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What medication cleans arteries?

Statins help lower low-density lipoprotein (LDL) cholesterol, also known as “bad” cholesterol, in the blood. They draw cholesterol out of plaque and stabilize plaque, Blaha says.

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More than 200 million people around the world take statin drugs for their heart health. Shifting ideas about the risks and benefits of statins over the years, however, have left some new patients confused about whether these drugs are right—or safe—for them. “Traditionally, statins were viewed as purely cholesterol-lowering drugs. So it made sense just to use them for people with high cholesterol,” explains Johns Hopkins cardiologist Michael Blaha, M.D. “But we’ve learned that they also benefit people with lower levels of cholesterol who are at a high risk of heart disease. So we now think of statins as risk-reducing drugs.” This dramatic change in thinking means that people who once were not candidates for statins are now prescribed them to lower their risk of heart attack and stroke.

How statins work

Statins help lower low-density lipoprotein (LDL) cholesterol, also known as “bad” cholesterol, in the blood. They draw cholesterol out of plaque and stabilize plaque, Blaha says. Plaque is a waxy substance consisting mainly of cholesterol deposits that can build up within the walls of the arteries, interfering with blood flow to and from the heart and leading to heart attack and stroke. Early on, plaque build-up can be controlled by healthy lifestyle choices, such as switching to a heart-healthy diet, exercising and not smoking. If those efforts are unsuccessful over time, doctors will introduce treatment with statins to benefit the arteries and prevent further damage.

Who gets statins?

Being prescribed statins is no longer simply a result of having poor cholesterol numbers. Instead, doctors use a variety of ways to identify high-risk patients. These include examining all of your heart-health measures (including blood pressure, blood glucose and body-mass index) as well as the results of tests that assess plaque build-up, such as a coronary calcium scan.

Statin risks and benefits

Are statins safe? For most people, the answer is a resounding yes, according to a 2014 Johns Hopkins meta-analysis of 20 years worth of published research. It showed that the risks of long-term use of statin drugs are low and the potential benefits are very high. Researchers combed through hundreds of papers that had studied statins since 1994 to determine the evidence of side effects. Their review, published in British Medical Journal, found an increase in the risk of muscle aches. There was also a modest risk of elevated blood glucose, which can tip some people into developing type 2 diabetes. What’s unclear is whether those people, who also had other risk factors for diabetes, would have developed the condition anyway. Statins don’t cause memory loss or cataracts, as has been claimed in the past. For most at-risk patients, the benefits far exceed the risks, the researchers concluded. Of course, if you notice any unusual effects after beginning statin therapy, tell your doctor. “We know a lot about statins because they’ve been around for a long time and taken by so many people,” Blaha says. “The scale clearly tips to benefits in most at-risk patients.”

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What happens if I take turmeric everyday?

There are no long-term studies to show whether it's safe to take turmeric supplements every day. Studies suggest it is safe at small doses, but be aware that high doses or long-term use may cause GI issues in some people. Turmeric may also interfere with certain medications and health conditions.

There are several ways to try turmeric.

As a Root

Find this in the refrigerated section of the produce aisle at many grocery and specialty stores, as well as online. You may also find dried turmeric root in your local specialty store. Turmeric root looks squiggly, similar to ginger. Scrape off the peel with a spoon before using. Fresh turmeric should be refrigerated in an airtight container, and will keep up to a week.

As a Tea

You can make what’s called “golden milk” by whisking together about 1 tsp of turmeric with other spices (such as cinnamon and black pepper) into warmed milk and your sweetener of choice. You can also buy turmeric tea in tea bag form, available from brands like The Republic of Tea and Swanson Organic.

As a Spice

Look for turmeric as a ground spice in your spice aisle at the grocery store. Turmeric is also the main component of curry powder. Keep spice jars in a cool, dark place to prevent spoilage. Most companies include the “best by” dates; you should aim to use it before then. Buy large containers of turmeric only when you know you’re going to use all of it by the listed date. Look for it in the bulk section of a co-op or specialty store, so you can buy just as much as you’re going to use.

As a Supplement

For more potency, you may opt for a turmeric or curcumin supplement, available at health food stores, grocery stores, and online. These are available in formulations like soft gels and capsules.

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