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Done Cholesterol Test, Do Not Want To Take Statin

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Posted on Fri, 28 Sep 2012
Question: Hello, I am a 54 year female. Just received a cholestrol reading of 263, LDL 154, HDL 92. My blood pressure is 110/70. I work out roughly four times per week. I really don't want to go on a statin. In the past my physician has worked with me on this. In 2011 cholestrol was 246, LDL 133 and HDL was 89.
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Answered by Dr. Arnab Maji (1 hour later)
Hi XXXXXXX

Thanks for your query.

At these levels, a modification of the dietary habits would be definitely required if you don’t want a statin. You need to have plenty of fruits and vegetables, drink 3-4 litres of water in a day and limit the intake of following:
Dairy, nuts, oil, full fat food, red meat, all fried food and junk food like pizzas, fries, etc.
Also, is there a specific reason why you don’t want to receive a statin? If you have nothing against medical therapy as such, we could try other drugs in you but their side effect profile is more or less similar to a statin. These drugs would include ezetimibe, orlistat etc.
If after the dietary modifications for 6-8 weeks, your total cholesterol levels do not come down below 240, we would need to start treatment. This is a risk factor for heart disease which should not go untreated.
Let me know if you have any more concerns.

Best Regards,
Dr Arnab Maji
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Aparna Kohli
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Answered by
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Dr. Arnab Maji

Pulmonologist

Practicing since :2009

Answered : 661 Questions

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Done Cholesterol Test, Do Not Want To Take Statin

Hi XXXXXXX

Thanks for your query.

At these levels, a modification of the dietary habits would be definitely required if you don’t want a statin. You need to have plenty of fruits and vegetables, drink 3-4 litres of water in a day and limit the intake of following:
Dairy, nuts, oil, full fat food, red meat, all fried food and junk food like pizzas, fries, etc.
Also, is there a specific reason why you don’t want to receive a statin? If you have nothing against medical therapy as such, we could try other drugs in you but their side effect profile is more or less similar to a statin. These drugs would include ezetimibe, orlistat etc.
If after the dietary modifications for 6-8 weeks, your total cholesterol levels do not come down below 240, we would need to start treatment. This is a risk factor for heart disease which should not go untreated.
Let me know if you have any more concerns.

Best Regards,
Dr Arnab Maji