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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High Cholesterol?

I was just told I have high cholesterol it is 6 I am not over weight, I do excersice I eat fairly healthy hardly eats sweets or junk food I do have 90% piece of chocolate every day is there other reason that cause this I am 65 and never had problems efore.
Mon, 31 Aug 2015
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Cardiologist 's  Response
Hello!

Thank you for asking on HCM!

I understand your concern, and would explain that chocolate intake can contribute in high values of cholesterol.

Abnormal cholesterol levels may also be secondary to the following:

1-Diabetes
2-Liver or kidney disease
3-Polycystic ovary syndrome
4-Thyroid gland dysfunction
5-Drugs that increase LDL cholesterol and decrease HDL cholesterol (progestins, anabolic steroids and corticosteroids).

I recommend consulting with the GP and performing some lab tests:
(a complete blood count, kidney and liver function tests, thyroid hormone levels, fasting glucose) to exclude these possible causes.

I would explain that the total cholesterol plasma level is a weak indicator of cardio-vascular risk.
It is more important to perform Total cholesterol/ HDL cholesterol ratio in order to calculate your cardio-vascular risk.

I recommend consulting with your GP on the above issues and consider the possibility of starting a statine or just continuing with a diet modification :
- avoid chocolate
- take a lot of soya food and nuts
- take a lot of omega 3 and olive oil, including salmon fish
- use a lot of carrots in your diet
- Green tea and matcha tea
- Flaxseed and Hemp Seeds
etc.

Hope to have been of help!

Best wishes,

Dr. Iliri

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What Causes High Cholesterol?

Hello! Thank you for asking on HCM! I understand your concern, and would explain that chocolate intake can contribute in high values of cholesterol. Abnormal cholesterol levels may also be secondary to the following: 1-Diabetes 2-Liver or kidney disease 3-Polycystic ovary syndrome 4-Thyroid gland dysfunction 5-Drugs that increase LDL cholesterol and decrease HDL cholesterol (progestins, anabolic steroids and corticosteroids). I recommend consulting with the GP and performing some lab tests: (a complete blood count, kidney and liver function tests, thyroid hormone levels, fasting glucose) to exclude these possible causes. I would explain that the total cholesterol plasma level is a weak indicator of cardio-vascular risk. It is more important to perform Total cholesterol/ HDL cholesterol ratio in order to calculate your cardio-vascular risk. I recommend consulting with your GP on the above issues and consider the possibility of starting a statine or just continuing with a diet modification : - avoid chocolate - take a lot of soya food and nuts - take a lot of omega 3 and olive oil, including salmon fish - use a lot of carrots in your diet - Green tea and matcha tea - Flaxseed and Hemp Seeds etc. Hope to have been of help! Best wishes, Dr. Iliri