My total cholesterol 387 mg/dl triglycerides 1767 mg/dl which is very high, pls. Advise me how to manage .
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Thank you for the query firstly I would like to know whether you have any comorbidities like diabetes, hypertension or thyroid problems. I shall answer your question in points. 1. A total cholesterol of 387 mg% is very high. It should preferably be below 200 mg%, if not lesser. The ldl component should be ideally below 100 mg% (though 120 mg% is acceptable). You need to start on the statin group of drugs as soon as possible. 2. A tg level of the 1767 mg% is risky not only for the cardiovascular system but also for the pancreas. Fenofibrate drugs can help in reducing tg. 3. You need to adopt the following lifestyle measure - avoid alcohol (can lead to raised tg level), avoid refined carbohydrate and saturated fats (ghee and butter). Do not take carbonated beverages. Adopt a daily exercise regime, and target for weight reduction. 4. Some precautions you need to take. Get some basic tests done like blood sugar profile (uncontrolled diabetes can cause deranged lipid profile), liver function test, thyroid profile, usg upper abdomen (to check for fatty liver or pancreatic abnormalities) and 12 lead ecg. 5. It is important to know the family history. Such high levels of cholesterol and lipid profile can occur due to familial dyelipiedemia. Sure that next time when you check the lipid profile, remain on a strict 12 hours fasting. Regards.
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Do start medication and change of your food habit and life style. Never take tension.
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