Don’t miss a beat! Get involved with October’s National Cholesterol Month

As a long-term provider of popular high-cholesterol treatments such as Lipitor and Crestor, Medical Specialists® Pharmacy are proudly supporting October’s National Cholesterol Month 2015, organised by the charity HEART UK to raise more awareness about what cholesterol is, the often underestimated serious health risks associated with high cholesterol, and what can be done to lower the low-density lipoprotein (LDL) – also known as ‘bad cholesterol’.

What is cholesterol?

For those unaware of what cholesterol actually is, it is a fatty, waxy substance known as a ‘lipid’, located in all of the body’s cells. The body requires some cholesterol to produce hormones, vitamin D, and substances to aid food digestion, and will produce what it needs, but some of the food we eat also contains cholesterol.

Cholesterol travels through the bloodstream in small packages that go by the name of lipoproteins. The two main types of lipoprotein are:

. High-density lipoprotein (HDL) – HDL carries cholesterol away from the cells and back to the liver, where it’s either broken down or passed out of the body as a waste product. For this reason, HDL is referred to as ‘good cholesterol’ and higher levels are better.

. Low-density lipoprotein (LDL) – LDL carries cholesterol to the cells that need it. If there’s too much cholesterol for the cells to use, it can build up in the artery walls, leading to disease of the arteries. For this reason, LDL is known as ‘bad cholesterol’.

High cholesterol – i.e. high levels of the bad LDL cholesterol – itself will not usually cause any symptoms, but it increases a person’s risk of serious health problems.

For example, plenty of evidence shows that high cholesterol can raise the risk of suffering with heart attack, heart disease, stroke, narrowing of the arteries (atherosclerosis), transient ischaemic attack (known as a ‘mini-stroke’) and peripheral arterial disease.

These risks are due to the fact cholesterol accumulate within the artery wall, reducing blood flow to the heart, brain and other areas of the body. In addition, the risk of a blood clot is also increased with high cholesterol.

What causes high cholesterol?
There are a number of contributing factors to a person having high blood cholesterol, some lifestyle choices, others being related to underlying conditions and there is also a risk if there has been a family history of such problems.

Lifestyle choices that can cause high cholesterol include a lack of exercise or physical activity, drinking too much alcohol, having a diet high in saturated fat and being a smoker. People with diabetes or high blood pressure usually also have high cholesterol.

Highlighting the risks of ‘The Silent Killer’ high cholesterol is imperative for HEART UK during National Cholesterol Month for many reasons, but one of those is to educate people about a condition many will not be aware of, but can be deadly – Familial hypercholesterolaemia (often shortened to FH).

FH is inherited, passed on by one of your parents and can cause incredibly high levels of cholesterol. Those with FH have high cholesterol levels from birth, whereas most people’s cholesterol increases with age and could be 50, 60 or 70 years of age before their cholesterol is deemed to be at a level linked to an increased risk of major heart problems.

Some people may never display any symptoms, but the common signs of FH are lumps and bumps around the knuckles or Achilles tendon (due to cholesterol deposits), yellow cholesterol build-up around the eyes and eyelids, or a pale ring around the iris.

If, after going to the doctor for a cholesterol check and it is found to be significantly high, the doctor may refer the patient to a specialist for an assessment if he or she believes that patient has FH, which could include gene tests. The specialist will then explain which family members need to be assessed too and medication will likely be required, as healthy lifestyle choices alone are not enough to reduce cholesterol for anyone with FH.

Treating high cholesterol

Adhering to a healthy diet that is low in saturated fat and engaging in regular exercise to maintain a healthy weight/BMI can lower the level of cholesterol in the blood, or prevent cholesterol levels being too high to begin with. The higher the cholesterol level, the higher the risk of stroke or heart disease and therefore the overall risk of having a heart attack.

Statin medication available today from Medical Specialists®, such as Atorvastatin, Pravastatin or Rosuvastatin, work to lower the LDL (‘bad’) cholesterol and raise the HDL (‘good’) cholesterol. Statins may be prescribed to certain people with risk factors for heart conditions, such as those with high cholesterol or high blood pressure, older patients, smokers, or those with family history of early heart disease. Between eight and ten million Britons take statins, making them the most widely prescribed drugs across the UK.

Get involved with National Cholesterol Month

HEART UK are providing expert, independent advice on statins and other cholesterol treatments, in addition to campaigning for improved detection of those at risk of high cholesterol and offering training for health professionals.

National Cholesterol Month 2014 was a roaring success, with more than £25,000 raised, but HEART UK are hoping to smash this amount for 2015, continuing with the theme the ‘Great Cholesterol Challenge’.

