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Test done for SGPT, bilirubin direct, triglycerides and cholesterol. Are the findings in normal range?

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If the SGPT value is 48,Bilirubin Direct value is 0.28,VLDL Cholesterol value is 79.92 and Trgglycerides VALUE IS 400.What is the reason for high value and report for this.
Posted Thu, 14 Mar 2013 in Liver and Gall Bladder
 
 
Answered by Dr. Michelle Gibson James 30 minutes later
Hi, thanks for using healthcare magic

The significant value here is the triglycerides. Between 200 and 499 would be classified as high.
High triglycerides may be related to : diabetes, low levels of thyroid hormone, inherited through families, obesity, high intake of carbohydrates, excess alcohol use.

To reduce your level, the present guidelines from the amerian heart association indicate the following would be best: (1) a weight loss of 5 to 10 % of present weight
(2) reduce your use of added sugars (3) reduce your intake of fructose to no more than 50 to 100 g daily from processed foods, the packages would state how much is present. Use fruits and vegetables with low fructose such as strawberries, grapes, peaches. Also use foods with high fibre and whole grains
(4) reduce your carbohydrate intake by reducing the amount of rice/pasta/bread/biscuits/flour products because high carbohydrates lead to high triglycerides
(5) reduce saturated fat
(6)increase your use of omega fatty acids because these decrease triglycerides. These can be found in fatty fish such as sardines, tuna, mackerel, salmon, herring.
Omega supplements can also be used
(7) Increase physical activity to at least 150 mins a week

VLDL contains the highest amount of triglycerides, this is why this value is also elevated.

I hope this helps. Feel free to ask any other questions
Above answer was peer-reviewed by
 
Follow-up: Test done for SGPT, bilirubin direct, triglycerides and cholesterol. Are the findings in normal range? 17 minutes later
Which medicine should to be taken to reduce VLDL
 
 
Answered by Dr. Michelle Gibson James 8 minutes later
Normally the medication taken to reduce LDL would also reduce the VLDL and triglycerides. The most common medication used are the statin family of medication such as atorvastain (lipitor) , simvastatin (zocor), pravastatin (pravachol), rosuvastatin (crestor).

If the levels remain high then nicotinic acid or a fibrate is added.

Please feel free to ask any thing else
Above answer was peer-reviewed by
 
Follow-up: Test done for SGPT, bilirubin direct, triglycerides and cholesterol. Are the findings in normal range? 40 minutes later
Timing for medicines.
 
 
Answered by Dr. Michelle Gibson James 16 minutes later
The statins are given once a day, the dose varies according to which one is recommended by your doctor.They are normally given in the evenings.

The nicotinic acid has different formulations, an immediate release and an extended release. The immediate release has to be given multiple times during the day, the dose is started low and increased if necessary.
The extended release is given once a day at night.

The fibrates are given once daily with food, the dose varies according to which fibrate is used.They are different manufacturers of different fomulations of the drug.

Your doctor will advise you on which is better for you.

Please feel free to ask any other questions
Above answer was peer-reviewed by
 
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