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From: Brian (
Subject:         Heart Disease Questions
Date: January 7, 2008 at 4:54 pm PST

Hi Jeff

I appreciate your forum very much. It is informative.

I am a 50 year old asian male with coronary artery disease. I currently have 5 stents and have had a heart attack back in 2004.

My cholesterol is around 165 total.. HDL is around 40, LDL is around 100, and Trigylcerides are around 120. These numbers are with a Statin (Pravachol) and Zetia. Without medication, my total cholesterol is around 230. This is even with a Vegan type diet following the basic principles from Dr. McDougall/Esselstyn.

My questions are:

1) Would you recommend Fish Oil to further lower Triglycerides or possibly a little of the LDL?

2) What about taking L-Arginine to improve Nitric Oxide levels?

3) Any other diet or nutrition suggestions?

I exercise regulary, do not smoke, am not diabetic, do not have HBP, and not overweight (155 lbs at 6 feet tall). Most people including Doctors are simply "shocked" to hear I have heart disease.

My major problem is stress from work/life. I do not have a family history of heart disease. Prior to my heart attack, I did eat poorly and my total cholesterol was around 270. And I definitely did not watch what I was eating

In case you think these are risk factors, my Homocysteine level is around 10 and hs-CRP (C-Reactive Protein) is low around 0.3.

Any advice would be appreciated. Sorry for the long post. Thanks for your time in advance.


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