What is Cholesterol?

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Closeup image of stethoscope and paper clipboard with text CHOLESTROL HDL and LDL .

Cholesterol is a waxy, fat-like substance that is vital to numerous bodily functions. It is only composed of carbon, hydrogen and oxygen. Found in every cell of your body, it serves as a building block for hormones, vitamin D, and substances that help you digest foods. Despite its crucial role in health, cholesterol often gets a bad reputation stemming from 1960s data that found high levels of it in people with heart disease. Like firemen at a fire, cholesterol was not guilty of the crime, only there to help. Let’s talk about why cholesterol is so important. 

The Role of Cholesterol in the Body

Cholesterol is indispensable for numerous physiological processes, including:

  • Hormone Production: Cholesterol is a precursor for essential hormones, including estrogen, testosterone, and cortisol.
  • Vitamin D Synthesis: Sunlight triggers the conversion of cholesterol in the skin into vitamin D, a nutrient critical for bone health and immune function.
  • Cell Membrane Structure: Cholesterol contributes to the structural integrity and fluidity of cell membranes, allowing cells to function effectively.
  • Bile Production: It is a key ingredient in bile, a substance necessary for digesting fats.

LDLs and HDLs

Cholesterol travels through the bloodstream in particles called lipoproteins. The two main types of lipoproteins are:

  1. Low-Density Lipoprotein (LDL): Often labeled as “bad” cholesterol, LDL carries cholesterol to your cells. LDL is NOT bad, but damaged or oxidized LDL is bad. See below.

  2. High-Density Lipoprotein (HDL): Known as “good” cholesterol, HDL helps remove excess cholesterol from the bloodstream, transporting it to the liver for elimination. Higher levels of HDL are linked to a lower risk of cardiovascular disease.

A balance between LDL and HDL is crucial. Both serve vital functions, but an imbalance can lead to health complications. And it is the damage to cholesterol, known as oxidation, that is the real culprit to issues. 


Damaged Cholesterol is the Problem

While cholesterol itself is essential, damaged or oxidized cholesterol poses significant health risks. Oxidized cholesterol is formed when cholesterol particles react with free radicals, leading to a cascade of harmful effects in the body.

  • Oxidized LDL (Low-Density Lipoprotein): When LDL particles are oxidized, they become more likely to adhere to arterial walls, contributing to the formation of plaque and the narrowing of blood vessels. This process is a key factor in the development of atherosclerosis and heart disease.
  • Oxidized HDL (High-Density Lipoprotein): HDL is typically protective, but oxidized HDL loses its beneficial properties and can even contribute to inflammation and arterial damage.

The real issue lies in oxidative stress, a state where the body has an imbalance between free radicals and antioxidants. High oxidative stress can damage cholesterol, accelerate aging, and increase the risk of chronic diseases.

Reducing oxidative stress is paramount for protecting cholesterol and maintaining cardiovascular health. Antioxidant-rich foods, regular exercise, and stress management can help mitigate this issue.


Why Testing for Oxidized LDL and Oxidative Stress Matters

Measuring oxidized LDL and overall oxidative stress provides a clearer picture of cardiovascular health than traditional cholesterol testing alone. Knowing your oxidative stress levels can help identify risks early and guide preventive strategies.

  • CHAT Panel: Our comprehensive CHAT (Comprehensive Heart Assessment Testing) panel offers an in-depth analysis of oxidized LDL levels and oxidative stress markers. This advanced testing option provides valuable insights for those seeking a thorough evaluation of their cardiovascular health.

  • Heart Attack Risk Test: For a budget-friendly, at-home alternative, the Heart Attack Risk Test is an excellent option. It measures oxidative stress by urine, empowering you to take charge of your health from the comfort of your home.

Testing for oxidized LDL and oxidative stress can help you tailor interventions, such as dietary changes, lifestyle adjustments, and targeted supplementation, to reduce your cardiovascular risk effectively.


Managing Cholesterol Naturally

In addition to our pillars of Eat Well, Live Well, Think Well, evidence-based supplements can help. That is why we created OptiLipid: Seven nutrients proven to support healthy cholesterol levels and lower oxidative stress. Learn more about OptiLipid here. 


