Cholesterol: How to Lower Cholesterol?

Why bother?

Heart disease is the number one killer in most countries. It is mainly caused by clogging up of the arteries by a fatty substance known as atheroma, which comes from having too much ‘fat’ in the blood. This serious process is called atherosclerosis- the condition that can lead to heart attack or stroke. There are 2 types of fat that cause damage if their levels are too high- cholesterol and triglyceride. A special blood test is taken after fasting for at least 12 hours can tell if one or both of these fats are too high.

Triglyceride

If your triglyceride level is too high, fixing the problem is quite straightforward because it is mainly due to being overweight. It is caused by having too many calories in the diet, especially from sugar and other carbohydrates and high-calorie drinks (e.g. soft drinks and alcohol, in particular beer). The aim is to get your weight down to an ideal level.

Cholesterol

Most people can lower the level through changing their diet. It has been shown that it is necessary to lose excess weight in order to get our cholesterol down. Foods rich in carbohydrates eg starchy foods (such as bread, rice and pasta) should be avoided.

GOLDEN RULES

·       Keep to your ideal weight

·       Take a high fibre diet eg green leafy vegetables

·       Eat fish at least twice a week

·       Beware of fast foods

·       Avoid deep fried foods

·       Take regular exercise

·       Avoid biscuits in between meals

·       Drink more water

·       Do not smoke

It is imperative to reduce your intake of carbohydrates, and avoid all foods with a High Glycemic Index, which leads to elevated blood glucose after meals, prompting the increase of Insulin, a hormone that manages the level of blood glucose in the blood. Insulin removes glucose from the blood by turning the excess blood glucose into fats in your body, especially visceral fat around your organs and tummy.

THE LOW CHOLESTEROL DIET                                                                                              

                           FOODS TO AVOID                                  SUITABLE FOODS

Wheat               All Wheat & Gluten containing foods                        

Eggs                                                                                   Whole eggs, egg yolks, Egg whites

Milk                  Whole milk and its products-              Low- fat milk, skim milk & its products-

                             ice-cream, cream                                  cottage & ricotta cheese, buttermilk,

                             yoghurt, condensed milk                     non-fat yoghurt, butter, cheese

Organ meats      Brains, liver, liverwurst. kidney,                                   -

                            sweetbread

Seafood             Prawns, squid (calamari), fish roe,         Fresh wild fish, scallops,oysters,

                           canned fish in oil (e.g. sardines)             canned fish in water, small

                                                                                                amounts of lobster & crab

Meat                  Fatty meats- bacon, ham,                        Rabbit, veal (without fat), lean cuts

                          sausages, salami, canned meats,            of grass-fed beef, lamb & pork 

                         mince hamburger                                                             

Poultry                                                                                 Chicken, turkey, duck, goose,

                                                                                              preferable free range

Bakery food    Pies, pastries, cakes, doughnuts,            Homemade items if proper gluten-

                         biscuits, bread                                         free ingredients used

Fast food        Fried chicken, chips, fish                                 -

                         dim sums, hot dogs, pizzas

Nuts  Peanuts                  Cashews, macadamia nuts,                                                                                            Pecan nuts, hazelnuts, coconut, walnuts                                                                         

Fruit and        Sweet fruits eg Mango, Bananas,      All other fruits in moderate quantities

Vegetables    Pineapples                                    Green leafy vegetables are important                                                  

Miscellaneous   Gravies, potato chips, fudge,              Rice, tea, coffee

                            coffee whitener & other creamers

                           Gluten containing foods eg Pasta

                           & Cereal

Oils and fats      Saturated fats- lard, margarine,          Butter, Coconut Oil, Avocado Oil,

                            palm oil & vegetable oils                     Flaxseed oil                     

Cooking methods  Deep Frying                                   Using healthy oils, boiling, baking



Sinopharm COVID-19 & Latest Influenza Vaccines (Protects against Flu and H1N1 Viruses) / Pre-Departure COVID-19 PCR  Swab & Serology Tests for Travellers, Serology Testing to Certify Vaccination status and Pre-Event COVID Testing. Make your Appointment at Tel: 6694 1661

Flu Subsidy Scheme eligible for Singaporeans & PRs (Pay subsidized rate of $10 for Consultation and Treatment) & Merdeka Generation /Pioneer Generation seniors (Pay subsidized $5) for patients with Acute Respiratory Infections (ARIs).

