A member asked:

What to do to increase hdl and decrease ldl.my husbands ldl is 177and hdl is 42 and also sgot is 64 u/l and sgpt is 133u/l.(30yrs old and wt 94 kg) ?

4 doctors weighed in across 3 answers

Diet exercise and : Medication. Your husband should lose weight to bring his bmi to about 22 or so, engaage in increasingly vigorous physical activity at least 150 minutes/week, no alcohol, no tobacco; diet rich in fresh vegetables and fruits and whole grains; reduce intake of saturated fats. After putting this in practive for six months check blood again and consult doctor for possible use of medication.

Answered 11/28/2013

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Dr. Rick Koch answered

Exercise &: Weight loss are the best ways to lower LDL & increase hdl.

Answered 11/28/2013

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Dr. William Cromwell answered

Specializes in Clinical Lipidology

Find and Fix Causes: The first step is to determine if the LDL is elevated due to an acquired medical condition. If treatable conditions are identified i would manage those and start diet, exercise and lifestyle modifications. Soluble fiber and plant stanols can be used to lower ldl. If medications are needed options include statins, agents to decrease gut cholesterol absorption (ezetimibe, colesevelam) and niacin.

Answered 12/9/2013

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