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Suggest treatment for high cholesterol

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Posted on Mon, 7 Apr 2014
Question: Dear doctor..I got my master blood test done recently. .All parameters like blood sugar, thyroid, are normal..BUT 1. my triglyceride is 228, cholestrol-202, HDL-43, LDL-114 VLDL-45. 2.my vitamin b12 count is just 74..I am a complete vegetarian. .my local doctor has advised MECOBALAMIN for b12 & fibator for LDL-TRIGLYCERIDES. .my symptoms are lethargy fatigue loss of interest. .right now I am not into any form of excersing. .do I need these medications..or can I control it naturally & improve my counts...another question is I take tadalafil once in 10 days...can I continue to take tadalafil when I am on these drugs (mecobalamin & fibator)..also kindly inform what side effects to expect with these drugs alone plus in combination with tadalafil. .kindly advise doctor. XXXXXXX
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Answered by Dr. Anantharamakrishnan (6 hours later)
Brief Answer: Diet / Exercise / then drugs Detailed Answer: Dear Mr XXXXXXX Welcome to Health Care Magic Your cholesterol and Triglyceride are slightly high There are subdivisions of cholesterol – LDL, HDL, non-HDL and so on. LDL (& non-HDL) is bad cholesterol – lower, the better. HDL is good cholesterol – higher, 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 / Indian sweets are made in ghee.../ Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil – Olive oil. Repeat the test in 6 weeks. 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) Your drug is appropriate ____________________________________________________ The side effects are minimal / usually muscle pain - far outweighed by the benefits... _______________________________________________________ B-12 deficiency is common in vegetarians / the supplement (Mecobalamin) is OK _______________________________________________________ No interaction of your drugs with Tadalafil _______________________________________________________ Your BMI is in range / No cause for concern _______________________________________________________ Heartburns lasting one year needs investigation – see a Gastroenterologist 0 have an Endoscopy done. _______________________________________________________ It is great that you have the courage and motivation and came out of the Depression… Take care Wishing all well God bless
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Anantharamakrishnan

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Practicing since :1966

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Suggest treatment for high cholesterol

Brief Answer: Diet / Exercise / then drugs Detailed Answer: Dear Mr XXXXXXX Welcome to Health Care Magic Your cholesterol and Triglyceride are slightly high There are subdivisions of cholesterol – LDL, HDL, non-HDL and so on. LDL (& non-HDL) is bad cholesterol – lower, the better. HDL is good cholesterol – higher, 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 / Indian sweets are made in ghee.../ Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil – Olive oil. Repeat the test in 6 weeks. 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) Your drug is appropriate ____________________________________________________ The side effects are minimal / usually muscle pain - far outweighed by the benefits... _______________________________________________________ B-12 deficiency is common in vegetarians / the supplement (Mecobalamin) is OK _______________________________________________________ No interaction of your drugs with Tadalafil _______________________________________________________ Your BMI is in range / No cause for concern _______________________________________________________ Heartburns lasting one year needs investigation – see a Gastroenterologist 0 have an Endoscopy done. _______________________________________________________ It is great that you have the courage and motivation and came out of the Depression… Take care Wishing all well God bless