Brief Answer: I would repeat the lipid profile test... Detailed Answer: Dear XXXXXXX I understand your concern. It's really confusing to see abnormal reports when you are doing everything right. So let me go back straight to your lipid profile. The high LDL that you see are in fact calculated based on total cholesterol, HDL and triglyceride value; they are not true estimation. A slightly low HDL and moderately low triglyceride in the presence of normal cholesterol has probably increased LDL numbers. Perhaps the discrepancy may be due to prolonged fasting state. Hence I would not be overtly worried about those numbers. I would suggest you continue with your life style. Little bit of oils and fat wouldn't harm you; use those polyunsaturated fats and avoid transfats (you will get those details with every oil and fats in the market). Repeat the test say a couple of months later and take a call on it. I see your ESR number is within normal limits. It signifies that currently you have no active inflammation going on - that's good sign. Please follow your rheumatologist instructions. In the nutshell, as far as lipid profile is concerned, I would not be very concerned. Besides that, you also seem to have mild polycythemia (raised RBC and Hb%) going on. Based on the details provided, I am unable to comment on those. You should discuss it with your treating physician. Hope this helped. Let me know if you need clarifications. Regards

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Brief Answer: I wouldn't be very concerned... Detailed Answer: Dear XXXXXXX In my opinion the estimated high LDL value is related to low triglyceride and low HDL numbers. You may repeat the test say after a month. Perhaps raised RBC and Hb is again related to low fluid intake (prolonged fasting). I am not very concerned either; but it would be good if you can bring this to your doctors office. Or even better get it repeated after a month when you recheck cholesterol. Hope I have addressed your concerns now. Feel free to ask for clarifications before closing this discussion. Regards

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Brief Answer: Its better to use Vitamin D supplements too... Detailed Answer: Dear XXXXXXX I am sorry, I though the report was only 2 pages long. I had not reviewed your thyroid and vitamin analysis until now. Yes, you have a low vitamin D levels. With borderline vitamin B12. If you are a pure vegetarian, it would explain both these deficiency. And since vitamin D number is significantly low, it might be better to start those supplements too. I would put you on D - rise XXXXXXX (60000 IU) weekly for 2 months. If needed you may need maintenance dosage. I sincerely recommend you discuss about this protocol with your treating physician and supplement it. Besides the supplements, it would be good if you can add good amount of milk to your diet. If you are allowed to take egg, you may include them too. Mushroom are known to contain good amount of vitamin D, please include them. Alternatively please look for fortified cereals - I read somewhere that cereal breakfast such as Kellogg's and oats have some or all products fortified with Vitamin D. Apart from all these, get into the sun for atleast 15-20 minutes every day. It helps you produce vitamin D. Hope I have completed answers to all your queries. Feel free to ask me if you need clarifications. Regards

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