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Individual Solutions for Cholesterol Lowering Treatment

The era of personalized approaches to cholesterol-lowering treatment begins. A new era in cholesterol treatment: Personalized approaches are at the forefront.

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The era of personalized approach in cholesterol-lowering treatment begins. A new era in cholesterol treatment: Personalized approaches are at the forefront

Recently, heart attack cases at a young age in our country have brought high cholesterol and treatment methods back to the agenda. Altınbaş University Faculty of Medicine Cardiology Department Head Prof. Dr. Özlem Esen emphasized the importance of a personalized approach in cholesterol treatment.

KELLE PAÇA DOES NOT INCREASE CHOLESTEROL BY 1500 PERCENT

The Role and Dangers of Cholesterol

Prof. Dr. Esen stated that cholesterol is a vital building block for the body, but high levels pave the way for arteriosclerosis and cardiovascular diseases. He stated that high LDL (bad cholesterol) levels particularly increase the risk of heart attack, stroke and sudden death.

“Cholesterol-lowering drugs reduce the rate of events related to arteriosclerosis, namely heart attack, stroke and death, by 25%. The effectiveness of these treatments has been scientifically proven,” said Prof. Dr. Esen, explaining personalized treatment approaches.

Situation in Turkey and Familial High Cholesterol

Prof. Dr. Esen, who said that high cholesterol is often combined with inactivity and obesity in Turkey, stated that familial hypercholesterolemia is more common. “The risk of heart attack in individuals with this condition is approximately 20 times higher than in healthy individuals,” said Esen, emphasizing that early diagnosis is vital in cases where LDL levels are high. He stated that individuals living in high-risk countries like Turkey should be more careful than those living in low-risk countries.

Risk is Different in Every Country

Stating that it is no longer necessary to take blood samples on an empty stomach in cholesterol assessment, Prof. Dr. Özlem Esen drew attention to the importance of individual and social risk maps in treatment. Esen said, “Only patients with very high triglyceride values ​​need to have their blood samples taken on an empty stomach.” In addition, emphasizing the importance of everyone having their Lipoprotein a (Lpa) levels measured at least once in their lives, Esen stated that with recent developments, targeted cholesterol values ​​and medication doses are determined according to individual risks. Esen stated that differences between countries have gained importance at this point and gave examples: “Social heart disease risk maps specific to countries are decisive in treatment. For example, while Belgium, Denmark and France are among low-risk countries, Turkey, Hungary, Poland and Croatia are considered high-risk countries. The risk levels of two male individuals of the same age with the same cholesterol and blood pressure values ​​differ in Denmark and Turkey. In addition, individuals who have had a heart attack, diabetes or kidney disease are included in the very high-risk group.”

New Treatment Era and Psychosocial Factors

Stating that the era in which the same treatment was applied to everyone is now over, Esen stated that even the social isolation and psychosocial stress conditions of individuals should be taken into consideration in treatment planning. Drawing attention to the fact that an important concept that makes cholesterol values ​​risky is the social life of the individual, Prof. Dr. Esen shared the following information:

“The extent to which a person is socially isolated or whether they are under psychosocial stress are among the factors that affect cholesterol risk, but are difficult to quantify. These situations can be determined through detailed interviews. In addition, the presence of comorbid psychiatric diseases, migraines or disorders affecting the immune system should definitely be taken into consideration. Just as each individual’s fingerprint is different, their cardiovascular risk and cholesterol are also different.”

Common Misconceptions About Cholesterol

Prof. Dr. Esen also touched upon the common misconceptions about cholesterol and summarized them in 7 items:

  1. We only get cholesterol from what we eat.
    The liver produces most of the cholesterol. Diet contributes only 15-20% of the total cholesterol level.
  2. High Cholesterol Levels Are Only Seen in the Elderly
    High cholesterol can be seen in all age groups. Genetic factors and lifestyle can also cause problems at a young age.
  3. If Cholesterol Levels Increase, Medication Should Be Used Immediately
    Medication may be necessary, but healthy eating, exercise, and stress management are often the first steps.
  4. People with Cholesterol Problems Should Not Eat Eggs
    Egg yolk contains cholesterol but is not harmful when consumed in moderation. The important thing is the overall balance of the diet.
  5. Vegetable Oils Are Cholesterol-Free and Completely Safe
    Vegetable oils may contain trans fats. Especially sunflower oil and coconut oil, although natural, may pose a risk to heart health.
  6. If Cholesterol Is Lowered, The Risk of Heart Disease Will Be Eliminated
    Lowering cholesterol levels reduces the risk, but other factors such as smoking, high blood pressure and genetic factors should also be considered.
  7. Cholesterol Measurement Should Only Be Done On An Empty Stomach
    With modern methods, fasting is not required for measuring total cholesterol and LDL. This is only necessary for individuals with high triglyceride levels.

