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Hyperlipidemia - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Cholesterol
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   Hi - I just wanted to get an opinion on my Lipid panel results.
User :   My Total cholesterol is 248 ; I am 45, a non smoker and non drinker
Doctor :  
Let me go through the reports.
User :   Im about 25 lbs overweight at 5'9, 185
User :   one moment
Doctor :  
Doctor :  
I had seen the reports that you had typed earlier during your previous chat.
User :   CHOLESTEROL 248 40- mg/dL LDL CALCULATED 162
User :   Im a vegetarian so Im not sure where I am getting cholesterol from
User :   I do drink coffee from Sbuck Soy Mocha w no whip...according to their figures there is no cholesterol
Doctor :  
You have noticed that your total cholesterol, triglyceride and LDL are high.
User :   Yes
User :   I dont want to go on statins and prefer to work on this with diet and exercise
Doctor :   I shall help you.
Doctor :  
May I know your age and gender?
User :   Yes 45.male
Doctor :  
Do you have diabetes or hypertension.
User :   No
Doctor :  
User :   I just had my glucose level checked as well..seems ok
Doctor :  
Do you consume alcohol?
User :   GLUCOSE, FASTING 80 60-99 mg/dL
User :   No, I dont drink
User :   I do not smoke
Doctor :   Ok.
Doctor :  
High cholesterols can occur due to diet factor
Doctor :  
Secondly it can occur due to other factors too.
User :   Yes, I understand but Im a vegetarian and dont eat a lot of high cholesterol foods
User :   although I do eat cheese occasionally and some milk
Doctor :  
Because you are over weight, metabolism in the liver can get affected.
User :   Ok
Doctor :  
which can result in elevating the cholesterols in the blood.
Doctor :  
So the cause could be the increase weight.
Doctor :  
Now the ways to manage it.
User :   ALT 35
Doctor :  
ALT is a liver enzyme
User :   What does that mean? Is 35 average? or high?
Doctor :   It is under normal limits.
User :   Ok, so how do I work on my cholesterol to improve it without drugs?
Doctor :   Anything above 40 is supposed to be high.
Doctor :   I shall suggest you.
Doctor :  
Since you do not want to be on medication, the option that is left is dietary modifications and regular exercises.
Doctor :  
Diet should involve those which are low in fats.
Doctor :  
Since you are a vegetarian, most of the vegetarian food contains less fats.
Doctor :  
So just take care that you avoid fried foods.
Doctor :  
those fried in oil.
Doctor :  
Avoid egg and milk products.
Doctor :  
Milk products such as cheese, butter contain lot of cholesterol.
Doctor :   If you are purchasing and packed food products check the cholesterol contents in it.
Doctor :  
These are some of the dietary modification that you need.
Doctor :  
Have you followed?
User :   yes. I understand. I guess I just have to start watching it more closely. Now does coffee play a factor?
Doctor :  
Coffee does not play major role in cholesterol increment directly.
Doctor :  
However coffee can contain lot of calories which can get metabolised to lipids too.
Doctor :  
Hence you may have to concentrate on calorie consumption too.
User :   Also, what period of time should I expect to see my cholesterol lower if I immediately eliminate higher cholesterol from my diet?
Doctor :  
Watch out for calorie consumption too.
User :   Ok. Yes. Will be watching calories as well.
User :   Is there a specific test to determine if I have Metabolic syndrome?
Doctor :  
Cholesterols can be high as long as the fat is present in the body.
Doctor :  
When the excess fat is burnt off, then only you may be able to find reduction in the cholesterol in the blood.
User :   I see.. so exercise will help with that.
Doctor :  
Since weight reduction does not occur overnight and in few months, that is the reason
Doctor :  
the doctors prefer giving medications, till the time weight reduction occur.
Doctor :  
Yes you have to include regular exercises also.
User :   I understand; I just prefer to avoid statins as I have read some bad things about them
Doctor :   The effects of the statins and the sideeffects both are considered before a doctor uses the medication.
Doctor :  
since you do not have any other medical problems such as diabetes, hypertension.
Doctor :  
I would suggest follow these measures of diet and modification.
Doctor :  
check the cholesterol after a period of 3 months.
User :   Ok. I appreciate the recommendations you have offered. Youve been very helpful.
Doctor :  
then you can decide what can be done following those results.
Doctor :   Do you have any other query?

User :   No, I appreciate your help. I think you have answered all of my questions.
Doctor :  
Please fill the feed back form too.
User :   Done
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   Yes. Will do. Have a great day.
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