The Bigger Picture: Cholesterol and Heart Health

While cholesterol plays a role in cardiovascular disease, it is not the sole determinant. Inflammation, oxidative stress, and other factors also contribute to heart health. It’s essential to consider cholesterol as part of a broader picture rather than a singular villain.

By adopting a comprehensive approach—including a nutrient-dense diet, regular exercise, and stress management—you can support healthy cholesterol levels and reduce your risk of chronic disease.

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About Dr. Keith Smigiel NP, DC

Dr. Keith Smigiel

Dr. Keith Smigiel is a regenerative medicine physician and pain management specialist. He takes an integrative approach to medicine, focusing on customized solutions tailored to individual needs. Using advanced, non-surgical treatments, Dr. Smigiel stimulates your body’s ability to naturally heal itself.

Dr. Smigiel helps people suffering from conditions such as chronic pain and erectile dysfunction, to hair loss and weight gain. Combining treatments such as PRP Therapy, Ozone, Neural Prolotherapy, and IV Infusions with functional rehabilitation, he helps you look and feel better.

He heals the body, instead of just treating the symptoms!

With his professional qualifications as a certified family nurse practitioner, a doctor of chiropractic, and a fellow of the International Academy of Medical Acupuncture, Dr. Smigiel offers patients comprehensive care from a broad perspective of conventional and alternative medicine. He also has extensive experience in functional rehabilitation and chronic pain management.

Dr. Smigiel is married to Angela and has two children, Sophia and Larz. When he’s not busy helping patients, he enjoys hiking, mountain biking, motocross, and boating.

About Dr. Lauren Lattanza NMD, FACC

Dr. Lattanza Office Visit with Patient

As a Naturopathic Physician, I am trained to treat the whole person and get to the root cause of disease.

I went to Arizona State University where I graduated with a bachelor’s degree in psychology with a depth in physiology and minor in Spanish. After my undergraduate degree I was working on prerequisite classes towards medical school, which is when I came to learn that my values identified best with the principles of naturopathic medicine. I knew that I wanted to help patients identify the causes of disease and be able to offer treatments which would improve their health rather than simply treating symptoms.

I dedicated the next 4 years to the Southwest College of Naturopathic Medicine in Tempe, Arizona where I attained my Doctorate of Naturopathic Medicine. I served as Class President all 4 years, Board of Trustees – Student Trustee, spoke as the Club President for our branch of Toastmasters, and was voted by my peers and attending physicians to earn the Outstanding Leadership Award for the Class of 2020. Throughout medical school I took it upon myself to work alongside MDs, DOs, chiropractors, and functional medicine practitioners in addition to naturopathic physicians.

As a Spanish speaking student, I was able to volunteer with community clinics around Phoenix and provide free healthcare to low-income families. Due to this combined exposure, I came to find my passion in treating cardiometabolic and digestive disorders that are all too common, yet largely preventable. I took the opportunity to learn the broad spectrum of healthcare so I can ensure that I am able to provide my patients with the best options.

About Dr. Jack Wolfson DO, FACC

Dr. Wolfson Office Visit with Patient

Dr. Jack Wolfson is a cardiologist, Amazon best-selling author, husband, father, and the nation’s #1 Natural Heart Doctor.

For more than two decades, more than one million people have enjoyed the warmth, compassion, and transformational power of his natural heart health courses and events.

Dr. Wolfson is the founder of Natural Heart Doctor Scottsdale, his heart health practice in Arizona, and Natural Heart Doctor, an online resource center with natural health information. Doctors from across the globe reach out to Dr. Wolfson for training and education in holistic health practices.

He has been named one of America’s Top Functional Medicine Doctors and is a five-time winner of the Natural Choice Awards as a holistic M.D. Dr. Wolfson’s work has been covered by more than 100 media outlets, including NBC, CNN, and the Washington Post. His book “The Paleo Cardiologist: The Natural Way to Heart Health” was an Amazon #1 best-seller.

Dr. Wolfson and his wife Heather have four children and are committed to making the world a better place to live. They provide for those in need (including animals) and support natural health causes through their philanthropic efforts.

Chiropractic

Our chiropractor is an expert at adjustments and holistic chiropractic care and works closely in conjunction with the other health care experts at Natural Heart Doctor.

