Cholesterol

Introduction: Why Cholesterol Needs a New Approach

Elevated cholesterol is a leading contributor to heart disease—the #1 cause of death in the U.S. Instead of simply lowering numbers, Patients Medical in New York City digs deeper. We investigate metabolic health, inflammation, genetics, diet, hormone balance, and gut health through a comprehensive functional medicine lens. Our aim is to optimize heart health naturally and sustainably.

What Is Cholesterol?

Cholesterol is a fatty substance used by the body for hormone production, cell structure, and vitamin D synthesis. However, when LDL (“bad”) cholesterol is too high or HDL (“good”) cholesterol is too low, plaque builds in your arteries, raising the risk of heart attack and stroke. High triglycerides further compound the risk.

Common Lipid Patterns & Symptoms

Cholesterol issues are silent—most people do not feel symptoms. However, elevated levels may be suspected with:

Root Causes: Why Is Your Cholesterol High?

Our functional medicine approach uncovers underlying factors that elevate cholesterol:

  • Inflammation: Chronic inflammation can shift cholesterol metabolism, Insulin resistance & metabolic syndrome
  • Nutrient deficiencies: Omega-3 fats, niacin, magnesium, niacin
  • Hormonal imbalances: Hypothyroidism, estrogen/progesterone shifts
  • Gut dysbiosis: Impaired bile metabolism and endotoxemia
  • Genetic predispositions: e.g., familial hypercholesterolemia, MTHFR
  • Toxin exposure: Heavy metals, endocrine disruptors
  • Poor lifestyle factors: Sedentary habits, ultra‑processed diets, stress
Root Causes: Why Is Your Cholesterol High?

Diagnostic Testing We Use

We go beyond the standard lipid panel to offer thorough insight:

Full lipid profile (LDL particle size, ApoB, Lp(a), HDL subclasses)

Advanced insulin/glucose testing (HOMA-IR, A1C)

Inflammatory markers (hs-CRP, interleukins)

Hormone panels (TSH, free T3/T4, estrogen, testosterone, cortisol)

Genetic analysis (familial lipid disorders, MTHFR)

Nutrient assays (Omega-3 index, magnesium, niacin)

Gut microbiome and bile acid tests

Integrative Treatments for Cholesterol

Personalized Nutrition Plans

  • Mediterranean, plant-rich, healthy-fat emphasis (olive oil, nuts, fatty fish)
  • Low-glycemic carbs to reduce insulin spikes
  • Fiber and phytosterols to enhance cholesterol elimination
  • Elimination of trans fats, refined sugar, and processed oils

IV Nutrient Therapy

  • Red yeast rice
  • Phytosterols (plant sterols)
  • Omega‑3 fish oil (high EPA/DHA)
  • Berberine and niacin
  • Coenzyme Q10 for statin support or mitochondrial health

Herbal & Nutraceutical Support

  • High-dose Vitamin C and glutathione for antioxidant support
  • B-complex for methylation and metabolic function
  • Magnesium for heart and vascular tone

Lifestyle & Stress Interventions

  • Regular moderate-intensity exercise
  • Mind-body therapies (guided meditation, yoga, acupuncture)
  • Adaptogenic support (ashwagandha, rhodiola) for stress resilience

Hormone Balancing

We optimize thyroid, adrenal, and sex hormones to improve lipid metabolism and energy balance.

Gut & Detox Support

  • Probiotics, prebiotics, digestive enzymes
  • Liver support protocols (milk thistle, glutathione)
  • Reduction of environmental toxin exposure

Real Case Study: Emily’s Lipid Turnaround

Emily, 54, had high LDL (160 mg/dL) and low HDL despite statins, and complained of fatigue and mild cognitive slowdown. Functional testing uncovered:

  • Subclinical hypothyroidism
  • Omega-3 index too low (<4%)
  • Mild insulin resistance
  • Gut dysbiosis

Her 6-month integrative plan included:

  • Mediterranean-style diet rich in fatty fish and fiber
  • High-dose omega-3 supplementation
  • Low-dose thyroid support
  • Probiotic and liver detox protocol

Outcome: LDL dropped to 110 mg/dL, HDL rose to 60 mg/dL, A1C improved, and Emily reported better clarity and energy.

Real Case Study: Emily’s Lipid Turnaround

Testimonials

Frequently Asked Questions

In many cases—yes. A combination of diet, supplementation, hormone balance, and gut health can significantly lower lipids. Statins can still be used when appropriate.

We use comprehensive testing (lipid particle size, inflammation, hormones, genetics) to create individualized protocols.

Yes. We recheck lipid panels, insulin markers, inflammation, and nutrient levels every 3–6 months to monitor progress.

Yes—especially omega-3s, CoQ10, and liver support herbs. We coordinate with your prescribing doctor to avoid interactions.

Many patients notice improved energy and lab changes within 8–12 weeks; deeper improvements take 4–6 months.

Absolutely. Gut bacteria influence bile acid metabolism, which plays a critical role in cholesterol elimination

A Mediterranean-style diet—rich in fiber, healthy fats, and plant-based foods—consistently shows cardiovascular benefits.

Chronic stress raises cortisol, which disrupts lipid metabolism. Mind-body interventions help re-balance that system.

Yes. Imbalances in thyroid, estrogen, or adrenal hormones can undermine even the best diet or supplement program.

We’re an out-of-network provider, but superbills are available to help with reimbursement. Many lab tests may be covered.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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