Brief Answer: A few more information will be helpful. Detailed Answer: Hi XXXXXX! Good evening. I am Dr Shareef answering your query. A few more information will help me in answering your query more precisely : 1) What is the status of your blood pressure now ? Is it well controlled ? 2) What is your dietary habit ? 3) How is your life style ? Do you go for any regular exercises or not ? 4) Is there any history of breathlessness or pain in chest any time in the past ? I went through your reports. There is some derangement of the lipid profile persisting. I am not aware of your lipid status before you started your treatment. The thyroid profile looks fine, and for the present you can continue with the dose of Eltroxin advised for you (100 mcg) by your treating doctor. Awaiting your reply. Thanks for choosing health care magic for clearing doubts on your health problems. Dr Shareef.

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Brief Answer: A balanced diet along with regular exercise a must Detailed Answer: Hi XXXXX! Good to hear from you so soon. Thanks for all the information. Good to know that the blood pressure is under control. However, a diastolic blood pressure of below 90 is more desirable. Yes, your VLDL is in a higher range. This is not considered to be a good cholesterol, as this may get deposited in the vessel wall anywhere in the body. As you travel 10 days in a month, it is but natural to have derangement in the diet also. I would suggest you to go for a lot of roughage with enough liquids apart from avoiding highly oily and fried food, and also avoid a lot of sweet. Regular exercise goes a long way in controlling the blood sugar and the different cholesterol levels in the body. Also rapid flow of blood during exercise does not allow deposition in the vessels easily. So I would strongly suggest active regular exercise programme for you within your own medical limits. Apart from this, garlic is known to reduce the lipids in the body being a cardio protective in nature. So you should take more of natural garlic, and if desired as garlic pearls available in the market. The chest pain however trivial it may be cannot be ignored specially with your VLDL levels increased and a decreased HDL, compounded by the hypothyroidism and a sedentary life style along with your age. If I were your family physician, I would strongly suggest a cardiology check by a cardiologist in your area to avoid any unforeseen problem any time. The cardiologist might also alter the medicines and dosages of the anti lipid medicines you take, and also could advise you on a controlled exercise programme to suit you. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic for clearing doubts on your health problems. Wishing you an early relief of your problem. Dr Shareef.

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