KEYS TO KEEPING THE ARTERIES CLEAN!

• Daily Regimen
• CRP (C-Reactive Protein)
• Apo-A and Homocysteine

Daily Regimen

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1. Walk or have body movement for 30 minutes daily. This may be done in 15 or even 10 minute segments. A continuous 30 minute walk is not necessary. PUMP IRON (Read about Soup Can Lifting = "B.O.N.E.S")

2. Drink plenty of water! Filtered water is best. Need a filter? Try roz2000.com.

3. Take your vitamins and minerals. This should be a complete program with all the anti-oxidants including Co-Q10.

4. Drink a daily glass of wine, pure grape juice, dark beers, and/or dark or green teas.

5. Be spiritually sound and say your prayers. Take care of pets and get married!

6. Aspirin 81mg daily with food (Enteric Coated is easiest on your stomach). Take a full sized Aspirin once every Sunday.

7. Read one of the recommended diet books on the Reading List . We have a full program available after you've read one of the books. Try roz2000.com.

8. DON'T SMOKE! Laugh often and smile even more. Floss your teeth.

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CRP (C-Reactive Protein)

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CRP (C-Reactive Protein) is elevated in patients with artery inflammation. It is an important indicator of potential artery blockage. It should be measured in patients with multiple risk factors such as elevated choloesterols, smoking, hypertension, Diabetes, or a family history of heart disease.

Inflammation of the lining of the artery wall (intima) leads to the pits and crevasses in that wall. CRP is a sensitive indicator or any artery wall inflammation. The CRP level may be more im-portant than the Cholesterol level.

LDL-Cholesterol, triglycerides, a high Cholesterol/HDL ratio, or a decreased HDL are all im-portant indicators of potential artery blockage. These are all important in viewing the overall risk of developing coronary artery disease. Please note the actual cholesterol reading is not as important to us as it seems to be for the general public.

Don't Forget the Following:

• Even if we get perfect cholesterol profiles we only improve the rate of coronary artery disease by about 30%. The inflammation of the artery is the key to the other 70%. CRP, and homocysteine are indicators of inflammation.
• Apo-A is carried by the LDL-C to stick in the pits and cracks of the inflammed artery wall and begin the plaque formation. HDL-C works like "brillo" to clean out the early blockage.
• Artery inflammation can be measured through a blood tests called homocysteine and CRP. Homo-cysteine is done routinely only for patients with known disease. That may change in the near future.
• Homocysteine may be decreased by ddtaking vitamins B6, B12, Folic Acid and, sometimes, Zinc. You should be on a good vitamin and mineral program. If you do not have our vitamin recommen-dation list, please contact the office at 248-357-3220.
• Anti-Oxidants also help protect the artery wall. They are included in the Vitamin list.

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Apo-A and Homocysteine

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Two new and interesting ways of determining whether you are in danger of blocking the ar-teries of the body are Apolipoprotein-A (Apo-A) and Homocysteine.

Apo-A is the product that actually sticks to the pits and crevasses in the artery wall. They are carried by a type of LDL cholesterol. Please note that your Apo-A level and LDL level are more important than the Cholesterol level. We are measuring Apo-A levels in any patient with an abnormal lipid profile.

Homocystiene is elevated in patients with artery inflammation. It is an important indicator of potential artery blockage. It should be measured in patients with multiple risk factors such as elevated choloesterols, or a family history of heart disease.

You may receive notification that we would like to check these levels if you meet any of the above criteria. Remember your Apo-A level and LDL levels are more important than the Cho-lesterol level. The results sent to you show that the LDL-Cholesterol value is too high. This is the "sticky" cholesterol that promotes blockages in the arteries. There may be, in addition, other elevations in triglycerides, a high Cholesterol/HDL ratio, or a decrease in HDL. These are all important in viewing the overall risk of developing coronary artery disease. Please note the actual choles-terol reading is not as important to us as it seems to be for the general public.

Don't Forget the Following:

• Even if we get perfect cholesterol profiles we only improve the rate of coronary artery disease by about 30%. This is because the inflammation of the artery allows Apo-A carried by the LDL-C to stick and begin the plaque formation.
• Artery inflammation can be measured through a blood test called homocysteine. This is done rou-tinely only for patients with known disease. That may change in the near future.
• Homocysteine may be decreased by taking vitamins B6, B12, Folic Acid and, sometimes, Zinc. You should be on a good vitamin and mineral program. If you do not have our vitamin recommenda-tion list, please contact the office at 248-357-3220.
• Anti-Oxidants also help protect the artery wall. They are included in the Vitamin list.

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