterol, and GI was associated directly with triacylglycerols. Dietary GI and GL were related inversely to fasting glucose and directly to 2-h postload glucose ... The proposed protective effect of low-dietary GI and GL diets on diabetes risk could not be confirmed in this study"
  • Vitamin E dietary supplementation significantly affects multiple risk factors for cardiovascular disease in baboons - Am J Clin Nutr. 2007 Sep;86(3):597-603 - "vitamin E caused 2 paradoxical effects on HDL metabolism: higher apolipoprotein A-I (apo A-I) concentrations and lower HDL sizes ... They also show 2 apparently paradoxical effects on HDL metabolism: lower HDL(2), which is mediated by genes, and higher apo A-I, which is not. These effects have contrasting associations with CVD risk and may help account for the mixed results from clinical trials of dietary vitamin E"
  • Niacin (Nicotinic Acid) -- The Old Drug Is Making a Comeback With A New Act - Medscape, 6/11/07 - "Niacin (nicotinic acid) is well known as the most effective drug currently available for raising levels of high-density lipoprotein (HDL) cholesterol, raising it by 25% to 35% at the highest doses"
  • Exercise May Boost 'Good' Cholesterol - WebMD, 5/29/07 - "Participants who got at least two hours per week of aerobic exercise had a modest rise in their HDL cholesterol level ... the gains in HDL cholesterol levels translate to a 5% drop in men's heart disease risk and more than a 7% drop in women's heart disease risk"
  • Continuous intake of polyphenolic compounds containing cocoa powder reduces LDL oxidative susceptibility and has beneficial effects on plasma HDL-cholesterol concentrations in humans - Am J Clin Nutr. 2007 Mar;85(3):709-17 - "A significantly greater increase in plasma HDL cholesterol (24%) was observed in the cocoa group than in the control group (5%)"
  • An Old Cholesterol Remedy Is New Again - New York Times, 1/23/07 - "In its therapeutic form, nicotinic acid, niacin can increase HDL as much as 35 percent when taken in high doses, usually about 2,000 milligrams per day. It also lowers LDL, though not as sharply as statins do, and it has been shown to reduce serum levels of artery-clogging triglycerides as much as 50 percent ... There’s a great unfilled need for something that raises HDL ... Right now, in the wake of the failure of torcetrapib, niacin is really it. Nothing else available is that effective" - See Twinlab niacin 1000mg at iHerb.
  • What is the dietary treatment for low HDL cholesterol? - J Fam Pract. 2006 Dec;55(12):1076-8 - "Low-carbohydrate diets raise high-density lipoprotein (HDL) cholesterol levels by approximately 10%; soy protein with isoflavones raises HDL by 3% ... Dietary Approaches to Stop Hypertension (DASH) diet and multivitamin supplementation raise HDL 21% to 33%"
  • Research shows benefits of cranberries -MSNBC, 11/20/06 - "Drinking cranberry juice daily may increase levels of HDL, or good cholesterol and reduce levels of LDL, or bad cholesterol" - See Cranberry products at iHerb.
  • Favourable impact of low-calorie cranberry juice consumption on plasma HDL-cholesterol concentrations in men - Br J Nutr. 2006 Aug;96(2):357-64 - "daily CJC consumption is associated with an increase in plasma HDL-cholesterol concentrations in abdominally obese men. We hypothesise that polyphenolic compounds from cranberries may be responsible for this effect, supporting the notion that the consumption of flavonoid-rich foods can be cardioprotective"
  • Comparative Effects on Lipid Levels of Niaspan and Statins - Medscape, 7/28/06 - "Niacin is the best HDL-cholesterol raising drug right now"
  • About 5% of Long-term Niacin Users Evolve Into HDL Hyperresponders - Doctor's Guide, 3/14/06 - "about 5% of patients on long-term therapy become hyperresponders, increasing their HDL levels by 50% or more ... Overall, these patients lost 4% of body weight while on niacin treatment"
  • Fiber Supplements May Lower Cardiovascular Risk In Type 2 Diabetics - Science Daily, 4/30/05 - "Study participants received 10g to 15g of BiosLife 2, an over-the-counter fiber supplement ... total cholesterol had dropped from 215 mg/dL to 184 mg/dL, a 14.4 percent decrease. Triglycerides also improved, dropping from 299 mg/dL to 257 mg/dL, a 14 percent decrease ... LDL decreased from 129 mg/dL to 92 mg/dL -- a 28.7 percent improvement. HDL rose from 43 mg/dL to 55 mg/dL -- a 21.8 percent increase"
