How to raise HDL cholesterol

How to Raise HDL Cholesterol

You may have heart disease or you may be at risk of heart disease. Your cholesterol is abnormal so your doctor puts you on a statin, a cholesterol lowering medication. These medications are good at lowering LDL cholesterol but not your HDL cholesterol. How to raise HDL cholesterol is important and doctors know this. What first comes to mind is how we can do this through medical therapeutic treatment. The AIM-HIGH study analyzed whether raising HDL through the combination statin and niacin therapy would reduce the risk of having a heart attack in people with established heart disease. But the therapy showed no benefit and the study was brought to an abrupt halt more than a year before the anticipated end date.

There is no solid data to show that raising the HDL number does anything in these trials. We do not have a qualitative test to measure HDL function so we are stuck with a simple number that does not reflect functionality. In simple terms, there is no test to measure how well your HDL cholesterol works. Yet we know that raising, HDL cholesterol is good for heart health.
So, how to raise HDL cholesterol? Well to raise HDL cholesterol you can have red wine, however I like to promote aerobic exercise. If you truly wonder how to improve your overall heart health and raise HDL cholesterol then this is your ticket. Get moving well and you will increase HDL cholesterol.

Basically what I am saying is according to the AIM HIGH study, niacin in combination with simvastatin does not have any positive effect. There is another trial coming out the HPS2 THRIVE trial that will see if Niacin has a foot to stand on. My thoughts are if your doctor wants to improve cholesterol profile, make sure they discuss the importance of actually reducing inflammatory response. There are all these targets out there to lower LDL levels, however how to raise HDL cholesterol levels do not have a specific target because there is no drug out there to do this yet. Focus on inflammation get this low with possible medications, and really focusing on exercise , heart health nutrition and stress management. I know this sounds like hard work but keep the focus.

To your heart health success,

Diamond Fernandes

What is a Heart Stint ?

What is a heart stint? A heart stint is a bare metal device that goes into the arterial walls of the heart. Heart stints are actually called heart stents. It is a common mistake people make thinking they had a heart stint versus a heart stent.

Stint or stent well now we know it is stents.

It is commonly used to treat symptoms of heart disease. But it is not a cure. Heart Stents / Heart stints are not a cure. They are treatment options after a heart attack or angina. It is an invasive procedure however quite common. There is a little drama going on with the cardiology community with heart stents and the philosophy behind it and when should it be used. I will try to post some updates on this. You can also view some past updates on heart stents.



The big question I get is how long will a stent last?. It is really individual as I have seen them last only months to many many years. The best thing you can do to ensure you do not end up with another stent is to focus on your heart health.


It becomes so important to start a cardiac rehabilitation program after a stent. It is the education and then implementing the education to become a success. Unfortunately when you talk to a cardiologist about heart stents it depends on their philosophy as the reasearch is not pointing towards medications. As always I would like to see a study with 3 comination of groups:

1. implementing strong lifestyle modifications strategies
2. medications and
3. Surgery.
The big questions is where is the money.

To your heart health success,

Diamond Fernandes

How to Lose Weight after a Heart Attack

How to Lose Weight After a Heart Attack?

Heart disease is frightening and it can happen to anyone. Heart disease is the number one cause of death and the number one preventable disease. Yes preventable! But if you have heart disease or heading down this path overweight is a big risk factor to heart disease.

How do you lose weight after a heart attack? When you are diagnosed with heart disease it can be overwhelming. Well you can’t dwell over the past and now have to be resilient for the future. It becomes very important to now focus on all your modifiable risk factors to heart disease.

Yes you should stop smoking. Yes you should lower your stress, cholesterol, blood pressure, blood sugar and weight! Your doctor probably told you that you have to lose weight. Well what should you do?

Losing weight after a heart attack can be difficult. You may have been prescribed all these new medications to manage your disease. Having to worry about what you eat, how to eat, and exercise is important but you have to set yourself up with the right cardiac rehabilitation program, online program or coach.

Absolutely this is important, and we have seen many successful people lose weight with heart disease. However there is a reason our programs are not a “weight loss” clinic. Weight loss is important and it will come. But the priority is to first get you healthy. Heart Fitness is more important than losing weight!

Heart Fitness is more important than losing weight states the latest research. Yes those who are in a “healthy” body mass index (<25) yet unfit are at substantial increased risk versus those who are in an “unhealthy” body mass index (>25) but are fit. It becomes more about managing your weight and improving your cardiovascular fitness especially after a heart problem more than anything else. As I always state. Exercise is medicine so make sure you take your daily dose.

A study of 15,000 men published in Circulation, a journal of the American Heart Association, found that maintaining or improving fitness levels was associated with a lower risk of dying, even if bodyweight increased or remained the same.  Researchers also found that increased levels of activity, measured over a period of six years, was associated with a 19% lower risk of heart and circulatory disease.  

I know you may be struggling with your weight but start with your heart! Get active on a daily basis. The weight loss will come with exercise, nutrition and stress management but don’t let that be your focus. Gets your heart beating for heart health success.

To your success,

Diamond Fernandes