Pain Management

The cholesterol hypothesis is wrong - Dr Malcolm Kendrick, Author of the 'The Great Cholesterol Con'

Ten contradictions from the medical literature that show why the cholesterol / saturated fat / heart disease hypothesis is wrong.

Dr Malcolm Kendrick, author of the best selling book "The Great Cholesterol Con" speaking at Rosemary Cottage Clinic Education Trust* Autumn Seminar, 27th September 2014, in Chichester West Sussex.


Who is at risk and should get tested?

Cholesterol Lowering Drugs

Comparison of Cholesterol Lowering Drugs

Please seek Medical attention as soon as possible if you are unsure of you or your family's health condition.


Diabetes Symptoms, Monitoring, Diet, Treatment & Health tips


Sinopharm COVID-19 Vaccine in Singapore

Sinopharm COVID-19 Vaccine is now available @ MD International Medical Centre. Make a Vaccination or Booster Appointment at Tel: 6694 1661. Learn more about Sinopharm here.

Sinopharm BBIBP-CorV vaccine has now been approved for use by private clinics in Singapore against the COVID-19 virus under the Special Access Route. It is the first China-made vaccine to be approved by the World Health Organisation (WHO).

To date, more than a billion doses of the Sinopharm BBIBP-CorV have been administered. The vaccine has also been approved for use in over 50 countries around the world.

Inactivated vaccines are a tried-and-tested form of vaccine technology which is used in other well-established vaccines, such as the Flu and Hepatitis B vaccines.

If you would like to receive the Sinopharm vaccine or booster, please make your appointment at MD Int'l Medical Centre at Tel: 6694 1661.

Effects of COVID-19 on the Brain

COVID Symptoms to watch out for:

SARS-CoV-2 Virus Infection of Human Organ  Tissues through Cell ACE-2 Receptors:

Ministry of Health Recommendation :

  • For persons who have already completed their Primary series with mRNA vaccines and are recommended to get a booster, but are unable to take another dose of mRNA vaccines for medical reasons, they may boost using one dose of Sinopharm vaccine. The booster should be taken six months after mRNA dose 2 (M-M-S).
  • For persons who are unable to take the the 2nd dose of mRNA vaccines for medical reasons, they may complete their vaccination with the Sinopharm vaccine. 2 doses of the Sinopharm vaccine is recommended to complete the Primary series. The 2nd Sinopharm dose  should be taken 28 days after the 1st Sinopharm dose (M-S-S).

For recovered persons who had not completed a primary series before infection:

  • For persons who have recovered from a COVID-19 infection but received 1 dose or none of COVID-19 vaccination prior, they may receive 2 doses of the Sinopharm vaccine (28 days interval between doses), 3 months after the date of infection to complete a primary vaccination series (Recovered-S-S or S-Recovered-S-S or M-Recovered-S-S).
  • For persons who have recovered from a COVID-19 infection and had received 2 doses of Sinovac or Sinopharm vaccines prior, they may receive 1 dose of Sinopharm after 3 months from the date of infection to complete a primary vaccination series (S-S-Recovered-S).

Up to $400 per Medisave Account per year can be used for Vaccinations under the National Adult & Childhood Immunisation Schedule - Influenza, Pneumococcal (PCV13/PPSV), Human Papillomavirus (HPV2/HPV4), Hepatitis B, Tetanus, Diphtheria & Pertussis (Tdap), Measles, Mumps & Rubella (MMR) and Chickenpox (Varicella).

Part of MOH's Swab & Go Home programme. Our clinic can carry out the COVID-19 Swab test for anyone who meets the MOH medical criteria. All individuals aged 13 and above, diagnosed with ARI will be COVID Swab-tested. Cost of Swab test to be borne by Ministry of Health Singapore.

Part of the National Influenza Sentinel Surveillance programme with MOH. If you have a fever of > 38 degrees with a cough, our clinic is able to test for COVID-19. For children below 12 years old with clinical diagnosis of HFMD (eg fever, oral ulcers, rash), our clinic can test for Hand Foot & Mouth Disease (The tests are for surveillance purposes only).


