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High LDL CHOLESTEROL LEVELS
My LDL IS 147 AND HDL 57. TRIGLYCERIDES IS 66
VLDL 13
MY HBA1C IS 5.9.
TSH at 5.1
I do not have BP.
I'm not under any Medication.
I do moderate exercise by walking around 8000 steps everyday.
I'm vegetarian.
Pls let me know how to reduce my LDL. Any Medication required
Thank you
Answers (23)
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Specialist Doctor's Opinion:
Your lipid profile shows:
- LDL: 147 mg/dL** (High - Optimal is <100 mg/dL)
- **HDL: 57 mg/dL** (Excellent - >60 is ideal)
- Triglycerides: 66 mg/dL** (Excellent - <150 is normal)
- **VLDL: 13 mg/dL** (Normal)
- **HbA1c: 5.9%** (Borderline prediabetic)
- **TSH: 5.1 μIU/mL** (Mild hypothyroidism)
Key Concerns:
1. **Elevated LDL cholesterol** (Primary risk factor for cardiovascular disease)
2. **Borderline prediabetes** (HbA1c 5.9%)
3. **Subclinical hypothyroidism** (May contribute to lipid abnormalities)
Comprehensive Management Plan:
**1. Lifestyle Modifications:**
- **Dietary Changes:**
- Increase soluble fiber (oats, beans, flaxseeds, psyllium)
- Include plant sterols/stanols (fortified foods)
- Use healthy fats (almonds, walnuts, olive oil)
- Limit saturated fats (coconut oil, ghee, full-fat dairy)
- Avoid trans fats (processed foods
Exercise Enhancement:**
- Continue your 8000 steps (good!)
- Add resistance training 2-3 times/week
- Consider interval walking (alternate fast/slow pace)
2. Medical Considerations:
- Thyroid Management:
- Repeat TSH with Free T4 for confirmation
- May need thyroid supplementation if confirmed
- Cholesterol-Lowering Options:
- Given your risk factors, a statin may be recommended
- Plant-based alternatives like red yeast rice (under supervision)
3. Monitoring:
- Repeat lipid profile in 3 months
- Annual cardiac risk assessment recommended
When Medication May Be Needed:
Given your age and LDL level, medication typically be recommended if:
- Lifestyle changes don't lower LDL below 100 in 3 months
- You have other risk factors (family history, etc.)
For personalized guidance** on:
- Your specific cardiovascular risk calculation
- Detailed dietary planning
- Medication decisions
- Thyroid management
I recommend scheduling a **comprehensive consultation**. You can reach me on WhatsApp at **Eight Zero Zero Nine Eight Two One Three Three Two** to discuss a tailored management plan
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Start Tab Rosuvas 10 mg 1 od hs
Get LFT
What is your BP ?
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It Doesn't sound anything serious but would like to take more elaborative history.
Kindly connect.
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No medication required at present
Next Steps
healthy lifestyle
Health Tips
can repeat lipid profile after 1 year
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Just need more information about you
Weight, height
Data from fasting sample??
Next Steps
please consult with all details
Health Tips
avoid oily, fast food, hight fat diet
add fibers and fresh fruits in your diet
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Eat a diet rich in soluble fiber foods like oats, barley, fruits, and vegetables, and include healthy fats like avocado, nuts, and olive oil to help lower cholesterol levels at home.
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Hi,
Hope you are doing well. Based on what you have provided I would strongly advice you to start the following
A regular calorie counted diet
Aerobic exercise (walking, jogging, running, swimming etc) - 30 mins a day for 5 days a week. Start slow. Beyond the steps, it's important to have a dedicated half hour of activity too.
Avoid alcohol and smoking
Repeat the reports only after 3 months. The sample has to be a fasting sample (8 hours of no food, basically after you wake up give a morning sample)
You don't directly need medicines to control this. Don't fall for that.
Do consult for better information
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Change life style n diet plan drastically first.
You already walk soo it's good.
Avoid fried food junk, fast outside food.
Aterovast20 one at night after dinner for weeks.
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Need detailed information, do you have any symptoms or was it a routine test?
Next Steps
avoid fried food, sugar.
Health Tips
Take more fresh fruits, green vegetables, nuts, whole grains. Do regular exercise.
Take tab Atorvastatin 10mg after dinner, for a month.
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Avoid fried food and spicy food and
Water intake more
Green leafy vegetables and fruits
Fiber meal
Walk
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Kindly connect
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Diet + exercise (walk for 30 mins a day /5 days a week) + reduction in weight should be your first step.. If u feel it still not working , then you have to start medication with tab atorvastarin 40 mg 1 tab od hs then to add or increase the dose depending on your response
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As you don't have any associated medical disorders,you can continue with physical activity and diet changes.Your LDL cholesterol level is moderately elevated,high hdl level is good.As you are above 60 years, you can consider taking statins like rosuastatin 10 mg once a day for a few months to bring your LDL cholesterol level lower.
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Change u r life style
Avoid excess oil in diet fried items outside food junk food
Regular walk exercise daily
Start some detox drink every day morning empty stomach
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for proper evaluation. Kindly consult
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Dr. Reshma Rahman
General Physician
3 yrs exp
Delhi
Kindly connect…
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Javed Akhtar
General Medicine
4 yrs exp
Guwahati
Lifestyle modification
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Brisk walk 30 minutes per day.
Avoid oily foods and junk foods.
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Dr. Koushik
MBBS
4 yrs exp
Karimnagar
Kindly consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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