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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Smoking And Alcohol Lead To Increased Cholesterol Level And RBC?

Did a comprehensive blood test; the following were out of range: - RBC Count - 5.53 - Glucose Fasting Plasma - 104 - Cholestrol HDL - 38 - CHOL/HDL ratio - 4.6 - Hydroxy Vitamin D - 4.3 - HBA1C - 6.1 - Mean Plasma Glucose - 128.4 - Creatinine - 0.8 What does this mean and what precautions/ changes are necessary? P.s : I am a smoker and social drinker and predominantly eat outside with little physical exercise.
Mon, 24 Feb 2014
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Addiction Medicine Specialist 's  Response
Hi,

Smoking causes erythrocytosis and that can explain the slight increase in your RBC total count. In addition, both smoking and alcohol can cause raised cholesterol levels and an increased risk for coronary artery disease. Your HbA1C level is also slightly high and reflects the average blood sugar levels over the last three months. Quitting smoking will decrease insulin resistance and lower your HbA1C level. Regular exercise will also help lower the cholesterol and HbA1C levels.

Best wishes.
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Could Smoking And Alcohol Lead To Increased Cholesterol Level And RBC?

Hi, Smoking causes erythrocytosis and that can explain the slight increase in your RBC total count. In addition, both smoking and alcohol can cause raised cholesterol levels and an increased risk for coronary artery disease. Your HbA1C level is also slightly high and reflects the average blood sugar levels over the last three months. Quitting smoking will decrease insulin resistance and lower your HbA1C level. Regular exercise will also help lower the cholesterol and HbA1C levels. Best wishes.