more reasons to avoid statins
The use of statin drugs to lower cholesterol is founded upon a fundamental misunderstanding of cholesterol's role in heart disease.
The unsystematic and inconsistent association of high cholesterol with heart disease is first simplified into a mythical consistent, systematic association. A second error is made in pointing to the presence of cholesterol in atherosclerotic lesions as indicating biological plausibility for a causal role of cholesterol in this association.
Yet, as Dr. Ravnskov points out in The Cholesterol Myths, if high blood cholesterol was responsible for the accumulation of cholesterol in those plaques, then cholesterol would accumulate most in those plaques when its level is the highest. On the contrary, what we see is that cholesterol is absent from atherosclerotic plaques until after the middle-age peak in cholesterol levels, where it begins accumulating when blood cholesterol begins declining.
In The Doctor's Heart Cure, Dr. Al Sears discusses how injuries to the blood vessels from homocysteine, bacterial toxins, components of cigarette smoke, and other abrasive materials, recruit the immune-repair response of LDL cholesterol and white blood cells, which results in a rough patchwork that can cause obstruction of blood vessels down the road.
Many positive behaviors have what is considered a "positive effect" on blood cholesterol levels. For example, quitting smoking, losing weight, and exercising will all cause a "favorable" change in LDL to HDL ratios.
Yet where is the value? If one lowers homocysteine by increasing B vitamins, and thereby lowers the need for LDL cholesterol's repair activity in blood vessels, does the body rejoice at the lack of LDL? Or does it rejoice at the absence of abrasive injuries to its blood vessels?
If one makes a favorable change in lipoprotein ratios by exercising, does the body rejoice at the cholesterol levels? Or do the cholesterol levels simply reflect the body's rejoicing in response to the positive effects of exercise?
The idea of using statins or herbal agents to lower cholesterol misses the point. There are two kinds of lowering cholesterol. One can lower cholesterol by decreasing the body's need for cholesterol (e.g. exercise, quitting smoking, losing weight, increasing nutrient intake) or one can decrease the cholesterol level directly (e.g. statins, red yeast rice, various "natural" therapies).
The two are fundamentally different. The former assumes cholesterol levels to reflect other positive and negative processes in the body. The latter assumes cholesterol levels in and of themselves to be the causative agents in health-damaging processes.
These two understandings can make the difference between helping and harming the body.
If cholesterol is needed, for example, to manufacture hormones involved in stress adaptation such as cortisol, and therfore cholesterol levels rise along with harmful chronic stress, removing the stressors and learning to master relaxation will lower cholesterol at the same time as lowering cortisol and the harmful stress that elicits those compounds.
On the other hand, if those stressors remain in place, and the body's need for cortisol and need for cholesterol remains intact, what harm could result in sabotaging the body's ability to meet that need with "cholesterol-lowering" drugs?
Of course, it is a misnomer to refer to statins as "cholesterol-lowering." Statins have other independent effects, such as anti-inflammatory effects. But statins do not directly inhibit cholesterol synthesis. They inhibit the precursor to all isoprenes, mevalonate. They should be called isoprene-lowering drugs, which means that they equally attack cholesterol, squalene, coenzyme Q10, and the very many proteins that utilize varying isoprene side-chains for many different functions.
It will be a long time before we find out fully what the true effects of statins are, although as Dr. Ravnskov has pointed out, evidence already indicates they cause some forms of cancer.
If their value is in their anti-inflammatory action, would it not be safer to pursue the many natural therapies such as nutritional supplementation that can more safely inhibit inflammation? It makes sense to start with the basics and begin reincorporating some of the substances found naturally in human diets-- such as small amounts of DHA and EPA-- that are missing in standard modern diets, before we begin popping expensive pills that disrupt a plethora of important biological systems within our bodies.