Question: i am 63 years weighing 55 kg. i have hypothyroidism and high blood pressure and taking thyrox 75 and stamace 2-5 for many years.
i am not diabetic. i have good life style, eat good food and do exerices. i am not fond of fatty food but consumed some to gain weight.
my triglyceride level is 219 hdl 57 and ldl 184.
is it necessary to start medicine right now? i think i can easily redue my oil intake and control ldl.

dear sir,
thank you so much for your answer which reflects your real concern for your patient.
i do not consume liquor. no smoking no caffeine.

i lead a healthy life style, very naturally.i do yoga and pranayam for one hour daily, do all my household work even at this age and enjoy peace at home.

though i am taking stamace 2.5 and thyrox for many years, i do not fall sick,never have headache etc, i think all due to pranayam and yoga. my bp is 120/74 right now.

for last 2 years i had been switching from thyrox 62.5 to 75. with 62.5 my tsh was near the upper limit and with 75 it was near the lower limit. i changed the dose following my family doctor but this time i decided to consult an endocrinologist.

i have two more problems from my childhood and i thought he may also help.
these are:

1 i may be very tired and drowsy but take very long time to get sleep. i don't get sleep in day time even if i have not had enough sleep at night. i never get sleep in car or bus in long drives. even the sleeping pills do not let me have sleep QUICKLY so i feel more fatigued. recently my daughter in USA told me about melatonin 3.5 mg which is very popular there and available over the counter. for last 6 months i am taking it and get good sleep. since it is a hormone, i thought better to take advice of endocrinologist.

2. if i am outside, i can hold my urge for urination for hours, but at home, feel sudden uncontrollable urge. whenever i go to toilet i have to rush with panic.

so the doctor asked me for the diabetes monitor profile and cholesterol was detected, there is no diabetes.

i have absolutely no fancy for junk food and fried snacks, however i preferred to consume some oil and ghee to gain weight. i can easily control the fat consumption.

i too wanted to be given some time and see how much cholesterol gets reduced, so i happen to google for the advice.

thank you very much, and please let me have any more suggestion you have for me.

thanks once again. XXXXXXX XXXX