CORONARY DISEASE REVERSAL

CAD reversal diet programs

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CAD diet and proof of arrest and reversal 1
CAD and proof of arrest and reversal 2
CAD and proof of arrest and reversal 3.
CAD and proof of arrest and reversal 4.
CAD and Mr. Singh
CAD reversal diet programs
CAD and triglyceride
CAD and TG/HDL ratio
CAD videos 1
CAD video 2
Promogranate
CAD nitric oxide, l-argenine & l-citrulline
CAD nitric oxide continuation
Vitamins C, D, K and omega 3
OMEGA 3
CAD and vitamin E
CAD and vitamin K2
CAD and Serrapeptase and nattokinase
CAD and LDL, HDL and triglyceride
CHOLESTEROL RATIO
Natural antiinflammatories
CAD and plaque stabiliazition
Milk review
Milk and cancer
Food lowers high BP
Heart disease and gene
CAD and natural antihypertensives

CAD DIET PROGRAMS

1. DR. ESSELSTYN'S PROGRAM
2. DR. DEAN ORNISH PROGRAM
3. MODIFIED PROGRAM ?
1. DR. ESSELSTYN'S PROGRAM

One can attend a day seminar on Dr. Esselstyn's diet program in Cleveland, Ohio.

"Cost: $975 (Cost includes patient and spouse or significant other). We now offer a payment plan with three monthly installments - $325 due the day you attend, $325 due at 30 days, and $325 due at 60 days. We also offer a six month program.

There is no insurance coverage for this program. This program is considered Wellness or Preventive.

Some people are talking to their employer or using flex spending for this. Check with your employer or insurance company.

It is a Lifetime Program – as many follow ups as you feel you need (via phone, email, or office visit).

Course consists of 5 hours here at the Lyndhurst Campus.

* Disease Education

* Diet Education

* Meal

* Book

* Binder with additional information.

Session starts at 9:00 AM and is over around 3:00 PM

Future Session Dates

Friday, February 10, 2012

Friday, March 16, 2003

Friday, April 13, 2012

Friday, May 11, 2012

Friday, June 15, 2012

Please contact Jackie if you would like to register, 216-448-8556 or Freyj@ccf.org.

DIET
EAT GREENS
NO Protein Powder
No meat
Bok Choy (Chinese cabbage) Brussel Sprouts
They contain CASEIN
No fish
Swiss Chard Cauliflower
Casein is a
No chicken
Kale Cilantro
protein found
No dairy
Collards Spinach
in milk
No oil*
Collards green
No milk
No nuts
Beet greens Arugula
product
No avocados
Mustard greens Asparagus
is allowed
No caffeinated coffee
Napa cabbage
x
*Not even olive oil (monounsaturated), explained by Dr. Esselstyn in the video below. Long and short term study show that there is no difference in CAD progression between olive oil other monounsaturated oil and saturated oil such as butter. Beside, olive oil also implied as causative factor for breast cancer.

"NO OIL! Not even olive oil, which goes against a lot of other advice out there about so-called good fats. The reality is that oils are extremely low in terms of nutritive value. They contain no fiber, no minerals and are 100% fat calories. And above all they contain saturated fat which immediately injures the endothelial lining of the arteries when eaten. It doesn't matter whether it's olive oil, corn oil, or any other kind of oil. You should not consume any oil if you have heart disease. This is so important I have detailed oil in Chapter 10"32

No Oil -- Not Even Olive Oil! - YouTube http://www.youtube.com/watch?v=b_o4YBQPKtQ

Exercise is optional.
Alcohol?.
DR. DEAN ORNISH'S PROGRAM

Program Components 30,31

DIET
Plant-based, fat-free, oil-free diet. eating a high-fiber, low-fat
vegetarian diet.

"Eat More, Weigh Less: What You Can Eat"

Food is divided into three groups: Could be taken as

1. All of the time

2. Some of the time, and

3. None of the time.

Foods can be taken as shown in the Table below

All of the time
Some of the time
None of the time.
  • Beans
  • Nonfat dairy products

    All meats -- red and white

    Legumes

    Skim milk

    Fish

  • Fruits -- apples to watermelon
  • Nonfat yogurt
    Fowl

    Raspberries to pineapples

    Nonfat cheeses

    If can't give up meat, eat as little as possible.

