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Doctor insights on: Hdl Ldl Ratio Vs Total Cholesterol

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Dr. William Cromwell
210 Doctors shared insights

Total Cholesterol (Definition)

Total cholesterol=concentration of all cholesterol/volume blood plasma & carried within the lipoprotein particles; complex protein particles which carry all fat molecules in the water outside cells. The lipoprotein particles have long been classified by ↓ing size/↑ing density: ULDL, VLDL, IDL, LDL, HDL. These protein particles carry triglyceride, phospholipid, cholesterol & ...Read more


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Total cholesterol- 133, HDL- 53 LDL- 64 Triglycerides- 75 ratio- 2.5 Non- HDL- 80. IS this too low?

Total cholesterol- 133, HDL- 53 LDL- 64 Triglycerides- 75 ratio- 2.5 Non- HDL- 80. IS this too low?

You're fine Matt: Stop worrying about this stuff, buddy. Lab reference ranges just compare you to average people. Plenty of healthies fall outside. You are at your physical and mental prime. Work hard to build yourself up. Maybe you are in a difficult life situation and can get help getting free. You can do it buddy. Best to you. ...Read more

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Total cholesterol: 257, HDL: 74, LDL: 167, Triglycerides: 82. Even though my #s are high, my ratio is 3.4. Isn't that ok for a 33yo female?

Total cholesterol: 257, HDL: 74, LDL: 167, Triglycerides: 82. Even though my #s are high, my ratio is 3.4. Isn't that ok for a 33yo female?

Ok but not great: Assuming you don't smoke or have high BP, your risk for a stroke or heart attack over the next 10 years is very low, less than 1%. So generally you would not need meds for your cholesterol now.

However, if you have a family history of early heart disease (heart attack in Mom age ...Read more

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My husbands Total cholesterol is 192, His HDL Chol is 37, Triglycerides are 65, LDL Chol is 142, Non HDL Chol is 155 & chol/HDLC ratio is 5.2. BAD??

Not great...: Even though his total cholesterol is normal, his HDL is a bit low and his LDL is a bit high - these would need to be corrected. This profile does put him at risk for heart disease and stroke. ...Read more

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My total cholesterol is 238 but my other number are good: HDL - 104 Chol/HDL Ratio 2.3 Triglcerides 57 VLDL 11 LDL (Calculated) 122 Should I worry?

I think no: Treat the person, not the numbers. This stuff is mostly genetic. I trust that you're not a smoker and that you stay fit. Best wishes. ...Read more

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Total Cholestrol 238 HDL 104 Chol/HDL Ratio 2.3 Triglycerides 57 VLDR 11 LDL (Calculated) 112 Should I be concerned that total cholesterol is 238.?

Other risk factors: 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 high HDL should be protective. You should discuss these results and any other risk factors you may have, with your doctor, to figure out, what, if any thing, needs to be done.
For good health - Have a 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, alcohol, weed or street drugs in any form.
Practice safe sex. ...Read more

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My total cholesterol is 149 my HDL is 42 and my LDL is 92 & my ratio is 3.5 is all lipid panel normal, high or low?

My total cholesterol is 149 my HDL is 42 and my LDL is 92 & my ratio is 3.5 is all lipid panel normal, high or low?

All good: Current goals: chol < 200, HDL >35, LDL <135. Your numbers all look good now, probably because you are young, and hopefully because you are exercising, are the proper weight, and are eating a prudent diet. Next time, though (like in about 2-3 years at annual exam time), request the new NMR test which will analyze the specific quality of your LDL particles to see if you have the right number & size. ...Read more

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Total cholesterol is 232. Ldl direct is 150. Tc/hdl cholesterol ratio is 5.4...Do I need medication or is it normal?

Total cholesterol is 232. Ldl direct is 150. Tc/hdl cholesterol ratio is 5.4...Do I need medication or is it normal?

Depends on Particles: More than cholesterol, cardiovascular disease (CVD) is related to the number of LDL (LDL-P) and HDL particles (HDL-P). Because cholesterol in LDL and HDL particles is highly variable cholesterol levels often disagree with particle number. When cholesterol and particle number disagree CVD risk tracks with high LDL-P and/or low HDL-P, not LDL-C or HDL-C. Talk to your doctor about next steps. ...Read more

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My lipid panel total cholesterol 284, HDL 116, LDL 157, trig 56, vldl 11, t chol/ HDL ratio 2.4?

Lipids: Good and nots so bad. Your HDL is excellent your LDL is mildly elevated likely would not treat w meds. ...Read more

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Good morning doc please I don't understand this result of total cholesterol 100, HDL 15, triglycerides 71, ratio 6.7, LDL 26.

Alternatively: The ncep ATP iii was based on an american diet. Your lipids are indicative of either starvation or an exceptionally low fat diet. (based on your personal circumstances). Your genetics undoubtedly contribute. I wouldn't try to conform to american standards - your circumstances are different. If you're getting adequate nutrition, I wouldn't worry about it. ...Read more

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2 Triglyceride: 133 Cholesterol total: 132 Cholesterol HDL: 37 Cholesterol LDL: 72 Cholesterol total/cholesterol-HDL ratio: 3.6.1 good? Ok? Bad?

2 Triglyceride: 133 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

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My lipid profile cholesterol total 187, LDL 122, HDL 36, ratio cholesterol total/ cholesterol HDL 5.19. Trigliserida 83.Should I take atorvastatin? .

Need more info/data: Before advising, we need more information to determine your risk for a heart attack. Other factors to consider are your age, gender, blood pressure, family health history, whether you've smoked, and your complete history and physical examination. For starters, you should consult your physician about a program to initiate total life style changes. You may need drug therapy too. See your doctor. ...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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Total cholesterol: HDL ratio 5.6 ratio, HDL level 1.4, LDL 5.3, triglycerides 2.6, serum cholesterol 7.9. My father had high cholesterol. Serious?

Total cholesterol: HDL ratio 5.6 ratio, HDL level 1.4, LDL 5.3, triglycerides 2.6, serum cholesterol 7.9. My father had high cholesterol. Serious?

Very high: In the USA we use mg per deciliter so for our US readers, I'm going to convert yours: TC: 305, LDL: 204, HDL: 54, TG: 230. Your numbers are all very high. This is likely inherited and will not be normalized thru diet alone. I would have no issue advising a statin for you, but you should discuss it with your personal physician. Goto: https://www. Goredforwomen. Org/ and click on "Know Your Risk". ...Read more

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Is total cholesterol just HDL + LDL or is there another factor in the total cholesterol value?

No, there's more: There are other sub-particles such as vldl (very low density lipid) that also make up the total cholesterol count. Please also note that in the standard lab reports, LDL is a calculated number, not a direct measurement. ...Read more

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Do you think I should be worried about high total cholesterol, but with low LDL and very high hdl?

Usually OK: However, high total cholesterol and high HDL cholesterol may mean increased absorption of cholesterol in the intestine. Some of these patients may also have increased levels of LDL "particles" despite normal LDL cholesterol levels. High HDL syndromes can be confusing, and this is one case where advanced lipid/lipoprotein testing and evaluation by a lipid specialist may help. ...Read more

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35 yr old female. Total cholesterol 226, hdl 71, ldl 141, non fasting. Should I get retested while fasting?

35 yr old female. Total cholesterol 226, hdl 71, ldl 141, non fasting. Should I get retested while fasting?

Your doctor's call: The LDL's a bit higher than you may want it to be. Why not make friends with some fitness buffs, hit the exercise circuit daily, and see how things are in two months? Different physicians will handle this differently. ...Read more

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My total cholesterol is 91 mg/dl (hdl 42, LDL 37, tri 61) is it too low and if so how can I raise it healthfully?

My total cholesterol is 91 mg/dl (hdl 42, LDL 37, tri 61) is it too low and if so how can I raise it healthfully?

Yes, dangerously low: Many docs believe cholesterol is just a bad thing that clogs arteries. Actually it is an essential component of every cell membrane & the building block for testosterone, cortisol & all steroid hormones. Low cholesterol is much more dangerous than high cholesterol, associated with increased risk of cancer, stroke, depression etc. Low cholesterol is usually a sign of liver problems. See comment:. ...Read more

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Total cholesterol 164, hdl 26 low, ldl 108, trig 152. Is my hdl too low. What does that mean? Hiw can I raise it?

Isolated low: HDL, by itself, does not mean much, if you have no other risk factors. Vigorous exercise is the only way of raising it. There is no medication that will do it. If you have other risk factors, you should ask your doctor to see if your LDL needs attention. ...Read more

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Is total cholesterol just HDL + LDL or is there another factor that has relevance when calculating the total cholesterol number?

Is total cholesterol just HDL + LDL or is there another factor that has relevance when calculating the total cholesterol number?

Yes: Total cholesterol measures the cholesterol contained in all lipoproteins including low density lipoprotein (ldl), intermediate density lipoprotein (idl), high density lipoprotein (hdl), very low density lipoprotein (vldl), and chylomicrons. Ldl-c and hdl-c do make up most of the cholesterol reported in the total cholesterol number. ...Read more

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Hi my total cholesterol is 5.83 my tryglycreides 1.42. My hdl 2.04 and ldl 3.14. I am 54 yrs what does this mean for me. Thank you?

Depends...: These results must be interpreted by your doctor, based on your other risk factors and clinical picture. It thus depends.... But, LDL is bad cholesterol - slightly high. HDL, good cholesterol - also slightly high. ...Read more

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I had a test with total Cholesterol of 3.8, hdl 0.2 and ldl 3.2. I need assistance on how to improve the hdl and lower the ldl. Thank you?

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 total cholesterol and LDL are not a cause for concern. If you reported your hdl correctly at 0.2, that is lower than desired. Consult your doctor to start exercising and reduce intake of saturated fats. ...Read more

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Total cholesterol : 236 mg/dl, LDL : 166 mg/dl and triglicarydes : 162 mg/DL. HDL : 37.How good/bad are these counts for a 28 year old boy?

Need work: Your values are not too bad, but could be much better, especially HDL should be higher. If you are overweight, lost weight. Have a 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 or alcohol in any form. ...Read more

Dr. Milton Alvis, jr
535 Doctors shared insights

Hdl (Definition)

HDL, or high density lipoprotein, is a molecule in the body that is responsible for the transport of lipids (fats) from various organs including blood vessels back to the liver for processing and possible elimination. Because it helps prevent accumulation of lipids in blood vessels, HDL cholesterol is ...Read more


Dr. William Cromwell
573 Doctors shared insights

Ldl (Definition)

LDL, or low density lipoprotein, is a molecule in the body that transports lipids (fats) from the liver to other organs in the body. Because LDL cholesterol can get deposited in blood vessels which leads to cardiovascular disease, LDL cholesterol is ...Read more