  • The Effects of Niacin on Lipoprotein Subclass Distribution - Medscape, 1/19/05 - "the combination of niacin and a statin may be among the best available treatment options for many patients with complex forms of dyslipidemia ... Niacin effectively modifies all major lipids and lipoproteins with respect to both their quantity and quality. It is the most effective agent currently available for raising low levels of HDL cholesterol"
  • Grape Juice Raises 'Good' Cholesterol Levels - WebMD, 11/19/04 - "Grape juice drinkers had HDL levels of 50 mg/dL, compared with almost 45 mg/dL in the placebo group"
  • Raising HDL in Clinical Practice - Medscape, 6/10/04 - "Niacin increases HDL-C to the greatest extent of all available monotherapies: by 15% to 35% at higher daily doses on the order of 3 grams ... Capsules containing omega-3 fatty acids (1.48 g of docosahexaenoic acid + 1.88 g of eicosapentaenoic acid) have been formulated and are commercially available in some parts of the world (as Omacor). In a recent small study in patients with familial combined hyperlipidemia, treatment with this formulation for 8 weeks increased HDL-C by 8%"
  • Dietary supplementation with olive oil leads to improved lipoprotein spectrum and lower n-6 PUFAs in elderly subjects - Med Sci Monit. 2004 Mar 23;10(4):PI49-PI54 - "The supplement was taken for 6 weeks and involved daily consumption of 2 tablespoons ... There was also a significant decline in the total-to-HDL and LDL-to-HDL cholesterol ratios" - I alternate between Smart Balance Omega-Plus (made with omega-3 fish oil) and Fleischmann's Olive Oil spread.
  • HDL: The "Quit" Cholesterol - Physician's Weekly, 2/23/04 - "for every 1 mg/dL increase in HDL, risk for a CAD event is reduced by 2% in men and 3% in women ... It hasn't gotten the same attention as LDL partly because there haven't been good medicines for raising it ... Niacin is, according to Dr. Rader, “…the best HDL-raising agent currently available.”"
  • Scientists Eye Pills To Unclog Arteries - Intelihealth, 2/2/04 - "HDL scoops up cholesterol from the arteries and carries it back to the liver for disposal ... men's average HDL is about 45 and women's is 55. HDL under 40 is an especially bad sign, while anything over 60 is considered good. Those with HDL over 75 may even be blessed with what's called the "longevity syndrome." ... many specialists recommend more use of the HDL booster already on the market, the vitamin niacin"
  • 4 Popular Diets Heart Healthy - WebMD, 11/10/03 - "the heart disease risk score is based on the ratio between LDL cholesterol and HDL "good" cholesterol ... The Atkins and Zone diets increased HDL by 15%, while Weight Watchers posted an 18.5% gain. But the Ornish diet increased HDL by just 2.2%"
  • Vitamin C Inhibits Lipid Oxidation in Human HDL - J Nutr. 2003 Oct;133(10):3047-51 - "In the absence of vitamin C, lipid oxidation in HDL began immediately and proceeded rapidly ... Vitamin C (50-200 micro mol/L) retarded initiation of lipid oxidation for at least 4 h under the same conditions ... Our results demonstrate that vitamin C inhibits lipid oxidation in HDL and preserves the antioxidant activity associated with this lipoprotein fraction"
  • Vitamin B12 Improves Homocysteine Levels and Lipid Profiles in Patients with End-Stage Renal Disease - Doctor's Guide, 10/6/03 - "During Phase 1, patients were prescribed oral doses of folic acid 5 mg/day and vitamin B12 0.6mg/day. Through out Phase 2, participants were given intravenous doses of vitamin B12 1mg every other day in addition to folic acid 5 mg/day ... By the completion of the study, patients exhibited significantly lower serum tHcy (29.4 verses 21.1 mg/dL), total cholesterol (222 verses 196 mg/dL), and low-density lipoprotein cholesterol levels (139 versus 109 mg/dL). Serum high-density lipoprotein (HDL) cholesterol levels increased significantly among the participants"
  • Does High Cholesterol Harm Your Kidneys? - Dr. Weil, 8/22/03 - "apparently healthy men with low HDL (high density lipoprotein), the “good” cholesterol, and high LDL (low density lipoprotein) or “bad” cholesterol and triglycerides have twice the normal risk of reduced kidney function ... You can raise HDL by increasing exercise, drinking alcohol moderately, and eating only healthy fats (monounsaturates such as olive oil and omega-3s from sources like salmon and sardines). Taking prescription statin drugs also will help, although I prefer natural alternatives such as red rice yeast"
