Category: Health Maintenance

All things prevention and lifestyle!

How to Improve Your Good Cholesterol & Lower Risk of Heart Disease

How to Improve Your Good Cholesterol & Lower Risk of Heart Disease

When focusing on the normal levels of LDL (the bad cholesterol) and disregarding the levels of HDL (the good cholesterol), we may falsely believe we are at low risk of heart disease. Low HDL puts you at risk for heart disease even if your LDL is normal. GET YOUR HDL UP. Keep reading to learn how!

Not all physicians walk through the blood tests after getting blood work done, one reason being that they are crunching for time. I don’t particularly like simply stating to my patients that their cholesterol is high and they need to improve their diet and then moving on with the conversation. I like explaining the numbers and discussing HOW they need improvement, including beneficial supplements. 

If you haven’t read my blog post “HOW TO REDUCE YOUR RISK OF HEART DISEASE BY GETTING TO KNOW YOUR CHOLESTEROL LAB TEST,” in which I break down the components of the lipid panel, I suggest reading that first.  

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Less Medication! Nurturing Growth through Lifestyle Changes in Healthcare

Why is HDL important?

HDL, or high-density lipoprotein, is often referred to as “good” cholesterol because it helps remove LDL (low-density lipoprotein) cholesterol, the “bad” cholesterol, from the bloodstream. HDL carries cholesterol away from the arteries and back to the liver, where it’s processed and eliminated from the body. Because HDL helps remove excess cholesterol from the bloodstream, reducing plaque buildup in the arteries, higher HDL cholesterol levels are associated with a LOWER risk of heart disease.

What is considered low?

  1. For men: HDL cholesterol levels below 40 milligrams per deciliter (mg/dL) are considered low.
  2. For women: HDL cholesterol levels below 50 mg/dL are considered low.

What is a good HDL level to aim for?

Ideally, you want HDL above 60 – the higher, the better!!!

How do I improve my HDL levels?

1. Healthy Diet: 

Eating a heart-healthy diet can help improve HDL levels. Focus on consuming a high-fiber diet, such as vegetables, fruits, nuts, seeds, and whole grains; eating healthy fats regularly; and limiting saturated and eliminating trans fats, which can raise LDL cholesterol levels.

Examples of foods containing high levels of healthy fats such as omega-3: 

Fatty Fish: Fatty fish are one of the best sources of omega-3 fatty acids. Consume two servings a week of fatty fish. 
Examples include:
   – Salmon
   – Mackerel
   – Sardines
   – Trout
   – Herring
   – Anchovies
   – Tuna (especially albacore or yellowfin tuna)

Walnuts: Walnuts are unique among nuts because they contain a significant amount of ALA omega-3 fatty acids. They make a convenient and tasty snack or can be added to salads, oatmeal, or baked goods.

Flaxseeds: Flaxseeds and flaxseed oil are rich sources of alpha-linolenic acid (ALA), a type of omega-3 fatty acid. Ground flaxseeds can be sprinkled on yogurt, oatmeal, or smoothies, while flaxseed oil can be used in salad dressings or added to dishes after cooking.

Chia Seeds: Chia seeds are another excellent plant-based source of ALA omega-3 fatty acids. They can be added to smoothies, yogurt, or oatmeal or used to make chia seed pudding.

Hemp Seeds: Hemp seeds are rich in omega-3 fatty acids and a good source of protein and fiber. They can be sprinkled on salads, yogurt, or blended into smoothies.

Soybeans and Soy Products: Soybeans and soy products such as tofu and edamame contain ALA omega-3 fatty acids. Incorporating these into your diet can help boost your omega-3 intake, especially if you follow a plant-based diet.

Sea Vegetables: Certain types of sea vegetables, such as seaweed and algae, contain omega-3 fatty acids, particularly EPA and DHA. These are commonly consumed in Asian cuisines and are also available in supplement form for those who don’t consume fish or fish oil.

