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HEART DISEASE RISK FACTORS: dangerous, usually life-long prescription drug

MOSTLY BALONEY treatments. This is “not particularly effective in


terms of reducing the risk of clinical events (stroke,
Except for those with heart disease or those at heart attack, angina, etc.)”
the highest risk for heart disease, all the standard
medical risk factors add up to mostly nothing when
But What About CRP and Homocysteine?
it comes to predicting heart disease, heart attack,
or stroke. For healthy adults, even the “alternative” Around about 2005 I began wondering about
risk factors like homocysteine and C-Reactive pro- the relevance of homocysteine levels. After all, syn-
tein findings are next to useless. thetic B vitamins would often lower homocysteine
to safe levels, yet do nothing to help heal the heart.
This is a big one since so many multiple risk Was this finding not as important as I previously
factor intervention programs are in full swing, with thought? That may indeed be the case. I now feel
more planned throughout the US and Europe. The that lowering of homocysteine levels has little direct
typical risk factors include cholesterol, smoking,
correlation to heart disease.
blood pressure, and diabetes. Programs include
prescription drugs as their centerpiece, with coun­ And while I still monitor the C-Reactive protein
seling and education as adjunct treatments. These (CRP) levels in heart patients, I now feel that a high
are led by the American Heart Association, the CRP level is just an ancillary finding. In some cases,
AMA, local and state governments, and even the it can help diagnose inflammation or infection in the
federal government. coronary arteries. But it is probably not the major
risk factor that many of us were convinced of.
Yet just as was found 10 years ago by the
Cochrane Heart Group and Cochrane Collaboration So it’s back to basics. Taking all the tests,
(www.cochrane.org), treating risk factors was getting all the counseling, following the low-fat
“ineffective in achieving reductions in total or diet, and taking the drugs like Caduet (a cholesterol-
cardiovascular disease mortality (death).” Indeed the lowering and blood pressure drug combined into
findings of these interventional programs showed one) doesn’t amount to much and can even hurt you.
that some people actually got worse. Overall deaths Instead, eat whole foods, exercise, drink pure water,
actually increased among the drug-treated group keep a positive attitude, and use phytonutrients
with high blood pressure. And some did benefit. when needed. This is the formula for heart success.
Those were the folks at the very highest risk of
This will be a hard pill for most in the medical
heart disease.
profession to swallow. After all, screenings,
But in the end, it showed once again that high interventions, and drugs are critical to their on­
cholesterol, high blood pressure, etc., were poor going control over people and patients. There are
predictors of heart disease, stroke, or death in thousands of well-meaning physicians right now
healthy people. And the same can be said for the that truly believe that a statin (cholesterol-lowering)
biomarker risk factors like homocysteine, C- drug should be prescribed for every American over
Reactive protein, B-type natriuretic peptide. The age 50!
conclusions were that the costs of using these risk
factors and treating for the same are very high, and
these resources would be better spent in other areas, More Medical Myths
or simply on those at the highest risk levels. The risk factors for heart disease are taking their
place among medical myths. While the list of myths
If you are healthy, and when your health
is growing, some of the classics are:
screening finds your cholesterol at 250 (which is
normal), or your blood pressure to be 140/90 (which 1) Taking an aspirin a day forever will make
is normal), do not be fooled into taking powerful, you live longer.

Reprint © 2007 Health Alert HEALTH ALERT 100 Wilson Rd., #110, Monterey, CA 93940 1-800-231-8063 
2) Low-carbohydrate diets are unsafe and inef- 8) Water fluoridation prevents tooth decay and
fective for losing weight. is perfectly safe.
3) Nearly everyone would benefit by using These are classic medical myths. They become
statin (cholesterol-lowering) drugs. malignant myths when they are prolonged for more
than 15 years. Almost all of these fit that definition.
4) Nearly everyone over age 50 should take
blood pressure drugs.
5) All radiation is dangerous unless adminis-
tered by an oncologist.
6) Annual mammograms and follow-up treat- To learn more about Dr. West, Health Alert, or
ment prolong life. to sign up for your own subscription, please
7) Cancer treatments are better than ever—with visit www.healthalert.com or call our office at the
cure rates of over 60%. number below.

Reprint © 2007 Health Alert HEALTH ALERT 100 Wilson Rd., #110, Monterey, CA 93940 1-800-231-8063 

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