Benefits of Cholesterol Lowering Medications

Prof. Dr. Esen, who describes the use of cholesterol-lowering drugs as a “safety belt against heart attacks,” stated that these drugs reduce the risk of heart attacks, protect against strokes and increase quality of life. Esen, who said, “Health is a whole,” stated that drug treatment should be supported by healthy nutrition and regular exercise, emphasizing the importance of treating everyone according to their individual characteristics.

Side Effects and Things to Consider

Esen, who drew attention to the fact that cholesterol-lowering drugs, like all drugs, can have side effects, said, “Muscle pain, increased liver enzymes and, rarely, increased blood sugar are known side effects of these drugs. Therefore, the use of cholesterol-lowering drugs should be under the supervision of a doctor and requires regular follow-up. Of course, the most correct approach would be for a doctor to examine and evaluate the patient in all aspects.”

Source: HORECA TREND and Science and Health News Agency

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Nutrition Tips to Maintain Blood Sugar Balance During Ramadan

Staying hungry for a long time while fasting during Ramadan can cause fluctuations in blood sugar levels. This situation brings about problems such as weakness, dizziness and fatigue, and can lead to sudden hunger pangs after iftar. Drawing attention to the importance of maintaining energy levels and healthy nutrition throughout Ramadan, Duru Gıda Nutrition Consultant Emine Uluçay stated that foods with a low glycemic index should be preferred during this period.

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Staying hungry for long hours during the fast can cause sudden fluctuations in blood sugar. This can lead to fatigue, weakness and digestive problems, especially after iftar. Experts state that these effects can be minimized with the right food choices during Ramadan. Duru Food Nutrition Consultant Emine UluçayHe stated that consuming foods with a low glycemic index will help you go through Ramadan more comfortably.

Foods with a Low Glycemic Index Prevent Hunger Pangs

Emine Uluçay said, “The glycemic index is an important criterion that shows how quickly a food increases blood sugar. Foods with a high glycemic index can cause blood sugar to rise rapidly and then drop suddenly, leading to hunger pangs, fatigue and distraction.” Uluçay emphasized the importance of including low glycemic index, high fiber foods in sahur and iftar tables, and said, “These foods help balance blood sugar levels and maintain energy throughout the day. Complex carbohydrates, especially bulgur, help keep you full for a long time and positively affect digestive health.”

“The Prebiotic Effect of Bulgur May Help Prevent Digestive Problems”

Uluçay stated that bulgur, which is especially rich in complex carbohydrates, will also prevent indigestion problems, which are frequently encountered during Ramadan, and added, “Bulgur also nourishes the beneficial bacteria in the intestines with its prebiotic effect that supports digestive system health and can help prevent digestive problems that may occur during Ramadan.”

Bulgur, Rich in Vitamins and Minerals, Reduces Low Energy

Emine Uluçay drew attention to the fatigue that will be felt during Ramadan due to the change in both nutrition and sleep patterns. Uluçay emphasized the importance of consuming foods rich in vitamins and minerals, and said, “Bulgur is a rich source of vitamins B1, B6, folic acid and iron, zinc, phosphorus and magnesium minerals. Vitamins and minerals in foods such as bulgur help reduce the feeling of fatigue by reducing the energy loss that may occur throughout the day. When consumed in a balanced way with foods such as meat, chicken, legumes and yogurt, bulgur offers a healthy and nutritious alternative during Ramadan.”

Create a Healthy and Balanced Nutrition Plan During Ramadan

Uluçay emphasized that creating a healthy and balanced nutrition plan during Ramadan is critical for maintaining physical health as well as keeping energy high throughout the day, and also emphasized that plenty of fluids should be consumed from iftar to sahur. “Actions such as taking a five-minute break after soup at iftar, consuming plenty of water until sahur, and adding foods that will balance blood sugar to meals will help you get through Ramadan more comfortably,” he said.

Source: HORECA TREND and Duru Bulgur

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6 Tips for Healthy Eating at Sahur

Statements like “I don’t need to get up for sahur, I can handle the hunger” that we often hear during Ramadan can pose health risks. Not getting up for sahur can lead to headaches, low blood sugar, digestive problems, fatigue and loss of concentration. Acıbadem Ataşehir Hospital Nutrition and Diet Specialist Aybala Dönmez states that sahur is very important for a healthy Ramadan. Choosing the right food for sahur is very important for maintaining energy levels, relieving thirst and coping with hunger. Dönmez emphasizes that a healthy sahur habit will keep a person more energetic and healthy throughout Ramadan.

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Prefer Foods That Keep You Full

Consuming foods that are high in fiber, protein, and healthy fats, such as cheese, tomatoes, cucumbers, yogurt, whole grain bread, walnuts, almonds, and olive oil during sahur, makes you feel full and makes it easier to resist long-term hunger. Vegetables, fruits, whole grain products, and legumes are rich in fiber and slow down digestion, increasing the feeling of fullness. For example; adding sliced ​​fruit and almonds to a bowl of yogurt and oatmeal, or adding boiled eggs, cheese, and avocado slices to a slice of sourdough bread, you can maintain your fullness and energy levels throughout the day.

