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Problems about high density lipoprotien - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Blood Disorders
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3394 Questions
User :   I just had some routine blood work done. The ones that are off are RBC = 3.99, MCH = 32.4, CL = 108, and my HDL is 78. What do these mean?
Doctor :   Hi
User :   Hi
Doctor :   let me read ur query
User :   ok
Doctor :   the RBC count seems to be less at 3.99
User :   CHOL is 193 also
Doctor :   this could be due to anemia
User :   yes, low end of low
User :   really?
Doctor :   no it is not that low, but moderately low
User :   I have not been eating red meat
Doctor :   but nothing to worry about
User :   or any meat really
User :   ok good
Doctor :   the normal value is Men: 4.7 to 6.1 million/uL
Doctor :   this can improve with iron therapy
User :   what about the others, I am a woman
User :   I am post-menopausal; should I still take IRON?
Doctor :   in Women: 4.2 to 5.4 million/uL is the normal values
Doctor :   yes definitely iron is good as anemia can be treated
Doctor :   can you tell me what you mean by CL ?
User :   In the lipid panel
User :   hello?????
Doctor :   IN Case it refers to LDL it is normal
Doctor :   please be patient while i type my answers
User :   No, my LDL is 103
Doctor :   the HDL is very good levels =
Doctor :   the normal values is 40-60
User :   yes but it's 78
User :   my report says it
User :   s high
Doctor :   such a high levels, is good as more high it is the heart is more protected
Doctor :   i mean the HDL
User :   ok, so my HDL at 78 means my heart is more protected?
Doctor :   THE LDL is within the normal range (103) , ir should be less than 150
Doctor :   yes that is right , (about the HDL)
User :   right
User :   These are the ones that are high or low. But, you think they are all still okay?
Doctor :   THE cholesterol of 193 is moderately high normal levels (normal 150-200)
Doctor :   yes they are pretty good
User :   should I be on meds for chol
Doctor :   the High HDL, removes one risk factor for heart disease
User :   good
User :   which one?
Doctor :   can u mention if u have diabetes, hypertension or other conditions ?
User :   hypothyroidism, Hashimoto's
Doctor :   coronary heart disease , specifically is protected by a high hdl
User :   otherwise healthy
User :   good about the HDL!
Doctor :   in that case, you have good lipid profile with a normal LDL, high HDL,
User :   but what about the CL?
Doctor :   but you need to work on the total cholesterol with a good low fat diet
User :   I am working on that :)
User :   don't need meds tho?
Doctor :   yes u dont need meds as of now
User :   ok, good
Doctor :   you can control the status with diet exercise,
Doctor :   the CL is tryglycerides and is good as well
Doctor :   normal is less than 150
User :   My report says it's high at 108, normal being 98-107
Doctor :   that is not to be worried about
Doctor :   we consider a level of less than 150 to be ok
User :   ok, I don't drink, could that be why?
User :   great then!
Doctor :   different labs give diff criteria, but the AHA (American health association) criteria is what we follow
User :   Good. So, I'm okay then?
Doctor :   yes
Doctor :   you are good
User :   okay, thanks!
Doctor :   you are welcome
User :   Just wanted to be sure and check it out.
User :   Take care
Doctor :   just make sure that your hemoglobin levels are normal (more than 12)
Doctor :   you are welcome
User :   ok, hold one sec and I will look
User :   HGB = 12.9
Doctor :   thats a good value
User :   low side
User :   but still okay?
Doctor :   no that is perfectly ok
Doctor :   more than 12 is good
User :   great! Thanks and have a great rest of the day
Doctor :   you too
Doctor :   thanks for consulting me here
User :   you're welcome.
User :   goodbye
Doctor :   bye for now
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