Heart Health - Coronary Heart Disease, Learn what is Angina and Stroke, as well as How to Lower Cholesterol


Groups at Higher Risk for Severe Illness in a COVID-19 Infection

Comorbidities & Underlying Health Conditions in COVID-19 Patients with Complications

·       Hypertension

·       Diabetes mellitus

·       Cerebrovascular disease

·       Cardiovascular disease

·       Chronic lung diseases including COPD

·       Chronic Kidney disease

·       Asthma

·       Dementia

·       Chronic Neurological Disorders

·       Cancer

·       Rheumatological Disorder

·       Obesity

·       Smoking

·       Chronic Hematologic disease / Haemoglobin Blood Disorders

·       Liver disease / Hepatitis B Infection

·       Malnutrition

·       Immunodeficiency / Immunocompromised eg HIV AIDS

·       People aged 65 and older

(Ref: https://www.nature.com/articles/s41430-020-0642-3.pdf, Dailymail.co.uk, https://pubmed.ncbi.nlm.nih.gov/32320003/, Comorbidity and its impact on 1590 patients with Covid-19 in China: A Nationwide Analysis https://erj.ersjournals.com/content/early/2020/03/17/13993003.00547-2020


Co-infection of COVID-19 with other infectious diseases is possible.

Reduce your risk of getting sick with COVID-19

  • Make sure your vaccinations are up-to-date. People older than 65 years, and those with many underlying conditions, such as those who are immunocompromised or with significant liver disease, are recommended to receive vaccinations against influenza (Flu 2021/22) and pneumococcal disease (PCV). Click here for Vaccination schedules (NAIS/NCIS).
  • Do not delay getting medical care for your underlying condition because of COVID-19. MD International Medical Centre has contingency MOH infection prevention protocols to protect you from getting COVID-19 if you need care for your underlying condition.
  • Continue your medications and do not change your treatment plan without talking to your doctor.
  • Make sure that you have at least a two-week supply of your chronic disease medications.
  • Call MDIMC @ Tel: 6694 1661 for a medical appointment if you have any concerns about your underlying medical conditions or if you get sick. Our clinic is a PHPC-accredited medical clinic. Under the MOH Swab & Go Home programme, our doctors can do a COVID-19 PCR Swab test if you meet the MOH medical crtieria.

Asymptomatic patients may not display no symptoms of illness. Vulnerable people should get vaccinated against Influenza as the stop gap until the COVID vaccine is found. The Flu vaccine would protect susceptible people from, as well as exclude the Flu and H1N1 viruses should they start to show URTI or ARI symptoms.

- Latest Influenza Vaccine

The latest Influenza Vaccine is now available. It protects against the Flu and H1N1 Viruses. In the event that a person displays flu-like symptoms after the Flu vaccination, both Flu and H1N1 may be excluded in his diagnosis, and treatment can be sought quickly should the patient have contracted COVID-19.

Ministry of Health Safety protocols are adhered to at all times for the safe vaccination of you and your family.

* Latest COVID-19 Updates & Health Tips

* Importance of Keeping your Vaccinations Up-to-date

Singapore is free from vaccine-preventable diseases like poliomyelitis, diphtheria, tetanus and pertussis (whooping cough) because of our successful immunisation progamme.

Up to $400 per Medisave Account per year can be used for Vaccinations under the National Adult & Childhood Immunisation Schedule - Influenza, Pneumococcal (PCV13/PPSV), Human Papillomavirus (HPV2/HPV4), Hepatitis B, Tetanus, Diphtheria & Pertussis (Tdap), Measles, Mumps & Rubella (MMR) and Chickenpox (Varicella).

National Adult Immunisation Schedule (NAIS) Singapore @ MD International Medical Centre. Make your vaccination appointment at Tel: 6694 1661.


Hypertension Symptoms & Treatment, Blood Pressure monitoring, BP Chart


How a Gluten-free Diet can Improve your Chronic Illnesses

Healthy Diets for Optimal Health


MD International Medical Centre

Medical Services available :

Public Health Preparedness Clinic

National University Health System Primary Care Network

Singapore Ministry of Health Chronic Disease Management Programme (CDMP)

The information provided in this website is for knowledge purposes only. It does not constitute medical advice.

Should you encounter any medical problem that you are unsure of, always consult your doctor or health care provider for assistance and medical advice.

