What Does This Lipid Profile Test Report Indicate?

Posted on Sat, 28 Nov 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 28 Nov 2015 Answered on

Tue, 15 Dec 2015 Last reviewed on

Question : Dear Doctor,
My Medical Test Reports as below:

Triglycerides 577
Total Cholestrol 269
LDL 178
HDL 39
VLDL 5

Vitamin D <4.20

I need suggestion on how I can improve my health.

Does it require medication immediately or can i work on improving it with some life style changes and then go for medication.

Answered by Dr. Anantharamakrishnan (1 hour later)

Brief Answer:
Drugs MUST / in ADDITION to diet and life style changes

Detailed Answer:
Hi friend
Welcome to Health Care Magic

This level is very high and cannot be controlled by simple measures
They have a very limited and supportive role only

HDL is good cholesterol – higher, the better.
LDL is bad cholesterol – lower, the better. In the absence of any other risk factor 100 is ideal for LDL-C. In the presence of other diseases (especially Diabetes and/or established heart disease), 70 should be the aim.
     Keep your weight to normal / even a little less
     Quit smoking, if you are a smoker
     Do regular EXERCISE – say walking or jogging - 30 minutes a day / at least 5 days in a week. Isometric exercise (like bull worker) is not recommended though .
     Healthy FOOD is a must. Avoid saturated fats – coconut oil, palm oil, butter, ghee, full cream milk. Avoid junk foods in particular – French fries have palm oil / Pizza has cheese / XXXXXXX sweets are made in ghee.
Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil in diet – Olive oil.
________________________________________________________
Any drug from the Statin class is the first choice – ATORVASTATIN, for example. The starting dose is 20 mg after dinner … the maximal dose is 80 mg.
If in-spite of the drug, the level is high, you need to step up your dose of the statin.
If still elevated after the maximum dose, add another drug – like EZETIMIBE / rarely a third drug - FIBRATE.
But since all these are prescription drugs so you'll need appropriate prescription from your treating doctor.

Also keep in mind to check your Liver function routinely during Statin therapy
_________________________________________________
Repeat the Lipid Profile test in 2 months.

Good luck
God bless you

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Anantharamakrishnan (5 hours later)

Thanks a lot doctor for reviewing my case, I hope you got a chance to look at the reports I attached to the question.
I consulted a doctor and suggested rosuvas tablet once after lunch. Should I start taking the medicine?

Regards,
XXXX XXXXXXX

Answered by Dr. Anantharamakrishnan (6 hours later)

Brief Answer:
YES

Detailed Answer:
Hi

You should start the medicine straight away
It is preferably taken in the night / after supper / once a day
Life style changes are also absolutely necessary

Repeat the blood test after 6 to 8 weeks after full 14 hour fasting
The dose may have to be titrated and/or another drug may be added

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar