16 doctors weighed in:

I am 24 years old and fairly active. I just got my cholesterol checked and it was a total of 226, with my HDL at 60 and my LDL at 150. Am I at risk?

16 doctors weighed in
Dr. Jehangir Rao
Holistic Medicine
9 doctors agree

In brief: Check Thyroid

Have you been checked for Hypothyroidism as it raises Cholesterol.
You need to have TSH,Free T4, Free T3 and Thyroid antibodies measured. Good idea to get Vitamin D levels checked. Also stop Birth control pills. Your HDL is excellent. DO NOT go on Statins.

In brief: Check Thyroid

Have you been checked for Hypothyroidism as it raises Cholesterol.
You need to have TSH,Free T4, Free T3 and Thyroid antibodies measured. Good idea to get Vitamin D levels checked. Also stop Birth control pills. Your HDL is excellent. DO NOT go on Statins.
Dr. Jehangir Rao
Dr. Jehangir Rao
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1 comment
Dr. Ira Katz
Agree, but you smoking status, blood pressure, weight, blood sugar status, etc., would all be helpful in determining you real risk. However, by conventional standards something called you non-HDL cholesterol is 166, with a goal at your age provided no other risks of 160 mg/dL. No need to panic. Lifestyle change now.
Dr. Sameer Azhak
Internal Medicine - Cardiology
5 doctors agree

In brief: Yes you are

A recent study spanning 25years showed young adults with elevated non hdl cholesterol (apo b) which includes ldl as well as other particles vldl, idl, lpa is associated with increased calcium scoring in heart arteries by the time they were middle aged.
AKA coronary plaque. So while you may be ok now. Your ldl is high enough to slowly build plaque that will put you at risk in future.

In brief: Yes you are

A recent study spanning 25years showed young adults with elevated non hdl cholesterol (apo b) which includes ldl as well as other particles vldl, idl, lpa is associated with increased calcium scoring in heart arteries by the time they were middle aged.
AKA coronary plaque. So while you may be ok now. Your ldl is high enough to slowly build plaque that will put you at risk in future.
Dr. Sameer Azhak
Dr. Sameer Azhak
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1 comment
Dr. Ira Katz
I mostly agree with this. I can not say what your risk really is without knowing more information like, family history, blood sugar status, weight, blood pressure, etc. Measuring an Apo(B) level can be helpful as can a cholesterol NMR test, which may or may not be covered by insurance, but will give detailed cholesterol information.
Dr. Jyothishree Pinnaka
Internal Medicine
4 doctors agree

In brief: Abnormal!

Your cholesterol profile is abnormal.
Get regular aerobic exercise and recheck in 3-6 months again. Drink more water. Restrict salt. Lose weight.

In brief: Abnormal!

Your cholesterol profile is abnormal.
Get regular aerobic exercise and recheck in 3-6 months again. Drink more water. Restrict salt. Lose weight.
Dr. Jyothishree Pinnaka
Dr. Jyothishree Pinnaka
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1 comment
Dr. Ira Katz
Your cholesterol, by the latest standards is borderline. The total cholesterol is helpful and yours is "high", but only to use in conjunction with your HDL which is excellent, and the risk factors based on new knowledge. See (google) JNC V.
Dr. Randy Baker
Holistic Medicine
3 doctors agree

In brief: Not necessarily but:

The cause of cardiovascular disease is NOT cholesterol but inflammation.
If you have vascular inflammation then increased LDL could increase risk, esp. if you have high small dense LDL. Check LDL subtypes, cardiac CRP & homocysteine. See http://tinyurl.com/axtab4d and http://tinyurl.com/9x3n594 and http://tinyurl.com/43vtf67 and http://www.ravnskov.nu/2015/12/30/the-benefits-of-high-cholesterol/

In brief: Not necessarily but:

The cause of cardiovascular disease is NOT cholesterol but inflammation.
If you have vascular inflammation then increased LDL could increase risk, esp. if you have high small dense LDL. Check LDL subtypes, cardiac CRP & homocysteine. See http://tinyurl.com/axtab4d and http://tinyurl.com/9x3n594 and http://tinyurl.com/43vtf67 and http://www.ravnskov.nu/2015/12/30/the-benefits-of-high-cholesterol/
Dr. Randy Baker
Dr. Randy Baker
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1 comment
Dr. Ira Katz
Also consider a cholesterol NMR or Apo(B) level.
Dr. Ira Katz
Internal Medicine - Endocrinology
2 doctors agree

In brief: Possibly

Cholesterol has gotten more complicated over recent years.
You your risk is calculated based on multiple risk factors & the doc who rec having you thyroid checked was very wise. After that we need to know your family history, blood sugar, weight, blood pressure, LDL, smoking status, etc. A cholesterol particle size test could help. I wish this was a simple question but it is not anymore.

In brief: Possibly

Cholesterol has gotten more complicated over recent years.
You your risk is calculated based on multiple risk factors & the doc who rec having you thyroid checked was very wise. After that we need to know your family history, blood sugar, weight, blood pressure, LDL, smoking status, etc. A cholesterol particle size test could help. I wish this was a simple question but it is not anymore.
Dr. Ira Katz
Dr. Ira Katz
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1 comment
Dr. Ira Katz
See JNC 8 Guidelines if you are sleepy or try this article: https://www.nhlbi.nih.gov/files/docs/guidelines/atglance.pdf
Dr. Ed Friedlander
Pathology
1 doctor agrees

In brief: Yes

Most of your cholesterol and the risk that runs with it is genetic.
Much of the received wisdom about saturated fats as a risk is probably exaggerated, but I'd encourage you to stay physically fit as best you can. Your physician will advise you on medication based on other information about you. Best wishes.

In brief: Yes

Most of your cholesterol and the risk that runs with it is genetic.
Much of the received wisdom about saturated fats as a risk is probably exaggerated, but I'd encourage you to stay physically fit as best you can. Your physician will advise you on medication based on other information about you. Best wishes.
Dr. Ed Friedlander
Dr. Ed Friedlander
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