A member asked:

Elevated ldl(164) ldl:hdl-3.6, tot chol:234 , thyroid under control with synthyroid. can i try to control with diet and exercise instead of medication?

4 doctors weighed in across 2 answers

ITS POSSIBLE: Whether you should be on meds or not depends on your other risk factors for heart disease.

Answered 6/4/2012

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Dr. William Cromwell answered

Specializes in Clinical Lipidology

Yes, If Follow LDL-P: In addition to these labs, you should have LDL particle number (ldl-p) checked. Ldl cholesterol (ldl-c) is commonly used to "estimate" the number of LDL particles. However, because the amount of cholesterol carried inside LDL is so variable, ldl-c often underestimates ldl-p. When ldl-c and ldl-p differ cardiovascular risk tracks with ldl-p, not ldl-c. Regardless of diet or medication follow ldl-p.

Answered 12/9/2013

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