    Grains

    Nonfat sour cream

    Oils and oil-containing products


    Vegetable

    Egg whites

    Margarine and most salad dressings

    x
    Nonfat or very low-fat

    Avocados

    x
    Life Choice frozen dinners to

    Olives

    x
    Haagen-Dazs frozen yogurt bars

    Nuts

    x
    Entenmann's fat-free desserts

    Seeds

    x
    Above items all sugar free

    Dairy products (except nonfat ones cited above)

    x
    x

    Sugar

    x
    x

    simple sugar

    .

    x
    x

    Honey, molasses, corn syrup, and high-fructose syrup

    x
    x

    Alcohol

    x
    x

    Anything that has more than two grams of fat per serving.

    x

    x

    No more than 10% of fat form daily meal.

    Exercise: At least 30 minutes of moderate exercise/ aday, or an hour three/week

    Stress management:

    Includes meditation, massage, psychotherapy, or yoga.

    Group support


    Review: Eat More, Weigh Less

    Eat More, Weigh Less: What It Is

    Eat More, Weigh Less, by Dean Ornish, MD,

    http://www.webmd-is







    3. MODIFIED PROGRAM?

    The low-fat and vegetarian diet of Drs. Ornish and Esselstyn provided the evidences that heart disease could be reversed with intensive diet therapy. (6, 7)

    Inflammation as a causative factor for atherosclerosis including CAD is proven. So, it seem logical to treat inflammation or other causative factors such as well.

    It is also well proven that intensive diet, exercise and relaxation therapies are all individually anti inflammatory (20, 21).

    SPECIAL CONSIDERATION TO FOLLOWING FOODS, NUTRIENTS & MEDICINES:

    a) Nuts, seeeds & omega 3

    b) Nitrous oxide (NO) & L-Argenine

    c) Pomegranate

    d) Resveritol

    e) Vitamins: C, D, E & K

    f) Magnesium, calcium & potassium

    g) Coenzyme Q10

    h) L-Lysien & L-Proline

    i) Decaffeinated green tea

    J) Aspirin & statins

    h) ED drugs: Cialis (tadalafil), viagra (sildenafil citrate), levitra (vardenafil), taxin (vardenafil),exdex (alprostadil) and yohimbine.

    http://www.cialis.com/Pages/index.aspx?WT.srch=1

    http://www.pfizer.com/files/products/uspi_viagra.pdf

    http://www.drugs.com/condition/erectile-dysfunction.htmlhttp://www.drugs.com/cdi/yocon.html

    NUTS, SEEDS & OMEGA 3
    They are heart protective diets.

    Strong evidences are arising that a high-nutrient dense food such seeds and nuts may reverse heart disease quicker (along with intensive vegetable diet therapy). (8, 9). Both Drs. Orinish and Esselstyn's programs exclude nuts and oils.

    Should one add nuts and seed in moderation in their diet?

    Why?

    Studies have shown that low-fat vegetarian diet reduced LDL by 16%, and high-nutrient, vegetable diet including nuts and seeds reduces LDL cholesterol by 33%. (8, 9)

    Nuts contain very high concentraton of L-Argeninie and omega 3.

    L-Argenine gets converted to Nitrous oxide (NO) and omega 3 are anti-atherogenic. These may be two of the important reasons why nuts help in reversal of CAD. 24,33
    However, Dr. Ornish's diet reduced LDL cholesterol by 40%. (19) Similar result is also obtained by Dr. Esselstyn.

    What in theory should do good causes bad in practice. For example:

    Study shows that Olive oil increases HDL and lowers LDL and improves their ratio. But, olive oil also causes as bad atherosclerosis as saturated oils such as butter and does not prevent CAD. May be also be a causative factor for breast cancer as discussed previously (Dr. Esselstyn's in video in youtube)

    Only way find out effectiveness of nuts and omega 3 or anything else is by designed pilot trials followed by larger study. Still then stick to proven methods?

    NITROUS OXIDE (NO)

    Louis J. Ignarro discovered Nitric Oxide (NO), a vasodilator, controls blood flow in the body.

    "NO relaxes and enlarges the blood vessels, prevents blood clots that trigger strokes and heart attacks, and regulates blood pressure and the accumulation of plaque in the blood vessels..... Nitric Oxide may help lower cholesterol by facilitating the actions of statin drugs like Lipitor......"The plan is easy-to-follow without extreme lifestyle adjustments, involving taking supplements to stimulate Nitric Oxide production, incorporating NO friendly food into the diet, and a moderate exercise program." (22)

    Food sources of NO: Same as discussed below in Pomegranate section.

