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High cholesterol hand and chest pain
Male age 23
Few months ago I did a full body check up in that report my total cholesterol was 234 and ldl was 161 mg/dl and I am very scared of this. Is this 234 cholesterol can be lower to less than 200 and ldl to less than 100 how it can be done is it possible please provide the blueprint to do this is it possible to reverse the cholesterol level to low. My age is 23 in the same blood test it was package test in that I had no diabetic issue hba1c was 4.7 so I have no diabetic issue no bp issue 125 /80 and no family history of heart disease. I am attaching the report please suggest the tips to lower it actually I don't do smoking and no alcohol but I am actually a heavy red meat eater it is the reason please suggest the method to lower the cholesterol into normal level I am very scared is it possible to lower it and I also done my echo 2d normal ecg normal but I have pain in the left hand and chest side sometimes it is in the right hand side some times in shoulder neck sometimes jaw.
Answers (17)
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Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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Cholesterol and LDL levels are high , especially for your age.Cut down on red meat, increase the intake of fruits and vegetables, decrease the fatty oily food.Change your lifestyle, physical activity regularly for 30 minutes a day for 5 days a week.Repeat the lipid profile and liver function tests after 3 months.If your cholesterol levels especially LDL level is still high, you may need pharmacological treatment.
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Start rosuvas 5
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I can definitely help you over this being a general physician
You can consult with me online on Practo or Contact on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Lab Summary
Total cholesterol: 234 mg/dL (ideal: <200)
LDL (bad cholesterol): 161 mg/dL (ideal: <100)
HbA1c: 4.7% (excellent, non-diabetic)
BP: 125/80 (normal)
ECG & Echo: Normal
Lifestyle: No smoking, no alcohol, but eats heavy red meat
Symptoms: Chest, arm, jaw, and neck pain
✅ Is this reversible? Can cholesterol come down?
Yes, absolutely!
At your age, with normal BP, sugar, ECG, and no family history — cholesterol can be reversed naturally in most cases.
🧭 6-Step Blueprint to Lower Cholesterol Naturally:
1. 🥦 Diet Changes (Most Important)
Stop or drastically reduce red meat (main cause here).
Eat more: Oats, barley, almonds, walnuts, flaxseeds, fruits, veggies.
Use olive oil or mustard oil, avoid butter/ghee.
Include green tea, garlic, and fiber-rich foods daily.
2. 🏃♂️ Exercise Daily
30–45 mins brisk walk, jogging, cycling, or yoga daily.
Aim for 150 mins/week minimum.
3. 💧 Hydration & Sleep
8–10 glasses of water/day.
Sleep 7–8 hours, avoid late nights.
4. ❌ Avoid
Fried, processed foods.
Sugary drinks, bakery items.
Excessive stress, long sitting hours.
5. 🧪 Recheck after 3 months
Lipid profile after lifestyle changes.
If LDL >130 persists, doctor may prescribe statins for short duration.
6. 💊 Supplements (if needed)
Plant sterols, omega-3, and psyllium husk can help reduce cholesterol naturally.
⚠️ About Chest & Arm Pain
Since ECG & echo are normal, and you're only 23:
Likely muscle tension or anxiety-related pain.
Still, any persistent left-sided or radiating pain should be rechecked with a physician.
Avoid Google-based fear; focus on gradual improvement.
✅ Conclusion:
Cholesterol is mildly high and very much reversible at your age.
Red meat is likely the main cause.
Lifestyle correction can bring total cholesterol <200 and LDL <100 in 2–4 months without medicines.
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Interpretation:
• Your LDL (bad cholesterol) and Total Cholesterol are borderline to high, which increases the risk of heart disease.
• HDL (good cholesterol) is low, which is a protective factor, and should ideally be higher.
• Triglycerides are on the higher side of normal.
• Your cholesterol ratios (Total/HDL and LDL/HDL) are above recommended, indicating a higher cardiovascular risk.
Advise:
1. Lifestyle Changes (Very Important)
Diet:
• Cut down on saturated fats (fried food, red meat, butter, ghee).
• Increase intake of fiber (fruits, oats, vegetables, whole grains).
• Eat healthy fats (nuts, seeds, olive oil, avocado).
Exercise:
• At least 30–45 minutes of cardio (brisk walking, cycling, etc.) daily.
Weight Management:
• If you’re overweight, even losing 5–10% of your weight can improve your lipid levels.
• Avoid Smoking/Alcohol if applicable.
2. Medication (if needed)
• At 23, medication is usually not first-line unless:
• You have other risk factors (family history of heart disease, diabetes, obesity, high BP).
• Lifestyle changes don’t work after 3–6 months.
Next Steps:
1. Repeat lipid profile after 3 months of lifestyle changes.
2. Consider checking:
• Blood sugar (FBS/HbA1c)
• Liver function
• TSH (thyroid)
• Blood pressure
Next Steps
Consult for a better evaluation
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Hii
No doubt ldl or gas cholesterol is the main cause of heart attack
Paralysis or stroke
Peripheral vascular disease
Even pancreatitis if triglycerides raised
N good thing is that
It's reversible
In order to know ur condition better
Connect with me over here
Happy to help u out by right guidance
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Cholesterol levels are directly linked to amount of Meat you consume, try to stop taking meat, focus more on Plant derived protien, lower your calorie intake, walking and green leafy vegetables no need for medications.
Regarding your pain of right shoulder need to know whether it is during movement or without movement and frequency of it associated with food ?
But no need to very regarding Heart, it is not Heart Attack!!!!!!
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Need few more details
Kindly connect.
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Cholesterol is slightly raised. Can be reversed completely.
Avoid fatty, oily, sugary food, alcohol. stop red meat and take fish if you wish to have meat.
Take more of fresh green vegetables, fruits, curd, nuts.
Do regular exercise.
Repeat lipid profile after 6 to 8 weeks
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Connect
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Shruti Goswami
General Physician
12 yrs exp
Pune
Kindly connect
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Dr. Sunil Nagar
General Physician
17 yrs exp
Rewa
Tab Atorvastatin 10 Mg 1 OD for 1 month
Modified Life style
Excercise
Connect
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Dr. Praful Mahamuni
General Practitioner
20 yrs exp
Nagpur
Hello,
Take balanced diet. For prescription please pay and consult or contact me at WhatsApp at +9195950eight7399.
Thanks.
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Dr. Chaithra H
General Physician
4 yrs exp
Bangalore
Do regular walk and exercises.
Avoid oily and junk foods.
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