Bad Cholesterol Good Cholesterol
The Bad and Good Cholesterol
Actually, nowadays, you can have at least four different cholesterol levels: The ‘good’ cholesterol level, The ‘bad’ cholesterol level, The total cholesterol level, and the ratio of ‘good’ to ‘bad’ cholesterol. And just to warn you, several more types of cholesterol level are on the way. Ah yes, good cholesterol and bad cholesterol.
A concept so mind boggling in its stupidity that it should really have won first prize in the ‘Alice in Wonderland Comes to Life in the Real World’ contest. Below is a diagram of cholesterol. This is the only form that cholesterol comes in. It does not have right handed ‘good’ cholesterol with a sinister twin called ‘bad’ cholesterol. So, what is all this terminology about?
What does it all mean? And why can not you have a cholesterol level? Back to basics Cholesterol does not dissolve in water; thus, it does not dissolve in blood. This means that it has to be transported around the body inside a small transportation molecule, known as a lipoprotein.Another substance that cannot dissolve in blood is fat. So fats also travel about as part of lipoproteins. A-ha!
A connection between fat and cholesterol. Yes, you are right. Fats/triglycerides and cholesterol are copassengers inside lipoproteins. Hold that thought… then bin it, it does not actually go anywhere. There are several different types of lipoprotein. The biggest is called a chylomicron, not a lipoprotein. As with almost everything in the wacky world of heart disease, the nomenclature appears to have been designed to make things difficult to follow. A chylomicron is one form of lipoprotein, but of course it is not called a lipoprotein.
That would be far too easy. Anyway, this particular lipoprotein is manufactured in the guts. After a meal it fills up with triglyceride (fat), alongside a relatively small amount of cholesterol. The chylomicron then travels straight to fat cells in the body without passing through the liver. When the chylomicron reaches fat cells, the triglyceride is sucked out, and the chylomicron shrivels up into a little wizened remnant that is then, probably, hoovered up by the liver.
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HDL: When Good Cholesterol Goes Bad
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