    Pomegranate
    This is found to be very anti-atherogenic and causes reversal
    of carotid atherosclerosis. 26-29
    Please see separate chapter on pomegranate.

    L-Argenine
    Appears to reverse CAD

    Food sources of L-Arginine

    Nuts: Peanuts, walnuts, brazilnuts, and coconut

    Dairy: Milk and milk products

    Meats: Pork, beef, chicken, turkey, and seafood

    Cereals: oats and wheat.

    Legumes:soybean and chickpea

    Coca: Chocolate

    All are rich natural sources of L-arginine. (23-25)

    So, what is the optimal diet for CAD prevention and reversal? Suggested pilot studies with few subjects.

    1. Dr. Esselstyn's program as present form: Intensive diet only.

    2. No. 1 + exercise.

    3. No. 2 + relaxation therapies +/- group therapy or combined as relaxation group therapy.

    4. Dr. Ornish program as it is.

    5. D. Esselstyn's program + anti inflammatory food such as nuts and omega 3 oil.

    6. No. 5 + statins.

    7. No. 5 + aspirin

    8. No. 5 + statins + aspirin

    9. No. 8 + exercise

    10. No. 9 + relaxation therapies.

    11. No. 1 + Pomogranate 50 ml daily.

    12. No. 11 + L-argenine supplement+ Vitamin C

    13. Other combinations as necessary.

    My personal choice intensive diet therapy: Please see the seperate chapter.

    Theoretical consideration for including nuts and omega 3 oil.

    Fats from nuts such as almonds and walnut and seeds are healthy if eaten in moderation and are protective for cardiovascular health and weight loss. (8,9,10,11,12,13,14,15,16) and prevent sudden death from cardiac arrhythmia (17).

    The possible adverse event of arrhythmia death or any abnormality of lipoprotein factor from low fat diet as in Drs. Ornish or Esselstyn's programs were not reported by the authors. (Furham)

    References:6. Ornish, D., et al., Can lifestyle changes reverse coronary heart disease? The Lifestyle Heart Trial. Lancet, 1990. 336(8708): p. 129-33.
    7. Esselstyn, C.B., Jr., et al., A strategy to arrest and reverse coronary artery disease: a 5-year longitudinal study of a single physician's practice. J Fam Pract, 1995. 41(6): p. 560-8.
    8. Barnard, N.D., et al., Effectiveness of a low-fat vegetarian diet in altering serum lipids in healthy premenopausal women. Am J Cardiol, 2000. 85(8): p. 969-72.
    9. Jenkins, D.J., et al., Effect of a very-high-fiber vegetable, fruit, and nut diet on serum lipids and colonic function. Metabolism, 2001. 50(4): p. 494-503.
    10. Sarter, B., T.C. Campbell, and J. Fuhrman, Effect of a high nutrient density diet on long-term weight loss: a retrospective chart review. Altern Ther Health Med, 2008. 14(3): p. 48-53.
    11. Fraser, G.E., et al., A possible protective effect of nut consumption on risk of coronary heart disease. The Adventist Health Study. Arch Intern Med, 1992. 152(7): p. 1416-24.
    12. Mattes, R.D., P.M. Kris-Etherton, and G.D. Foster, Impact of peanuts and tree nuts on body weight and healthy weight loss in adults. J Nutr, 2008. 138(9): p. 1741S-1745S.
    13. Sabate, J., K. Oda, and E. Ros, Nut consumption and blood lipid levels: a pooled analysis of 25 intervention trials. Arch Intern Med, 2010. 170(9): p. 821-7.
    14. Kris-Etherton, P.M., et al., The role of tree nuts and peanuts in the prevention of coronary heart disease: multiple potential mechanisms. J Nutr, 2008. 138(9): p. 1746S-1751S.
    15. Jenkins, D.J., et al., Dose response of almonds on coronary heart disease risk factors: blood lipids, oxidized low-density lipoproteins, lipoprotein(a), homocysteine, and pulmonary nitric oxide: a randomized, controlled, crossover trial. Circulation, 2002. 106(11): p. 1327-32.
    16. Ma, Y., et al., Effects of walnut consumption on endothelial function in type 2 diabetic subjects: a randomized controlled crossover trial. Diabetes Care, 2010. 33(2): p. 227-32.
    17. Albert, C.M., et al., Nut consumption and decreased risk of sudden cardiac death in the Physicians' Health Study. Arch Intern Med, 2002. 162(12): p. 1382-7."

