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What Do The Following Test Reports Indicate?

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Posted on Wed, 26 Aug 2015
Question: Hi I'm 62 got my lft kft and lipid profile and found serum globulins 2.4 and sgpt 41 all other parameter are also at higher side by either at border or maximum while in lipid profile serum cholesterol is 226 and ldl cholesterol is 148,serum trilycerides is 150. Kindly advise
doctor
Answered by Dr. Priyank Mody (57 minutes later)
Brief Answer:
the reports mentioned are borderline n can be managed with diet n lifestyle

Detailed Answer:
Hello Sir , I am Dr. Mody and i would be addressing your concern .
I would be happy if you can upload all the reports so i can interpret for you .
Firstly i would like to assure you that globulin at 2.4 and SGPT (as normal is till 35 )are borderline and you need not worry for the same .
if you take alcohol , avoid more than 60 ml on any day '
now coming to your lipid profile . the total cholesterol is higher because the ldl is high , and ldl is the bad cholesterol so our aim is to decrease it to less than 100 .
however i would assure you that no medication is needed for it at present and we will b e able to bring it to normal with diet and lifestyle '
1) diet is the key here . cut on red meat , egg yellow , no fried and preserved foods , avoid all farsan . you may shift to healthy oil like olive .if you take non vegetation food , 2-3 servings of fish per day .
smaller meals , like 5 to 6 , 2-3 hours apart . avoid heavy lunch and dinner . good breakfast ,nutritive lunch and light dinner is the key . 2 bowls of fruits a day , and 25-30 gms nuts . also more green and fresh vegetables .
2) loose weight if you are over weight . avoid food like potatoes and rice , 30-45 mins of aerobic exercise per day
3) supplement omega 3 fatty acid 1-2 gms per day . its available in capsule form , flax seed are another good source of omega acid

all these may sound difficult but if you start we will achieve something
trust me medicine is the easy way out , but life style modification would help in long run and your lipids are not really bad to start any medicine .
Do upload the reports and we can interpret it and we may discuss the furthur course of action
hopefully i could help .
regards Dr. Priyank Mody

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Priyank Mody (16 hours later)
Dear Doctor

My detailed Report is attached, kindly go thru the same and advise accordingly
doctor
Answered by Dr. Priyank Mody (21 hours later)
Brief Answer:
reports reviewed , My suggestions are as below :

Detailed Answer:
Hello, Dr. XXXXXXX , i did go through your reports .
so as we discussed .
1) For your lipid profile there would be two approach
Preffered : holistic diet , exercise , omega 3 supplement sos
Second : We start with a low dose statin , rosuvastatin 5mg at night , till the time you start with weight reduction , diet control and after 3 month we can taper the drug off .
however as you havent mentioned i assume that you are you are non diabetic , non hypertensive, No IHD . so considering there are no risk factors we may wait till lifestyle changes normalise .
2) just below the report its wriiten Bp 160/90 . hoping Sir you are taking the care for the same . low salt and sos medicine
3) sir globulin is just low normal . i wouldnt really peak into that . trust me do in another lab and the chances of it coming in normal rage is far higher, than you having some problem
4)SGPT is also boderline high . now if you are obese , consume alcohol though social , you may get a USG Liver done as i suspect it may due to early fatty liver , which is commonly seen in normal population , however that would intensify our aim to achieve lifestyle modification .
Hoping i could help .
Would be just on the other side , if any clarification is needed .
Regards Dr. Priyank Mody
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Priyank Mody

Cardiologist

Practicing since :2009

Answered : 918 Questions

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What Do The Following Test Reports Indicate?

Brief Answer: the reports mentioned are borderline n can be managed with diet n lifestyle Detailed Answer: Hello Sir , I am Dr. Mody and i would be addressing your concern . I would be happy if you can upload all the reports so i can interpret for you . Firstly i would like to assure you that globulin at 2.4 and SGPT (as normal is till 35 )are borderline and you need not worry for the same . if you take alcohol , avoid more than 60 ml on any day ' now coming to your lipid profile . the total cholesterol is higher because the ldl is high , and ldl is the bad cholesterol so our aim is to decrease it to less than 100 . however i would assure you that no medication is needed for it at present and we will b e able to bring it to normal with diet and lifestyle ' 1) diet is the key here . cut on red meat , egg yellow , no fried and preserved foods , avoid all farsan . you may shift to healthy oil like olive .if you take non vegetation food , 2-3 servings of fish per day . smaller meals , like 5 to 6 , 2-3 hours apart . avoid heavy lunch and dinner . good breakfast ,nutritive lunch and light dinner is the key . 2 bowls of fruits a day , and 25-30 gms nuts . also more green and fresh vegetables . 2) loose weight if you are over weight . avoid food like potatoes and rice , 30-45 mins of aerobic exercise per day 3) supplement omega 3 fatty acid 1-2 gms per day . its available in capsule form , flax seed are another good source of omega acid all these may sound difficult but if you start we will achieve something trust me medicine is the easy way out , but life style modification would help in long run and your lipids are not really bad to start any medicine . Do upload the reports and we can interpret it and we may discuss the furthur course of action hopefully i could help . regards Dr. Priyank Mody