Dear sir I am 61 years old, height 5' 9, wt-73kg bp- normal blood sugar-normal I do excercise daily and do yoga and pranayam my lipid profile is as under: total cholesterol photometry 211 mg% 125 - 200 hdl cholesterol - direct photometry 40 mg% 35-80 ldl cholesterol - direct photometry 87 mg% 85 - 130 triglycerides photometry 377 mg% 25 - 200 tc/ hdl cholesterol ratio calculated 5.3 ratio 3.0 - 5.0 ldl / hdl ratio calculated 2.2 ratio 1.5 - 3.5 vldl cholesterol calculated 75.4 mg% 5 - 40 I do not smoke nor drink. I take green tea daily. Please advise me how to reduce my tryglyceride. I take fish, avoid meat & chicken, fried food, I take fruits and nuts like almond, pistachio regularly. Please advise. Regards.

Dr. R.S. SainiInternal Medicine Specialist14yrs exp

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Cholesterol level should be measured at least once every five years in everyone over age 20. The screening test that is usually performed is a blood test called a lipid profile. Experts recommend that men ages 35 and older and women ages 45 and older be more frequently screened for lipid disorders. The lipoprotein profile includes: Total cholesetrol LDL (low-density lipoprotein CHOLESETROL also called "bad"CHOLESTETROL HDL (high-density lipoprotein cholesterol, also called "good" cholesterol) TRIGLYCERIDES (fats carried in the BLOOD from the food we eat. Excess calories, alcohol, or sugar in the body are converted into TRIGLYCERIDES and stored in fat cells throughout the body. High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. GARLIC,. Cod liver oil. Take anti cholesterol medicines . Cap. Ecosprin gold-10 at night daily. 

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