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Bad cholesterol found in lipid profile. What could be the reason? Food or other issues?

I had done my routine medical check up in Nov and found bad cholesterol in lipid profile. Total Cholesterol (230 mg) HDL (49 mg), Trigycerides, (63.40 mg), LDL (168.32 mg), LDL/HDL ratio (3.44). i didn't control my diet. Just avoided outside food and started using dry coconut in food instead of wet coconut. After 3 month again, i did lipid profile and found results as Total Cholesterol (245 mg) HDL (34 mg), Trigycerides, (92 mg), LDL (192.60 mg), LDL/HDL ratio (5.66). Since my LDL increased more to 192.60 mg, I visited doctor and he has given me Rosufit - 5 mg for one month. There are 10 days to go for one month. I have completely stopped having coconut , ground nut, almost avoided outside food, having daily oats, having fruits and salads as directed by doctor. Can you please let me know is there any major issue with this lipid profile result what i am getting? Is the food reason for getting this result or there may be some other issue?

Thank you.
Asked On : Wed, 27 Mar 2013
Answers:  2 Views:  51
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

LDL (& non-HDL) is bad cholesterol – lower, the better.
HDL is good cholesterol – higher, the better.
In the absence of any other risk factor 100 is ideal. [130 was allowed before.] In the presence of ischemia, 70 should be the aim.

     Keep your weight to normal / even a little less
     Quit smoking, if you are a smoker
     Do regular EXERCISE – say walking or jogging - 30 minutes a day / at least 5 days in a week. Isometric exercise (like bull worker) is bad.
     Healthy FOOD is a must. Avoid saturated fats – coconut oil, palm oil, butter, ghee, full cream milk...Avoid junk foods in particular – French fries have palm oil / Pizza has cheese / Indian sweets are made in ghee.../ Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil – Olive oil.
Repeat the test in 6 weeks.

     Cholesterol can still be high, in spite of diet and exercise – you need drugs; Because it is also manufactured in the liver – and that is determined by heredity. Statin is the first choice. Some start it straight away – even with normal levels, even without problems (Primary Prophylaxis). Repeat the test in 6 weeks... adjust the dose and/or add another drug...

Discuss with your doctor..

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Wed, 8 May 2013
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Cardiologist Dr. Hemant Kumar's  Response
HDL cholesterol, or "good" cholesterol .HDL levels below 40 mg/dL result in an increased risk of coronary artery disease, even in people whose total cholesterol and LDL cholesterol levels are normal. HDL levels between 40 and 60 mg/dL are considered "normal." However, HDL levels greater than 60 mg/dL may actually protect people from heart disease.
i m writing some method of increase HDL or decreas LDL
switch refined carbohydrates to whole-grain carbohydrates
Eat fruit instead of guzzling juice.
Eat at least 5 servings of vegetables daily,
Eat wild, fatty, cold-water fish and consider a fish oil supplement. Fish is the richest source of Omega-3 fatty acids, so aim for two or three portions a week.
use garlic,ginger, curry, and chili peppers.
Aerobic exercise -- but regular aerobic exercise (any exercise, such as walking, jogging or bike riding, that raises your heart rate for 20 to 30 minutes at a time)
Lose weight-- Obesity results not only in increased LDL cholesterol, but also in reduced HDL cholesterol. If you are overweight, reducing your weight should increase your HDL levels
Stop smoking.
Cut out the trans fatty acids
Answered: Wed, 27 Mar 2013
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