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What Does This Lipid Profile Indicate?

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Posted on Fri, 21 Nov 2014
Question: I had my lipid profile test done.
total cholestrol in 264
tryglycerides 160
HDL 40
Direct LDL cholestrol 195

How good is this and what to do to reduce it to normal levels.
doctor
Answered by Dr. Muhammed Aslam (2 hours later)
Brief Answer:
Not so good.

Detailed Answer:
Hello dear,welcome to HCM forum.

Your lipid profile is on the unfavorable side.
Total cholesterol :264(normal <200).
TGL:160(normal<140)
LDL:195(normal <170)
HDL:40(normal >35)

So total cholesterol,TGL,and LDL has to be reduced and HDL to be increased a bit.
But,nothing to worry much right now,and no need to start anti lipidemic drugs now.Initially we can try life style modification.Then recheck the profile after 6 to 8 weeks.If it begins to shift towards normal,we just need to continue a good life style.Otherwise,we will need medical treatment to prevent adverse cardiac/cerbro vascular events.

The following modifications are advised.
1.Stop smoking and alcoholism if any-the most important step.
2.Reduce non veg/oily/fast food items as far as possible.
3.Include enough fruits and green leafy veges in the diet.
4.Do regular moderate exercise,like 40-45 minutes of walking/swimming etc.

Hope this will answer your query.
Wishing you good health.
Thank you.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Muhammed Aslam (24 minutes later)
Thanks for the response sir.

Certain facts related to me:
1. Weight: 103 kg
2. Height: 5 feet 8 inches
3. Eating habits: Eat fast food and non veg quite frequently

Kindly suggest further.
I dont smoke or drink...
doctor
Answered by Dr. Muhammed Aslam (23 minutes later)
Brief Answer:
Weight reduction advised.

Detailed Answer:
Hi dear,

Thanks for the information.

So you have associated obesity also. This may further aggravate deranged lipid profile. So more attention is needed towards the said life style modifications-these will help in weight reduction as well as controlling cholesterol.
As I already told, try to keep away from fast food and non veg.

Also, it will be fine if you could keep a look at your blood sugar and blood pressure every 3 to 4 months, as diabetes and hypertension is frequently associated with obesity, especially if you have such a family history.

Hope you will find this answer useful.
If you have no further questions, you can close the discussion and rate the answer.

Thank you.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Muhammed Aslam (1 hour later)
Thanks doctor.

Yes. Obesity needs to be controlled.

I don't have high/low blood pressure nor have any symptoms associated with abnormal blood sugar level.

Is the cholestrol level alarming??? I am quite worried now....
doctor
Answered by Dr. Muhammed Aslam (4 minutes later)
Brief Answer:
Not much

Detailed Answer:
Hi dear,

Need not worry much right now.
This is in the initial stage,and timely life style intervention can well control the situation-need not worry.But,you should stick on to the changes.

Take care.
Thank you.
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Muhammed Aslam

General & Family Physician

Practicing since :2010

Answered : 987 Questions

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What Does This Lipid Profile Indicate?

Brief Answer: Not so good. Detailed Answer: Hello dear,welcome to HCM forum. Your lipid profile is on the unfavorable side. Total cholesterol :264(normal <200). TGL:160(normal<140) LDL:195(normal <170) HDL:40(normal >35) So total cholesterol,TGL,and LDL has to be reduced and HDL to be increased a bit. But,nothing to worry much right now,and no need to start anti lipidemic drugs now.Initially we can try life style modification.Then recheck the profile after 6 to 8 weeks.If it begins to shift towards normal,we just need to continue a good life style.Otherwise,we will need medical treatment to prevent adverse cardiac/cerbro vascular events. The following modifications are advised. 1.Stop smoking and alcoholism if any-the most important step. 2.Reduce non veg/oily/fast food items as far as possible. 3.Include enough fruits and green leafy veges in the diet. 4.Do regular moderate exercise,like 40-45 minutes of walking/swimming etc. Hope this will answer your query. Wishing you good health. Thank you.