Functional Medicine & Matters Of The Heart
By Dr. Cynthia Crosser
As most people move into middle age, matters of the heart tend to become a focus of their healthcare. And despite the attention to low-fat diets that have been around since the 60s and the vast use of cholesterol lowering drugs, cardiovascular disease remains the top cause of death across all age groups and around the globe. As baby boomers age, the experts predict the situation will worsen, unless current trends are halted or reversed.
Among more progressive, functional medicine practitioners, it’s not all doom and gloom and we are looking beyond overall cholesterol numbers to prevent or reverse heart disease. Cardiovascular disease is multifactorial to involve your food choices, the toxins you’re exposed to, exercise, your level of inflammation, and how you respond to stress and tension.
Functional medicine practitioners go beyond merely addressing the signs and symptom management of lowering cholesterol, blood pressure and blood sugar via pharmaceuticals, they look to find the underlying causes of those symptoms. Understanding the root causes, helps you to identify the major drivers of the risk of cardiovascular disease, inflammatory conditions, free radicals, high blood sugar, blood clotting problems and stress overload. Reducing the cause of heart disease by eating less red meat is far too simplistic.
One such example exists in many cases, where dietary sources have little impact on elevated cholesterol. The body is producing more to handle its own demand. Chronic inflammation may begin to lower testosterone production. The body will produce more cholesterol to revive the hormone, as cholesterol is a precursor to this and many other hormones. We see a similar relationship in hypothyroidism.
An autonomic nervous system response may also create and increase cholesterol production, due to the fact that as more cortisol is needed in stress, it requires more cholesterol. As for genetics, the actual number of people who are genetically predisposed is fairly rare. In most cases, elevated cholesterol is the body’s defense response to something occurring somewhere else in the body. Another such example is one who struggles to get LDLs down which could actually indicate an underlying infection.
The flip-side of this is that normal cholesterol levels do not mean no risk or low risk. In fact, 25% of people who have heart attacks have low cholesterol, while 25% of people with high cholesterol do not have plaque or heart disease.
As a functional medicine practitioner, my approach is to take an extensive history to identify factors that may have set the stage for illness, factors that set off the illness, and those that are facilitating the condition. This information is put into a timeline and matrix to address the system in most need of attention. Many times functional testing and inflammatory markers are utilized. An example of such is advanced testing to identify the actual number and characteristics of lipoprotein particles vs. just the LDL volume we traditionally measure. Lifestyle factors are also taken into consideration and a treatment plan to include these aspects are individualized for that person.
As with so many conditions, inflammation is a driver of heart disease . . . But looking at the whole person can bring massive change and prevention of future problems . . . in matters of the heart.
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