Achieving your cholesterol goals.
How to manage your cholesterol levels.
Healthy eating habits and regular exercise are both important factors when working to lower your LDL “Bad” cholesterol. If diet and exercise don’t lower your total cholesterol, your doctor may prescribe a statin like LIVALO®. While taking LIVALO, it’s important to continue to improve your diet and physical activity. Even minor adjustments to your diet and small additions of exercise can be beneficial. Always talk to your doctor before starting or changing any diet or exercise program.
Some cholesterol basics
You know it’s important to manage your cholesterol, but you may be wondering what cholesterol is. Here are the basics:
- Cholesterol is made by your body in the liver. It’s a waxy, fat-like substance found in the walls of cells in all parts of your body, from the nervous system to the liver.
- Your body makes all the cholesterol it needs in order to work the right way. It uses cholesterol to make hormones, vitamin D, and substances that help you digest food.
- Cholesterol is also found in foods with a large percentage of saturated fats, such as egg yolks, whole-milk dairy products, and high-fat meats.
- Cholesterol travels in the bloodstream in small packages called lipoproteins. Two main kinds of lipoproteins carry cholesterol in the blood. It’s important to have healthy levels of both.
Two types of cholesterol:
- BadLow-density lipoprotein cholesterol, or LDL "Bad" cholesterol is considered bad because it carries cholesterol to tissues, including the arteries. Most of the cholesterol in the blood is this form.
- GoodHigh-density lipoprotein cholesterol, or HDL "Good" cholesterol is considered good because it takes cholesterol from tissues to the liver, which removes it from the body.
When the level of LDL “Bad” cholesterol in your blood is high, the condition can be serious. By itself, high cholesterol does not cause any symptoms, so many people are unaware of it.
The graphic below shows general cholesterol ranges. Your doctor will assess your situation and determine the cholesterol ranges that are right for you. Talk with your doctor about what your cholesterol numbers mean, so you can work jointly to manage your cholesterol.
LDL "Bad" Cholesterol
- •Optimal <100 mg/dL
- •Near or Above Optimal 100 - 129 mg/dL
- •Borderline High 130 - 159 mg/dL
- •High 160 - 189 mg/dL
- •Very High ≥190 mg/dL
Creating a low cholesterol diet
Not sure where to start with a low cholesterol diet?
These 5 changes may be beneficial:
- 1Eat more foods with soluble fiber
- •Examples of foods high in soluble fiber: peas, beans/lentils/legumes, apples, oranges, pears, berries, broccoli, oatmeal.
- 2Lower your fat intake to about 30% of the total calories that you eat in a day
- •For a 2000 calorie diet, that is about 65 grams of fat per day. Talk to your doctor about your calorie intake and what’s right for you.
- •All fats are equally high in calories. They contain nine calories per gram, which is more than twice the calories of carbohydrates and proteins. While your body needs some fat, it’s best to choose foods with monounsaturated and polyunsaturated fat, which can lower your LDL "Bad" cholesterol.
- •Foods that contain monounsaturated and polyunsaturated fats include olive oil, salmon, and nuts.
- 3Reduce the trans fats and saturated fats in your diet
- •These types of fats raise your LDL "Bad" cholesterol.
- •Foods that contain these types of fats include pastries, fried foods, fatty meat, and butter.
- 4Smarter food preparation
- •Instead of frying — try boiling, grilling, roasting, or poaching.
- •Before serving, be sure to drain off any fat that appears after cooking.
- •Try to avoid breading meat. Besides adding calories, breaded meat can soak up more fat when frying.
- 5Watch out for empty calories
- •Foods with empty calories are loaded with sugar and/or fat and contain few essential vitamins and minerals.
Fit exercise into your life
— it’s important and worth it.
The health benefits of regular physical activity are hard to ignore. Not only does it help to control your weight, but it also helps with blood pressure, mood, circulation, and so many more benefits. As you continue being active, you may be able to boost your HDL "Good" cholesterol, and decrease your triglyceride levels.
Tips for sticking with your routine.
Work in a workout during your day.
- At Home
- •Play with the kids
- •Walk the dog
- •Wash the car
- At Work
- •Swap that coffee break for a brisk, heart rate-elevating 10 or 15-minute stroll
- •Take the stairs instead of the elevator
- •Sign up for an office sports team
Always talk to your doctor before starting or changing any exercise program. Together, you can strive to create a daily, 30-minute routine.
Resources to help you reach your cholesterol goals.
Important Safety Information for LIVALO® tablets
Who should NOT take LIVALO?
LIVALO is not right for everyone. Do not take LIVALO if:
- •You have a known allergy to LIVALO or any of its ingredients.
- •You have active liver problems, including some abnormal liver test results.
- •You are nursing, pregnant or may become pregnant, as it may harm the baby.
- •You are currently taking cyclosporine or gemfibrozil.
What is the most important information I should know and talk to my doctor about?
- •Call your healthcare provider or get help right away if you experience any symptoms of an allergic reaction, such as rash, itching, or hives.
- •Muscle problems may be an early sign of rare, serious conditions. Tell your doctor right away if you have any unexplained muscle pain, weakness, or tenderness, particularly if accompanied by malaise or fever, or if these muscle signs or symptoms persist after discontinuing LIVALO.
- •Serious liver problems have been reported rarely in patients taking statins, including LIVALO. Your doctor should do liver tests before you start, and if you have symptoms of liver problems while you are taking LIVALO. Tell your healthcare provider right away if you feel more tired than usual, have a loss of appetite, upper belly pain, dark-colored urine, or yellowing of the skin or eyes.
- •Tell your doctor about all your medical conditions and medications you take including nonprescription medicines, vitamins, or herbal supplements.
- •Increases in blood sugar levels have been reported with statins, including LIVALO.
- •Tell your doctor about your alcohol use.
What are the most common side effects of LIVALO?
The most common side effects of LIVALO in clinical studies were:
- •Back pain
- •Muscle pain
- •Pain in the legs or arms
This is not a complete list of side effects. Talk to your healthcare provider for more information.
You are encouraged to report negative side effects of all drugs to the FDA.
Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
How should I store and take LIVALO?
- •Store LIVALO tablets at room temperature, in a dry place, and out of the reach of children.
- •LIVALO can be taken at any time of day, with or without food.
- •Swallow the tablet whole. Do not split, crush, dissolve, or chew.
Other important information I should know about LIVALO.
- •LIVALO has not been studied to evaluate its effect on reducing heart-related disease or death.
- •LIVALO is available by prescription only.
For additional information please see the full Prescribing Information.LIVALO is a registered trademark of the Kowa group of companies. All other trademarks are the properties of their
© Kowa Pharmaceuticals America, Inc. (2014)
All rights reserved. LIV-MT-1364 August 2014
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