Susan B. Dopart M.S., R.D.

You may have heard those four dreaded words from your physician:  “Your cholesterol is elevated." Then the next feared sentence – “I would like you to consider going on a statin drug.”  Statin drugs are ones like Mevacor, Lipitor, and Crestor.  The drug companies prefer most people to be on one.  A few years back the guidelines magically changed for the optimal value for LDL (the lousy cholesterol as I like to call it).  It is now recommended that the LDL value be below 70 versus the old recommendation of 100 mg/dl.

It is almost impossible to have an LDL value below 70 WITHOUT being on a statin drug – presto!  However, are there alternatives to statin drugs and what is the research showing?

A 2008 study published in The Lancet looked at the difference between statin drugs versus supplements of omega-3 fatty acids on heart failure.  After almost four years of follow-up, the group taking the omega-3 supplements reduced the risk of mortality by 9 percent and admission to the hospital for any cardiovascular cause by 8 percent.

There were no differences seen in lowered risk of mortality or hospital admissions in the group on statin therapy.  Therefore, the omega 3 supplements were more effective than the statin drugs.  What are omega 3 fatty acids and how do they work?

There are 3 types of omega 3 fats:  ALA, DHA and EPA.  I will spare you the long names but will share with you where they are found and how to incorporate them into your diet.  ALA is found in the highest concentration in ground flax seed.  If you incorporate 1 tablespoon per day into your diet you will meet you needs for ALA. 

DHA and EPA are found in fish and fish oils.  If you consume fatty fish on a regular basis (2-3 times per week) you can easily meet your needs.  If you are not a fish lover, there are liquid fish oils that are easy to incorporate into a smoothie, yogurt and just take by themselves.

Omega 3 fats are extremely effective at lowering all kinds of inflammation in the body including cholesterol and heart disease.  Combined with a balanced healthy diet of lean protein sources, fruits, vegetables, and exercise there are many alternatives to going on statin drugs.

So if you ever hear those 4 dreaded words from your physician know you have a choice and omega 3 fats may be one of the answers.  Or better yet, be prepared in advance and make the necessary changes before you have to have a cholesterol conversation with your physician.   And remember – it is prevention not prescription!