Cholesterol is the substance used to compose all cell membranes and blood vessel walls of the body, forms the bile acids necessary for fat absorption, and makes essential hormones such as sex hormones and adrenal cortical hormones. Total cholesterol (T. Cholesterol) refers to the total amount of cholesterol contained in the blood. When the blood cholesterol level increases, plaque builds up on the walls of blood vessels, causing arteriosclerosis, which narrows or blocks the walls of blood vessels.¹ That is, when the total cholesterol level is high, the probability of developing diseases such as acute myocardial infarction and cerebral infarction increases. The test can diagnose dyslipidemia and confirm the presence or absence of arteriosclerosis. Test results are divided into three grades according to the total cholesterol level: less than 200 mg/dL (normal), 200-239 mg/dL (borderline, dangerous), and 240 mg/dL (high risk).² If the total cholesterol value is high, the resulting values for TG (triglyceride), LDL (low density cholesterol) and HDL (high density cholesterol) are compared together. Total cholesterol levels are increased in the presence of familial hypercholesterolemia, diabetes, renal disease, hypothyroidism, obstructive jaundice, biliary cirrhosis, renal syndrome, etc. Hyperthyroidism, liver cancer, chronic hepatitis, family High density lipid protein deficiency, reduced when Edison's disease is present. This case attempts to report the course of blood cholesterol levels after nutritional therapy in patients belonging to the high risk group of total cholesterol index.

Approximately 12 months after starting nutritional therapy, the total cholesterol index decreased from 256 to 181 and the triglyceride index increased from 81 to 114. The high-density cholesterol index decreased from 71 to 57, and the low-density cholesterol index showed a particularly large decrease from 169 to 101. (Figure 1)

Dyslipidemia is a disease caused by abnormal lipoprotein metabolism, and refers to a condition in which the blood contains an excessive amount of lipids or fatty components. Dyslipidemia rarely presents with specific symptoms or pain, so it is difficult to recognize the disease and start treatment based on symptoms and pain alone. For this reason, dyslipidemia is often discovered after serious complications such as cardiovascular disease and cerebrovascular disease develop. The causes of dyslipidemia can be broadly divided into primary and secondary. It refers to hyperlipidemia caused by underlying diseases such as obesity, pregnancy, and taking medication. In this case, we investigated changes in blood cholesterol levels after nutritional therapy in patients with dyslipidemia. Chromium, a key ingredient in TMPLEX, reduces fat buildup in blood vessels.4 VIVAROL Capsules contain alpha-linolenic acid. Intake of alpha-linolenic acid has been reported to lower blood cholesterol even in people with normolipidemia. The facts were known through animal experiments. 6 This case report is considered to be a case in which the application of nutritional therapy showed a reduction in total and low-density cholesterol in a patient. Of course, since the blood cholesterol level of the patient varies depending on the patient's lifestyle and dietary habits, we believe that there is a limit of interpretation from this point of view. However, it is thought that there is a possibility that existing reported chromium, alpha-linolenic acid, and polyphenols act in combination to contribute to the regulation of cholesterol in patients. This case is being reported with the consent of the patient.