Brief Answer:
Change BP drug / Life style changes / XXXXXXX advice

Detailed Answer:
Hi friend
Welcome to Health Care Magic

There are subdivisions of cholesterol – LDL, HDL, non-HDL and so on. / HDL is good cholesterol – higher, the better. / LDL is bad cholesterol – lower, the better. In the absence of any other risk factor 100 is ideal for LDL-C. In the presence of ischemia, 70 should be the aim.
     Keep your weight to normal / even a little less
     Quit smoking, if you are a smoker
     Do regular EXERCISE – say walking or jogging - 30 minutes a day / at least 5 days in a week. Isometric exercise (like bull worker) is bad.
     Healthy FOOD is a must. Avoid saturated fats – coconut oil, palm oil, butter, ghee, full cream milk...Avoid junk foods in particular – French fries have palm oil / Pizza has cheese / Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil – Olive oil.
Repeat the test in 2 or 3 months.
     Cholesterol can still be high, in spite of diet and exercise – you need drugs; because it is also manufactured in the liver – and that is determined by heredity. Statin is the first choice. Some start it straight away – even with normal levels, even without problems (Primary Prophylaxis)
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Regarding Erectile Dysfunction, consult XXXXXXX (Urologist)/ Physical exanation, and investigations (hormones, penile blood flow and so on) are often done, before appropriate prescription.
Performance Anxiety is a common cause.
Atenolol could be contributing…It could be tapered (should not be stopped suddenly)
A different class of drug like Angiotensin Receptor Blocker (ARB) or Angiotensin Converting Enzyme Inhibitor (ACEI) can be substituted and the dose adjusted.
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Keep following up with your doctor / The treating doctor alone could help further, based on the total clinical picture

Good luck
God bless you

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Brief Answer:
need follow up - treat diabetes

Detailed Answer:
Hi

HDL is good cholesterol – higher, the better. LDL is bad cholesterol – lower, the better. / In the absence of any other risk factor 100 is ideal for LDL-C. In the presence of other risks or heart disease, 70 should be the aim.
     Keep your weight to normal / even a little less
     Quit smoking, if you are a smoker
     Do regular EXERCISE – say walking or jogging - 30 minutes a day / at least 5 days in a week.      Healthy FOOD is a must. Avoid saturated fats – coconut oil, palm oil, butter, ghee, full cream milk...Avoid junk foods in particular – French fries have palm oil / Pizza has cheese / Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil – Olive oil.
     80 mg of Atorvastatin is ideal in such situations and is state of the art
Repeat the test in 6 to 10 weeks.
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Normal TMT and ECHO ae very much reassuring – no structural or ischemic heart disease
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ALT is high – not very high / values above 3 times the upper limit need early and detailed investigation…. We need not do anything now – must repeat the test after 2 months, especially because of the satin.
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You have DIABETES – any value above 200 at any time id diagnostic
     You have to reduce the QUANTITY of your food and change the QUALITY too. It is not possible to explain or understand the nuances on a single occasion. To start with, reduce the amount to one third of what you are presently taking. Avoid all fats – they have double the energy of carbohydrates. You should see a good DIETICIAN - One generally needs SEVERAL sessions, to master concepts of calories, nutritional values, biological value, vitamins, minerals and so on.
     You also need drugs too /Consult a Diabetologist… They will generally start with metformin and add a sulphonyl urea… /there are other classes too…
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You are in good hands
Need regular follow up

Regards

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