2. Regular Exercise: 

Regular physical activity, such as aerobic exercise (e.g., brisk walking, jogging, swimming, cycling), can raise HDL cholesterol levels. As recommended by health guidelines, aim for at least 150 minutes of moderate-intensity exercise or 75 minutes of vigorous-intensity exercise per week.

3. Maintain a Healthy Weight: 

If overweight or obese, decreasing calorie intake and losing excess weight can help improve HDL levels. Even modest weight loss can have a positive impact on HDL cholesterol. Focusing on cutting down on simple carbohydrates and increasing protein will help lose weight while lowering cholesterol. 

4. Quit Smoking:

Smoking lowers HDL cholesterol levels and increases the risk of heart disease. Quitting smoking can lead to an increase in HDL cholesterol over time.

5. Taking Omega-3 supplements 

In addition to incorporating omega-3-rich foods into your diet, you may need to take supplements to improve your HDL. Fish oil supplements, in particular, are a popular choice for boosting omega-3 levels. They typically contain high concentrations of EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid), two types of omega-3 fatty acids that have been extensively studied for their cardiovascular benefits. Taking fish oil supplements can quickly obtain concentrated doses of EPA and DHA, which may help raise your HDL cholesterol levels and improve overall heart health. 

The major key to improving your cholesterol to lower your risk of heart disease and preventing chronic medical conditions such as high blood pressure, diabetes, impotence, and loss of mental acuity is to improve your nutritional intake. Focus on increasing your intake of vegetables, fruits, nuts, seeds, and whole grains. Avoid fried foods, refined carbohydrates, and trans-fats. By simply cutting down on simple carbohydrates (the big four – potato, bread, pasta, rice) and increasing protein, it can dramatically reduce your cholesterol levels.

I hope you found this blog post helpful. If you did, please share this on your social media and with friends and family!

Check out my other blog posts related to your well-being on my health page. Be sure to subscribe to my YouTube channel and follow me on my social media platforms (IG, TikTok)!

How to Reduce Your Risk of Heart Disease by Getting to Know Your Cholesterol Lab Test

How to Reduce Your Risk of Heart Disease by Getting to Know Your Cholesterol Lab Test

Your doctor will check your lipid panel at least once a year. A lipid panel is a blood test measuring various cholesterol and fats in your bloodstream. It generally includes total cholesterol, triglycerides, HDL, and LDL. It may also measure VLDL and non-HDL cholesterol. While this test is not the best predictive marker, it is what is commonly used to evaluate for risk of cardiovascular disease. Advanced lipid testing with better predictive risk factors include lioprotein subfractions and particle sizes in addition to the lipid markers and inflammatory markers. In this post we will be talking about the commonly used marker that evaluates for risk of cardiovascular disease, the lipid panel.

Not all physicians walk through the blood tests after getting blood work done, one reason being that they are crunching for time. I don’t particularly like simply stating to my patients that their cholesterol is high and they need to improve their diet and then moving on with the conversation. I like explaining the numbers and discussing HOW they need improvement, including beneficial supplements. 

Teaching what the values represent, the levels we need to aim for, and the changes we need to make really clarifies and motivates patients to improve their lifestyles. Repeating their lipid panel in 6-12 months tells us if their changes are making a difference. 

Here is what each value typically indicates: 

1. Total cholesterol: 

This measures the total amount of cholesterol in your blood, including both “good” (HDL) and “bad” (LDL) cholesterol, as well as very-low-density lipoprotein (VLDL) cholesterol. It should generally be less than 200. Since total cholesterol includes “good cholesterol,” I don’t focus on this when discussing the results with my patients; I go into the breakdown. 

2. Triglycerides:

Triglycerides are a type of fat found in your blood. Elevated levels of triglycerides are associated with an increased risk of heart disease, especially when combined with high levels of LDL cholesterol and low levels of HDL cholesterol. Although this is a type of fat in the vessels, high triglyceride correlates with excess calorie intake, a high-carb diet (refined carbohydrates), and lack of exercise. It should be less than 150, but ideally less than 100, and the lower the better.

