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Analysis of lipid profile test - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Cholesterol
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User :   can you tell me about my lipid panel results?
Doctor :   Hi
Doctor :   Iam.Dr.XXXXX
Doctor :   Please give your results
User :   ok
Doctor :   May i know your age and gender?
User :   male 48 yrs white
Doctor :   ok
User :   total chol119, hdl 21,ratio 5.7, LDL68, trigl. 152
Doctor :   It is recommended that every adult over 20 should have lipid panel tests (total cholesterol, LDL cholesterol, HDL cholesterol, and triglyceride levels) every 5 years if LDL cholesterol is less than 130, and every 1-3 years if LDL cholesterol is borderline (between 130 and 160).
Doctor :   LDL/HDL ratio should be less than 3.5
Doctor :   your cholesterol appears some what normal
Doctor :   HDL value can be increased again
User :   im 5 11 @ 196 lbs
Doctor :   do you have any family history of cardiac disease?
User :   pretty active
User :   my dad had bypass surgery at 77 yrs old, otherwise no
Doctor :   ok
User :   is it bad to have too low reading on the hdl?
Doctor :   your BMI is high
Doctor :   yes
User :   how do i raise that...and lower triglicerides?
Doctor :   HDL is the good cholesterol because it protects the arteries from the atherosclerosis process
Doctor :   HDL cholesterol extracts cholesterol particles from the artery walls and transports them to the liver to be disposed through the bile.
User :   more fish?
Doctor :   . Low levels of HDL cholesterol are linked to a higher risk, whereas high HDL cholesterol levels are associated with a lower risk.
Doctor :   Like LDL cholesterol, life style factors and other conditions influence HDL cholesterol levels.
Doctor :   HDL cholesterol levels are lower in persons who smoke cigarettes, eat a lot of sweets, are overweight and inactive, and in patients with type II diabetes mellitus.
Doctor :   HDL cholesterol is higher in people who are lean, exercise regularly, and do not smoke cigarettes.
Doctor :   Estrogen increases a person's HDL cholesterol, which explains why women generally have higher HDL levels than men do.
Doctor :   the combination of high levels of total and LDL cholesterol with low levels of HDL cholesterol is undesirable whereas the combination of low levels of total and LDL cholesterol and high levels of HDL cholesterol is favorable.
User :   I had gall bladder removed in feb of this year....not sure if that has anything to do with it
Doctor :   The first step in increasing HDL cholesterol levels (and decreasing LDL/HDL ratios) is therapeutic life style changes
Doctor :   yes it can increase the blood cholesterol
Doctor :   Regular aerobic exercise, loss of excess weight (fat), and cessation of smoking cigarettes will increase HDL cholesterol levels.
Doctor :   Regular alcohol consumption (such as one drink a day) will also raise HDL cholesterol !!!!!!!
Doctor :   Because of other adverse health consequences of excessive alcohol consumption, alcohol is not recommended as a standard treatment for low HDL cholesterol.
User :   am I off by far? I could make some diet not a big drinker but a glass of wine a day would work
Doctor :   Medications that are effective in increasing HDL cholesterol include nicotinic acid (niacin), gemfibrozil (Lopid), estrogen, and to a much lesser extent, the statin
Doctor :   ok
Doctor :   you have no reason to worry
Doctor :   since your bad cholesterol levels are very low
Doctor :   so do good exercises and take good vegetables
Doctor :   that will do more good
User :   I will , i will excecise more also...thank you
Doctor :   Thanks for consulting.............
Doctor :   Bye for now.......................
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