9 doctors weighed in:

My 20 yr old daughter has high cholesterol 270. Eats healthy, skinny, extremely active. I know heredity plays a part.What to do?

9 doctors weighed in
Dr. Michael Jones
Family Medicine
5 doctors agree

In brief: Medication

While i'm a minimalist with respect to medications we have to be realistic.
In a person who has few or none of the typical environmental risk factors (obesity, sedentary, poor diet etc) we have to assume a strong genetic propensity for dyslipidemia. In these cases, based on what we know now, this should be treated with medication to help avoid cardiovascular risks over time.

In brief: Medication

While i'm a minimalist with respect to medications we have to be realistic.
In a person who has few or none of the typical environmental risk factors (obesity, sedentary, poor diet etc) we have to assume a strong genetic propensity for dyslipidemia. In these cases, based on what we know now, this should be treated with medication to help avoid cardiovascular risks over time.
Dr. Michael Jones
Dr. Michael Jones
Thank
2 comments
Dr. Yash Khanna
I will liketo know her complete lipid profile,which includes Total Cholesterol,LDL,HDL,Triglysterides,before deciding whether she needs to go on medications to bring it down
Dr. Yash Khanna
And if i may add Thyroid Profile as well
Dr. Maureen Mays
Clinical Lipidology
2 doctors agree

In brief: Get a full panel 1st

First get a lipid panel that shows the ldl-c (bad cholesterol), hdl-c (good-c) and the triglycerides (tg=little fats).
The "total" is just the good+bad+1/5 of the fats, so it's a useless number. For example, if your daughter has: ldl = 210, HDL = 40, tg = 100 that is a very bad total of 270. On the other hand: ldl = 140, HDL = 110, tg = 100 is a super healthy total of 270. Hope that helps.

In brief: Get a full panel 1st

First get a lipid panel that shows the ldl-c (bad cholesterol), hdl-c (good-c) and the triglycerides (tg=little fats).
The "total" is just the good+bad+1/5 of the fats, so it's a useless number. For example, if your daughter has: ldl = 210, HDL = 40, tg = 100 that is a very bad total of 270. On the other hand: ldl = 140, HDL = 110, tg = 100 is a super healthy total of 270. Hope that helps.
Dr. Maureen Mays
Dr. Maureen Mays
Thank
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