MD International (Singapore) Pte Ltd

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9 Taman Serasi #01-11, Botanic Gardens View

Tel : 65-6694-1661  Fax : 65-6694 1771

Email : contact@mdimc.sg

Clinic hours:

Monday to Friday: 9am-12.30pm / 2pm-6.30pm    Saturday: 9.30am-1pm

*Last registration is 30mins before the closing time

Closed on Sundays & Public Holidays

- Cashless service with most International Insurance companies and Insurance Medical cards are accepted

- Japanese & Mandarin-speaking Doctors and Medical staff

Please contact us at Tel: 6694 1661 to make an appointment.

OUR MEDICAL TEAM

Dr Don Lau – Medical Director

MBBS (Monash), B Med Sc (Hons) (Monash), Dip Pract Derm (Wales, UK)

Fujiwara Takanori DC

The Chiropractic Association Singapore, Japan Chiropractic Register, American Chiropractic Association, California Chiropractic Association

Physiotherapy-trained NBCE The National Board of Chiropractic Examiners

YAMAGATA Chihiro 山懸千尋

Registered Psychologist

Dr Lee Sao Bing – Opthalmologist (in-house Specialist)

MBBS, MMed(Ophth), FRCSEd(Ophth), MD, FAMS

Dr Pang Yoke Teen – ENT (Visiting Consultant)

FRCS (ORL), FRCS(EDIN), (FRCSGLASG), FAMS, MBBS

MD International Medical Centre

Medical Services

Minor Surgical Procedures :

·       Injection for Supraspinatus or Bicipital Tendonitis / Epicondylitis / Trigger finger / Plantar Fasciitis

·       Tendon Sheath Injection

·       Excision of small Skin tumours / Lipomas / Nail bed / Ear lobe cysts / Meibomian cyst

·       Removal of Skin sutures / Skin tags / Sebaceous cysts / Various foreign bodies / Corneal foreign body

·       Liquid Nitrogen Therapy

·       Treatment of Plantar Warts / Calluses / Corns / Ganglions

·       Splinters under nails

·       Olecranon and Pre-patellar Bursitis

·       Ear syringing

·       Embedded earring stud

Medical Conditions Treatable with Therapy:  

  • Head & Neck – Neckaches/ Spondylosis/ Wry Neck/ Whiplash/ Headaches/ Migraine/ Facial Palsy
  • Back – Back Strain/ Slipped Disc/ Scoliosis/ Sciatica/ Spondylosis/ Spondylolisthesis/ Spondylolysis
  • Shoulder – Frozen Shoulder/ Rotator Cuff Tear/ Impingement Syndrome
  • Elbow – Tennis Elbow/ Golf Elbow
  • Hip / Knee – Anterior Knee Pain/ Runner’s Knee/ Meniscus Injury/ Ligament Injury
  • Foot – Plantar Fasciitis/ Heel Pain/ Metatarsalgia
  • Joint – Arthritis/ Cartilage Wear & Tear/ Osteoarthritis
  • Ligament – Sprains/ ACL Laxity/ Ankle Sprain
  • Muscle – Strains/ ITB Tightness/ Hamstring Tear
  • Tendons – Tendonitis/ Repetitive Strain Injury/ Tendinopathy
  • Sports Injuries
  • Obesity – Exercise & Meal Planning 
  • Post Operation/ Hospitalization
  • Fibromyalgia

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OUR MEDICAL TEAM

Dr Don Lau – Medical Director

MBBS (Monash), B Med Sc (Hons) (Monash), Dip Pract Derm (Wales, UK)

Fujiwara Takanori DC

The Chiropractic Association Singapore, Japan Chiropractic Register, American Chiropractic Association, California Chiropractic Association

Physiotherapy-trained NBCE The National Board of Chiropractic Examiners

YAMAGATA Chihiro 山懸千尋

Registered Psychologist


急性呼吸器感染症と診断されたPR保持者およびシンガポール人の患者さんは、シンガポール政府からの助成金であるFlu Subsidy Schemeがご利用いただけます。

詳しくはお電話にてお問い合わせください。


当院ではMOHが実施している”Swab & Go Home Program”をご案内しています。

MOHの規定・基準を満たす症状がある患者さんへCOVID-19スワブテストをしています。

詳しくはお電話にてお問い合わせください。


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