  • Cholesterol: Finding Right Mix - CBS News, 7/11/03 - "High-density Lipoprotein (HDL) cholesterol is known as the "good" cholesterol. It helps move the bad cholesterol through the body's system to get rid of excess amounts. With enough "good" cholesterol, the "bad" cholesterol doesn't get a chance to build up ... Your total cholesterol should be less than 200. Levels of "good" cholesterol should be below 40. Levels of "bad" cholesterol should be less than 130, or less than 100 if you already have heart disease ... Certain foods such as soy, whole grain oats or fish containing omega-3 fatty acids can lower cholesterol" - I believe that "Levels of "good" cholesterol should be below 40" should be "above" not "below". - Ben
  • Policosanol more Effective than Lovastatin for Intermittent Claudication - New Hope Natural Media, 5/29/03 - "Those taking policosanol had a 34% increase in pain-free walking distance, while no change was observed in those taking lovastatin. Quality of life was also reported as being significantly better in the policosanol group compared with the lovastatin group. Both treatment groups had significant reductions in total cholesterol and LDL cholesterol. However, participants taking policosanol had a significant 32% increase in HDL cholesterol and a 6% decrease in fibrinogen, while these parameters remained unchanged in those receiving lovastatin" - See iHerb or Vitacosticon policosanol products.  Claudication gets my attention because my father has it and if there is a hereditary factor, I want to prevent it. - Ben
  • Cranberry Juice Fights Heart Disease - WebMD, 3/24/03 - "Cranberry juice is higher in phenol antioxidants than other fruit juices with the exception of grape juice ... levels of high-density lipoprotein ("good" cholesterol) appeared to increase significantly -- by as much as 121% -- after two or three glasses of juice a day"
  • Differential effects of saturated and monounsaturated fats on postprandial lipemia and glucagon-like peptide 1 responses in patients with type 2 diabetes - AJCN, 3/1/03 - "Olive oil induced lower triacylglycerol concentrations and higher HDL-cholesterol concentrations than did butter, without eliciting significant changes in glucose, insulin, or fatty acids" - Olive oil is 76% omega-9.
  • Policosanol Improves Lipid Profiles - Natural Foods Merchandiser, 1/03 - "In one eight-week study with 68 older patients who had both elevated LDL levels and various coronary heart disease risk factors, researchers found 10 mg of Cuban policosanol taken once daily reduced (from baseline) LDL levels by 19 percent and triglycerides by 14 percent, and increased HDL levels by 18 percent, all statistically significant changes.26 The statin group (10 mg per day of pravastatin, the lowest dose recommended) triggered a 16 percent reduction in LDL levels, no change in triglycerides, and a 6 percent increase in HDL levels" - See iHerb and Vitacosticon policosanol products.
  • Ispaghula Husk [psyllium] Nearly As Effective As Simvastatin For Hyperlipidemia - Doctor's Guide, 12/24/02 - "One group received 3.5 grams of ispaghula husk twice a day and the second group received 20 milligrams of simvastatin each day ... total cholesterol decreased by 15.8 percent and low-density lipoprotein (LDL) cholesterol decreased by 22.97 percent among patients taking ispaghula husk ... Triglycerides decreased by 20.89 percent and high-density lipoprotein (HDL) cholesterol increased by 10.69 percent in these patients ... Among patients taking simvastatin, total cholesterol decreased by 24.15 percent, LDL cholesterol decreased by 36.08 percent, triglycerides decreased by 20.47 percent and HDL cholesterol increased by 11.4 percent" - I've got that. See Drugstore.com psyllium productsicon.  3.5 grams is about one wafer (3.4 grams psyllium/wafer).  Plus 24 wafers runs about $4.49icon versus about $116icon for 30 of the 20 mg simvastatin.
  • Eating Yogurt Daily Increases “Good” Cholesterol in Women - New Hope Natural Media, 12/5/02 - "In this study, 29 women ate 300 grams (about 10.6 ounces) of a full-fat (3.5% fat by weight) yogurt product daily for 21 weeks ... A larger, and statistically significant, 38% increase was observed in HDL, or “good” cholesterol levels after eating the yogurt. No change was observed in LDL, or “bad,” cholesterol levels ... each woman also ate the probiotic- and prebiotic-containing product for a 7-week stretch during the 21-week trial. During the period when the women consumed the supplemented yogurt, there was a further increase in HDL cholesterol beyond that seen from simply eating plain yogurt" - See iHerb and Vitacosticon probiotics products.