    18. Furhman, J., Family physician specializing in nutritional medicine and natural methods. Heart Health: How You Can Prevent and Reverse Heart Disease Posted:11/17/10 08:14 AM ET

    http://www.huffingtonpost.com/joel-fuhrman-md/heart-health-prevent-and-reverse_b_783565.html

    Volume 8, Number 6, 463-466, DOI: 10.1007/s11934-007-0049-x
    21. Dod Harvinder S. Effect of Intensive Lifestyle Changes on Endothelial Function and on Inflammatory Markers of AtherosclerosiS.
    http://www.sciencedirect.com/science/article/pii/S000291490702320X
    22. BOOK: "NO More Heart Disease: How Nitric Oxide Can Prevent--Even Reverse--Heart Disease and Strokes
    By Louis J. Ignarro, Louis Ignarro - St. Martin's Press (2006) - Paperback - 272 pages - ISBN 0312335822
    24. Claudio Napolia, 1, Louis J. Ignarrob.Nitric Oxide and Atherosclerosis.Nitric Oxide
    Volume 5, Issue 2, April 2001, Pages 88-97
    Regression of atherosclerosis: role of nitric oxide and apoptosis.
    26. Aviram M, Rosenblat M, Gaitini D, et al. Pomegranate juice consumption for 3 years by patients with carotid artery stenosis reduces common carotid intima-media thickness, blood pressure and LDL oxidation. Clin Nutr. 2004 Jun;23(3):423-33.
    27. Aviram M, Rosenblat M, Bisgaier CL, Newton RS, Primo-Parmo SL, La Du BV. Paraoxonase inhibits high-density lipoprotein oxidation and preserves its functions. A possible peroxidative role for paraoxonase. J Clin Invest. 1998 Apr 15;101(8):1581-90.
    28. Aviram M, Hardak E, Vaya J, et al. Human serum paraoxonases (PON1) Q and R selectively decrease lipid peroxides in human coronary and carotid atherosclerotic lesions: PON1 esterase and peroxidase-like activities. Circulation. 2000 May 30;101(21):2510-7.
    29. Aviram M, Dornfeld L. Pomegranate juice consumption inhibits serum angiotensin converting enzyme activity and reduces systolic blood pressure. Atherosclerosis. 2001 Sep;158(1):195-8.
    30.Dean Ornish’s Eat More, Weigh Less in diet.comhttp://www.diet.com/g/dean-ornishs-eat-more-weigh-less

    31.Review: Eat More, Weigh Less Eat More, Weigh Less: What It Is in webmd.http://www.webmd.com/diet/ornish-diet-what-it-is

    32.

    Q&A Caldwell B. Esselstyn, Jr., MD

    http://www.heartattackproof.com/qanda.htm

    33. Supplementing Your Heart Health: Omega-3, Plant Sterols, and More.
    If you have high cholesterol, or if you're at high risk for heart disease and heart attack, some supplements can help lower your cholesterol.WebMD FeatureBy Jeanie Lerche DavisReviewed By David Kiefer, MD

    CAD DIET PROGRAMS

    1. DR. ESSELSTYN'S PROGRAM
    2. DR. DEAN ORNISH'S PROGRAM
    3. MODIFIED PROGRAM ?

    1. DR. ESSELSTYN'S PROGRAM

    One can attend a day seminar on Dr. Esselstyn's diet program in Cleveland, Ohio.

    "Cost: $975 (Cost includes patient and spouse or significant other). We now offer a payment plan with three monthly installments - $325 due the day you attend, $325 due at 30 days, and $325 due at 60 days. We also offer a six month program.

    There is no insurance coverage for this program. This program is considered Wellness or Preventive.

    Some people are talking to their employer or using flex spending for this. Check with your employer or insurance company.

    It is a Lifetime Program – as many follow ups as you feel you need (via phone, email, or office visit).

    Course consists of 5 hours here at the Lyndhurst Campus.

