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Doctor insights on: Cholesterol Testing Machine

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Cholesterol test, LDL 138 Hdl 59 and triglycerides 89...are these good numbers? How is my heart disease risk? Perfect blood pressure, sugar 93.

Cholesterol test, LDL 138 Hdl 59 and triglycerides 89...are these good numbers? How is my heart disease risk? Perfect blood pressure, sugar 93.

Heart disease risk: You mention normal sugar, but your profile says type 2 diabetes and hyperlipidemia. Are you already on medications for diabetes, lipids? By themselves, those numbers are not bad, but if you have diabetes and other conditions, you are in a higher risk category. Discuss this with your doctor who can consider the whole picture. ...Read more

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Is an nmr lipid panel a valuable tool to better assess heart disease risk compared to a basic lipid panel?

Is an nmr lipid panel a valuable tool to better assess heart disease risk compared to a basic lipid panel?

Yes - Based on Data: LDL cholesterol (LDL-C) is the traditional measure of LDL quantity. NMR measures LDL particle number (LDL-P). When LDL-C and LDL-P differ CHD risk tracks with LDL-P not LDL-C. Expert groups advocate use of LDL-P to judge response to therapy and guide adjustment of therapy. New data shows adjusting therapy to achieve low LDL-P results in fewer CVD events versus statin treatment to low LDL-C levels. ...Read more

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Lipid panel done. triglycerides 263, HDL 45, LDL 66, cholesterol 163. what would cause the high triglycerides with normal values otherwise?

Lipid panel done. triglycerides 263, HDL 45, LDL 66, cholesterol 163. what would cause the high triglycerides with normal values otherwise?

Abnormal test: Hi
It's possible to have isolated, high triglycerides. If that value was from a non-fasting test, and if you had a fatty meal before the test was done, you could see an isolated high trig level. But triglycerides at that level suggest that there may be an abnormality with lipid metabolism. Please be sure to follow up with your doctor about the results. Hope this helps. ...Read more

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Biometric screening. I'm 31. Triglycerides =290,HDL=53,LDL=112,Total Cholesterol=223, Cholestrol/HDL Ratio=4.2,Glucose=99,BP 111/74. Tri high. Why?

Biometric screening. I'm 31. Triglycerides =290,HDL=53,LDL=112,Total Cholesterol=223, Cholestrol/HDL Ratio=4.2,Glucose=99,BP 111/74. Tri high. Why?

May never find "why": I'm going to assume that this is fasting sample. A lot of this is hereditary. There's not a consensus about what to do with high triglycerides when other lipids seem okay. One idea is to spend a few months exercising like you did as a teenager and then checking. I bet you'll see things change for the better. Best wishes. ...Read more

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My test results Jan 2016 (Non HDL cholesterol 162) (HDL ratio 3.8%)(cholesterol in LDL 147)(triglycerides 76)(cholesterol in HDL 58) When to recheck? What should I do for more ideal numbers?

My test results Jan 2016 (Non HDL cholesterol 162) (HDL ratio 3.8%)(cholesterol in LDL 147)(triglycerides 76)(cholesterol in HDL 58) When to recheck? What should I do for more ideal numbers?

Exercise: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your LDL is higher than desired. You should reduce intake of saturated fat and exercise, about 150 minutes/week. You may recheck in a year or so. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex. Get HPV vaccine ...Read more

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My blood test shows cholesterol 228, triglycerides 84, HDL 52, LDL 159. Fasting blood sugar 101.What should I do? Medication or diet?

My blood test shows cholesterol 228, triglycerides 84, HDL 52, LDL 159. Fasting blood sugar 101.What should I do? Medication or diet?

Diet, exercise: And weight reduction. Avoid red meat and dairy products. If numbers don't improve, strongly consider medication - statin for lipids and even metformin for glucose if it continues to increase over time. Check an a1c and talk w/your doctor. Consider ace inhibitor or arg for renoprophylaxis. ...Read more

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Hello, I need help interpreting lab results. Chol 6.12 mmol/L Trig 3.35 mmol/L Hdl Chol 1.71 LDL Chol 2.89 Non Hdl Chol 4.41 ALT/SGPT 123 IU/L ?

Hello, I need help interpreting lab results.
Chol 6.12 mmol/L
Trig 3.35  mmol/L
Hdl Chol 1.71
LDL Chol  2.89
Non Hdl Chol 4.41

ALT/SGPT   123 IU/L
?

See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, Your total cholesterol and Trig are higher than desired. HDL and LDL are okay. You ALT is elevated and needs more attention than cholesterol. It would be prudent to consult your doctor. ...Read more

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Blood work results: Triglycerides 56, HDL 68, LDL 121. Normal?

Blood work results: Triglycerides 56, HDL 68, LDL 121. Normal?

Best: The best way to look at things is a non-HDL cholesterol of 90 which would imply an LDL around 60. Ideal triglycerides < 100. A1C 5.5 or less at age 55 & only slightly higher above. BUN 12, uric acid 5.5 or less. ...Read more

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Are fingerstick cholesterol tests accurate?

Are fingerstick cholesterol tests accurate?

Kind of: It can be a quick screening test - but it only shows you your total cholesterol and not the components (hdl, tg, ldl, etc.). ...Read more

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Lipid panel done on 05/09/2014, results are:CHOL 246.00 mg/dL. . TGL 78. HDL 43. LDL 187.4: meds and diet by doc not helping, suggestions?

Lipid panel done on 05/09/2014, results are:CHOL	246.00 mg/dL. . TGL  78. HDL  43. LDL 187.4: meds and diet by doc not helping, suggestions?

