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What Does This Lipid Profile Test Report Indicate?
Question: Hi my Cholestrol results came back. Ldl 180 hdl 58 triglycerides 161. Do I need to go on medication immediately or there is a chance via exercise and nutrition
Concerned about medications and side effects
Regards
Male 44 weight 80 height 182
Concerned about medications and side effects
Regards
Male 44 weight 80 height 182
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I reviewed your blood lipid profile and would explain that your LDL levels are a little high, but they are not a true indicator of your cardiovascular risk related to dyslipidemia.
It is important calculating your Total cholesterol/ HDL ratio or LDL/HDL ratio, in order to come into better conclusions regarding your blood lipid profile.
a-Your calculated total cholesterol levels is 270. This means that your Total cholesterol /HDL ratio is 4.65. You should know that men with a ratio between 4-5 have an average cardiovascular risk related to dyslipidemia.
b-Your calculated LDL/HDL ratio is 3.1, which means that you have an average cardiovascular risk related to your blood lipid profile.
Coming to this points, based on these ratios, I would explain that there is no need for medical treatment in order to lower your cholesterol levels.
I would just recommend some lifestyle modifications, which will help you lower your LDL levels or maintain a stable blood lipid profile:
- diet modifications (try to reduce fat and hypercaloric food intake, use more fibers contained in vegetables and food reach in omega 3 fatty acids like fish, fish oil, olive oil, walnuts, etc.)
- perform a lot of aerobics which can be really helpful with your blood lipid profile.
Hope you will find this answer helpful!
Best wishes,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I reviewed your blood lipid profile and would explain that your LDL levels are a little high, but they are not a true indicator of your cardiovascular risk related to dyslipidemia.
It is important calculating your Total cholesterol/ HDL ratio or LDL/HDL ratio, in order to come into better conclusions regarding your blood lipid profile.
a-Your calculated total cholesterol levels is 270. This means that your Total cholesterol /HDL ratio is 4.65. You should know that men with a ratio between 4-5 have an average cardiovascular risk related to dyslipidemia.
b-Your calculated LDL/HDL ratio is 3.1, which means that you have an average cardiovascular risk related to your blood lipid profile.
Coming to this points, based on these ratios, I would explain that there is no need for medical treatment in order to lower your cholesterol levels.
I would just recommend some lifestyle modifications, which will help you lower your LDL levels or maintain a stable blood lipid profile:
- diet modifications (try to reduce fat and hypercaloric food intake, use more fibers contained in vegetables and food reach in omega 3 fatty acids like fish, fish oil, olive oil, walnuts, etc.)
- perform a lot of aerobics which can be really helpful with your blood lipid profile.
Hope you will find this answer helpful!
Best wishes,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for the response. . In case medication is started what is the recommended medicine and would it be ok to do a course for a few months to get an immediate inprovement with lifestyle changes being done in parallel.
Brief Answer:
My answer as follows:
Detailed Answer:
Hello again!
I understand your concern, and would recommend a statin (atorvastatin, pravastatin, etc.) in case you wish to start medication.
It is important starting in low doses like 10mg, because they can lead to common adverse effects like muscular pain and fatigue. Starting in low doses an increasing slowly (even though unnecessary in your case) may help prevent those possible adverse effects.
Hope to have been helpful!
Kind regards,
Dr. Iliri
My answer as follows:
Detailed Answer:
Hello again!
I understand your concern, and would recommend a statin (atorvastatin, pravastatin, etc.) in case you wish to start medication.
It is important starting in low doses like 10mg, because they can lead to common adverse effects like muscular pain and fatigue. Starting in low doses an increasing slowly (even though unnecessary in your case) may help prevent those possible adverse effects.
Hope to have been helpful!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Have some concerns about statins especially about side effects. Will 2 months make a difference ? Can they be weaned off easily. Are any safer medicines to consider.
Brief Answer:
My answer as follows:
Detailed Answer:
Hello again!
You should know that there are many persons taking statins, but only a few of them experience these adverse effects, especially when taking high doses of statins.
Using a low dose, may avoid these adverse effects.
From the other hand they can be stopped cold turkey without any adverse effects.
Other alternatives of statins, used to treat high cholesterol levels are :
1-Ezetimibe: it is the first lipid-lowering drug that inhibits intestinal uptake
of dietary and biliary cholesterol without affecting the absorption of fat-soluble nutrients.
2-Bile acid sequestrants (colesevelam, colestipol or cholestyramine).
These drugs are usually used when there is an intolerance to statins, but they have a lower effect on your cholesterol levels.
Hope to have clarified some of your uncertainties.
If you have any other questions don't hesitate to ask me!
Greetings!
Dr. Iliri
My answer as follows:
Detailed Answer:
Hello again!
You should know that there are many persons taking statins, but only a few of them experience these adverse effects, especially when taking high doses of statins.
Using a low dose, may avoid these adverse effects.
From the other hand they can be stopped cold turkey without any adverse effects.
Other alternatives of statins, used to treat high cholesterol levels are :
1-Ezetimibe: it is the first lipid-lowering drug that inhibits intestinal uptake
of dietary and biliary cholesterol without affecting the absorption of fat-soluble nutrients.
2-Bile acid sequestrants (colesevelam, colestipol or cholestyramine).
These drugs are usually used when there is an intolerance to statins, but they have a lower effect on your cholesterol levels.
Hope to have clarified some of your uncertainties.
If you have any other questions don't hesitate to ask me!
Greetings!
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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