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High triglycerides despite exercise, diet modification - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Cholesterol
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3112 Questions
Doctor :   HI
User :   Good Evening Respected Doctor
Doctor :   Please proceed with your query
User :   My cholestrol level specially triglicerides dont seem to come down despite having a great diet and regular exercise
User :   Do you think it is a good idea to meet up with a dietician as well
Doctor :   What is the level of TG?
User :   I walk for 50 minutes every day in the morning
User :   362
Doctor :   Do you have family history of the same?
User :   Yes
User :   Strangely my brother does not have it but my father does
User :   I am already in consultation with my cardiologist
User :   and met him almost a year back. I take 2.5mg Amlodipine + 25mg Atenol every morning for my blood pressure
User :   I dont smoke and drink beer once every 3 months or 4 months that too 600ml
Doctor :   What is your age?
Doctor :   Do you smoke or take alcohol?
User :   I dont smoke and my age is 38 (as on 7th July)
Doctor :   Did you get an Ultrasound for liver?
User :   As I said I consume Beer once every 3 months thats it
User :   No
Doctor :   Did you have a check on Fasting blood sugar?
Doctor :   How are the other parameters in lipid profile like
User :   Yes Fasting blood sugar and post prandial blood sugar is very normal
User :   all of them are very bad
Doctor :   LDL - C, HDL -C, Total cholesterola
User :   Total Cholestrol is in excess of 700
User :   I dont eat Non-Veg
User :   I am am pure vegetarian and eat outside once a year or so
User :   use only Til Oil for cooking and no fried foods
Doctor :   What about LDL
User :   LDL is around > 140
User :   LDL is good cholestrol am I right
User :   then it is less than 40
Doctor :   LDL is bad one
Doctor :   HDL is good one
User :   LDL is > 140 and HDL is
User :   I get angry fast that too at home and never in the office or outside
Doctor :   Ok
Doctor :   You require medications to control these levels
Doctor :   LDL should be less than 100
Doctor :   HDL should be more than 40
User :   Currently i am taking Fenolip 145 mg in the nights
Doctor :   You shoudl consider speakimg to your cardiologist for adding medication
Doctor :   Ok
User :   I have a very bad habit
Doctor :   You should ask your doctor if Statins are helpful when TG's and LDL are raised
User :   of eating ground nuts (only roasted in an empty pan) May be I eat around 100 gm monthly twice
User :   Will Fenolip not help in reducing the TG's and LDL
Doctor :   Only TG's
User :   What about ground nuts Doctor
User :   I heard quite a lot about ground nuts
Doctor :   Everything in moderation
Doctor :   is acceptable
User :   I really like it
Doctor :   I have better suggestion, switch to walnutss
Doctor :   Only a difference of wal from ground
User :   Yes I eat walnuts too for break fast along with a host of other fresh fruits
User :   but this "nut" costs a fortune
Doctor :   Ok reduce the ground nuts from 100gm to 50gm
Doctor :   per month
User :   I will consider your suggestion seriously. I was just joking
User :   Once I stop Fenolip will the TG's increase again
Doctor :   As expected to increase
User :   Ok thank you very much for your time and patience with me
User :   I wish you a pleasant evening Doctor
Doctor :   Likewise
Doctor :   thanks
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