'What would you do about it?'
I would eat fish
"How You Can Improve Your TG/HDL Ratio
You can improve your TG/HDL ratio in two ways. First, decrease your insulin levels. Excess insulin has been shown to increase triglyceride levels; lowering insulin will lower these levels. Another way to decrease the TG/HDL ratio is to supplement your diet with high-dose, ultra refined-grade fish oils.* Of course, the fastest and most effective way is to do both simultaneously.
The speed at which simple changes in the diet can improve your TG/HDL ratio was demonstrated in a study, conducted by Gerald Reaven at Stanford, in which patients were put on diets consisting of the same number of calories but differing in their protein-to-carbohydrate ratio. When these patients consumed a high-carbohydrate diet, they had a much higher TG/HDL ratio than when they switched to a lower-carbohydrate diet. These changes occurred within four weeks of each dietary change.
Likewise, Bruce Holub at the University of Guelph in Canada has shown that postmenopausal women can rapidly reduce their diets with 3.5 grams of ultra refined-grade fish oil per day.
Now let’s say we combine these approaches. This could only result in an enhanced improvement in the ratio. This combined approach is my dietary program.
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They were amazed to find that the patients with the low TG/HDL ratio who smoked, didn’t exercise, had hypertension, and had elevated levels of LDL cholesterol had a much lower risk of developing heart disease than those who had a far better lifestyle but a higher TG/HDL ratio. This indicated that lowering your TG/HDL ratio may have a far greater impact on whether you develop heart disease than adopting a better lifestyle
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If cholesterol levels are not the best way to predict heart disease, what is? The other theory about the molecular cause of heart attacks, put forward in the 1970s, primarily by Russell Ross of the University of Washington, was that atherosclerosis was an inflammatory disease (like Alzheimer’s disease). Since inflammation is a very complex process and very difficult to measure in the bloodstream, this theory of heart disease had far fewer advocates.
Cholesterol was still blamed for most cases of heart disease up until the mid-1990s. Through the 1970s and 1980s, drug companies kept rolling more and more cholesterol-lowering drugs into the marketplace, even though these drugs caused only modest reductions in the rate of heart attacks. In 1995, though, a new class of cholesterol-lowering drugs, called statins, came onto the scene. These drugs were found to be far more effective at preventing heart attacks than other cholesterol-lowering drugs. Cardiovascular researchers were certain that those wonder drugs worked their magic by lowering “bad” cholesterol levels. (The fact that lowering insulin did the same was never considered.)
As it turns out, statins were like the great and powerful Oz – just a man behind the curtain. They didn’t work their magic by lowering cholesterol levels. They actually had a much broader spectrum of action than anyone ever anticipated: they were also powerful anti-inflammatory agents. At the same time as this discovery was made, researchers at the Harvard Medical School found that certain pro-inflammatory proteins, called C-reactive proteins, were highly predictive markers for an increased risk of heart disease. With this new clinical tool, they and other researchers found that statin drugs lowered the levels of these C-reactive proteins. In fact, it was in the patients with the highest levels of C-reactive protein that the statins had their greatest impact. Thus, statins worked just like aspirin to reduce inflammation and thus reduce heart attacks – only statins cost a lot more and are less effective. (The statins also involve one other small problem: they potentially decrease cholesterol-production in the brain. This would lead to decreased production of new synaptic connections and loss of memory, which is one of the known side effects of these drugs.)
Heart Disease Rx: Reduce Inflammation
If reducing inflammation is so powerful in reducing our death rate from heart attacks, the solution should be simple: add more fish oil to the diet. This idea was first posed in the 1970s by researchers who found through epidemiological studies that Eskimos in Greenland had virtually no heart disease even though they consumed a high-fat diet. Over the years, additional studies suggested that the more fish you consume, the lower your risk of dying from heart disease."
www.cbn.com/health/naturalhealth/drsears_heartattack.aspx