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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My Lipid Profile Test Indicate?

Hi Dr. my name is Srinivas, 44 years old, I have recently undergone medical tests, the results of the Lipid Profile tests are as follows - Serum Cholesterol - 180, Serum Triglycerides - 259, HDL Cholesterol - 37, LDL Cholesterol - 91.6, VLDL Cholesterol - 51.8 and Chol/HDL Ratio - 4.92, I want to know any risk factor, based on the information above, I request you to let me know any risk factors associated with my health. Also, I would like to know if you have any medicines to be prescribed to me, I will be grateful for your guidance.
Mon, 28 Sep 2015
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Dietitian & Nutritionist 's  Response
Welcome Srinivas! Let me assist you with your lab tests and the guidelines in place for lipid goals:
Total Cholesterol is optimal at 180 mg/dl
Serum Triglycerides: High with goal being less than 150 mg/dl (are you diabetic?)
HDL Cholesterol: Low, shoot for around 50 as this is the protein carrier that removes cholesterol from the blood
LDL Cholesterol: 91.6 goal for diabetics is less than 70, otherwise 100 is goal.

Risk factor? Your Triglycerides, HDL most importantly

This profile increases your risk for heart disease, formation of plaques in your blood vessels, decrease in control over blood pressure, stroke.

Medicines discuss with doctor. I would choose a fenofibrate (NOT a statin) and implement an exercise program (cardio/strength), increase soluble fibers (oats, metamucil,starchy beans), decrease meat, eliminate trans fat and cut down on saturated fat replacing it with omega-3 fatty acid supplements, the use of virgin olive oil, avocados, canola oil. I would like to see you referred to a Dietitian to put this all together with you.

Plan: Suggest Fenofibrate (doctor), exercise program, Heart Healthy Diet with emphasis on control over Triglycerides.Omega-3 fatty acids.Water soluble fiber.

Please feel free to visit anytime.Good Luck! Kathryn Shattler, MS,RDN
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What Does My Lipid Profile Test Indicate?

Welcome Srinivas! Let me assist you with your lab tests and the guidelines in place for lipid goals: Total Cholesterol is optimal at 180 mg/dl Serum Triglycerides: High with goal being less than 150 mg/dl (are you diabetic?) HDL Cholesterol: Low, shoot for around 50 as this is the protein carrier that removes cholesterol from the blood LDL Cholesterol: 91.6 goal for diabetics is less than 70, otherwise 100 is goal. Risk factor? Your Triglycerides, HDL most importantly This profile increases your risk for heart disease, formation of plaques in your blood vessels, decrease in control over blood pressure, stroke. Medicines discuss with doctor. I would choose a fenofibrate (NOT a statin) and implement an exercise program (cardio/strength), increase soluble fibers (oats, metamucil,starchy beans), decrease meat, eliminate trans fat and cut down on saturated fat replacing it with omega-3 fatty acid supplements, the use of virgin olive oil, avocados, canola oil. I would like to see you referred to a Dietitian to put this all together with you. Plan: Suggest Fenofibrate (doctor), exercise program, Heart Healthy Diet with emphasis on control over Triglycerides.Omega-3 fatty acids.Water soluble fiber. Please feel free to visit anytime.Good Luck! Kathryn Shattler, MS,RDN