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What Does The Following Lipid Profile Indicate?
Question: My recent lipid panel reads as follows:
Cholesterol, Total 263
Triglycerides 112
HDL 66
LDL 175
Non-HDL Chol 197
Chol/HDL Ratio 3.98
I'm 51 y/o, 185 lbs., 5' 10" I exercise 1 - 3 times per week. Eat a high protein diet with no red meat. Mostly fish and chicken with veggies. I have high BP treated with 25mg Coreg twice a day. I take large dosages of fish oil high in EPA and DHA (3 per day), 3 flaxseed oil per day and 2 Krill oil per day. I also take 1400 mg of red rice yeast twice a day and 2000 mg of garlic daily.
I have tried several statins; pravastatin, Lipitor and Crestor. All have had adverse effects notably considerable lack of energy and some muscle weakness. I feel terrible when I take them. Heart disease runs in my family. My Father had a heart attack at 57 and a massive stroke at 61. Although he lived to 79, the stroke left him in bad shape. My 67 y/o brother recently had a heart attack and required quadriple bypass. He had been on statins for years with good cholesterol numbers. Much better than mine.
Obviously I am trying to get my cholesterol down naturally. My questions are:
1. I have read that there is a new position that if your HDL is equal to or greater than half of your total triglyceride number, a high total cholesterol number and LDL level are not a heart disease risk. Any insight to this position?
2. If any of the fine Dr.'s on here feel I need to get my cholesterol down, what recommendations do you have that you feel would lower my cholesterol to acceptable levels naturally.
I sincerely appreciate your input and responses.
XXXX
Cholesterol, Total 263
Triglycerides 112
HDL 66
LDL 175
Non-HDL Chol 197
Chol/HDL Ratio 3.98
I'm 51 y/o, 185 lbs., 5' 10" I exercise 1 - 3 times per week. Eat a high protein diet with no red meat. Mostly fish and chicken with veggies. I have high BP treated with 25mg Coreg twice a day. I take large dosages of fish oil high in EPA and DHA (3 per day), 3 flaxseed oil per day and 2 Krill oil per day. I also take 1400 mg of red rice yeast twice a day and 2000 mg of garlic daily.
I have tried several statins; pravastatin, Lipitor and Crestor. All have had adverse effects notably considerable lack of energy and some muscle weakness. I feel terrible when I take them. Heart disease runs in my family. My Father had a heart attack at 57 and a massive stroke at 61. Although he lived to 79, the stroke left him in bad shape. My 67 y/o brother recently had a heart attack and required quadriple bypass. He had been on statins for years with good cholesterol numbers. Much better than mine.
Obviously I am trying to get my cholesterol down naturally. My questions are:
1. I have read that there is a new position that if your HDL is equal to or greater than half of your total triglyceride number, a high total cholesterol number and LDL level are not a heart disease risk. Any insight to this position?
2. If any of the fine Dr.'s on here feel I need to get my cholesterol down, what recommendations do you have that you feel would lower my cholesterol to acceptable levels naturally.
I sincerely appreciate your input and responses.
XXXX
Brief Answer:
I recommend lowering LDL cholesterol less than 150mg/dl
Detailed Answer:
Hello!
Thank you for asking on HCM!
I read carefully your question and understand your concern.
1.Regarding your first question, I would explain that the total cholesterol/HDL ratio is more indicative of cardiovascular disease than TC (total cholesterol). For men an acceptable ratio of TC/HDL is 4.5 or below, which is your case.
The ratio LDL/HDL is another indicator of cardiovascular risk. A ratio below 3.6 indicates a low cardio vascular risk. (in your case its 2.66)
HDL helps remove cholesterol from the body by transporting it to the liver.
An HDL of 60 mg/dL is considered protection against heart disease (which is your case).
LDL does not aid in the transportation of cholesterol out of the body, instead it deposits cholesterol onto the vessel wall.
2. Refering to your past medical history, your age, your lipid profile and your lifestyle, you have a calculated risk of 2-3 % (based on the SCORE chart)for cardio vascular disease.
But referring to your family history coupled with the above risk, I would highly encourage you to lowe LDL level less than 150mg/dl.
Some tips to decrease LDL would be :
- Decrease saturated fat intake
-Maintain good body composition
-Increase dietary fiber
-Increase aerobic exercise. I advise walking at least 4 km every day.
-Take green tea or matcha tea
Hope to have been helpful!
Best wishes,
Dr. Iliri
I recommend lowering LDL cholesterol less than 150mg/dl
Detailed Answer:
Hello!
Thank you for asking on HCM!
I read carefully your question and understand your concern.
1.Regarding your first question, I would explain that the total cholesterol/HDL ratio is more indicative of cardiovascular disease than TC (total cholesterol). For men an acceptable ratio of TC/HDL is 4.5 or below, which is your case.
The ratio LDL/HDL is another indicator of cardiovascular risk. A ratio below 3.6 indicates a low cardio vascular risk. (in your case its 2.66)
HDL helps remove cholesterol from the body by transporting it to the liver.
An HDL of 60 mg/dL is considered protection against heart disease (which is your case).
LDL does not aid in the transportation of cholesterol out of the body, instead it deposits cholesterol onto the vessel wall.
2. Refering to your past medical history, your age, your lipid profile and your lifestyle, you have a calculated risk of 2-3 % (based on the SCORE chart)for cardio vascular disease.
But referring to your family history coupled with the above risk, I would highly encourage you to lowe LDL level less than 150mg/dl.
Some tips to decrease LDL would be :
- Decrease saturated fat intake
-Maintain good body composition
-Increase dietary fiber
-Increase aerobic exercise. I advise walking at least 4 km every day.
-Take green tea or matcha tea
Hope to have been helpful!
Best wishes,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dr. Iliri,
Thank you for your prompt reply and your insight. Actually better response than my family physician gave me on my last visit. He seems very insistent on me taking a statin.
I will follow your recommendations to lower my LDL. How long should I wait to have another lipid profile done after making these changes?
Best regards,
XXXX
Thank you for your prompt reply and your insight. Actually better response than my family physician gave me on my last visit. He seems very insistent on me taking a statin.
I will follow your recommendations to lower my LDL. How long should I wait to have another lipid profile done after making these changes?
Best regards,
XXXX
Brief Answer:
I advise checking your blood lipid profile every 3 to 6 months
Detailed Answer:
Dear XXXX!
I am glad to have been helpful to you and I would advise to check periodically your blood lipid profile every 3 to 6 months, just to be sure that every thing is going OK.
I am at your disposal in case of further uncertainties!
Greetings!
Dr. Iliri
I advise checking your blood lipid profile every 3 to 6 months
Detailed Answer:
Dear XXXX!
I am glad to have been helpful to you and I would advise to check periodically your blood lipid profile every 3 to 6 months, just to be sure that every thing is going OK.
I am at your disposal in case of further uncertainties!
Greetings!
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dr. lliri,
Thank you for your recommendations. Wising you the very best!
XXXX
Thank you for your recommendations. Wising you the very best!
XXXX
Brief Answer:
You are welcome!
Detailed Answer:
Thank you, XXXX!
You can ask me directly whenever you need!
Dr. Iliri
You are welcome!
Detailed Answer:
Thank you, XXXX!
You can ask me directly whenever you need!
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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