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A 27-year-old male asked:

I have nafld and high cholesterol. should i be on a statin at age 27?

4 doctor answers9 doctors weighed in
Dr. Ankush Bansal
Internal Medicine 18 years experience
Likely yes: Most likely yes. You are very young so if you already have nafld and elevated cholesterol, you need to protect your liver from further damage. Change your diet, take a statin or other lipid-lowering agent, normalize your blood pressure, and exercise. Discuss with your doctor about starting a statin.
Dr. Milton Alvis, jr
Preventive Medicine 42 years experience
LDL, not Cholesterol: It have been known, for over 7 decades, that artery disease typically begins ~age 7, yet remains asymptomatic for decades; artery walls thicken & enlarge, not narrow. Events, including stenosis (narrowing), result from plaque rupture & clots. Optimize NMR particle test (hdl & LDL concentration, not cholesterol), keep hba1c low, optional ≤5.0%, sbp ≤120 mmhg, don’t smoke, exercise, avoid sugar, etc.
Dr. Amrita Dosanjh
Pediatric Allergy and Asthma 37 years experience
Rx NAFLD: Studies which indicate a benefit from a high fish diet, if you are not allergic. I would suggest that you have Hepatitis vaccinations, a healthy diet and weight reduction. In addition, there is an herbal non regulated therapy described in the literature of 4 to 5 grams per day of blue green algae which has been shown to decrease liver inflammation. I would suggest not taking without M.D. approval
Dr. Randy Baker
Holistic Medicine 41 years experience
Need more info but..: Not everyone with high cholesterol needs statins; it depends on how high and esp. on the subtypes of cholesterol. Statins can be toxic to the liver. See http://tinyurl.com/9x3n594 and http://tinyurl.com/2f9kg7d There are other ways to lower cholesterol: http://tinyurl.com/4o6n7e2 For good info on treating NAFLD see http://tinyurl.com/lf77ull
Dr. Anita Prakash
Cardiology 30 years experience
If you have fatty liver disease, your liver function tests definitely need to be checked before starting statins and followed closely thereafter. HAVING said that, however, at 27, I would definitely understand your lipid #s better 1st, see if you can seriously make lifestyle changes to effectuate a better panel and modify your risk significantly, be4 starting statins. Depends on risk/benefit analy
Oct 15, 2014
Last updated Sep 28, 2016

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