“Absolutely lipid” (Statins denial)

BANANA

There exist among us those who advocate rejecting all medication in favor of “natural cures,” which are neither, and who implicate physicians and pharmaceutical executives in an alliance to pump patients full of needless, nefarious medication. Some of these potent pills and potions are said to kill people by the millions, which if true, would quickly leave the malevolent medics with no one left to prey on. If there was a conspiracy to sell medication that was without value, it would make more sense to sell placeboes that could be made much cheaper and which would avoid poisoning the customers.

Statins are among the drugs cited by believers in this conspiracy. Statins are lipid-lowering medications that reduce instances of cardiovascular disease among those most at risk. The anti-statin brigade includes the usual suspects, Mike Adams and Joseph Mercola, as well as a new one to me, Leonard Coldwell. The latter claims to have concocted a cure for cancer that is 92 percent effective. If so, there is truth to the hidden cancer cure conspiracy theory because Coldwell has yet to make his treatment publicly available.

Coldwell calls statins a mass murder method that invariably hardens the liver and slices 20 years off your life. In a lengthy retort, the SkepDoc Harriett Hall wrote that statins actually lengthen lifespans for those most at risk for cardiovascular disease, while lowering cholesterol. Coldwell agrees with the last part, but argues this is detrimental since he considers high cholesterol beneficial. But Hall noted, “You don’t die of either too much or too little cholesterol. You die of heart attacks and strokes, and reducing high cholesterol levels reduces your risk of those events.”

Coldwell claims that 250 being considered a normal cholesterol level is an arbitrary number dreamed up, but it actually came from measuring cholesterol levels in large populations. Those studies found that those with higher cholesterol levels were more likely to have heart attacks, and 250 is where the increase in risk was noticed.

Instead of scientifically-researched, tested, and proven statins, Coldwell recommends fending off heart disease with two bananas on an empty stomach. He cites this as a natural cure, even though the bananas we eat are remarkably unnatural, having been modified from a tiny, green, barely edible pod into today’s scrumptious elongated yellow fruit. And while regular consumption of fruits and vegetables promotes good health, there is no evidence for Coldwell’s claim that two daily bananas is an especially potent foe of cardiovascular disease.

Coldwell claims that Big Pharma spokespersons have described statins as a magic pill that will ward off heart attacks and other cardiovascular ailments. Hall shot down this strawman, noting that the medical establishment considers statins to be “drugs with risks and benefits, and the benefits have been determined to outweigh the risks.” It is not magic, doctors know how it works, and know it will work better for some than others.

Mercola and Adams both write that cholesterol has no bearing on heart disease and that statins will impair many biological functions and cause muscle pain. However, Hall’s PubMed search produced more than 30,000 articles on statins research, and a 2016 review of these studies by the Lancet found statins reduce the rate of heart attacks and strokes in at-risk patients by as much as 50 percent.

Of the 30,000 papers, Adams and Mercola cherry-pick a few isolated passages that suggest low cholesterol levels may be associated with higher death rates among the elderly. But the papers also noted this was not a causal relationship. People in their 90s often die for reasons unrelated to low cholesterol.

Critics sometimes label statins as overprescribed and while this strictly speaking is true, it is the result of a medical shortcoming, not a furtive attempt to enrich pharmaceutical executives and their lackey physicians. There is no way to know which patients will benefit from statins, but it is logical to treat anyone who may be at risk of heart attack and stroke. Consequently, many patients will take statins without seeing their risk of cardiovascular disease reduced. While the treatment won’t benefit everyone, those who do benefit do so greatly.

The detractors also highlight the drug’s possible side effects, but according to Hall, only one patient in 50,000 will develop a serious condition as a result of taking statins, and those usually disappear when the medication is discontinued. The critics also gloss over the fact that the side effects of bypassing statins can include premature death.

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