3. High-density lipoprotein (HDL) cholesterol: 

Physicians often overlook high-density lipoprotein (HDL) levels. HDL is called the “good” cholesterol because it helps remove LDL cholesterol from the arteries. HDL is a protein that transports cholesterol from the cells and blood vessels back to the liver to be broken down or reprocessed. Therefore, we want more HDL to be around to get rid of the excess cholesterol and prevent it from causing damage.

Higher HDL cholesterol level is associated with a lower risk of heart disease. Low HDL levels correlate with low intake of healthy fats like omega-3 in our diet, lack of exercise, and high levels of bad cholesterol. Ideally, you want HDL above 60; the higher, the better. You can read my blog post on improving your good cholesterol and lowering your bad cholesterol

4. Low-density lipoprotein (LDL) cholesterol:

LDL is often referred to as “bad” cholesterol. LDL is the protein that carries cholesterol from the liver (where it is produced) to the blood vessels to transport the cholesterol to cells throughout the body. Cholesterol is an essential component of every cell in our body. However, when there is excess cholesterol production, LDL cholesterol builds up in the walls of your arteries, leading to atherosclerosis and increasing the risk of heart disease and stroke.

A diet consisting largely of cholesterol-rich foods like fried foods, sweet baked goods, and trans-fat-containing foods increases LDL. For low-risk, non-diabetic patients, LDL should be less than 100. For those at high risk, such as those with diabetes, LDL should be less than 70. 

5. Very-low-density lipoprotein (VLDL) cholesterol: 

VLDL is a type of lipoprotein that carries triglycerides in the blood. Elevated VLDL cholesterol levels can also increase the risk of heart disease, but this is not always calculated as part of your lipid (cholesterol) panel.

6. Non-HDL cholesterol: 

This is calculated by subtracting HDL cholesterol from the total cholesterol. It measures all the “bad” cholesterol in your blood, including LDL and VLDL cholesterol. Non-HDL cholesterol is considered a better predictor of cardiovascular risk than LDL cholesterol alone. For low-risk patients, this should be less than 130. For high-risk patients, such as those with diabetes, it should be <100 or even less than 70 based on their comorbidities.

MY DOCTOR SAID MY LIPID PANEL LOOKS GOOD, BUT AFTER READING THIS, I DO NOTICE THAT MY HDL IS LOW, AND I AM AT HIGH RISK OF HEART DISEASE! How do I improve my good cholesterol? Please read my blog post on how to improve your good cholesterol

I hope that this is helpful to you and that you feel empowered to improve your health. If you found this useful, please share it on social media and with friends and family.  

Go to my Health page to check out additional blog posts related to health topics. Be sure to subscribe to my YouTube channel and follow me on my social media platforms (IG, TikTok)!

Less Medication! Nurturing Growth through Lifestyle Changes in Healthcare

It is great to see the shift among Millennial physicians towards a more holistic approach to healthcare. Instead of solely relying on medication, this approach emphasizes the significance of lifestyle changes. It involves addressing individual behaviors, empowering patients, and adopting a collaborative approach to overall well-being. I believe we can attribute this positive change to the “woke” culture to some extent. What are your thoughts on this?

The Changing Landscape of Patient Care:

In the past, medication was frequently the primary method of treating patients. However, healthcare professionals now recognize that this approach has its limitations. The emphasis nowadays is on how lifestyle choices impact overall health. As a result, personalized interventions are often more effective than a generic, one-size-fits-all approach.

Education and Empowerment:

Giving patients knowledge about how their lifestyle choices affect their health is critical to this approach. As healthcare professionals, we now act as teachers, informing patients about how their daily decisions impact their health outcomes. The goal is to help patients understand their role in their healthcare journey.

Addressing Root Causes:

Addressing underlying issues is critical to this approach. We are now looking more closely at lifestyle factors contributing to health issues. Instead of just treating symptoms, we focus on understanding and preventing problems.

Personalized Medicine in Lifestyle Interventions:

Using personalized medicine in lifestyle interventions is a big step forward. Tailoring interventions to the patient’s characteristics recognizes that everyone’s needs and responses differ. Using technology and data, we can personalize interventions and make them more effective.

