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Have high cholesterol and triglyceride level. Do I need any medication, diet or exercise?

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Practicing since : 1966
Answered : 4497 Questions
Dear sir,
My total cholesterol is 212 mg/dl, LDL 134, HDL 50 and triglyrecides is 292.
Fasting blood sugar is 105 mg/dl
Phospholipids is 257 mg/dl

Kindly advise me to bring down the values to normal.
Do I need to take medication or by diet and exercise?

Kindly advise me.

regards, XXXXXXX
Posted Tue, 9 Apr 2013 in Cholesterol
Answered by Dr. Anantharamakrishnan 1 hour later
Hi friend,
Welcome to Health Care Magic

Your total cholesterol is a bit high
HDL is good cholesterol and its level is good
LDL is bad cholesterol and is high - 100 mg is good / 70 ideal!
Triglyceride is mildly elevated...

• Keep your weight to normal / even a little less
• Quit smoking, if you are a smoker
• Do regular EXERCISE – say walking or jogging - 30 minutes a day / at least 5 days in a week. Isometric exercise (like bull worker) is bad.
• Healthy FOOD is a must. Avoid saturated fats – coconut oil, palm oil, butter, ghee, full cream milk...Avoid
junk foods in particular – French fries have palm oil / Pizza has cheese / Indian sweets are made in ghee...
Change to Poly-un-saturated oil – like sun flower oil.
Include Mono-un-saturated oil – Olive oil.
Repeat the test in 6 weeks.
• Cholesterol can still be high, in spite of diet and exercise – you need drugs; Because it is also manufactured in the liver – and that is determined by heredity.

Statin or fibrates is the choice.
Some start it straight away – even with normal levels, even without problems (Primary Prophylaxis).
In your case, starting a statin straight-away will be better - the level is a bit high to be tackled by diet alone / diet brings down all forms of cholesterol, including the good one!

Discuss with your doctor and start management

Take care
Wishing speedy recovery
God bless
Good luck
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