Call (480) 535-6844 for details and scheduling.

IV Therapy

We use specially formulated natural vitamins and minerals that are injected into a vein to prevent or treat dehydration. Ideal for people in Arizona.

Call (480) 535-6844 for details and scheduling.

Acupuncture

Stimulate your body’s natural healing abilities and promote physical and emotional well-being with acupuncture at Natural Heart Doctor.

Call (480) 535-6844 for details and scheduling.

Health Coaching

Our health coaches use evidence based skillful conversation, clinical interventions, and strategies to engage you actively and safely in health behavior changes.

Call (480) 535-6844 for details and scheduling.

Cardio Tests

We use the most advanced testing in the world to assess heart health and to identify the root cause of your health issues.

Call (480) 535-6844 for details and scheduling.

Office Visits

Schedule an office visit with one of our cardiologists, holistic physicians, chiropractor, or health coaches.

Call (480) 535-6844 for details and scheduling.

Frequently Asked Questions

I’d like to receive an online second opinion from Natural Heart Doctor. What do I do next?

You can initiate a second opinion online through our website at any time. To begin, select the team member you’d like to speak with and open an account.

Click here for cardiologist Dr. Jack Wolfson.

Naturopathic Medical Doctor Dr. Lauren Lattanza. Get details.

Naturopathic Medical Doctor Dr. Tonia Rainier. Get details.

Click here for  Natural Heart Doctor Health Coach.

Alternatively, you can email health@naturalheartdoctor.com. A member of our care team will help guide you through the process of starting a second opinion.

What is the cost of a Natural Heart Doctor Online Second Opinion?

The cost for most second opinions varies by team member. This fee includes information collection, a phone or video consultation, a second opinion from a Natural Heart Doctor specialist and guidance throughout the process from your personal Care Team at Natural Heart Doctor.

Cardiologist Dr. Jack Wolfson’s Second Opinion Fee is $1500.

Holistic Physician’s Dr. Lauren Lattanza’s Second Opinion Fee is $250.

Naturopathic Physician Dr. Tonia Rainier’s Second Opinion Fee is $250.

Note: We apply the Online Second Opinion Call fee as a credit to any future consultations with Natural Heart Doctor, should you choose them.

Will my insurance cover the cost of a Natural Heart Doctor Online Second Opinion?

Most likely, no. Most health plans do not cover online second opinions or consultations. You are responsible for the cost of our second opinion. Natural Heart Doctor cannot file a claim with your insurance carrier, nor can we provide a procedure (CPT) code for this service.

What is the timeline to receive an online second opinion?

We do our best to schedule your second opinion as quickly as possible. Typically, it takes 5 to 7 business days after your information has been collected to receive your phone or video online second opinion.

What information do you need in advance of our call?

Our office will send you a short questionnaire to complete and return. We DO NOT need your complete medical records.

How many questions can I ask the expert during our call?

You may ask a maximum of five questions. This is to ensure that the expert has sufficient time to devote to each question. All questions must be finalized before your online meeting.

What should I expect to receive once my second opinion is complete?

You will receive a summary of our discussion along with our second opinion. The second opinion will be in written form. After you have reviewed the second opinion, a Natural Heart Doctor clinician will follow up with you by phone to address general medical questions about the information provided in the second opinion.

What if I have follow-up questions for the expert after I have reviewed my second opinion?

If you have a clarifying question about an expert’s response to one of the questions in your second opinion, and the Natural Heart Doctor clinician is unable to address it, then you may request a follow up session for an additional fee. 

Is my medical and payment information secure?

Natural Heart Doctor is strongly committed to protecting the privacy and security of all our patients. Our website meets all federal requirements for protecting personal health information under the Health Insurance Portability and Accountability Act (HIPAA). All financial transactions are processed by Natural Heart Doctor securely using industry standard payment processing tools.

I would rather visit Natural Heart Doctor for an in-person appointment. What should I do next?

If you would prefer an in-person appointment at Natural Heart Doctor instead of an online second opinion, please call (480) 535-6844 for details and scheduling.

Can I schedule a follow up appointment with the specialist who provided my online second opinion?

Yes, we’re happy to help you on an extended basis. Our clinician can discuss options with you when presenting our second opinion summary.