ldl high need advise

rvaede said:

My last cholestrol test showed:

total cholestrol: 263

Higher than optimal.

Quoted message said:

hdl: 38

Lower than optimal.

Quoted message said:

ldl: 200

Higher than optimal.

Quoted message said:

one year ago my previous test showed:

total cholestrol 243 hdl 40 ldl 172

Then your lipid profile is getting worse.

Quoted message said:

I am 51 years of age, my parents/sister/brother do not
have heart disease, I don't smoke, but I am overweight.

Uh-oh.

Quoted message said:

My doctor recommended that I go on medication. I told her
that I would like to retake the test in about 4 months, in
the mean time I will watch my diet and exercise. Do you
think that I should go on medication, any advise would be
helpful?

Would suggest you listen to your doctor but ask her about a
daily aspirin for primary prevention of heart attacks and
strokes and the 2PD approach to lose weight safely and
permanently in hopes of coming off medication(s):

heartmdphd.comwtloss.aspOpen ↗

Quoted message said:

Thank you

You are welcome.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.comOpen ↗

What is all this about?
makeashorterlink.commakeashorterlink.comOpen ↗

Is this spam?
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In article <[email hidden]>,

(rvaede) said:

I am 51 years of age, my parents/sister/brother do not
have heart disease, I don't smoke, but I am overweight. My
doctor recommended that I go on medication. I told her
that I would like to retake the test in about 4 months, in
the mean time I will watch my diet and exercise. Do you
think that I should go on medication, any advise would be
helpful? Thank you

Without any current outward symptoms of heart disfunction,
I'd say that your plan is a logical and sensible one. To
show marked improvement by 4 months you'll need to begin
immediately - you should aim for at least 4 days of 30
minutes of sweat inducing exertion. The intent is not to
kill yourself - 😉 - but to break a sweat and maintain it
for at least 20 and up to 40 minutes. You'll also need to
cut out as much "white" starch and sugar as you can. Make
meals of lean meat, fish or eggs and copius quantities of
green veggies - even for breakfast (Who says you have to
have cereal or a muffin?) - but limit the bread, rice and
potatos and treat processed snacks as poison.

Keep in mind this exercise and eating plan is not something
you can quit after the next test without sliding back to
what you've got going on now. If at the 4 month mark your
blood test shows a good improvement but you're not quite
"there" yet, you could try another 4 months and see where
that puts you before you go the medication route. (Even on
meds you should do the regular exercise and eating plan.)

I bet if you dropped the extra weight you'd see a vast
improvement in, not only your lipids test, but in your
overall health as well.

In article <[email hidden]>,

(rvaede) said:

total cholestrol: 263 hdl: 38
ldl: 200

one year ago my previous test showed:

total cholestrol 243 hdl 40 ldl 172

I am 51 years of age, my parents/sister/brother do not
have heart disease,

Another thought... do you know the blood results for you
parents and siblings? Your numbers may be typical of your
family genetics and nothing to medicate - especially if
your parents haven't had any heart problems and live to a
ripe old age.

"Owen Lowe" <[email hidden]> pí¹e v diskusním pøíspìvku
"]news:[email hidden]...

Quoted message said:

Another thought... do you know the blood results for you
parents and siblings? Your numbers may be typical of your
family genetics and nothing to medicate - especially if
your parents haven't had any heart problems and live to a
ripe old age.

Hm, this one is interesting. My mother has TC over 300, my
father about 220 (he is also overweight and I bet he has
MetS), but none of them had heart problem (unlike my uncle
which is leanest of family, endurance athlet, with TC < 180
and recent stent....) and they are in their seventies .

My TC is also high (260, with LDL 185, HDL 69, TG 63) and my
doc speaks about medication. I have recently lowered my BMI
from 29 to 24 (not the end I hope) basically on eating plan
you suggest (well, there might have been more fat, most of
it olive oil) - that seems to have improved ratio, but TC
results are less impresive. I feel like my HDL/TC and HDL/TG
ratios are rather good and with no family history I hope
that my TC number is not worrisome...

I have never heard that family genetics should be taken into
consideration. Have you any sources about this topic?

Mirek

I believe most doctors will tell you that bad family
genetics make it especially important to
monitor/control your lipids, BUT good family genetics
are never justification to ignore readings that are out
of normal range.

Your numbers are getting worse and should be addressed by a
doctor. They can almost certainly be brought into normal
range - and your life expectancy extended accordingly -
through medically supervised weight loss, exercise and
possible medication.

George

"Owen Lowe" <[email hidden]> wrote in message news:onlnlowe-
[email hidden]...

Quoted message said:

In article
<[email hidden]>,

(rvaede) said:

total cholestrol: 263 hdl: 38
ldl: 200

one year ago my previous test showed:

total cholestrol 243 hdl 40 ldl 172

I am 51 years of age, my parents/sister/brother do not
have heart disease,

Another thought... do you know the blood results for you
parents and siblings? Your numbers may be typical of your
family genetics and nothing to medicate - especially if
your parents haven't had any heart problems and live to a
ripe old age.

