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The Pharmacist Answers Podcast


Your health is probably one of the most important things to you.  Yet it can be one of the most complicated things to understand.  Our bodies are meant to work a certain way, but when they don't, we may never be 100% sure why or what to do about it - even after seeing a healthcare professional.

The Pharmacist Answers Podcast is hosted by Cynthia Hendrix, PharmD.  On the Podcast, you can learn the basics of body parts and organ groups, get a glimpse of how disease processes work, and learn some practical steps to take in your own flesh and blood relationships with healthcare providers.

Everyone's health story is different.  No one is truly a "textbook case".  You need someone who sees your uniqueness and help you gain the knowledge and confidence to have conversations, ask questions, and make decisions that are right for YOU!

*The Podcast started out as live conversations on Periscope.

Subscribe to the podcast so you don't miss an episode: iTunes, Stitcher, GooglePlay, TuneIn Radio

Mar 21, 2016

Fat Basics

Fats don't mix with water.  Some fats are liquid at room temperature (oils), some fats are solid at room temperature.

Because so much of your body is made up of water, fats are very unhappy there.  So your body will take this "head" that likes water, and sticks it on the lipid "tails".
*Correction: This combination is called a Phospholipid

Then they will form a little ball where all the water-hating tails are inside, and all the water-liking heads are on the outside.  This is called a Lipoprotein.

Cholesterol

LDL = Low-density lipoprotein ("Bad") HDL = High-density lipoprotein ("Good")

Density = the amount of stuff you can cram in a limited space
- A lot of stuff in a small space = high density
- A little bit of stuff in a big space = low density

In the lipoproteins, extra proteins are added to help direct it where to go.  HDLs have more proteins to help them stay focused than LDLs, so LDLs are like distracted drivers...

The Egg Controversy (while I avoid a lot of HuffPost articles, and I don't know much else about this author, I agree with 90% of what he says here - and that's more than I can say about other information I find out there)

LDLs also have more triglycerides crammed into them.  Triglycerides have 3 water-hating tails instead of one.

What's the magic number?

You don't need your cholesterol number to be zero.  You need cholesterols to build cell membranes and hormones, you just don't want there to be too much of it.

So the LDLs are less directed so they end up crashing into each other and sticking together.  Then if they crash into the artery wall, they may get stuck there and just becomes a place where more stuff can get stuck.  This is how atherosclerosis and blockages happens.  A bunch of cholesterol is stuck to the walls of the arteries.

There is NO magic number!

HDL: > 40 men, > 50 women
LDL: < 100
Trigs: < 150
TC: < 200

The Bottom Line

HDLs and LDLs are the types of packages your body uses to carry fatty acids around your body.

The main hub of all this cholesterol packing and shipping and using is your liver.  Once the liver is done using all the fatty acids it needs, if there's a bunch extra, it starts packing them away into adipose (or fat) tissue and storing it wherever it can around your body.  And there is NO LIMIT to the size of the fat stores!

The Statin Controversy (this is a great summary - the bottom line being that the people recommending "statins for everyone" stand to benefit greatly in their pocketbook if more people in the world actually started taking (aka buying) statins.

Familial Hypercholesterolemia = genetically inherited high cholesterol

Lifestyle changes (eating healthy foods and an appropriate amount of exercise) can never be bad for you!

Risk Assessment

If you take your coffee the "bulletproof" way, consult your doctor first.

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Music Credits:  "Radio Martini" Kevin MacLeod (incompetech.com)  Licensed under Creative Commons: By Attribution 3.0  http://creativecommons.org/licenses/by/3.0/