  • Genes Determine Effect of Diet, Good Cholesterol - WebMD, 10/21/02 - "To increase HDLs, you shouldn't consume more saturated fats. Instead, you should have more monounsaturated fats, which are abundant in many vegetables, oils, and walnuts."
  • Alcohol Can Help Women's Hearts Too - WebMD, 9/16/02 - "10 men aged 45-64 and nine women aged 49-62 drank either regular beer or non-alcoholic beer for three weeks ... After 10 days of drinking alcohol, HDL cholesterol levels rose by an average of nearly 7% for both men and women ... Previous research suggests that a 1% increase in HDL cholesterol is linked to a 2% reduction in the risk of heart disease"
  • Niacin May Be Effective Therapy For Broad Range Of Diabetes-Associated Dyslipidaemias - Doctor's Guide, 7/25/02 - "After niacin treatment, the patients' LDL peak particle diameter increased from 252 ± 7 Å to 263 ± 7, the researchers reported. Their small, dense LDLc particle mass decreased from 27 ± 11 mg/dL to 15 ± 4 mg/dL. Total HDLc increased from 39 ± 7 mg/dL to 51 ± 11 mg/dL. Their HDL2, as the percentage of total HDLc mass, increased from 29 ± 8 percent to 45 ± 10 percent, and their Lp(a) decreased from 43 ± 17 mg/dL to 25 ± 10 mg/dL ... Twenty-one percent of the patients were unable to tolerate niacin because of reversible adverse effects. Another 14 percent were unable to adhere to the niacin dosing regimen of three times daily"
  • HDL Too High? - Dr. Weil, 6/6/02 - "each increase of 4 mg/dl in the HDL level results in a 10 percent decrease in risk of adverse coronary events"
  • Policosanol Helps Reduce High Cholesterol - New Hope Natural Media, 6/6/02 - "In a six-month study, 10 mg per day of policosanol reduced total cholesterol by 16% and LDL cholesterol by 24%, and increased HDL cholesterol by 29%. Several other studies have compared policosanol with some of the conventional medications used for lowering cholesterol and the results have shown policosanol in the amount of 5 to 20 mg per day to be more effective than lovastatin (Mevacor®), pravastatin (Pravachol®), and simvastatin (Zocor®), with fewer reported side effects. While some prescription drugs used to lower cholesterol may cause liver and muscle problems in rare instances, people taking policosanol have not suffered any serious side effects" - See iHerb or Vitacosticon policosanol products.
  • Health Benefits of Olive Oil - California Olive Oil Council - "Olive oil is 80% oleic acid, placing it at the top of the list of monounsaturated fats ... Research has proved that using olive oil significantly increases HDL levels"
  • Octacosanol Beats Statins - Dr. Janson, 4/02 - "Taking a non-flush form of niacin, inositol hexaniacinate, provides the same cholesterol effects without the liver changes, but it is more expensive. Effective niacin doses are 1500 to 3000 mg daily"
  • Men's Fitness: Boost your good cholesterol sky-high: want to live longer? Try raising this cholesterol with our 10 strategies - findarticles.com, 2/02 - "In a Canadian study, drinking a few glasses of orange juice every day for four weeks increased participants' HDL by 21 percent, possibly due to a flavonoid called hesperidin that appears extremely HDL-friendly"
  • Statins and Supplements - Natural Foods Merchandiser, 1/02
  • question regarding your new cholesterol-lowering supplement, Policosanol - Life Extension Magazine, 11/01 - "Studies show that niacin (B3) in doses of 1.5 grams to 3 grams lower triglycerides levels and raise HDL concentrations. Those who tolerated higher doses of niacin (nicotinic acid) showed even more improvement in lipid levels. Some people taking just 1000 mg of flush-free niacin see an elevation in beneficial HDL. Green tea also has been shown to elevate levels of HDL while lowering serum triglyceride levels. In the Journal of Molecular Cell Biochemistry, curcumin has been demonstrated, in vivo, to decrease triglycerides and increase HDL. In a study published in 1989 by the Journal of Associated Physicians-India, 125 patients receiving gugulipid showed a drop of 16.8% in triglycerides, and a 60% increase in HDL cholesterol within three to four weeks. Make sure you are taking at least six Mega EPA fish oil capsules daily, as low dose fish oil may not adequately suppress triglycerides. Finally, there are some lifestyle changes you may wish to consider. If you are overweight, weight loss would be recommended, as it would help to lower triglycerides and raise HDL. Also, try reducing carbohydrates, which can raise triglycerides"
