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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High BP

Hi

i am having High BP. though i never had any issues but during one medical check up i found it on higher side,now i am on Titan 40(2 tabs) and now it stays in a range 120-130/78-85 during day.

from last 6 months i have started cycling for 1/2 hr. recently i did lipid profile check and i found my total cholestrol is 220 and HDL is 41 and ldl 159. i want to reduce my LDL and increase my HDL.

Along with cycling should i take cod liver oil tablets so as to have omega 3 fatty acids and inturn reduce LDL? iam 40 yrs old 86kg weight and 5 ft 11" height.
Fri, 1 Aug 2014
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Internal Medicine Specialist 's  Response
Thank you for the query.
As per the provided information, you are 40yrs, with a BMI of 26.5kg/m2 (overweight) with hypertension (controlled with medication) and deranged lipid profile.
Your BP is fairly controlled with medication, hence I would not comment on it. However, your lipid profile is not desirable. Ideally, your total cholesterol should be less than 200mg%, and LDL should be less than 120mg% (some physicians prefer it to be below 100mg%). To achieve this you have to definitely control your diet (restriction of saturated fat intake, refined carbohydrate and alcohol). Daily exercise regimen (which you are already following will help). Your BMI should be preferably below 25kg/m2. If you are a smoker, I am afraid you have to quit it. You can take Cod liver oil tablet, may act as a source of vitamin D and anti-oxidant. However, I will suggest you to start on low dose medications, statins. They will help to reduce the cholesterol level, and will prevent complications associated with deranged lipid profile. In case you dont want to start medications, you can continue your diet/exercise regimen for 2-3 months, and recheck your lipid profile after that. If it gets controlled then it is fine, but if it is persistently raised, you will need to start medicines.
Please consult your treating doctor for further advise and plan of management.
Hope this helps you out.
Regards,
Dr. Ayusmati Thakur
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Suggest Treatment For High BP

Thank you for the query. As per the provided information, you are 40yrs, with a BMI of 26.5kg/m2 (overweight) with hypertension (controlled with medication) and deranged lipid profile. Your BP is fairly controlled with medication, hence I would not comment on it. However, your lipid profile is not desirable. Ideally, your total cholesterol should be less than 200mg%, and LDL should be less than 120mg% (some physicians prefer it to be below 100mg%). To achieve this you have to definitely control your diet (restriction of saturated fat intake, refined carbohydrate and alcohol). Daily exercise regimen (which you are already following will help). Your BMI should be preferably below 25kg/m2. If you are a smoker, I am afraid you have to quit it. You can take Cod liver oil tablet, may act as a source of vitamin D and anti-oxidant. However, I will suggest you to start on low dose medications, statins. They will help to reduce the cholesterol level, and will prevent complications associated with deranged lipid profile. In case you dont want to start medications, you can continue your diet/exercise regimen for 2-3 months, and recheck your lipid profile after that. If it gets controlled then it is fine, but if it is persistently raised, you will need to start medicines. Please consult your treating doctor for further advise and plan of management. Hope this helps you out. Regards, Dr. Ayusmati Thakur