Find and Fix Causes: It is important to determine why the LDL cholesterol is elevated. Your physician will need to check for several inherited and acquired medical conditions that can affect LDL levels. Another alternative is to see a lipidologist (physician specializing in lipid and lipoprotein disorders). You can find a lipidologist at www.Lipidboard.Org (click "verify status", then search your state). ...Read more

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Is this dysfunctional HDL cholesterol? total cholesterol 241 LDL 128 VLDL 9 triglycerides 43 and HDL 104. Doctor won't give me more testing.

Is this dysfunctional HDL cholesterol? total   cholesterol 241 LDL 128 VLDL 9 triglycerides 43 and HDL 104. Doctor won't give me more testing.

Looks pretty good: The most notable things about this cholesterol (lipid/blood fat) picture is the good elevation of HDL and low VLDL/triglycerides. You can see that 104 of your total cholesterol (241) is the good stuff. Your LDL is a little high but particle analysis won't change the recommendation. I agree with your doctor. Work to maintain this very good profile. ...Read more

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M37.Have low HDL/high TriG.Did tests, results ok.ABI, EKG, Chest XRay, UltraSound Carotid+whole abdomen,Echo Treadmill Stress. repeat tests how often?

M37.Have low HDL/high TriG.Did tests, results ok.ABI, EKG, Chest XRay, UltraSound Carotid+whole abdomen,Echo Treadmill Stress. repeat tests how often?

Family history?: much of this hinges I feel on your family history. If you have parents, grandparents, aunts, uncles or siblings with coronary artery disease under the age of 55 then I repeat testing in 5 years, otherwise probably in 10 years. There is no consensus on this: therefore this is my own opinion as interventional cardiologist. ...Read more

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What causes HDL cholesterol to be low (35) for 57+ yr female while total cholesterol 155, LDL 98, TG 114, HbA1c 4.8, FBS 91 & PPBS 94 ?

What causes HDL cholesterol to be low (35) for 57+ yr female while total cholesterol 155, LDL 98, TG 114, HbA1c 4.8, FBS 91 & PPBS 94 ?

Many possibilities: low HDL has multiple causes. Smoking, lack of exercise, genetics, high carbohydrate diet especially when combined with lack of activity. primary approaches to improve HDL include quit smoking, aerobic exercise daily, low glycemic index foods, balanced diet, one handful of nuts and seeds daily, regular consumption of red grapes. ...Read more

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T3, (liothyronine) t4, total cholesterol, hdl, ldl, triglycerides & glucose all reports are in normal. Only TSH is 6.39 & lipoprotein lpa is 91.83 should I be concerned?

T3, (liothyronine) t4, total cholesterol, hdl, ldl, triglycerides & glucose all reports are in normal. Only TSH is 6.39 & lipoprotein lpa is 91.83 should I be concerned?

Yes: The high TSH suggests you are hypothyroid or heading that way despite "normal" T3 (liothyronine) & T4- low normal is not optimal. Check free T3 (liothyronine) & reverse T3 (liothyronine). Lp(a) is an independent risk factor for cardiovascular disease; it is easier to neutralize than lower it- see http://tinyurl.com/okcr5ms for a good discussion. Statins don't lower Lp(a). Everyone on statins should take CoQ10- see http://tinyurl.com/ocxrush ...Read more

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Total protein, 24 hr urine is this good or bad? (protein, urine, qn <=11 mg/dl -my result <6) protein, 24 hr urine -unable to calculate. A1c, kidney panel, ua, lipid normal

Total protein, 24 hr urine
is this good or bad? 
(protein, urine, qn <=11 mg/dl -my result <6)
protein, 24 hr urine -unable to calculate. A1c, kidney panel, ua, lipid normal

Urine results: Your urine shows that you have virtually no protein in your urine, which is a good thing. Patients with proteinuria have an increased rate of kidney failure, heart attacks and strokes which is related to the amount of protein in the urine both in diabetic and non-diabetic patients. What was the reason for the urine collection? ...Read more

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Stress test, ultrasound arteries, carotid, legs, cath, everything is clear, last LDL 113, family history of heart disease. Hbp, cholesterol med?

Stress test, ultrasound arteries, carotid, legs,  cath, everything is clear, last LDL 113, family history of heart disease. Hbp, cholesterol med?

Focus on lifestyle : I wonder why all of that was done? Was it for symptoms or anxiety over potential symptoms? What was your risk factor status beyond the family history? If all of these studies were negative and your LDL was 113, you could either consider lifestyle modifications alone (if no other risk factors), or lifestyle modification plus a low dose statin if multiple other risk factors present. ...Read more

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Should i worry for my lipid panel test results cholesterol 186 trygglyceride 189 HDL 46 and lowe density lipoprotein calculated is 102?

No: Unless you're a coronary or cerebrovascular or peripheral vascular patient already, or have 2 major risks (diabetes, high bp, fam history of early coronary disease, tobacco use), the level of LDL you have is well below the danger zone of 160, and definitely in the near optimal zone (100-129) and your HDL is above 40, below which is a danger zone for this protective molecule. ...Read more

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Follow up on my blood work came out good, protein, bun, apo b, hscrp, LP (a), sdldl & ldlp r high- hdl2, large HDL -p & HDL size are low.?

Follow up on my blood work came out good, protein, bun, apo b, hscrp, LP (a), sdldl & ldlp r high- hdl2, large HDL -p & HDL size are low.?

Gets complicated: Bottom line is sub-fractions of HDL cholesterol and measurement so of HDL size or particle number is still not considered routine. Risk sees to be best predicted by HDL particle number but we do not have any evidence that using medications to target HDL p or HDL size helps. Recently the national lipid association released a report suggesting not to use HDL sizing for risk evaluation. www.lipid.org. ...Read more

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