Hi am MB, I am 67 years old, recently I had got my comprehensive cardiac check up done which I do regularly with a frequency of once every year. This time during regular treadmill test, my exercise tolerance was found fair. What does that actually mean? And what is tmt positive? Is there any thing needed to be done after tmt test results? What is the relationship between a positive tmt and bad cholesterol? What are the precautions needed to be taken to prevent bad cholesterol build up? What kind of food habits that has to be avoided for good heart condition and subsequently to keep yourself away from cholesterol? Are exercise requirements and regular walking habits play a vital role in maintaining healthy heart state? Request to answer my queries and help me to maintain a sound health. Thank you very much. Regards MB.

Dr. Neelam NathGeneral Physician42yrs exp

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Exercise tolerance is fair but tmt? positive, may be slightly. Get echo done to know % functioning of heart and a total lipid profile to know about good and bad cholesterol. Our body is like a car that needs good type of engine oil to function properly, bad cholesterol is bad oil, and good cholesterol is good oil, low chilesterol does lead to illnesses like arthritis and cancer. Keep low cholesterol lower than 80 and good cholesterol higher than 80. Eat 5 gms of desi ghee / butter and a katori of nuts of all varieties-soaked and peeled almonds, cashew nuts, wallnuts, peanuts etc. Avoid bad fats like burgers, pizzas, fried road side food and reheated oil at home. Do not go by ads on tv, there is no oil that is zero cholesterol, but still till date sarson ka tel - musturd oil is the best for our style of cooking, use steam to cook, avoid frying even at home. Consume more seasonal fruits and vegetables. If levels of good cholesterol are kept on a higher side, it helps bring down the levels of bad cholesterol. Exercise reduces bad cholesterol and so does drinking a glass of warm water with juice of fresh lemon + a spoon of honey in it. Write down if there are any doubts. Remember pollution is bad for the heart, as bad as smoking, stay near green plants to get fresh oxygen, if risky levels outside home, it is better to stay indoors and use an exercise cycle. 

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