In article <[email hidden]>,

Mirek Fidler said:

Hm, this one is interesting. My mother has TC over 300,
my father about 220 (he is also overweight and I bet he
has MetS), but none of them had heart problem (unlike my
uncle which is leanest of family, endurance athlet, with
TC < 180 and recent stent....) and they are in their
seventies .

My TC is also high (260, with LDL 185, HDL 69, TG 63) and
my doc speaks about medication. I have recently lowered my
BMI from 29 to 24 (not the end I hope) basically on eating
plan you suggest (well, there might have been more fat,
most of it olive oil) - that seems to have improved ratio,
but TC results are less impresive. I feel like my HDL/TC
and HDL/TG ratios are rather good and with no family
history I hope that my TC number is not worrisome...

I have never heard that family genetics should be taken
into consideration. Have you any sources about this topic?

Your HDL is good as are the triglycerides. Was the blood
test done before or after the weight loss?

Family history has always played a big role in determining
heart disease risk. Unfortunately it's the one you can do
nothing about. The others - smoking, excess weight, high
blood pressure, etc. - are fixable through lifestyle and
maybe medication routes. (I certainly wish I didn't inherit
the jeans I'm wearing.)

Have you heard the statistic that roughly 50% of heart
attacks occur in people with normal cholesterol? It's my
opinion that the medical community has gotten all wrapped up
in the pharma-marketing as well as covering their collective
behind by recommending medication for everyone over the
magic 200 TC number - and I believe that's a costly mistake
that will have negative consequences down the road.

It's my non-professional advice to do what you can to clean
up your lifestyle and be on the lookout for things like
excess weight, high blood pressure or "pre-diabetes".
Otherwise I wouldn't sweat your numbers unless they took a
turn for the worse (meaning check them and record the
results so you will recognize large up or down swings - you
might also wish to keep notes about any diet or exercise
frequency/intensity changes between blood tests).

"Owen Lowe" <[email hidden]> pí¹e v diskusním pøíspìvku
"]news:[email hidden]...

Quoted message said:

In article <[email hidden]>, "Mirek Fidler"

Quoted message said:

Hm, this one is interesting. My mother has TC over 300,
my father

about

Quoted message said:

Quoted message said:

220 (he is also overweight and I bet he has MetS), but
none of them

had

Quoted message said:

Quoted message said:

heart problem (unlike my uncle which is leanest of
family, endurance athlet, with TC < 180 and recent
stent....) and they are in their seventies .

My TC is also high (260, with LDL 185, HDL 69, TG 63)
and my doc

speaks

Quoted message said:

Quoted message said:

about medication. I have recently lowered my BMI from 29
to 24 (not

the

Quoted message said:

Quoted message said:

end I hope) basically on eating plan you suggest (well,
there might

have

Quoted message said:

Quoted message said:

been more fat, most of it olive oil) - that seems to
have improved ratio, but TC results are less impresive.
I feel like my HDL/TC and HDL/TG ratios are rather good
and with no family history I hope that

my

Quoted message said:

Quoted message said:

TC number is not worrisome...

I have never heard that family genetics should be taken
into consideration. Have you any sources about this
topic?

Your HDL is good as are the triglycerides.

Well, I do not put much value to my TG as results are
certainly skewed by low-carbings 🙂

Quoted message said:

Was the blood test done before or after the weight loss?

After. I had one test two years before (TC 260, breakdown
unfortunately unknown, 6 weeks of LC (TC 280, LDL 210, HDL
63) and now 7 at months (TC 260, LDL 185, HDL 69).

Quoted message said:

Have you heard the statistic that roughly 50% of heart
attacks occur

in

Quoted message said:

people with normal cholesterol?

BTW, it would be interesting to know how much people have
normal cholesterol (<200). Maybe it is 50% too 🙂 If it is
not, how is it that it is "normal" ? 🙂

Quoted message said:

It's my opinion that the medical community has gotten all
wrapped up in the pharma-marketing as well as covering
their collective behind by recommending medication for

everyone

Quoted message said:

over the magic 200 TC number - and I believe that's a
costly mistake that will have negative consequences down
the road.

Well, I know most of this facts. And my opinion is that TC
number is rather worthless.

OTOH, while I can accept these facts when they are about
other people, it is little bit harder if the guy with TC
260 is me 🙂

Quoted message said:

It's my non-professional advice to do what you can to
clean up your lifestyle and be on the lookout for things
like excess weight, high blood pressure or "pre-diabetes".
Otherwise I wouldn't sweat your numbers unless they took a
turn for the worse (meaning check them and record the
results so you will recognize large up or down swings -
you might also wish to keep notes about any diet or
exercise frequency/intensity changes between blood tests).

Mirek