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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Me The Diet For High Blood Pressure And Cholestrol?

Hi, I have had a LAD stent placement last July. I m 57 years old, female, 5 6 . I was 195 lbs at the time. I am still 195 lbs after trying several different life style changes. I feel the medication I m on is diminishing the effect of weight loss. Normally, I do not have high blood pressure, nor do I have high cholesterol. Because of the stent, for one year I have to take metoprolol 10mg, effient 10 mg, atovastatin 80mg, and a baby aspirin. My lipid panel in January = ldl is 68, bp is 110/62. So, what I m asking is, how many calories should I have in a day? I ve gone as low as 1200, without any result. I m hungry at that level, tired, and I get shaky. Very shaky. I am not (pre) diabetic either, so what do you think? Thanks.
Wed, 16 Dec 2015
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Addiction Medicine Specialist 's  Response
Several points:
calories used without exercise is equal to weight in pounds x 10 (200 lb= 2000 calories). 4000 calories net out is one pound. a 10% loss of weight will start to have an effect (20 pounds for a 200 pound person). Contrarily, following current guidelines on exercise will have a lowering effect on heart disease risk pretty much immediately. BUT it has to be cleared as safe in someone with a prior history of heart disease before it is begun.
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Suggest Me The Diet For High Blood Pressure And Cholestrol?

Several points: calories used without exercise is equal to weight in pounds x 10 (200 lb= 2000 calories). 4000 calories net out is one pound. a 10% loss of weight will start to have an effect (20 pounds for a 200 pound person). Contrarily, following current guidelines on exercise will have a lowering effect on heart disease risk pretty much immediately. BUT it has to be cleared as safe in someone with a prior history of heart disease before it is begun.