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High Cholesterol? It may not be the eggs, but could it be the cheese you are eating?

For decades, eggs have shouldered the blame as a primary dietary culprit for high blood cholesterol and increased risk of heart disease. However, despite their cholesterol content, research suggests that eggs typically do not significantly raise blood cholesterol levels or cardiovascular risk for most individuals. Instead, another beloved food may quietly contribute to cholesterol-related issues—cheese.

Emerging evidence points to excess saturated fat contributing to imbalanced blood lipid levels, often originating from less suspected sources like cheese and more obvious ones like red meat and butter. Therefore, evaluating your cheese consumption habits is crucial before eliminating omelets from your diet. Striking a balance allows for the continued enjoyment of eggs and moderate cheese intake while promoting heart health.

Eggs Redeemed while Cheese Implicated

Nutritional science is continuously evolving. Early research, which did not fully consider the nuanced interactions among genetics, individual metabolic variations, and overall dietary patterns, persistently linked egg consumption with increased blood cholesterol and cardiac risk. However, more recent and rigorous studies, with better control of variables, have found a negligible correlation between eggs and negative cardiovascular outcomes for most populations. Balance and moderation are key. Eggs are a nutritional powerhouse, offering a broad amino acid profile and essential fats, making them one of the most nutrient-dense foods.

By contrast, saturated and trans fats directly contribute to dysregulated blood lipids, plaque accumulation in arteries, and poorer cardiovascular risk parameters. While eggs and many cheeses contain saturated fat, cheese often delivers higher proportions than serving sizes. Unlike eggs, cheese lacks counterbalancing antioxidants, vitamins, or minerals. Over time, consuming excessive amounts of high-calorie and saturated-fat cheese can negatively impact blood lipid values. Additionally, many popular cheeses are high in calories, further compounding their potential impact on health and maintaining optimal weight.

The impact of cheese on health is amplified when it is used to enhance meals that already contain high-fat ingredients like red meat. Additionally, the higher sodium levels in many cheeses can promote fluid retention and elevate blood pressure in sodium-sensitive individuals. While cheese can be enjoyed as part of a balanced diet, it is important to consume it in moderation. Incorporating a variety of dairy products, such as yogurt, milk, and eggs, rather than relying primarily on cheese, helps to manage intake of saturated fat, calories, and sodium.

 

Moderation and variety are key to maintaining heart health while still enjoying the flavors that cheese brings to meals.

 

Cheese Benefits Need Not Get Curdled

When consumed in moderation, cheese and other dairy products make positive diet additions, supplying key nutrients like protein, calcium, vitamin D, and important bioactive compounds.

These benefits likely stem from particular protective compounds abundant in cheese and other dairy foods. Conjugated linoleic acid (CLA) in cheeses boasts anti-inflammatory effects, lowering chronic inflammation damages over time. Additionally, specific fatty acids, including butyrate and propionate, regulate immune functions while facilitating hormone balances that manage appetite and weight – critical factors influencing many chronic diseases. Lastly, vitamins D, K, and A support bone integrity and healthy cellular aging biologically.

So, rather than prohibiting cheese, ensure sensible incorporation into an overall balanced diet for optimal health. Be especially mindful of portion control and frequency for those managing weight, blood pressure, and cholesterol through food and medication plans. Tracking intake through food journaling often reveals excess cheese that is not readily apparent otherwise.

 

 

Tips for Keeping Cheese Consumption in Check

When buying, preparing, and indulging cheese in moderation, consider adopting several simple strategies for maximizing benefits while controlling calories, salt, and saturated fat contributions:

  • Prioritize low-moisture, part-skim mozzarella or ricotta, providing a similar flavor punch with less total fat and sodium than full-fat alternatives
  • Limit high sodium, harder cheeses like parmesan or romano, often shaken liberally atop pasta and salads
  • Compare nutrition panels when purchasing, choosing lower fat options within similar cheese styles
  • Measure servings for cooking instead of eyeballing and relying on package delineations
  • Grate, then measure the cheese needed instead of shredding hefty wedge chunks directly into meals
  • Incorporate modest cheese amounts to accent flavor instead of cheese driving the dish itself
  • When indulging in cheese platters, balance with crackers supplying filling fiber and protein
  • Pair cheese accompaniments with red wine or fruit rather than higher calorie, salty crackers or meats
  • If managing hypertension or fluid retention, consult dietitians on sodium thresholds for cheese types to observe
  • Keep alcohol intake in check, it is not uncommon that cheese, is often paired with several glasses of wine and other alcoholic drinks

 

The Bottom Line

Like most aspects of diet and nutrition, moderation is the key to balancing the benefits with potential concerns when eating beloved eggs and crave-worthy cheese. Instead of eliminating either from meal plans, consider right-sizing portions, checking excess sodium levels if relevant, and tracking overall saturated fat and caloric intakes through tools like food journals.

Pairing eggs and cheese with plenty of protective fruits, vegetables, fiber-rich whole grains, plant-based protein, and healthy fats found abundantly in the Mediterranean diet maximizes each ingredient’s advantages while neutralizing any disadvantages. A balanced, nutrient-dense diet with conscious calorie control counters isolated concerns around eggs or cheese to support optimal cholesterol, blood pressure, and weight necessary for optimum long-term cardiovascular wellness.