HEART UK state on their website how people can get involved and acquire a fundraising pack, saying: “Treat your heart by pledging to adopt a new healthy habit and raise funds for HEART UK at the same time! For this year’s campaign we have developed some really exciting ‘virtual challenges’ which we know you will love – see how you can get involved!

“Great Cholesterol Challenge packs are available now! If you would like a pack or need any further information about this year’s campaign, please email us and we will get one sent to you.”
Moreover, HEART UK offer advice on who should have cholesterol tests and how frequently to get one done:

•     Every 5 years if you are between the ages of 40 and 75.
•     Every 12 months if you are on cholesterol lowering medication.
•     Any child of a parent with inherited high cholesterol (FH) – by the age of 10.
•     First degree relatives of a person with FH – on being told of the risk.

“The NHS will provide you with a free cholesterol test if you fall into any of the above groups, speak to your Doctor or Practice Nurse about arranging your cholesterol test.”

Brits are still oblivious to the dangers of high cholesterol

Are you clued up about cholesterol? If not, you are part of potentially a third of the population who are still ignorant when it comes to knowing about what cholesterol is, the dangers of high cholesterol and what factors can put you at high risk of raised cholesterol. It is estimated that every four minutes somebody in the UK suffers a heart attack. Often high cholesterol is a major cause of this, and it seems the UK needs to be more aware of the dangers associated with having raised cholesterol levels.

Therefore as part of ‘National Cholesterol Week’ which is running this week until Friday, The Charity ‘Heart UK’ recently randomly quizzed 455 members of the public during August and September. Almost a third of those who took part were unaware that high cholesterol can be brought on by a bad diet as well as by being inherited through conditions such as familial hypercholesterolaemia (FH).


This is a genetic defect that affects roughly 1 in every 500 of the population and causes them immediately from birth to be lacking in low-density lipoprotein (LDL) receptors, which get rid of cholesterol from our blood. Because these people have high cholesterol from the moment they are born, they are at great risk from vascular diseases and hardening of the arteries, much earlier than normal. For anybody unfortunately who has FH, usually the most effective treatment is through statin therapy (e.g. Lipitor or Crestor). These medications decrease the production of LDL cholesterol by the liver, which in turn decreases LDL cholesterol blood levels by around 50%.

Heart UK says that there are approximately 120,000 people in Britain alone who have familial hypercholesterolaemia and are ‘ticking time bombs’  because they don’t know they actually have the condition that can cause premature death in some people who are just 30 years of age. In fact Heart UK claim that only 15% of these 120,000 sufferers are even aware they have FH .

Another worrying find from the study of the 455 people was the fact that only 38% of participants knew that two-thirds of people have cholesterol above the recommended level of 5mmol/L.  The results from the survey caused Jules Payne, chief executive of Heart UK, to voice his concerns and he said, “More must be done to ensure that everyone in the UK is aware of the risks associated with raised cholesterol. Heart disease is still the biggest killer in the UK and unhealthy cholesterol the greatest modifiable contributor to heart disease.”

The study results have emerged in the same week that scientists based at the University of Rochester Medical Center in America, linked statins to the protection against developing cancer and even in the treatment of tumours.

Cholesterol-busting statins such as the previously mentioned Crestor and Lipitor do not break the bank for patients and are used by roughly seven million Brits.  Statins have been used in countless experiments this year alone as scientists explore their wonderful capabilities in the fight against many different health problems besides high cholesterol.  Their emerging potential has led to calls from doctors for at least everybody over the age of 50 to be prescribed them as a matter of course, due to their abilities to massively reduce to risk of developing a whole range of life-threatening diseases and health conditions.

The researchers at Rochester Medical Center identified a genetic connection between cancer and raised cholesterol levels. The gene they analysed is the ‘ABCA1’ gene, which acts as a barrier preventing tumours from developing or getting bigger, whilst also maintaining cholesterol levels at a low level. The link was established after a defect was noted in a particular ABCA1 gene, which was first known to help regulate cancer-causing genes, and the defect led to the build-up of cholesterol.

Lead researcher Dr Hartmut Land commented on the study findings and said, “Scientifically it is very satisfying to have data that support longstanding ideas about cholesterol in the context of cancer. Our paper provides a rationale for cholesterol targeting as a potentially fruitful approach to cancer intervention or prevention strategies.”

If you want to improve your cholesterol levels, Medical Specialists Pharmacy can help. For suitable patients, we can provide both cholesterol-lowering statin medications Crestor (Rosuvastatin) and Lipitor (Atorvastatin). Along with diet, they lower ‘bad’ cholesterol (LDL-C), increase ‘good’ cholesterol (HDL-C), and also slow the progression of atherosclerosis in adults with high cholesterol, as part of a treatment plan to lower cholesterol to goal. We are pleased to inform our patients that we now also offer legal generic Atorvastatin, with prices from as little as just £11.25 per pack.