2 doctors weighed in:
How do you get rid of the cholesterol that already clogs your arteries?
2 doctors weighed in

Dr. Milton Alvis Jr
Preventive Medicine
In brief: LDLHDLnotCholesterol
Several ways. Cholesterol: fat molecule manufactured by every animal cell, building block of each cell membrane (enables membrane fluidity/movement without tearing), fundamental to survival of every animal cell.
Lipoproteins (proteins which transport all fats in the water outside cells) is the correct issue for artery disease (e.g. Ldl ?400 nmol/l, HDL ?45 µmol/l). Cholesterol ?$, but misleading.

In brief: LDLHDLnotCholesterol
Several ways. Cholesterol: fat molecule manufactured by every animal cell, building block of each cell membrane (enables membrane fluidity/movement without tearing), fundamental to survival of every animal cell.
Lipoproteins (proteins which transport all fats in the water outside cells) is the correct issue for artery disease (e.g. Ldl ?400 nmol/l, HDL ?45 µmol/l). Cholesterol ?$, but misleading.
Dr. Milton Alvis Jr
Dr. Milton Alvis Jr
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Dr. Milton Alvis Jr
It has been known for over 7 decades, from autopsy studies, that atherosclerosis typically starts ~age 7 (younger in recent decades of high sugar foods & increased childhood obesity, Study: Robert Lustig FatChance), is primarily driven by lipoproteins (the proteins which transport all fats in the water outside cells), not cholesterol (a fat molecule made by every animal cell, part of every animal cell membrane, required for cell membrane flexibility/movement & survival). Cholesterol was promoted not because it was correct but because it was lower cost to measure and partially correlated with LDL particle concentrations, across large groups, though only when the cholesterol blood concentrations are very high, ≥250 mg/dL and triglyceride fat concentrations are below 400 mg/dL. At lower concentrations, the correlation begins falling apart, indeed becomes reversed. Keep in mind that the medical system is not about health. Why? Because people largely take health for granted, until they feel bad or are scared. Physicians are a subset of these same people and medical education is about normality (the central 96% of common), versus disease (health is never mentioned). Life and Health are complicated. As embodied Souls, we are driving the ultimate High-Tech engineered vehicle, an open-system design which organizes dust into life (biblical reference) and remains poorly/only partially understood. Thus the medical industry, Low-Tech by comparison, is mostly about not health but severe enough absence of health (beyond 2 standard deviations from average), labels of abnormality (called diagnoses) and methods (preferably which pay well) to treat symptoms (partially) of advanced disease, even though these may work poorly and complicate disease longer term. Why? Because symptoms are what people experience, pay attention to and are willing to seek help and pay for. On the other hand, it has long been know that the atherosclerosis process is at least partially reversible. It has been my experience, from over a decade, that for people with very advanced disease when the first come to me, that if they are successful in optimizing their lipoproteins (e.g. LDL ≤400 nmol/L, Large HDL ≥9 µmol/L, not cholesterol, see the NMR Particle Test ), can get their HbA1c down, at least ≤6.0%, optimal ≤5.0%, det their usual resting sitting systolic blood pressure ≤120 mmHg, along with don’t/stop smoking, that their recurring symptoms/problems just stop. These goals, with client education and the tools currently available are achievable, in my experience, in ≥80% of the people I see. Why is this not commonly done? It takes lots of physician and clients time, just “office visits” and pays poorly compared with all the widely promoted procedures. (On occasion, I have done angioplasty with DES stents for symptoms, but ideally only after the disease drivers have been dramatically reduced.) Additionally exercise, avoiding dietary sugars, losing body fat etc. also helps and reduces need for medications; Study: NUSI.org, Taubes, “How the Government Makes You Fat” Attia “Stossel Debunking Food Myths” .
Dr. Robert Vorhies
Surgery - Vascular
In brief: Tough luck
Once atherosclerosis has established in a vessel wall there is very little medication can do to significantly reduce it.
On the other hand, if it is not causing symptoms now, you can stop it in its tracks by reducing your risk factors like smoking, high blood pressure, high cholesterol, diabetes and obesity.

In brief: Tough luck
Once atherosclerosis has established in a vessel wall there is very little medication can do to significantly reduce it.
On the other hand, if it is not causing symptoms now, you can stop it in its tracks by reducing your risk factors like smoking, high blood pressure, high cholesterol, diabetes and obesity.
Dr. Robert Vorhies
Dr. Robert Vorhies
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