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Whether to take Lipicor in high cholesterol - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Before I have to take lipitor forever, which I want to avoid. Here are my stats. 54 year old female. My total Cholesterol is 278. My LDL is 169, my HDL is 93 and this has risen by 30 points in the past 6 years or so. My Triglycerides were 80. I am female, 5 foot 5 1/5 inches tall and weigh 160. I have no family history of heart disease. I really dont think I need to take drugs, what do you think?
                                                  
Doctor :   Hi
User :   hello
Doctor :  
Let me read it
Doctor :  
May I ask you few questions to know about you?
User :   sure
Doctor :   May i know your age & Do you have history of Allergies/ Diabetes/ High Blood pressure/ Thyroid/ Heart disease/Asthma/ paralysis /Breathing problems.
Doctor :  
Any of the above?
User :   AGe noted above. I am 54. My blood pressure is always low, last check was 112/62, that is normal for me, my throid tests were perfect per my doctor. All my other blood work was normal, blood sugar etc. But she did say something about little low kidney function clearance so I have to do a 24 hour urine test. No breathing problems or asthma or allergies. No heart disease other than many years ago while going thru first stages of menapause I had PVC's they did several tests, all were normal for heart and then the problem resolved on its own, no drugs were taken during this time. I also take a baby aspirin every day.
Doctor :  
Ok
Doctor :  
Yes your cholesterol levels
Doctor :  
are high enough to start off with treatment
Doctor :  
Since you do not
Doctor :  
have any cardiovascular risk factors other than age & menopause
User :   With my HDL so high, does this not counter act the high LDL
Doctor :  
your target levels for LDL is 130
Doctor :   Since your total cholesterol is high
Doctor :  
which is constituted by HDL, LDL, Triglycerides & VLDL
Doctor :  
the individual constituents too are high
User :   VLDL? what does that mean
Doctor :  
that too is a lipid, like LDL & HDL
Doctor :  
Very Low Density Lipoprotein
Doctor :  
HDL is called Good cholesterol
Doctor :  
I guess you knew that
Doctor :  
So, focus on the LDL(Bad cholesterol) levels
Doctor :  
target is to bring LDL down
User :   Wonder why my good HDL increased but my LDL stayed the same
Doctor :  
That is why you must take Lipicor
User :   VLDL I did not get that number, is that a number as part of the Total number
Doctor :  
Never mind that, it is a component of total cholesterol
Doctor :  
they don't include it in all places
User :   okay
Doctor :  
Have you gone through step 1 of cholesterol control?
Doctor :  
Lifestyle
Doctor :  
modifications?
Doctor :  
exercise & healthy diet
User :   I am starting to walk more and eat better. I do eat salmon and lot of veggies and stay away from red meat, my downfall is carbohydrates
User :   also eat fruits
Doctor :  
You are well informed
Doctor :  
All you need now
User :   So I must be doing something right with the increase in HDL
Doctor :  
is self motivation
Doctor :  
push yourself at exercise
Doctor :  
make it more rigorous
User :   Okay I go in spurts, excercise for months and then stop
Doctor :   No that is bad
User :   OKay, some is better than none
Doctor :  
as your appetite would have increased due to exercise
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