He should also consider taking fish oil supplements and maybe some garlic pills.
+ excericse.
Fish oil works, exercise works, garlic is sketchy. Niacin is excellent for TG but just decent for cholesterol (lowering LDL and increasing HDL)but it's quite cheap. The problem is you need 1-3g daily doses which produces profound flushing. There's a bound-form of niacin that reduces flushing and several companies market sustained- (or delayed-) release versions that reduce flushing. At least one company has combined their 'statin' with niacin in a single pill.
Kind of what I did and my overall cholesterol dropped. It was too high, but my triglycerides were in the 650 range whenthey shold have been under 200. Now everything is cool and back to normal without taking lipitor and other drugs.
Congratulations . . .
i second that. Pfizer just announced last week that Lipitor lowers heart attack risk in diabetes patients and also healthy volunteers with no diabetes. There's a reason why Lipitor #1 selling drug in the world, with over 8 billion dollars in sales in 2002 alone.
Lipitor (atorvastatin) sells b/c it has Pfizer's workforce pushing it. There is evidence that some statins are better than others at important outcome variables (coronary events, coronary mortality). Lipitor is at best in the middle of the pack. Pfizer priced it competitively and keeps every internal medicine doctor's cabinet filled with samples.
A high fiber (soluble and insoluble) diet can reduce cholesterol.
Ditto but it requires some calculus. If you eat a whole lot of cholesterol then either decreasing intake (or absorption by increasing for fiber intake) is typically helpful. If you've got moderate consumption but bad genes (excess endogenous production, poor utilization, poor transport) you are screwed. It's possible your cholesterol will increase if you eat
less cholesterol.