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7 alternatives to statins to lower heart disease risk

If you were among those prescribed a statin prescription by your doctor, you may not have been given safer effective alternatives to help prevent cardiovascular disease. Let me share those with you here.

First eliminate the more dangerous risk factors

Let’s put the risk factors for heart disease into proper perspective. Before you even consider worrying about your cholesterol levels, first eliminate the risk factors that are the more dangerous. These include:

  • persistent uncontrolled hypertension

  • uncontrolled diabetes mellitus

  • tobacco smoking

  • excessive visceral adipose tissue (VAT), a.k.a. belly fat

Each one of these play a direct role to worsen endothelial damage (where atherosclerosis begins) and makes cholesterol become oxidized (sticky). When not oxidized, cholesterol is a very important and valuable substance in your body.

Lower your heart disease risk without taking a statin drug

There are yet other pieces of the heart disease risk-reduction puzzle to consider before taking a statin drug. Let’s look now at 7 better-than-statin interventions. First, there are nutrient-rich foods. This alone is far more powerful than any statin drug will ever be.

Nutrient rich foods

You may remember that 17 year-long observational study[i] of 10,771 healthy subjects that was reported in 1996 British Medical Journal. Researchers found that those who reported consuming vegetarianism, whole grain bread, bran cereal, nuts or dried fruit, fresh fruit and raw salad routinely had half the age-matched death rate from all causes compared to the general population. In particular, the daily consumption of fresh fruit was associated with a significantly reduced death rate from heart disease and stroke (atherosclerosis).

A recent example of the power of a plant-based nutrient-rich diet to lower cholesterol and heart disease risk is my 69-year-old patient, John, who refused to take a statin. With just this one intervention (a plant-based diet), he dropped is total cholesterol from over 250 mg/dl in January down to 131 mg/dl in August of this year. He also lost eight pounds and boosted his energy level and mood. A statin cannot compete with this.

Consume anti-inflammatory oils including plant-based saturated fats such as coconut and avocado oils, and eliminate processed vegetable oils such as canola, soybean and corn oil.


Overweight and obesity conditions go hand-in-hand with low mood and stress; and both are risk factors for heart disease. Obesity correlates with increased insulin production (which is inflammatory, part of metabolic syndrome) and increases inflammatory chemicals known to promote heart disease, called cytokines[ii]. Read my 22 weight loss tips posted online at

Of the 84,129 healthy women who participated in the Nurses' Health Study starting in 1980 and followed for 14 years, those who exercised 30 minutes daily, did not smoke, and who adhered to a diet high in cereal fiber, omega-3 fatty acids, but low in trans-fat, and low in refined sugar had one-sixth the heart attack rate of those who did not do these things.[iii] Even exercise alone has the power to reduce your stroke risk 44% by brisk walking just 10 minutes daily, six days a week—which provided as much or more reduction in stroke (which is cardiovascular disease just as heart disease is) as taking the statin drug, Lipitor.[iv]

Stress management

Likewise, stress management is vital to heart health. You know the personality types A, B, and C (outwardly pleasant, avoids conflict, but suppresses feelings). Type D is the distressed person who exhibits anxiety, irritability, hopelessness and lack of self-assurance. This D personality type correlates with poor heart health. In a 2001 study reported in Circulation, researchers treated emotional distress in 150 men with heart disease[v]; the men who underwent emotional rehabilitation and worked at warding off distress were four times less likely to die after nine years compared to matched controls. Furthermore, a January 2006 Netherlands study[vi] followed 875 patients after coronary artery surgery for heart attack rate; those who scored highest for type D personality traits (call the “distress score”) had four times the rate of heart attack or death compared to those who scored low on this questionnaire.

This of this: what is stopping you from being peaceful and content all the time? It is likely your habits of thinking the worst when circumstances veer unexpectedly, which keep you from seeing the beauty in all of your life experiences!

Consider this:

  • a Yale University study revealed that those who felt the most loved had much less coronary artery blockage.

  • at Case Western Reserve University researchers studied almost 10,000 married men only to find out that those who said “yes” to the question “Does your wife show her love?” had significantly less chest pain (angina).

  • Duke University researchers found on a survey of men and women with heart disease that the death rate after five years was three times higher with those who were single or lacked a trusted relationship.

Teeth and gum health correlation to heart health

Heart attack or death from a heart attack doubled in those who never/rarely brushed their teeth according to a study of 11,869 people (mean age 50) who were followed for an average of 8.1 years for oral hygiene health, as reported in a 2010 British Medical Journal.[vii] The bottom line is this: brush and floss your teeth daily.

Amla safer and as effective as statins

Emblica officinalis (“Amla”), a.k.a. Indian gooseberry contains antioxidant properties of low-molecular weight hydrolysable tannins. Numerous animal and human studies[1] [2] show that it lowers total cholesterol, reduces platelet aggregation, and lowers C-reactive protein comparable to statins.

They have even done head-to-head studies[3] comparing Amla to statins in patients with elevated total cholesterol (>240 mg/dl) and elevated LDL-cholesterol (>130 mg/dl). Both Amla and the statin drug Zocor equally lowered these cholesterol measurements (10 to 15% drop) and increased HDL-cholesterol (good cholesterol). Even better, Amla lowered blood pressure more than Zocor.