Avoid Fatty and Sugary Foods

Consuming fatty and sugary foods during sahur strains the digestive system and causes stomach problems. In addition, such foods increase blood sugar and then decrease it, making you hungry earlier, causing weakness and headaches throughout the day. Instead of roasted and fried foods in particular, you can use boiling or grilling cooking methods. Prefer natural sweets (dates or dried apricots) and healthy oils (such as olive oil).

Consume Protein Sources

Nutrition and Diet Expert Aybala Dönmez says, “Protein-rich foods keep you full for a long time and increase your energy level. Protein sources such as eggs, cheese, yogurt, milk, and legumes are ideal foods for sahur.”

Prefer Complex Carbohydrates

Instead of white bread or pastries that quickly raise blood sugar, complex carbohydrates such as whole wheat bread, oats, and brown rice slow down digestion and keep you full for a long time. These types of foods help balance blood sugar and prolong satiety with their fiber content.

 For Plenty of Water

It is very important to drink at least 2-3 glasses of water at sahur to meet the body's water needs. Water consumed at sahur prevents dehydration (thirst) that may occur throughout the day. Drinking coffee, tea or caffeinated drinks during sahur causes more water loss during fasting due to their diuretic properties. Therefore, water, decaffeinated drinks or herbal teas would be better choices. Also, be very careful to consume 2 liters of water at regular intervals from iftar to the end of sahur.

Avoid Excessive Salt

Nutrition and Diet Expert Aybala Dönmez says, “Consuming excessively salty foods (such as olives and salty cheese) during sahur causes the body to lose water and increases the feeling of thirst. Therefore, be sure to limit your salt intake.”

Source: HORECA TREND and Acıbadem Ataşehir Hospital

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Expert Tips for a Healthy Ramadan

With Ramadan just days away, you can prepare your body for long-term hunger and strengthen your immune system by planning your diet now. Muratbey Nutrition Consultant Prof. Dr. Muazzez Garipağaoğlu offers suggestions for a healthy transition to Ramadan, from water consumption to meal plans.

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The month of Ramadan is a special period when the diet of those fasting changes significantly. While long hours of fasting put the metabolism into a different order, it is also very important for the immune system to remain strong. Consciously preparing for this process is of great importance both in terms of adapting the body and preventing health problems. Increasing water consumption, adjusting eating habits and consuming foods that will strengthen the immune system play a critical role in preparing the body for fasting before Ramadan. 

Increase Water, Reduce Tea and Coffee Before Ramadan 

Prof. Dr. Muazzez Garipağaoğlu said, “Since water consumption will be limited during the day during Ramadan, it is important to increase water consumption beforehand to get the body used to thirst. Drinking at least 2-2,5 liters of water daily increases thirst tolerance and makes you feel more comfortable during fasting. In addition, those who consume excessive amounts of caffeinated beverages such as tea and coffee should gradually reduce this habit before Ramadan. Caffeine can dehydrate the body and cause headaches and weakness in the first days.”

Organize Your Meals to Easily Adapt to the Fasting Process

Garipağaoğlu continued his recommendations as follows: “You can make your blood sugar more stable by avoiding simple sugars and fast-digesting carbohydrates before Ramadan and choosing foods with a low glycemic index. Whole grains, legumes and vegetables help you stay full for a long time.” He emphasized that the body, which is used to consuming multiple meals, will have a hard time when it suddenly goes hungry for a long time. Prof. Dr. Garipağaoğlu said, “It is beneficial to adapt the body to long-term hunger by extending the intervals between meals and reducing snacks before Ramadan. Fiber-rich vegetables, probiotics and fermented foods can regulate digestion and prevent stomach problems.”

“Dairy Products Such As Cheese, Yogurt, Kefir Support The Immune System“esteks”

A strong immune system during Ramadan plays an important role in ensuring that the body remains strong during fasting. Prof. Dr. Muazzez Garipağaoğlu stated that a diet rich in protein, healthy fats, vitamins and minerals supports immunity and made the following recommendations: “Foods containing vitamins C and D, zinc, probiotics and antioxidants provide protection against diseases. Dairy products such as cheese, yogurt and kefir are among the foods that support the immune system. Don’t forget to include cheeses enriched with vitamin D in your diet. During the preparation process for Ramadan, you can have a more comfortable fasting period with the right eating habits and at the same time keep your immune system strong. Increasing water consumption, consuming balanced meals, turning to foods enriched with vitamin D and prebiotics that support immunity and consuming fibrous foods that support the digestive system will facilitate this process.”

Muratbey cheeses, enriched with vitamin D and calcium, strengthen the immune system. Muratbey Plus Kaymaklı is an ideal cheese for Ramadan tables with its spreadable consistency, enriched with vitamin D, prebiotic and whey protein. Muratbey Plus Kaymaklı, which does not contain gluten or preservatives, is a product that will add health and pleasure to tables with its unique taste, lightness, creamy form and soft consistency.

Source: HORECA TREND and Muratbey

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