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Ranitidine HCL

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NUTRITION FOR PEOPLE WITH CORONARY HEART DISEASE: CHOLESTEROL
The first aim of controlling your diet is to keep your total cholesterol level, especially your LDL cholesterol level, as low as possible. This LDL cholesterol is delivered to the tissues and, if high, can be deposited in the arteries. It is desirable for the other kind of cholesterol, HDL cholesterol, to be high. HDL cholesterol is related to removal of cholesterol from the tissues and is not related to deposition in the arteries. The LDL cholesterol level rises in those who have a high intake of saturated fat.
A low intake of saturated or animal fat will lower your cholesterol levels. Often patients are disappointed that their cholesterol level is lowered so little through diet alone. For some people, a marked reduction of saturated or animal fat is required to produce even a 10 per cent lowering in cholesterol. However, others are quite successful in lowering total and LDL cholesterol levels by dieting. You need to aim for as low a cholesterol level as possible.
The cholesterol level rises markedly in women after the menopause. Levels of 6.5 mmol/L and more are common and may not be greatly affected by dietary restriction. Hormone replacement therapy may help some post-menopausal women to lower their cholesterol level.
It is sometimes recommended that carbohydrate intake should be increased if saturated fat intake is reduced. This may result in a greater consumption of calories/kilojoules and thus some increase in weight. Increase in weight is associated with depositing of fat throughout the body, particularly within the abdomen. Like the external fat consumed in your diet, that intra-abdominal fat can put your cholesterol level up. Therefore, it is important to keep your weight as low as possible, unless you are already lean. A Mediterranean diet with more vegetables, fruit and grains offers some protection, even if your cholesterol is somewhat high.
Your diet may also be carefully examined by a dietitian. This will probably occur during your rehabilitation program, with discussions about choice of foods and a proper diet. Attention to food intake is the first step in lowering cholesterol. If, despite your best efforts, your cholesterol level remains raised, your doctor has available a range of drugs which have been proved to be effective and safe in lowering your total and LDL cholesterol levels, slowing or reversing the underlying coronary artery disease and improving your long-term outlook and life expectancy.
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