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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Diet And Exercise Regime For High Cholesterol Individuals

good after noon
YUSUF JAMAL Age 43 years
sir,
i am indian and presently living in qatar,
since 7-8 months i was facing problem for premature ejaculation, no tightness and size also decress day by day. and last 3-4 months i am fully impotance. since 3 months my wife with me but i was unable.
8 month before i diagonosis as a dibetic it was max. fasting 148. two days before glucose randam was 83.
i am also facing problem with Cholesterol.
cholestrol level 6month before 2 month before today
total 250 210 217
S.HDL 34 38 34
S Triglycer 260 180 404
S.LDL 161
RATIO 6.38%
first time doctor has given me cholestrol control medicine
LESCOL XL 80mg for daily one tablet at night
LIPAUTHYL 300mg (it was not found in market)
Please suggest me medicine and food diet to improve my health, my sexula life. why sudden hyppen.
regards,
yusuf jamal
Sat, 26 May 2018
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Dietitian & Nutritionist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

You ask why you are having sexual issues. I will tell you. The high blood glucose is damaging the nerves that control your ability to get an erection and the elevated lipids are aggravating the nerve damage by clogging up the blood vessels that are needed to carry the blood to the penis to keep it hard and erect.

It will take time, but improvement is possible. As far as medications go, if I were treating you I would start you out on Meformin and a statin medication.

Then, I would refer you to a clinical Dietitian for instructions on a calorie, carbohydrate controlled diet low in saturated fat, fructose, cholesterol and limited to less than 2300 mg sodium diet plan. The limitations on fructose is necessary due to the high triglycerides. An exercise plan will also be developed by the Dietitian to help increase your HDLs and to sensitize your body to insulin.

I hope this gives you a guide as to how to proceed to start getting your life back!
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Suggest Diet And Exercise Regime For High Cholesterol Individuals

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You ask why you are having sexual issues. I will tell you. The high blood glucose is damaging the nerves that control your ability to get an erection and the elevated lipids are aggravating the nerve damage by clogging up the blood vessels that are needed to carry the blood to the penis to keep it hard and erect. It will take time, but improvement is possible. As far as medications go, if I were treating you I would start you out on Meformin and a statin medication. Then, I would refer you to a clinical Dietitian for instructions on a calorie, carbohydrate controlled diet low in saturated fat, fructose, cholesterol and limited to less than 2300 mg sodium diet plan. The limitations on fructose is necessary due to the high triglycerides. An exercise plan will also be developed by the Dietitian to help increase your HDLs and to sensitize your body to insulin. I hope this gives you a guide as to how to proceed to start getting your life back!