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Suggest Treatment For High LDL Levels

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Posted on Wed, 29 Oct 2014
Question: My total cholesteol is 228. T G 121, LDL 164, HDL 39.7 it is the same for last 5 years, no medicine so far. I am 56 years now


Which medicine advisible or if medicine required, pressure normal XXXXXXX
doctor
Answered by Dr. Anantharamakrishnan (6 hours later)
Brief Answer:
Life style changes & statin - MUST

Detailed Answer:
Dear friend,
Welcome to Health Care Magic

HDL is good cholesterol – higher, the better.
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 ischemia, 70 should be the aim.

     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 / XXXXXXX sweets are made in ghee.../ Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil – Olive oil.

     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 is the first choice.
You need to START it straight away – because of the high level.

There are several statins (Atorvastatin / Rosuvastatin etc.) and your Primary care provider will prescribe one for you

Repeat the test in 6 weeks.

Take care
Good luck
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Anantharamakrishnan (40 hours later)
Thank you Dr

My weight is 70 kg ht 5' 6.5"

My Dr advised Aztor 10 mg,shall keep your advice

I have GERD that is a problem

Thank you dr
doctor
Answered by Dr. Anantharamakrishnan (6 hours later)
Brief Answer:
Loose a few Kgs / Increase the dose of Aztor

Detailed Answer:
Hi

Your BMI is 24.5. /upper normal range…
You can shed a few kilograms!

Aztor is Atorvastatin – OK / but the dose is small… Up to 80 mg is the dose
You may double the dose now and check again up in 6 to 8 weeks

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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Suggest Treatment For High LDL Levels

Brief Answer: Life style changes & statin - MUST Detailed Answer: Dear friend, Welcome to Health Care Magic HDL is good cholesterol – higher, the better. 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 ischemia, 70 should be the aim. 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 / XXXXXXX sweets are made in ghee.../ Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil – Olive oil. 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 is the first choice. You need to START it straight away – because of the high level. There are several statins (Atorvastatin / Rosuvastatin etc.) and your Primary care provider will prescribe one for you Repeat the test in 6 weeks. Take care Good luck