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Dr. Hibberd  

Can My Cholesterol Be Too Low?

Monday, June 28, 2010 2:28 PM

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Question: My doctor recently advised dietary changes because he said my cholesterol was too low. He recommended niacin. I must be the only person in the United States taking medication to treat low cholesterol. I'd sure like a second opinion.

Cholesterol treatment is usually intended only for those with elevated cholesterol. We do not usually treat low cholesterol levels. However, there is more to the cholesterol puzzle than your total cholesterol level.

We all know we should have low total and low LDL (bad) cholesterol levels. Some of us have inherited a low level of HDL cholesterol. This HDL cholesterol scavenges bad LDL cholesterol, preventing it from depositing inside our vessel walls, giving us more protection against heart disease and stroke. The higher the HDL cholesterol, the more protection you have against heart attack and stroke.

Niacin does elevate the protective HDL cholesterol level, and is useful in treating those of us with low HDL cholesterol levels.

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