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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does this cholesterol Test Result Mean?

Hi, Doctor i am 52 year old woman, My cholesterol is Cholesterol-Total 273 mg/dL Triglycerides level 100 mg/dL HDL Cholesterol 60 mg/dL Non HDL Cholesterol 213 mg/dL LDL Cholesterol 193 mg/dL VLDL Cholesterol 20 mg/dL LDL/HDL RATIO 3.22 CHOL/HDL RATIO 4.55 25 Hydroxy (OH) Vit D = 55.90 ng/mL PTH = 93.70 pg/ml I had been to an endrocologist who prescribed me medicines for pth levels and Tablet Roseday 10mg for one month. Can i reduce my LDL without medicines since there are side effect. can i lower my cholesterol without medicines or is the tablets compulsory. I take care of my diet and do yoga for 40 minutes. Please help me. Thanks in advance.
Thu, 6 Aug 2015
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Radiologist 's  Response
Hello

Your findings suggests altered lipid profile,raised vitamin D level and PTH hormone level.
Generally it is not possible to control this much elevated lipid without medicines.
You are rightly prescribed tablet roseday.It contains atorvastatin and it helps in controlling elevated lipids.
You have rightly modified your diet and doing yoga.
Avoid saturated fat and take lot of fibers in your diet.
Go for brisk walk regularly.Avoid alcohol etc if you take it.

You may need few more investigations like routine hemogram,random blood sugar,liver function test,renal function test,ultrasound of abdomen.

You may also need medicines for raised PTH level.

Take Care
Dr.Indu Bhushan
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General & Family Physician Dr. Ina Zaimi's  Response
Hello,

Welcome to Health Care Magic. I understand your concerns.

High cholesterol is a direct risk factor for coronary artery disease and, therefore, cardiac events. Your total cholesterol level is high, but not too dramatic. However, your LDL fraction is high.
Below I will interpret your test results:
- Cholesterol-Total 273 mg/dL is high (normal range 150–199 mg/dL)
- Triglycerides level 100 mg/dL is normal (normal range
- LDL Cholesterol 193 mg/dL is high (normal range ≤ 130 mg/dL)
- VLDL Cholesterol 20 mg/dL is normal (normal range 2–30 mg/dL)
- LDL/HDL RATIO 3.22 is normal (normal range 3.5-1)
- CHOL/HDL RATIO 4.55 is high (normal range 3.5-1)
- 25 Hydroxy (OH) Vit D 55.90 ng/mL is normal (normal range 15–80 ng/mL)
- PTH 93.70 pg/ml is high (normal range 10–65 pg/mL)

The drug your treating doctor prescribed is the drug of choice for your condition. Since you want to try to control your cholesterol level by changing your lifestyle, I would advice as following:
There are diet and lifestyle changes that can help you lower the cholesterol, such as a diet rich in fibres (Eat plenty of fresh fruits and vegetables), rarely having red meat, but mostly chicken and fish, as well as everyday physical activity (Yoga in your case). Try to limit fat from your diet. Use healthier cooking methods (Baking, broiling and roasting).

Hope I answered to your question. For further concerns feel free to ask again.
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What Does this cholesterol Test Result Mean?

Hello Your findings suggests altered lipid profile,raised vitamin D level and PTH hormone level. Generally it is not possible to control this much elevated lipid without medicines. You are rightly prescribed tablet roseday.It contains atorvastatin and it helps in controlling elevated lipids. You have rightly modified your diet and doing yoga. Avoid saturated fat and take lot of fibers in your diet. Go for brisk walk regularly.Avoid alcohol etc if you take it. You may need few more investigations like routine hemogram,random blood sugar,liver function test,renal function test,ultrasound of abdomen. You may also need medicines for raised PTH level. Take Care Dr.Indu Bhushan