    * Disease Education

    * Diet Education

    * Meal

    * Book

    * Binder with additional information.

    Session starts at 9:00 AM and is over around 3:00 PM

    Future Session Dates

    Friday, February 10, 2012

    Friday, March 16, 2003

    Friday, April 13, 2012

    Friday, May 11, 2012

    Friday, June 15, 2012

    Please contact Jackie if you would like to register, 216-448-8556 or Freyj@ccf.org.

    DIET
    EAT GREENS
    NO Protein Powder
    No meat
    Bok Choy (Chinese cabbage) Brussel Sprouts
    They contain CASEIN
    No fish
    Swiss Chard Cauliflower
    Casein is a
    No chicken
    Kale Cilantro
    protein found
    No dairy
    Collards Spinach
    in milk
    No oil*
    Collards green
    No milk
    No nuts
    Beet greens Arugula
    product
    No avocados
    Mustard greens Asparagus
    is allowed
    No caffeinated coffee
    Napa cabbage
    x

    *Not even olive oil (monounsaturated), explained by Dr. Esselstyn in the video below. Long and short term study show that there is no difference in CAD progression between olive oil other monounsaturated oil and saturated oil such as butter. Beside, olive oil also implied as causative factor for breast cancer.

    "NO OIL! Not even olive oil, which goes against a lot of other advice out there about so-called good fats. The reality is that oils are extremely low in terms of nutritive value. They contain no fiber, no minerals and are 100% fat calories. And above all they contain saturated fat which immediately injures the endothelial lining of the arteries when eaten. It doesn't matter whether it's olive oil, corn oil, or any other kind of oil. You should not consume any oil if you have heart disease. This is so important I have detailed oil in Chapter 10"32

    No Oil -- Not Even Olive Oil! - YouTube http://www.youtube.com/watch?v=b_o4YBQPKtQ

    Exercise is optional.
    Alcohol?.
    DR. DEAN ORNISH'S PROGRAM

    Program Components 30,31

    DIET
    Plant-based, fat-free, oil-free diet. eating a high-fiber, low-fat
    vegetarian diet.

    "Eat More, Weigh Less: What You Can Eat"

    Food is divided into three groups: Could be taken as

    1. All of the time

    2. Some of the time, and

    3. None of the time.

    Foods can be taken as shown in the Table below
    All of the time
    Some of the time
    None of the time.
  • Beans
  • Nonfat dairy products

    All meats -- red and white

    Legumes

    Skim milk

    Fish

  • Fruits -- apples to watermelon
  • Nonfat yogurt
    Fowl

    Raspberries to pineapples

    Nonfat cheeses

    If can't give up meat, eat as little as possible.

    Grains

    Nonfat sour cream

    Oils and oil-containing products


    Vegetable

    Egg whites

    Margarine and most salad dressings

    x
    Nonfat or very low-fat

    Avocados

    x
    Life Choice frozen dinners to

    Olives

    x
    Haagen-Dazs frozen yogurt bars

    Nuts

    x
    Entenmann's fat-free desserts

    Seeds

    x
    Above items all sugar free

    Dairy products (except nonfat ones cited above)

    x
    x

    Sugar

    x
    x

    simple sugar

    .

    x
    x

    Honey, molasses, corn syrup, and high-fructose syrup

    x
    x

    Alcohol

    x
    x

    Anything that has more than two grams of fat per serving.

    x

    x

    No more than 10% of fat form daily meal.

    Exercise: At least 30 minutes of moderate exercise/ aday, or an hour three/week

    Stress management:

    Includes meditation, massage, psychotherapy, or yoga.

    Group support


    Review: Eat More, Weigh Less

    Eat More, Weigh Less: What It Is

    Eat More, Weigh Less, by Dean Ornish, MD,

    http://www.webmd-is








    3. MODIFIED PROGRAM?

    The low-fat and vegetarian diet of Drs. Ornish and Esselstyn provided the evidences that heart disease could be reversed with intensive diet therapy. (6, 7)

    Inflammation as a causative factor for atherosclerosis including CAD is proven. So, it seem logical to treat inflammation or other causative factors such as well.

    It is also well proven that intensive diet, exercise and relaxation therapies are all individually anti inflammatory (20, 21).

