Doctor insights on:
Diet, medications: Statins (prescription medications) are the most potent way to lower cholesterol quickly. Certain dietary changes can also lower cholesterol: 1.) high fiber diet 2.) low saturated and trans fat diets 3.) high monounsaturated fats (nuts, avacodo, olive oils, etc) 4.) plant sterols/stanols. ...Read moreSee 2 more doctor answers
Diet, exercise, drug: Diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco. You may need drug treatment. See this site for more info. http://www.hpb.gov.sg/hopportal/dandc-article/7. ...Read more
LDL and HDL: In general high LDL cholesterol is associated w/ higher risk of heart & artery disease, while high HDL is generally protective. Genetics is a major determinant of what your levels will be; diet has some influence. Treatments include diet, exercise, & drugs including statins, fibrates, binding resins, & recently some fancy biologic drugs. Medical guidelines on who/how to treat are now very detailed ...Read more
My fbs, cholesterol, ldl, and alt/sgpt are high, but my HDL and triglycerides are normal. What does this mean?
Concerns: Need to see a doctor. Elevated blood sugar, fasting, along with elelvated cholesterol are both risk factors for heart disease. Diabetes or pre-diabetes can often be associated with fatty liver, which can raise the liver function testes (alt/ast) even if the triglyceride level is normal. Important to get this addressed asap. ...Read moreSee 1 more doctor answer
I am diabetic. I take 500mg once a day. My A1c dropped to 5.8 & my total cholesterol, LDL & HDL are perfect. But my triglycerides 195, why?
Cholesterol total: 132
Cholesterol HDL: 37
Cholesterol LDL: 72
Cholesterol total/cholesterol-HDL ratio: 3.6.1 good? Ok? Bad?
Numbers are numbers: Lab results usually are numbers, and numbers are just numbers, with little meaning unless a doctor takes in the whole picture of what's going on. The ordering doctor may or may not consider the results a problem, depending on the patient's illnesses, bodily condition, life habits, and exercise activities. It's better to have HDL at 50 or higher. TG in the 130's is ok, but 120's might be better. ...Read more
My total cholesterol, ldl, hdl, triglycerides & glucose are in normal range but lipoprotein lpa is 90.83, range should be less then 30 should I be worried?
Fix cause or niacin: Lipoprotein (a), [Lp(a)], is an LDL particle with an extra protein, apolipoprotein (a), attached to it. Increased Lp(a) is most commonly inherited. Other causes include hypothyroidism, chronic kidney disease, and increased trans fat intake. If one of these problems is present it should be treated. High Lp(a) does increase cardiovascular risk. Niacin can lower Lp(a) but has adverse effects. ...Read moreSee 1 more doctor answer
Hi dr I am having ed.. But i went for my blood tests.. No diabetes, no bp, normal testosterone level..But very high cholesterol.. Ldl 227... Cause?
I sometimes have pain in my chest and back my EKG is normal BP 120/90 but my blood test reveal high cholesterol LDL and trigli.. My causes my pain..
Coronary artery dis: Get the high lipids treated. Ask your doctor to measure hscrp in your blood, and also get your doctor to check a coronary calcification score. This will determine if the pain is probably cardiac in nature. Further tests might include a ct angiogram of the heart. Cj glueck md. ...Read more
My father is taking pravastatin 20mg for high cholesterol. Total cholesterol, LDL & HDL are normal but triglycerides are 250. Why is this & what to do?
Change medication.: Assuming he is following a prudent, cholesterol-lowering diet and exercise plan, Pravastatin is not created with the intent of lowering the triglycerides, no matter what dose he tries. Lipitor (atorvastatin) and Crestor will lower the cholesterol at safe doses, but they may be more expensive than Pravastatin, depending on his insurance plan. But they will lower the triglycerides and keep LDL and HDL in check. ...Read more
27 year old female, 5'6," 262.4 lbs, ekg: normal, holter monitor (48 hours): normal, cholesterol: ldl- 111, hdl- 49. Chest pain related to heart?
Chest pain: Not enough data for more than a guess. Its probably not cardiac related, BUT, you are at increased risk. You are morbidly obese and weigh roughly 100 #s more than you should. Each pound of flesh equals about a mile of blood vessels. So, your heart, a pump the size of your fist has to pump blood 100 miles further than it should. If you smoke, use illicit drugs or drink the risk is higher. ...Read more
What causes high glucose serum, calcium serum, albumin serum, total cholesterol, LDL cholesterol calc, vitamin b12, but low sed rate westergren?
Means nothing alone: As a pathologist who's devoted a lifetime to lab medicine, my teammates and i are always reminding people that lab results mean nothing whatever in the absence of a history & physical exam. Please don't take this the wrong way, and i appreciate your proactive approach to health. But no one can do anything with this. Ask instead, "could high Albumin out-of-range be from dehydration?" etc. ...Read more
Two months back i had normal cholesterol levels. LDL was 60. Today when i checked LDL is 210. How is this possible? Can it be a miscalculation?
Fasting vs. not: LDL is very sensitive not only to fasting while the sample is taking, but how long the fasting 6 hours, vs. 8 hours, vs. 12 hours could make a difference in the level. second it is so sensitive the kind of meal you had before the test could affect the level. if you want to compare apple to apple. eat similar meal. fast for 12 hours every time, and do it at the same labs. ...Read more
Lifestyle: Late last fall, American Heart Association & American College of Cardiology published 4 guidelines on treating & preventing heart disease. The one involving cholesterol got biggest press & continues to stir controversy. However, goal isn't so much to lower cholesterol as it is to treat & prevent heart disease. So focus on therapeutic lifestyle modifications eg regular exercise & good nutrition. ...Read more
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. ...Read moreSee 1 more doctor answer
Possibly: Although your LDL is undoubtably high, it's important to find out some more information before deciding whether to start lipid lowering medication. Do you have any history of heart disease, diabetes, tobacco use, family history of heart disease? These questions will help a physician assess your overall 10 yr risk for coronary artery disease. ...Read more
Depends on history: For the general population, treatment of LDL doesn't begin until over 160 (or 190) mg/dl and goal is to lower to under 130. For those at high risk of coronary disease, goal is 100, and those who have proven cad, goal is further reduced to 70 mg/dl. If you have other risk factors, it may be appropriate. Either way, diet, exercise, and weight loss are appropriate. Discuss with your doctor. ...Read moreSee 1 more doctor answer
My husband has high levels of LDL cholesterol, 146 ldl. Diet is great. Could it be genetic, if so is there a test?
High LDL Cholesterol: Diet is not the only cause of elevated cholesterol. Cholesterol is mobilized as a healing molecule, and is elevated if the body is having inflammation. If he inflammation is in the arteries this leads to vascular disease, stroke, and heart attack. Decreasing sugar and processed foods helps, exercise, and anti-inflammatory herbs. Statin drugs also lower inflammation. Berkley cholesterol panel. ...Read moreSee 1 more doctor answer