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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest diet plans for high cholesterol levels

My blood cholestrol level is running at 310 with LDL at 166 and HDL at 43 level. What precautions should I take and what diet I should look for. What medications should be taken in such case. Can I drink beer. My age is 39; weight is 79 and height is 163 cms.
Tue, 15 Dec 2015
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Cardiologist 's  Response
Hello. Thank you for your question and welcome to HCM. I understand your concern.

These cholesterol levels are actually high. At your age of 39 years old, my opinion is that we should try the diet, before we go to medical treatment. Let us carefully go through your diet:
- Diet rich in fibres - green or dark green leafy vegetables, salads and more fruit
- Little or none of red and raw meat
- More chicken and other poultry, and fish (it contains omega 3 fatty acids or "good fat")
- No animal derived oils or sunflower oil, but as much as olive oil
- Alcohol should be restricted to a maximum of 30 g ethanol a day. That means: maximum of two beers with standard percentage (5%); or one glass of wine; or one shot (0.5 deciliter) of heavy alcohol (gin, vodka, bourbon).

Also, you should have a regular physical activity, like walking, jogging, biking, swimming, going to the gym, for 60 minutes/7 days a week.

Three months after you have been on this regimen, you should be tested again for total cholesterol, LDL and HDL fractions, and triglycerides. If there are no significant changes in your cholesterol levels, then we have to go with drug therapy for cholesterol-lowering.

I hope I was of help. Feel free to ask again. Kind regards.
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Cardiologist Dr. Rajesh Teli's  Response
hello,
I have gone through your query.Thanks for using HCM.
your lipids levels are very high.
you must aim at cholesterol below 150,LDL below 100.HDL is good enough.you must avoid fatty food and exercise DAILY FOR 30 MINUTES.
you should start Atorvastatin 10 mg once a day at bed time.repeat your lipids after 4 weeks.And depending on levels decise the dose and continue for life time,
My best wishes
Dr.Rajesh Teli,MD.
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