Collaborative Healthcare:

Collaboration is becoming more and more critical in healthcare. Working together as a team is crucial in achieving optimal health outcomes. This means that healthcare professionals and patients must work together as partners in the healthcare journey.

Inspiring Growth and Change:

Prioritizing lifestyle changes is not just about reducing risk factors; it’s also about inspiring growth. Encouraging patients to embrace positive lifestyle changes is critical. Success stories can be inspiring, showing patients how small changes can make a big difference to their health.

Challenges and Opportunities:

Like any significant change, there are challenges. It’s essential to address the barriers to implementing lifestyle-focused care. But these challenges also create opportunities for growth and development. Adapting to the changing healthcare landscape means embracing change and continuously refining approaches.

In conclusion, the shift towards prioritizing lifestyle changes in healthcare is a big deal. It’s a move away from just relying on medication and towards a more complete approach that includes growth, collaboration, and personalized, holistic care. By working together, healthcare professionals and patients can shape the future of healthcare for the better.

I hope this was helpful! Follow me on Instagram, TikTok, Threads, and subscribe to my YouTube Channel!

My Start Of Intermittent Fasting

Hi you guys!! It has been a minute since I wrote a blog post! What have you guys been up to? Here is a quick update on my life.

  1. I was studying for Step 3 then a few personal things happened and I had to take a step back — but I am starting it up again soon!
  2. My older sister and brother-in-law made me an AUNT!!! I was SO excited to meet this baby for the longest time (even before my sister found the love of her life). It is a BOY and he is incredibly cute, smart (I can already tell), OH SO HANDSOME, and the sweetest little boy I have ever laid eyes on. I mean, well, there is also my little brother who is amazing too. Follow me on my IG and you can meet him through my stories! @Dr.Mursi.MD
  3. I applied for residency TODAY! Keep me in your prayers! Also, keep a lookout for residency posts (both, here on my blog and on my YouTube channel).
  4. I GAIN FREAKIN’ WEIGHT. I am so upset because I gained ~20 pounds while studying for step 1 and then lost about 10 pounds of it and now I am back up 10 pounds again (keep reading I will tell you my weight now and my goal)! How the hell did I get here?! I can answer that: Age. Metabolism. Laziness. Unable to control my sweet tooth.

So, intermittent fasting, I have been on and off with this and it does some serious pound-shredding if you are consistent! When I live on my own, I am pretty good about keeping my weight off, it is when I come home from my parent’s house! I swear my mom is my weight’s worst nightmare. She just keeps FEEDING ME.

I have warned her: “Mother, if you tell me to eat more again, I will stop eating completely and go hungry and it will be your fault that I die of starvation! Is that what you want? Me to go hungry?” LOL!! Then she stopped forcing me to eat extra for fear that I wouldn’t eat. Little does she know…. All jokes aside (well, I wasn’t joking..) I am getting into some serious business of feeling my healthier self again.

I currently weigh 140 lbs and my goal is 120. I would like to lose 20 pounds in total–of course, promptly. I have NEVER been about the numbers, but as I am getting older, it is time to be careful. I will be starting my intermittent fasting today. It is currently 6:41 PM. Would you like to start it with me?

I will fast for 14 hours starting now. I am using an app called Zero. You can select the hours you want to fast. Remember, you can drink water during this time, but nothing else. I will check back in one week to update you guys on my weight. I will have to take my weight at the same time (6:30ish PM). Let’s start!!! Here is a screenshot showing my timer. Now it is YOUR TURN, check your start weight, select your goal weight, mark your calendar, and get the app — oh, and start your fasting today!

We can try to lose the pounds together!!

See you in a week in my next post!!

Much Love,
Mursi

Sunburn | Cause, Prevention & Treatment

We all know what sunburn is (most likely had one at some point), but I don’t think we know enough about it. Let’s take a better look at what happens when you have too much ultraviolet radiation (UVR), why you should protect yourself and how to protect youself.

