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Measures to lower HDL - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   I have some questions about cholesteral. I have low hdl and have been trying to raise it for a year. My insureance plan rewards you for a healthy lifestyle. I failed the hdl by a couple of points. My doctor told me it was close enough and not worry about it. I wanted to try so he put me on Niaspan. This brought the bad cholesteral down but it also lowered the hdl so I stopped taking it. One year later I have my test and bad cholesteral is out of line too. I have a healthy diet and I exercised more and lost 20 pounds from a year ago. Here are my numbers.
11/10/09 totl 166 trig 106 hdl 38 Ldl 107
1/29/10 totl 166 trig 138 hdl 32 ldl 106 stopped niaspan
5/10/10 totl 157 trig 100 hdl 37 ldl 100
11/9/10 totl 226 trig 111 hdl 35 ldl 169
Any Idea
Doctor :   Hi,
Doctor :   Let me read your query for few minutes to be able to have a good discussion here.
Doctor :   Do you Smoke ?
User :   No
Doctor :   May i know your weight and height ?
User :   I am 5-11 181 pounds
Doctor :   May i know your occupation
User :   I am a farmer
Doctor :   Ok, how many hours a day you work ? is the work accustomed to you ?
User :   I work 8 to 10 hours more in the summer a little less in the winter
Doctor :   ok, all these are good ,and the ratio between the LDL and HDl is well maintained i dont see a risk but yes since the values are less it is to be cconsidered
Doctor :   well there are many causes of low HDL, and the overweight being the common one
User :   MY mother a father have low hdl also and my brother
Doctor :   thats a good key point as there is a congenital disorder where the low HDL runs in family
Doctor :   Familial Apo A I deficiency , what i suspect
Doctor :   well trying any medicine will not help in this condition except diet modification
User :   My brother keeps his in line with strick diet and lots of exercise no red meat. counts every calorie. I do not want to take statin drug or live to the extreme that he does. In the winter months I try to ride a stationary bike one hour a day. I do not eat fast foods or fried foods but I do eat some red meat.
Doctor :   red meat is rich in trans fetty acids and poor in Omega 3 fatty acids
Doctor :   fatty*
Doctor :   it should be avoided
Doctor :   have to consider diet containing less trans fatty acids and high Omega 3
Doctor :   more than physical stranious exercises, aerobics are better preffered for good results in Hdl
User :   I have the problem I have is I hate fish. I take 2400mg fish oil and have for a couple of years. I eat a lot of chicken and I am trying it eat more vegtables
Doctor :   vegetable oils, nuts should be avoided as they are rich in omega 6 fatty acids , they too tend to lower Hdl
User :   I use canola oil and olive oil I never use veg oil to cook with. I thought a few nuts were good for you. Is flax seed oil a good choice along with the fish oil
Doctor :   The problem i am considering in you Apo A I deficiency needs no medications than strict diet modification, even with efforts the level of hdl can be raised marginally
Doctor :   flax is ok
Doctor :   go for aerobics good results are recorded with it
Doctor :   and your BMI is above 25
User :   I get a30 min a day
Doctor :   you still have to aim at loosing weight
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