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Dr. Andrew Rynne

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What does this lipid profile test report indicate?

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Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1717 Questions

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Posted on Thu, 9 Mar 2017 in Hypertension and Heart Disease
Question: Hi,
My LDL is 199 and total cholesterol is 272. Triglycerides are 180. No diabetes/hypertension or any other history. Before starting with statins, I would like to alter my lifestyle..diet and exercise. Would you recommend me to wait for six month and see whether levels improve? Is there any harm in waiting.
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Answered by Dr. Sagar Makode 21 minutes later
Brief Answer:
See the description

Detailed Answer:
hello,
Do you have any family history of heart disease or stroke etc.
Your LDL level is alarming, you should certainly have dietary modifications but less likely to cover for this much LDL level. Just poor dietary habits will not account for this high level and there may be a genetic problem. So I think you should be started on statin straight forward. If you are responding well then we can certainly reduce the dose and try drug free interval as well.
Overall, not a matter of worry, just goal is to keep LDL under control and healthy lifestyle. This must be there since a long time before detection, it's not an emergency but better to intervene asap. You can certainly wait, may be you can see the trend after 2-3 months, if satisfactory you can continue with lifestyle modification only.
You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Also, have low salt diet and monitor blood pressure regularly and should not be persistently more than 140/90 mmhg. REGULAR exercises like brisk walking, jogging according your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, whole grains, beans, nuts, and seeds, fish once or twice a week, avoid meat. You should replace refined grains like white bread, white rice with whole grains whole bread and brown rice.
Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. If overweight then weight loss is of immense importance. Get your sugars tested once.. Get back if you have any doubts.

Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Sagar Makode 3 hours later
Thank you doctor. Your reply is quite helpful
doctor
Answered by Dr. Sagar Makode 50 minutes later
Brief Answer:
You are welcome

Detailed Answer:
Thanks.
Above answer was peer-reviewed by : Dr. Remy Koshy
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