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How To Increase HDL And Reduce Triglycerides And VLDL?
Question: Hi, am 32 Male - in the recent blood test I did, my cholesterol levels are as follows - HDL 31, LDL 78, Triglycerides - 247, VLDL - 49.2. Is it too bad? What should I do to increase HDL and reduce Triglycerides and VLDL. I have quit drinking from 01st XXXXXXX 2014. I weigh 154 pounds and taller by 5 feet 9 inches (176 cm / 71.5 kg)? Btw, am a vegetarian, however eat diary products and poultry eggs. The weather in the city I live is around 35 - 38 deg C with a very high humidity. My Blood Pressure is 120 / 80; pulse 88; In the last 2 months, I have started cardio exercises (burning close to 300 calories every day through different work outs)
Brief Answer:
Changes mild / diet & exercise / repeat later
Detailed Answer:
Dear friend,
Welcome to Health Care Magic
Your LDL Cholesterol is normal... LDL is bad cholesterol – lower, the better… In the absence of any other risk factor 100 is ideal for LDL-C. In the presence of heart disease, 70 should be the aim.
HDL is good cholesterol – higher, the better. The level is a bit lower. There are no officially approved drugs to increase it. Exercise helps….
Continue your cardio exercises
Change to low fat (1.5%) or no fat (<0.5 %) milk.
Avoid yellow of the egg / no restriction for the white portion (protein)
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.
Keep your weight to normal / even a little less
Quit smoking, if you are a smoker
_____________________________________________________________
Your Triglyceride (TG) is a bit high (200 – 499) / More than 500 is called very high…
It is great that you have stopped the alcohol
Reduce the quantity of Carbohydrate in the food / natural sugars like honey, starchy vegetables, fruit juices, highly refined cereals /
If TG is still high, in spite of diet and exercise – you need drugs; Fibrates may be started…
Repeat the test after 2 months..
Take care
Wishing all well
God bless
Changes mild / diet & exercise / repeat later
Detailed Answer:
Dear friend,
Welcome to Health Care Magic
Your LDL Cholesterol is normal... LDL is bad cholesterol – lower, the better… In the absence of any other risk factor 100 is ideal for LDL-C. In the presence of heart disease, 70 should be the aim.
HDL is good cholesterol – higher, the better. The level is a bit lower. There are no officially approved drugs to increase it. Exercise helps….
Continue your cardio exercises
Change to low fat (1.5%) or no fat (<0.5 %) milk.
Avoid yellow of the egg / no restriction for the white portion (protein)
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.
Keep your weight to normal / even a little less
Quit smoking, if you are a smoker
_____________________________________________________________
Your Triglyceride (TG) is a bit high (200 – 499) / More than 500 is called very high…
It is great that you have stopped the alcohol
Reduce the quantity of Carbohydrate in the food / natural sugars like honey, starchy vegetables, fruit juices, highly refined cereals /
If TG is still high, in spite of diet and exercise – you need drugs; Fibrates may be started…
Repeat the test after 2 months..
Take care
Wishing all well
God bless
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks Doctor,
Would certainly aim to reduce carb intake and increase cardio exercises. My follow up question to you is, my Vit B12 level is very low (140 pg/ ml only) and my Vit D is also deficit (16.96 ng/ml) - would you kindly help me how to increase these through vegetarian diet? Or should i start any supplement?
Thanks in advance
Would certainly aim to reduce carb intake and increase cardio exercises. My follow up question to you is, my Vit B12 level is very low (140 pg/ ml only) and my Vit D is also deficit (16.96 ng/ml) - would you kindly help me how to increase these through vegetarian diet? Or should i start any supplement?
Thanks in advance
Brief Answer:
Must supplement / repeat tests to follow
Detailed Answer:
Welcome again
B-12 deficiency is often seen in vegetarians…
The ideal option is take a course of injections
And vitamin D deficiency from food and lack of exposure to sun…
Simple oral replacement (60,000 units – once a week for 4 to 6 weeks) will correct it. It is available in tablets, sachets and so on
Also – MCV is borderline / Folic is below normal / hs CRP is higher / Homocysteine is elevated
You need supplements – Folic acid (1 mg or more) / + Vitamin B-6 (10 mg or more) / +Vitamin B12 (0.5 mg or more) .
Alcohol should be avoided forever
You need to repeat all these after a month or two
You need follow up / your treating physician can arrange for appropriate prescription and injection
Regards
Must supplement / repeat tests to follow
Detailed Answer:
Welcome again
B-12 deficiency is often seen in vegetarians…
The ideal option is take a course of injections
And vitamin D deficiency from food and lack of exposure to sun…
Simple oral replacement (60,000 units – once a week for 4 to 6 weeks) will correct it. It is available in tablets, sachets and so on
Also – MCV is borderline / Folic is below normal / hs CRP is higher / Homocysteine is elevated
You need supplements – Folic acid (1 mg or more) / + Vitamin B-6 (10 mg or more) / +Vitamin B12 (0.5 mg or more) .
Alcohol should be avoided forever
You need to repeat all these after a month or two
You need follow up / your treating physician can arrange for appropriate prescription and injection
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks a lot doctor
I want to consult a doctor in person before I get some prescriptions on the supplements you have suggested.
Apparently, wanted to inquire if I can get an appointment with you personally in Chennai (I live in Chennai). Or would you be kind enough to prescribe these supplements which I can buy from a pharmacist over the counter
Tnx.. XXXXXXX
I want to consult a doctor in person before I get some prescriptions on the supplements you have suggested.
Apparently, wanted to inquire if I can get an appointment with you personally in Chennai (I live in Chennai). Or would you be kind enough to prescribe these supplements which I can buy from a pharmacist over the counter
Tnx.. XXXXXXX
Brief Answer:
See a cardiologist or Physician
Detailed Answer:
Hi,
Prescription services are specifically not allowed in this service
Yes – you should consult a Physician or cardiologist / one in an Institution is better than one in individual practice.
I am on vacation outside and will not be available for several months…
The best option is to go to a multispecialty tertiary care super speciality hospital, near your area of residence… there are several in and around the city
Regards
See a cardiologist or Physician
Detailed Answer:
Hi,
Prescription services are specifically not allowed in this service
Yes – you should consult a Physician or cardiologist / one in an Institution is better than one in individual practice.
I am on vacation outside and will not be available for several months…
The best option is to go to a multispecialty tertiary care super speciality hospital, near your area of residence… there are several in and around the city
Regards
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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