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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can elevated Cholesterol be reduced with exercise and diet?

Answered by
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Dr. Varinder Joshi

General & Family Physician

Practicing since :1999

Answered : 2405 Questions

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Posted on Mon, 10 Dec 2018 in General Health
Question: I have total cholestrol of 296 mg/dl. LDL : Triglyseride /HDL /VLDL is normal . But LDL is 224.2 .Can i reduce it with exercise and diet or do i need statins
doctor
Answered by Dr. Varinder Joshi 40 minutes later
Brief Answer:

Exercise plus diet.

Detailed Answer:

Hi and Welcome!

I have seen your reports and I can see that cholesterol is 299 and LDL 224 but HDL and triglycerides are within normal range .

Before starting drugs as statins I will suggest non-pharmacological measures as advised below.

1. Start morning or evening walk at moderate pace atleast 30 minutes daily.
2. Restrict sweets, dairy products as ice-cream or butter etc.
3. Avoid alcohol and smoking.
4. Avoid fast foods, fried foods, fatty foods.
5. You can practice yoga.

If you are diabetic or have high BP or thyroid problem then please take care of the above.

So please get tested for BP, blood sugar level, and thyroid level if not already done. Also get tested for Blood urea, Serum creatinine, Serum bilirubin, SGOT, SGPT. All these should be within normal limits.

Follow all these measures for 3 months and again get the lipid profile tested . If you do not get normal limits after 3 months then start Atorvastatin at evening.

Again wait for 15 days to check lipid and if lipid still high then increase dosage of Atorvastatin.


Hope I have answered your query. If you have any further query then you can come back to me.

Regards,
Dr. Varinder Joshi ,
General & Family Physician

Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Varinder Joshi 24 hours later
Dear Doctor , Thanks for the response.

I don't have Diabetes and my triglyceride is normal . Do i still need Liver function test?
XXXXXXX
doctor
Answered by Dr. Varinder Joshi 33 minutes later
Brief Answer:

Please get done

Detailed Answer:

Hi!

It is good that you are not diabetic and hypertensive. But I will recommend liver function tests as SGOT, SGPT, serum bilirubin.

These will be most probably in normal range but you should get these done. These are not so expensive tests .

Rest follow diet and exercise plan as I have advised and if no effect in 3 months then drugs as advised.

Hope I have answered your query. If you have any further query then you can come back to me.

Regards,

Dr. Varinder Joshi ,
General & Family Physician


Above answer was peer-reviewed by : Dr. Nagamani Ng
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Follow up: Dr. Varinder Joshi 28 hours later
Dr , I did the tests . Am attaching the results.
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Answered by Dr. Varinder Joshi 13 minutes later
Brief Answer:

Continue dietary restrictions.

Detailed Answer:

Hi,

I have seen your reports. All within normal range in second report.

Just ignore 0.8 indirect bilirubin as normal range is upto 0.7. Just follow the advise I have given you in initial replies.

Hope I have answered your query.

Regards,

Dr. Varinder Joshi ,
General & Family Physician
Above answer was peer-reviewed by : Dr. Kampana
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