In a study[4] comparing Amla to Lipitor 10 mg daily, both similarly reduced measurable heart disease risk parameters. The authors stated, “It can be concluded from our study that P. Emblica extract may be a good therapeutic alternative to statins in diabetic patients with endothelial dysfunction because it has the beneficial effects of the statins without the well known effects of these agents, including myopathy, hepatic dysfunction, and headache.”

Thyroid gland functional balance

In 1895, a group of prominent Austrian physicians removed the thyroid glands from sheep and goats (which rarely get arterial disease) and all of the animals subsequently developed severe diffuse arteriosclerosis and heart disease.[5] To confirm their conclusion, fifteen years later other Austrian physicians removed thyroid glands from sheep and goats but to this group they gave hormone replacement from thyroid extract and none of these animals developed arteriosclerosis.[6]

Then there is he clinical experience of Dr. Broda Barnes and the generations of the Hertoghe family of endocrine physicians from Belgium. These physician pioneers have estimated that thyroid deficiency is actually the leading cause of heart disease.[7]

Dr. Barnes reported in 1976 that when his thyroid deficient patients were properly treated with natural thyroid hormone, there was a 94% protection rate against heart attacks.[8] Often, synthetic T4 does not produce the needed amount of the much more active thyroid hormone, T3, for tissues to respond. In this case, a natural desiccated thyroid preparation such as Armour, Nature-throid, or Westthroid gives a better clinical result. These contain both T4 and T3 hormone.

Testosterone balance

We know that low testosterone levels in men is linked to heart attack risk.[9] [10] This is an easy thing to get this level checked and this hormone balanced by supplementation.

To long term health and feeling good,

Michael Cutler, M.D.


[1] Key TJ, Thorogood M, Appleby PN, Burr ML. Dietary habits and mortality in 11,000 vegetarians and health conscious people: results of a 17 year follow up. BMJ. 1996 Sep 28;313(7060):775-9

[2] Neil M Johannsen, Elisa L. Priest, et al. Association of White Blood Cell Subfraction Concentration with Fitness and Fatness. BJSM Published Online First: 17 October 2008. Found online at:

[3] Stampfer MJ, Hu FB, Manson JE, et al. Primary prevention of coronary heart disease in women through diet and lifestyle. N. Engl. J. Med. 2000 Jul 6; 343(1):16-22.

[4] Hu FB, Stampfer MJ, Physical activity and risk of stroke in women. JAMA 2000 Jun 14; 283(22):2961-7

[5] Denollet J, Brutsaert DL. Reducing emotional distress improves prognosis in coronary heart disease: 9-year mortality in a clinical trial of rehabilitation. Circulation. 2001 Oct 23;104(17):2018-23.

[6] Denollet J, Pedersen SS, Ong AT, Erdman RA, Serruys PW, van Domburg RT. Social inhibition modulates the effect of negative emotions on cardiac prognosis following percutaneous coronary intervention in the drug-eluting stent era. Eur Heart J. 2006 Jan;27(2):171-7. Epub 2005 Oct 24.

[7] de Oliveira C, Watt R, Hamer M. Toothbrushing, inflammation, and risk of cardiovascular disease: results from Scottish Health Survey. BMJ. 2010 May 27;340:c2451.

[8] Antony B, Benny M, Kaimal TN. A Pilot clinical study to evaluate the effect of Emblica officinalis extract (Amlamax™) on markers of systemic inflammation and dyslipidemia. Indian J Clin Biochem. 2008 Oct;23(4):378-81. PubMed PMID: 23105791.

[9] Khanna S, Das A, Spieldenner J, Rink C, Roy S. Supplementation of a standardized extract from Phyllanthus emblica improves cardiovascular risk factors and platelet aggregation in overweight/class-1 obese adults. J Med Food. 2015 Apr;18(4):415-20. PubMed PMID: 25756303.

[10] Gopa B, Bhatt J, Hemavathi KG. A comparative clinical study of hypolipidemic efficacy of Amla (Emblica officinalis) with 3-hydroxy-3-methylglutaryl-coenzyme-A reductase inhibitor simvastatin. Indian J Pharmacol. 2012 Mar;44(2):238-42. PubMed PMID: 22529483.

[11] Usharani P, Fatima N, Muralidhar N. Effects of Phyllanthus emblica extract on endothelial dysfunction and biomarkers of oxidative stress in patients with type 2 diabetes mellitus: a randomized, double-blind, controlled study. Diabetes Metab Syndr Obes. 2013 Jul 26;6:275-84. PubMed PMID: 23935377.

[12] von Eiselsberg, AF: “On the Vegetative Disturbances in Growth of Animals after Early Thyroidectomy,” Archives Klinik Chirurgie, 49:207, 1895

[13] Pick, EP, Pineless, F: “Research on the Physiologically Active Substance of the Thyroid,” Exp Path Ther 7:518, 1910


[15] Barnes, Broda O: Solved: The Riddle of Heart Attacks, Robinson Press, Fort Collins, CO,


[16] Nettleship JE, Jones RD, Channer KS, Jones TH. Testosterone and coronary artery disease. Front Horm Res. 2009;37:91-107. Found online at:

[17] Morris PD, Channer KS. Testosterone and cardiovascular disease in men. Asian J Androl. 2012 May;14(3):428-35. Found online at:

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