About the author

Heart Matters, edited by cardiologist Professor Peter Barlis, is a trusted resource that offers clear and accurate information on cardiovascular health. It bridges the gap between scientific research and everyday understanding, empowering you to make informed choices and take an active role in supporting your heart health.

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other anti-anginals

When first-line therapies for angina, such as beta blockers, calcium channel blockers, and nitrates, prove inadequate or are not well-tolerated, second-line therapies may be considered.
Perhexiline is a unique medication that enhances the heart's ability to utilize fatty acids for energy, reducing its reliance on oxygen and lowering oxygen demand. This action helps improve blood flow and alleviates chest pain in some patients with refractory angina.
Nicorandil is another second-line option with a dual mechanism of action. It opens potassium channels in smooth muscle cells, causing vasodilation and enhancing coronary blood flow. Additionally, nicorandil also stimulates nitric oxide release, further dilating blood vessels and reducing heart workload.
Trimetazidine is an anti-ischemic agent that improves cardiac efficiency by enhancing glucose metabolism and shifting the heart's energy production to a more oxygen-efficient process. As second-line therapies, these medications offer alternative approaches for managing angina in individuals who do not respond adequately to first-line treatments or those experiencing side effects from other medications.

lipid lowering therapies

Lipid-lowering therapies are essential in managing coronary artery disease (CAD), a condition where the arteries supplying blood to the heart become narrowed. Among the most commonly prescribed treatments are statins, which reduce cholesterol production in the liver and significantly lower the risk of heart attacks and strokes.

Other medications may be used to target different aspects of lipid metabolism:

  • Ezetimibe helps reduce the absorption of cholesterol in the gut
  • Fibrates lower triglyceride levels
  • Niacin can help raise high-density lipoprotein (HDL) cholesterol

In recent years, a newer class of medications known as PCSK9 inhibitors—such as Repatha (evolocumab)—has become available. These drugs block a specific enzyme involved in cholesterol regulation and can dramatically lower LDL cholesterol, particularly in patients who do not achieve target levels with statins alone.

Together, these therapies provide a range of options to personalise treatment and improve cardiovascular outcomes.

Nitrates

Nitrates for Angina Relief

Nitrates are widely used to treat angina and provide quick relief from chest pain. These medications are commonly available as sublingual sprays or tablets, skin patches, and long-acting tablets.

Nitrates work by dilating blood vessels, allowing for increased blood flow and reduced vascular resistance. This reduces the heart’s workload and lowers its oxygen demand, offering prompt relief from angina symptoms.

Sublingual nitrates act quickly and are typically used at the onset of angina symptoms, while patches and long-acting tablets are used for ongoing prevention.

Common side effects include headaches, dizziness, and flushing. These often improve with continued use but should be discussed with a healthcare provider if persistent or bothersome.

calcium channel blockers

Calcium channel blockers, including amlodipine, felodipine, Cardizem (diltiazem), and verapamil, are commonly prescribed for the treatment of angina.

These medications work by inhibiting the influx of calcium into the muscle cells of the heart and blood vessels, causing them to relax. This relaxation leads to the widening of blood vessels, which improves blood flow and reduces blood pressure.

For individuals with angina, calcium channel blockers reduce the heart’s workload and oxygen demand, helping to relieve chest pain and prevent angina episodes.

While effective, they may cause side effects such as headaches, dizziness, facial flushing, and ankle swelling. These effects should be monitored and discussed with your healthcare provider if they persist.

Beta blockers

Beta blockers, such as metoprolol, propranolol, atenolol, carvedilol, and bisoprolol, play a crucial role in managing angina.

These medications work by blocking specific receptors in the heart, which slows the heart rate and reduces the strength of each contraction. This results in a lower oxygen demand by the heart and helps relieve chest pain associated with angina.

Beta blockers are highly effective in both relieving symptoms and preventing angina episodes. However, they may cause side effects in some individuals, including tiredness, worsened asthma symptoms, more vivid dreams, and erectile dysfunction in some males.

It is important to consult your healthcare provider to determine whether beta blockers are a suitable option for your angina and overall heart health.

Anti-platelet Medications

Anti-platelet medications play a crucial role in preventing blood clot formation and reducing the risk of serious cardiovascular events such as heart attacks and strokes. Commonly used agents include aspirin, clopidogrel, and ticagrelor.

 

Aspirin: This well-known medication inhibits platelet activation, reducing the likelihood that platelets will clump together and form clots. It is widely used for both primary and secondary prevention of heart attacks and strokes.

 

Clopidogrel: A potent anti-platelet agent, clopidogrel works by blocking specific receptors on platelets to prevent aggregation. It is commonly prescribed for patients with acute coronary syndrome, those undergoing stent placement, and some individuals with peripheral arterial disease.

 

Ticagrelor: Ticagrelor also inhibits platelet activation and is typically used in the treatment of acute coronary syndrome. It is often prescribed alongside aspirin to provide dual anti-platelet therapy and further reduce the risk of heart-related events.