    SPECIAL CONSIDERATION TO FOLLOWING FOODS, NUTRIENTS & MEDICINES:

    a) Nuts, seeds & omega 3

    b) Nitric oxide (NO), L-Argenine & L-Citruline

    c) Pomegranate

    d) Resveratrol

    e) Vitamins: C, D, E & K

    f) Magnesium, calcium & potassium

    g) Co enzyme 

     with few subjects. 


    Q10

    h) L-Lysien & L-Proline

    i) Decaffeinated green tea

    J) Aspirin & statins

    h) ED drugs: Cialis (tadalafil), viagra (sildenafil citrate), levitra (vardenafil), taxin (vardenafil),exdex (alprostadil) and yohimbine.

    http://www.cialis.com/Pages/index.aspx?WT.srch=1

    http://www.pfizer.com/files/products/uspi_viagra.pdf

    http://www.drugs.com/condition/erectile-dysfunction.htmlhttp://www.drugs.com/cdi/yocon.html


    NUTS, SEEDS & OMEGA 3
    They are heart protective diets.

    Strong evidences are arising that a high-nutrient dense food such seeds and nuts may reverse heart disease quicker (along with intensive vegetable diet therapy). (8, 9). Both Drs. Orinish's and Esselstyn's programs exclude nuts and oils.

    Should one add nuts and seed in moderation in their diet?

    Why?

    Studies have shown that low-fat vegetarian diet reduced LDL by 16%, and high-nutrient, vegetable diet including nuts and seeds reduces LDL cholesterol by 33%. (8, 9)

    Nuts contain very high concentration of L-Argeninie and omega 3.

    L-Argenine gets converted to Nitrous oxide (NO) and omega 3 are anti-atherogenic. These may be two of the important reasons why nuts help in reversal of CAD. 24,33
    However, Dr. Ornish's diet reduced LDL cholesterol by 40%. (19) Similar result is also obtained by Dr. Esselstyn.

    What in theory should do good causes bad in practice. For example:

    Study shows that Olive oil increases HDL and lowers LDL and improves their ratio. But, olive oil also causes as bad atherosclerosis as saturated oils such as butter and does not prevent CAD. May be also be a causative factor for breast cancer as discussed previously (Dr. Esselstyn's in video in youtube)

    Only way find out effectiveness of nuts and omega 3 or anything else is by designed pilot trials followed by larger study. Still then stick to proven methods?

    NITROUS OXIDE (NO)

    Louis J. Ignarro discovered Nitric Oxide (NO), a vasodilator, controls blood flow in the body.

    "NO relaxes and enlarges the blood vessels, prevents blood clots that trigger strokes and heart attacks, and regulates blood pressure and the accumulation of plaque in the blood vessels..... Nitric Oxide may help lower cholesterol by facilitating the actions of statin drugs like Lipitor......"The plan is easy-to-follow without extreme lifestyle adjustments, involving taking supplements to stimulate Nitric Oxide production, incorporating NO friendly food into the diet, and a moderate exercise program." (22)

    Food sources of NO: Same as discussed below in Pomegranate section.

    Pomegranate
    This is found to be very anti-atherogenic and causes reversal
    of carotid atherosclerosis. 26-29
    Please see separate chapter on pomegranate.

    L-Argenine
    Appears to reverse CAD

    Food sources of L-Arginine

    Nuts: Peanuts, walnuts, brazilnuts, and coconut

    Dairy: Milk and milk products

    Meats: Pork, beef, chicken, turkey, and seafood

    Cereals: oats and wheat.

    Legumes:soybean and chickpea

    Coca: Chocolate

    All are rich natural sources of L-arginine. (23-25)

    So, what is the optimal diet for CAD prevention and reversal? Suggested pilot studies

    1. Dr. Esselstyn's program as present form: Intensive diet only.

    2. No. 1 + exercise.

    3. No. 2 + relaxation therapies +/- group therapy or combined as relaxation group therapy.

    4. Dr. Ornish program as it is.

    5. D. Esselstyn's program + anti inflammatory food such as nuts and omega 3 oil.

    6. No. 5 + statins.

    7. No. 5 + aspirin

    8. No. 5 + statins + aspirin

    9. No. 8 + exercise

    10. No. 9 + relaxation therapies.

    11. No. 1 + Pomegranate 50 ml daily.

    12. No. 11 + L-argenine supplement+ Vitamin C

    13. Other combinations as necessary.

    My personal choice intensive diet therapy: Please see the separate chapter.

