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Dr. Andrew Rynne

Family Physician

Exp 50 years

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i have tested cholestrol and attach results , i normally

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Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1742 Questions

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Posted on Wed, 23 Jan 2019 in Hypertension and Heart Disease
Question: i have tested cholestrol and attach results , i normally does not eat red meat ( very rarely) , but eat chicken, fish.
i do exercise regulary 30 min
body shape, 177 cms, weight 78 kgs, not very fat
family history, mother has high cholestorl
works abroad and generally maintain healthy life

advice needed:
1, can i avoid taking medicines
2, since VLDL , HDL is normal or good, and lDL is over, how do you interpret this
3; detail insights in interpreting results and best risk free advice

sex, male , 40 yrs
doctor
Answered by Dr. Sagar Makode 21 minutes later
Brief Answer:
Have healthy lifestyle

Detailed Answer:
Hello,
It's moderately elevated especially total cholesterol and ldl, which is most important component of lipid profile.
So, rather than initiating medicine at the first stage, you should have healthy lifestyle for 10 weeks like avoiding fatty, oily and high calorie diet. You may fish once or twice a week but reduce consumption of chicken as much as possible. Also, reduce consumption of fried fast food.
Also have 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, avoid meat. Avoid smoking and alcohol if any.
We should repeat lipid profile 8-10 weeks of healthy lifestyle and see for the response. If response is adequate then you may not need medicines, otherwise need to be started on medicines.
So, healthy lifestyle for 10 weeks and repeat lipid profile to asses need for medicines.
Hope this helps you and get back if you have any doubts.
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Sagar Makode 1 hour later
any insights on good level of VLDL , tryglicerides, but still bad level on LDl, i suspect food will have limited impacts as i am almost simlar lifestyle as you suggested, minor tweeks only needed
any insights connecting VLDL, HDL, triglicerides, at normal or good levels and Ldl only at worst levels
thx
doctor
Answered by Dr. Sagar Makode 17 minutes later
Brief Answer:
Then you ll need to be on medications

Detailed Answer:
okay.. then its better to be on medications like Tab Atorvastatin 10 mg bedtime. Still you can give a trial of healthy lifestyle with more aggression if possible, as there is no urgency of bringing it down. Because it's harmful in long term, not in shorter course.
Healthy level for ldl is less than 130 preferably less than 100, triglycerides less than 150 and hdl in females is more than 50, while vldl less than 30 is fine. So, your other parameters are fine. As far as cardiac risk is concerned, ldl and hdl are more important. Higher ldl levels have poor outcome while hdl lower than 50 further worsen the outcome (yours is greater than 50, so relatively better outcome).
Above answer was peer-reviewed by : Dr. Prasad
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