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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Which medication is advisable for low HDL level?

I have low HDL 33 in august and 30 in December. The last 90 days I am taking rosuvastatin 20mg per day. since my condition did not improve I wanted to see what other medications my doctor could prescribe that might work better. Can you assist? ,my email is YYYY@YYYY
Sat, 21 Apr 2018
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General & Family Physician 's  Response
Hello,

Niacin or Fibrates may be effective.

High-density lipoprotein (HDL) is considered as the "good" (anti-atherogenic) cholesterol because it helps remove other forms of cholesterol from your bloodstream. Higher levels of HDL cholesterol are associated with a lower risk for heart disease.

HDL levels can be improved by drugs used to lower LDL and triglyceride levels such as Niacin, Fibrates (Gemfibrozil) and certain Statins (Simvastatin and Rosuvastatin).

However, various clinical trials designed to increase HDL did not appear to reduce the risk for heart attacks. So, in my opinion you need to have certain lifestyle modifications such as:

1. Increase physical activity (60 minutes of moderate-intensity aerobic exercise a week) which can lower your triglycerides while increasing your HDL levels.

2. Avoid trans fats, as they can increase LDL cholesterol and lower HDL cholesterol levels. Foods prepared with shortening, such as cakes and cookies, often contain trans fats, as do most fried foods and some margarines.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Mohammed Taher Ali
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