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Policosanol: A Rival To Statins, Without The Side Effects?
Plus: the #1 micronutrient deficiency in high blood pressure
10almonds top tip: black pepper contains piperine, which improves absorption of many nutrients from food. Try to have at least a little with every meal!
In A Rush?
Today’s 30-Second Summary
If you don’t have time to read the whole email today, here are some key takeaways:
Policosanol is a plant extract product, marketed as a safe natural way to lower cholesterol, especially LDL (“bad” cholesterol), improving overall lipids ratios.
Today’s main feature examines its interesting research history dotted with political controversy, to finally discover whether it really works as claimed (spoiler: it does).
Sleep is a critical part of health that's all-too-often overlooked.
Today's sponsor, BetterSleep, will help you custom-create your sleep routine, and then support you every day in making sure you get in those restful Zs!
Today’s featured book is about strength training in a progressive fashion, from beginner to expert!
Read on to learn more about these things, or click here to visit our archive
A Word To The Wise
Mail-Order Medical Tests?You can now order all kinds of medical tests online, but the cost:worth ratio might not always be good: |
Watch and Learn
The Top Micronutrient Deficiency In High Blood Pressure
Dr. Brad Stanfield explains what, why, and how it matters:
Prefer text? The above video will take you to a 10almonds page with a text-overview, as well as the video!
Research Review Monday
Policosanol: A Rival To Statins, Without The Side Effects?
Policosanol (which can be extracted from various sources, but is mostly made from sugar cane extract) is marketed as lipid-lowering agent for improving cholesterol levels, but its research history has not been without controversy:
2001: it works!
After a lot of research in the 1990s, it came out of the gate strong in 2001, with:
❝Policosanol (5 and 10 mg/day) significantly decreased LDL-cholesterol (17.3% and 26.7%, respectively), total cholesterol (12.9% and 19.5%), as well as the ratios of LDL-cholesterol to high-density lipoprotein (HDL)-cholesterol (17.2% and 26.5%) and total cholesterol to HDL-cholesterol (16.3% and 21.0%) compared with baseline and placebo❞
This, by the way, is comparable in efficacy to the most powerful statins, but without the adverse side effects.
Furthermore, its effects were not limited to postmenopausal women, and additionally, it was found that 20mg/day was sufficient for optimal effects; 40mg worked exactly the same as 20mg:
2006–2010: we do not trust the Cubans!
After it had been marketed and used in much of the world for some years, extra scrutiny was brought upon it, because the initial studies had been performed by the same lab in Cuba, a commercial lab that had tested them for a private interest (i.e., a company selling the supplement):
And furthermore, US-based labs were unable to replicate the results:
The Cuban researchers countered that the composition of policosanol as produced in their lab was different than the composition of the policosanol as produced in the US labs, because of the purity of the ingredients used in the Cuban lab.
Which, on the face of it, could be true or could just be the claim of a commercial lab with an association with a company selling a product.
Of course, importing Cuban ingredients to test them in the US was not a reasonably accessible option for the US-based labs, because of the US’s embargo of Cuba. In principle it could be done, but unless there is already a huge clear profit incentive, research scientists are usually on their hands and knees begging for grants already, so getting extra funding for specially-important Cuban ingredients was not going to be likely.
2012: never mind, it does work after all!
An American meta-analysis of 4596 patients from 52 eligible studies (from around the world, so many of them not affected by the US’s embargo; some were from within the US using non-Cuban ingredients, though), found:
❝policosanol is more effective than plant sterols and stanols for LDL level reduction and more favorably alters the lipid profile, approaching antilipemic drug efficacy❞
Those last words there, to be clear, mean “yes, the original claim of being on a par with statins is at least more or less true”.
Source: Meta-Analysis of Natural Therapies for Hyperlipidemia: Plant Sterols and Stanols versus Policosanol
2018: also yes, the Cuban kind does get those extra-effective results, even when tested outside of Cuba
A Korean research team verified this; it’s quite straightforward so for brevity we’ll just drop links:
Mystery resolved!
Want to try some?
We don’t sell it, but here for your convenience is an example product on Amazon—it’s not the Cuban kind, because the US’s trade embargo makes it difficult for the US to import even things that are theoretically now exempt from the embargo such as food and medicines. In principle they can now be imported, but in practice, the extra regulations added to Cuban imports make it nearly impossible, especially for small sellers.
Still, it’s 40mg/tablet policosanol from sugar cane extract, and 3rd party lab tested, so it’s the next best thing 😎
Enjoy!
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This Or That?
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One-Minute Book Review
Practical Programming for Strength Training – by Mark Rippetoe & Andy Baker
Strength training is an important part of overall health maintenance, but it can be hard to find a good guide to progressive strength improvement that isn’t a bodybuilding book.
This one gives a ground-upwards approach, explaining small details to even quite basic things, before taking the reader through to more advanced progressions, and how to get the most strength-building out of each exercise over time.
As such, this is a good book for anyone of any level from beginner to quite experienced, and you can hop in at any point since there are always catch-up summaries and/or reiterations of the previous concepts that we’re now building on from.
The authors do also talk nutrition, hormones, and so forth, but most of it is about the exercises and the progressions thereof.
There is a slightly patronizing chapter towards the end, about “special populations”, for example offering “novice and intermediate training for women”, but it doesn’t take away from the majority of the book, as the exercises don’t care about your gender. Muscles are muscles, and we all start from wherever we are. Yes, testosterone boosts muscle mass, but let’s face it, there are a lot of women in the world who are stronger than a lot of men.
One thing to bear in mind is that a lot of this is barbell training, so you will need a barbell (or access to one at a gym). If purely bodyweight training is your preference, or perhaps some other form of weightlifting (e.g. kettlebells or such) then this isn’t the book for that.
Bottom line: if strength training is your focus and you like barbells, then this is a great book to take you quite a way along that road.
Penny For Your Thoughts?
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Wishing you the most well-informed start to the week,
The 10almonds Team