HDL vs LDL: Cholesterol Ratio

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It’s a bit of misconception the idea about HDL is being the good cholesterol and LDL being the bad cholesterol, says Lisa Klein-Davis, Physician Assistant with Miami Cardiac & Vascular Institute.
She explains some people can have the same amount of what is bad or good cholesterol, but some people might be more prone to particles being atherogenic or plaque forming type particles where somebody else with the same number.

Dr. Jonathan Fialkow, Chief Population Health Officer with Baptist Health South Florida, agrees with her and affirms he tells people there’s no such thing as good and bad cholesterol. “There’s cholesterol,” he affirms.

He also says cholesterol doesn’t travel freely in the body, it’s encased in lipoprotein particles and there is not a cholesterol disease. The disease is atherosclerosis.

Transcript
We have the good cholesterol, and the bad cholesterol, what’s the difference?.> It’s a bit of a misconception the whole idea about HDL, is being the good cholesterol, LDL being the bad cholesterol, it depends some people their probe their particles are going to be more atherogenic because of other outside stressors, other things that cause inflammation, so some people can have the same amount of what we think of as being the bad cholesterol, in some purpo one person might be more prone to those particles being atherogenic or plaque forming type particles where somebody else with the same exact number, won’t have a problem, so there’s a lot of other factors that we have to look at.> I always tell people there’s no such thing as good and bad cholesterol, there’s cholesterol.> You’ve just broken down everything that happens from every doctor I’ve ever been to in my life, that always goes through good and bad cholesterol, so then, how are people supposed to then take that?, because I guarantee that everybody watching the show, has had a doctor’s say to them, you have good and bad cholesterol.> Again we’re being very strict, there’s no such thing as good and bad cholesterol, there’s only cholesterol, cholesterol doesn’t travel freely in the body, it’s encased in what are called lipoprotein particles, which is what Lisa was alluding to, so the reality is the same cholesterol if it’s in a particle that’s taking it out of the body we’ll say it’s good, because it’s not getting into your arteries, if it’s the same cholesterol in a particle that’s going into your arteries, we’ll say it’s bad because it’s going into the arteries where it can cause disease, so cholesterol is cholesterol, but how it travels, how it’s packaged, will determine where it’s good or bad, and as Lisa said, it’s more than just a cholestero,l you could have cholesterol in these particles, they’re not getting into the arteries, doesn’t affect you in any negative way, so the art is how we get to the people prevent it from getting into the artery walls, keep the cholesterol on its way out, and not let them get the disease we can’t concern about, this there’s no disease high cholesterol, the disease is atherosclerosis, the diseases how it affects your arteries.
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