Managing cholesterol levels while taking into account other health conditions like osteoporosis and reflux involves a multipronged approach. Given your cholesterol level of 8.5 mmol/L and a calcium score of 320 suggests a high risk of cardiovascular issues, it is crucial to address these through diet, lifestyle, and possibly medication, under the guidance of your healthcare provider.
Firstly, let’s focus on dietary adjustments. While avocados and olive oil are beneficial sources of healthy fats, moderation is key. You could reduce total fat intake and focus more on polyunsaturated fats found in foods like seeds and nuts. For proteins, try incorporating more plant-based sources such as legumes and pulses; they’re not only good for cholesterol management but also align well with a heart-healthy diet. It’s also worth reassessing your meat consumption, opting for lean cuts and possibly reducing red meat consumption while increasing fish high in omega-3s.
In Ayurveda, we have the concept of Ama, or toxins that accumulate in the body. Considering your reflux, it’s advisable to incorporate spices like ginger and turmeric in your meals, these help improve digestion and reduce Ama. Drinking warm water throughout the day can also keep your metabolism active and digestion robust.
To address osteoporosis, ensure adequate calcium and vitamin D intake. Sesame seeds, leafy greens, or fortified almond milk could offer benefits in this area. Engaging in weight-bearing exercises can stimulate bone growth and strength.
For immediate relief from reflux, consider small, frequent meals, avoiding spicy foods, and not lying down immediately after meals as important adjustments.
Remember, though Ayurveda principles are very effective in the long run, please consult a healthcare professional for an integrated approach, especially with your medical history and current medication. Regular monitoring and possibly medication adjustments might also be necessary to ensure safety and effectiveness.