    Theoretical consideration for including nuts and omega 3 oil.

    Fats from nuts such as almonds and walnut and seeds are healthy if eaten in moderation and are protective for cardiovascular health and weight loss. (8,9,10,11,12,13,14,15,16) and prevent sudden death from cardiac arrhythmia (17).

    The possible adverse event of arrhythmia death or any abnormality of lipoprotein factor from low fat diet as in Drs. Ornish or Esselstyn's programs were not reported by the authors. (Furham)

    References:6. Ornish, D., et al., Can lifestyle changes reverse coronary heart disease? The Lifestyle Heart Trial. Lancet, 1990. 336(8708): p. 129-33.
    7. Esselstyn, C.B., Jr., et al., A strategy to arrest and reverse coronary artery disease: a 5-year longitudinal study of a single physician's practice. J Fam Pract, 1995. 41(6): p. 560-8.
    8. Barnard, N.D., et al., Effectiveness of a low-fat vegetarian diet in altering serum lipids in healthy premenopausal women. Am J Cardiol, 2000. 85(8): p. 969-72.
    9. Jenkins, D.J., et al., Effect of a very-high-fiber vegetable, fruit, and nut diet on serum lipids and colonic function. Metabolism, 2001. 50(4): p. 494-503.
    10. Sarter, B., T.C. Campbell, and J. Fuhrman, Effect of a high nutrient density diet on long-term weight loss: a retrospective chart review. Altern Ther Health Med, 2008. 14(3): p. 48-53.
    11. Fraser, G.E., et al., A possible protective effect of nut consumption on risk of coronary heart disease. The Adventist Health Study. Arch Intern Med, 1992. 152(7): p. 1416-24.
    12. Mattes, R.D., P.M. Kris-Etherton, and G.D. Foster, Impact of peanuts and tree nuts on body weight and healthy weight loss in adults. J Nutr, 2008. 138(9): p. 1741S-1745S.
    13. Sabate, J., K. Oda, and E. Ros, Nut consumption and blood lipid levels: a pooled analysis of 25 intervention trials. Arch Intern Med, 2010. 170(9): p. 821-7.
    14. Kris-Etherton, P.M., et al., The role of tree nuts and peanuts in the prevention of coronary heart disease: multiple potential mechanisms. J Nutr, 2008. 138(9): p. 1746S-1751S.
    15. Jenkins, D.J., et al., Dose response of almonds on coronary heart disease risk factors: blood lipids, oxidized low-density lipoproteins, lipoprotein(a), homocysteine, and pulmonary nitric oxide: a randomized, controlled, crossover trial. Circulation, 2002. 106(11): p. 1327-32.
    16. Ma, Y., et al., Effects of walnut consumption on endothelial function in type 2 diabetic subjects: a randomized controlled crossover trial. Diabetes Care, 2010. 33(2): p. 227-32.
    17. Albert, C.M., et al., Nut consumption and decreased risk of sudden cardiac death in the Physicians' Health Study. Arch Intern Med, 2002. 162(12): p. 1382-7."

    18. Furhman, J., Family physician specializing in nutritional medicine and natural methods. Heart Health: How You Can Prevent and Reverse Heart Disease Posted:11/17/10 08:14 AM ET

    http://www.huffingtonpost.com/joel-fuhrman-md/heart-health-prevent-and-reverse_b_783565.html

    Volume 8, Number 6, 463-466, DOI: 10.1007/s11934-007-0049-x
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    22. BOOK: "NO More Heart Disease: How Nitric Oxide Can Prevent--Even Reverse--Heart Disease and Strokes
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    24. Claudio Napolia, 1, Louis J. Ignarrob.Nitric Oxide and Atherosclerosis.Nitric Oxide
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    Regression of atherosclerosis: role of nitric oxide and apoptosis.
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    31.Review: Eat More, Weigh Less Eat More, Weigh Less: What It Is in webmd.http://www.webmd.com/diet/ornish-diet-what-it-is

    32. Q&A Caldwell B. Esselstyn, Jr., MD

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    33. Supplementing Your Heart Health: Omega-3, Plant Sterols, and More.
    If you have high cholesterol, or if you're at high risk for heart disease and heart attack, some supplements can help lower your cholesterol.WebMD FeatureBy Jeanie Lerche DavisReviewed By David Kiefer, MD

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