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A member asked:

Is cholesterol 216 o.k. if hdl is >100 and ratio is 2.1?

3 doctor answers6 doctors weighed in
Dr. Aamir Siddiqi
Family Medicine 33 years experience
May be: The ratio and both LDL and HDL are more important than the total cholesterol. However your level is in the borderline area. Search fro ncep / ATP iii guidelines or see the attached picture for a brief glimpse.
Dr. Milton Alvis, jr
Preventive Medicine 42 years experience
LDL, not Cholesterol: Cholesterol is a fat molecule manufactured by every animal cell, a building block of each cell membrane (enables membrane fluidity/movement without tearing), is fundamental to the survival of every animal cell. Lipoproteins (proteins which transport all fats in the water outside cells) is the correct issue for artery disease (e.g. LDL ≤700 nmol/l, HDL ≥45 µmol/l). Cholesterol ↓$, but misleading.
Dr. James Underberg
Internal Medicine Clinical Lipidology 36 years experience
Possibly: Hdl >100 is considered high, but high cholesterol does not necessarily protect an individual from the adverse effects on increased LDL cholesterol. In fact , very high cholesterol can sometimes be "pro-atherogenic" or "dysfunctional" and can also be a marker of increased cholesterol absorption, and seen in patients with inherited forms of high cholesterol . Bottom line- have a complete evaluation.

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Last updated Jun 20, 2017

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