Excessive sun exposure can lead to acute sunburn (aka solar erythema). The sun damages the DNA directly when you get extensive sun exposure leading to inflammation and the killing of skin cells. This inflammation also causes vasodilation of the skin’s blood vessels leading to the appearance of redness and it can even cause swelling if the burn is pretty bad. Your sunburn will appear red about 3-4 hours post sun exposure. This is why when you are laying under the sun on the beach, you won’t get red right away. You will see it 3-4 hours after. The damage of your skin layer begins within 2 hours after UV exposure.

Why do your sunburn itch and hurt? It’s from the release of mediators including histamine (which causes the itch) and there the formation of prostaglandins (which cause the pain).

After going to the beach, several hours later I felt fever, chills, nauseous and even vomited. What is going on?” This is from sun exposure. Sunburn most commonly presents with redness of the skin with pain after 3-4 hours of exposure to the sun. You can also have fever, chills, malaise, nausea, vomiting in severe cases. It can blister. The redness will resolve within a week and the skin will peel.

Why do I have swelling after sun exposure? Usually, after sun exposure you have redness, warmth, tenderness, you can even have edema (swelling), and blistering. Swelling can occur in severe sunburn could be due to the inflammatory reaction leading to leakage of capillaries. Blistering is seen in severe cases as well, which mean either you have superficial partial-thickness or deep partial-thickness burn. The deep partial-thickness burn is a second-degree burn. Severe sunburn can also lead to dehydration, heat exhaustion and heatstroke.

BUT I REALLY WANT TO GET A TANIf you are trying to get a tan, sunbath when there is less intense sun exposure (don’t lay during peak hours of sunshine (12 AM – 2 PM — this may vary depending on your location). Also, lay for a short duration. I understand your desire of wanting a tan! I want that glowing tanned skin look too! In fact, when you get a tan, this will increase in skin pigmentation and will provide some protection against further UVR-induced damage. You will have more melanin (which is what you have more or less of depending on your skin color; if you are dark skinned you have more melanin and if you are light skin, you have less melanin; more melanin = more protection). BUT REMEMBER, you should always, ALWAYS wear sunscreen. Even when you want to get a tan.

Is it true that if I wear clothing do it will protect me from the sun? Not always. UVR can transmit through clothing, especially if it is wet. Look into what clothing is more protective.

My recommendation: ALWAYS use sunscreen and use it 15 minutes be for leaving your house. Be good at reapplication after 2-3 hours or after getting out of the water (pool or beach, etc).

Prevention: Use sun protection factor (SPF) of 30 (there hasn’t been an indicating that states using higher SPF is more protective). SPF 30 is more than sufficient. And as long as you are using it prior to 30 minutes to sun exposure and reapplying every 2-3 hours or after swimming, sweating or toweling off, you will be well protected. Avoiding the sun during the period of peak solar radiation can help prevent sunburns (10AM-4PM). Let’s be honest, when we go to the beach, we want to swim during these hours, I usually avoid going outside between 12-2, because this is when its the strongest. However, when I go to the beach, this is the best time to be swimming because it feels so good to be under the hot sun and in the cool water. Just be good about reapplying sunscreen. Have an umbrella with you and get under the umbrella after you get out of the sun and apply your sunscreen. Let it set. Protective clothing includes wide-brimmed hat or sun visor.

Treatment: Naproxen, this will inhibit inflammatory reaction and pain by decreasing the activity of cyclooxygenase, which decreases the production of prostaglandins which is what is causing the pain.

Aspirin, ibuprofen can also be used. Ibuprofen is usually the drug of choice for mild to moderate pain. If you have hypersensitivity to aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs), then acetaminophen is better, especially if you have GI or renal issues or are on oral anticoagulants. Elderly will do better with acetaminophen to avoid any GI and renal adverse effects. Acetaminophen will help with the pain but it doesn’t have an anti-inflammatory effect.

The best thing to do for your sunburn is taking cool baths or showers, using NSAIDs for the pain and to decrease the inflammation and avoid further sun exposure.