  • Product Review: Omega-3 Fatty Acids (EPA and DHA) from Fish/Marine Oils - ConsumerLabs.com, 11/20/01 - "It's been discovered that EPA and DHA may help prevent heart disease and atherosclerosis by lowering triglyceride levels, raising HDL ("good") cholesterol and, possibly "thinning" the blood ... By decreasing inflammation, EPA and DHA can also reduce the pain of rheumatoid arthritis ... Fish oils may also be useful in treating a host of conditions including bipolar (manic-depressive) disorder, Raynaud's phenomenon (abnormal sensitivity of hands and feet to cold), lupus, IgA nephropathy, kidney stones, chronic fatigue syndrome, Crohn's disease, cystic fibrosis, and ulcerative colitis ... EPA specifically may be helpful for schizophrenia, while DHA may be more helpful in reducing high blood pressure ... DHA may be helpful in the treatment of disorders such as attention deficit disorders, dyslexia, and cognitive impairment and dementia ... experts now believe that the American diet contains too little omega-3 fatty acids and too much omega-6 fatty acids"
  • Cardiovascular Health - Nutrition Science News, 9/01 - "HDL cholesterol was significantly increased in the intervention [coenzyme Q10] group without affecting total cholesterol or LDL cholesterol"
  • An Antioxidant Cocktail May Prove to Be Heart Unhealthy - WebMD, 8/9/01 - "Taken alone the drug combination simvastatin and niacin increased HDL, the so-called good cholesterol by 25%, but when antioxidants were added HDL increased by only 18%"
  • A Fish Story - Nutrition Science News, 4/01 - "daily consumption of very low daily doses of EPA/DHA (120 mg/180 mg, about one standard fish oil capsule) in an enriched milk led to a 19 percent decrease in blood triglycerides and a 19 percent increase in HDL cholesterol after six weeks ... It is unclear whether EPA is superior to DHA, although EPA has proven more potent in relaxing cow coronary arteries and producing the vasodilator gas, nitric oxide, in vitro"
  • Niacin Reduces Triglycerides, Increases Good Cholesterol In Diabetics - Doctor's Guide, 3/20/01
  • Effects of policosanol in older patients with type II hypercholesterolemia and high coronary risk - J Gerontol A Biol Sci Med Sci 2001 Mar;56(3):M186-92 - "while significantly (p é .01) increasing (p < .001) high-density lipoprotein cholesterol (HDL-C) by 14.6% and 29.1%, respectively ... No serious adverse experiences occurred in policosanol patients (p < .01), compared with seven adverse experiences (7.9%) reported by placebo patients"
  • Niaspan (Niacin Extended Release Tablets) Safe And Effective For Diabetics - Doctor's Guide, 11/14/00
  • Statin Plus Niacin Reduces Heart Attack Risk, Reverses Arterial Build-up - Doctor's Guide, 11/13/00
  • Spent Yeast Improves Cholesterol Count - Nutrition Science News, 5/00
  • Rimostil May Increase Bone Density While Raising Good Cholesterol - Doctor's Guide, 9/27/99 - "The second effect was on HDL cholesterol levels. Falling HDL levels after menopause is one of the main reasons that older women suffer heart disease and stroke. P-081 caused an average 28% rise in HDL levels, essentially restoring their HDL levels to pre-menopausal levels" - see Rimostil at iHerb.
  • Prolonged treatment with slow release nicotinic acid in patients with type II hyperlipidemia - Pol Arch Med Wewn. 1997 Nov;98(11):391-9
  • Experts Urge Physicians and Patients To Look Beyond LDL Cholesterol - Doctor's Guide, 9/10/97
  • Biological effects of hesperidin, a Citrus flavonoid. (note II): hypolipidemic activity on experimental hypercholesterolemia in rat - Farmaco. 1995 Sep;50(9):595-9 - "Hesperidin, the most important flavanone of Citrus sp., significantly increases HDL"
  • A comparison of the efficacy and toxic effects of sustained- vs immediate-release niacin in hypercholesterolemic patients - JAMA. 1994 Mar 2;271(9):672-7 - "None of the patients taking IR niacin developed hepatotoxic effects, while 12 (52%) of the 23 patients taking SR niacin did"

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