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Hypercholesterolemia: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Hypercholesterolemia is a condition of really high blood cholesterol levels. Cholesterol is a fatty, waxy substance manufactured by the liver and found naturally in the body. Cholesterol has a number of functions and is often converted to hormones. The body produces sufficient amounts of cholesterol and you only need a very small portion of cholesterol from the outside in order to keep you healthy and fit. This additional cholesterol source comes from dietary cholesterol in form of meat, dairy products, eggs (egg yolk particularly), meat, fish and poultry. These food items are really high in saturated fats and Trans fats. So consuming these items in excess can trigger the body or more specifically the liver to produce an overabundance of cholesterol. This can in most cases lead to hypercholesterolemia.

Aside from hormones cholesterol is also needed by the body for the functioning of cell membranes and production of substances which is in turn required for fat digestion. A surging cholesterol level can heighten the chances of a coronary artery disease. The excess cholesterol levels in the bloodstream lead to the formation of fat deposits in the coronary artery walls. The rising cholesterol levels narrow and at the same time harden the walls of the artery. This condition is known as atherosclerosis.

With the passage of time the arteries can get blocked thereby cutting off the supply of oxygen-rich blood to the heart. This contributes to the risk of heart attack, stroke and angina. Other conditions where the fat deposits get stored in the tissues and tendons of the body are known as familial hypercholesterolemia. Hypercholesterolemia occurs due to unhealthy eating habits and unhealthy lifestyle with almost next to zero physical activities.

How is the treatment done?

Hypercholesterolemia shows very little symptoms and only way it can be detected is by getting a blood cholesterol level check done. This is referred to as a lipid profile. This comprises of an overall test of the LDL cholesterol, HDL cholesterol, total cholesterol and triglyceride levels. A cholesterol level that is 200 mg/dl is considered to be high. People who are diagnosed with hypercholesterolemia will be initially recommended by the doctor to make necessary changes to their diet and also advised to take part in physical activity on an everyday basis. It is advised that the saturated fat consumption for men should be about 30 grams everyday in case of men and for about 20 grams everyday in case of women.

If the cholesterol level continues to hover near the high range then the patient will be prescribed a set of medications. These include bile-acid binding resins, statins, and cholesterol absorption inhibitors.

The liver makes use of cholesterol in order to produce bile acids is required for the process of digestion. Therefore, the bile acid-binding resins bind to the bile acids. These leads the liver get access to excess cholesterol so that it can still manufacture the acid. This has a lowering effect of the blood cholesterol levels. Statins act as a barrier to a substance that is needed by the liver in order for cholesterol synthesis. In the small intestine the cholesterol is absorbed from food sources within the bloodstream. Cholesterol absorption inhibitors help to lower the cholesterol level in the bloodstream.

Who is eligible for the treatment? (When is the treatment done?)

All those suffering from high cholesterol levels are eligible to hypercholesterolemia treatment.

Who is not eligible for the treatment?

People who are allergic to any of the ingredients contained within the medications mentioned above are not eligible to go for this treatment. Also women and people, who are aged 65 years and older, stand at a greater risk of developing certain adverse effects from taking statins. Also, people who suffer from kidney or liver disorder are more vulnerable to suffer from side effects of statins.

Are there any side effects?

Patients taking statins are most likely to experience side effects such as muscle pain, muscle damage, nausea, diarrhoea, constipation, liver damage, type 2 diabetes and neurological side effects. Bile acid binding resins can cause side effects such as flatulence, bloating, diarrhoea and constipation. Patients who have been prescribed to take cholesterol absorption inhibitors are likely to experience side effects such as fatigue, muscle soreness and stomach pain.

What are the post-treatment guidelines?

The post-treatment guidelines for hypercholesterolemia includes lifestyle changes that should comprise of a diet that is low in saturated fat, managing their weight in case the patient is overweight or obese and taking the medications prescribed by the doctor on time. Also, regular exercise is highly recommended in order to keep cholesterol levels on the low side.

How long does it take to recover?

On an average it takes about three weeks to lower cholesterol in adults and about two weeks in children. If someone is put on the Pritikin Program of diet it will take about three weeks reduce the cholesterol levels.

What is the price of the treatment in India?

A monthly course of statins would cost you about Rupees 250 in India. A strip of 10mg of Ezedoc tablets which fall under the category of cholesterol absorption inhibitors would cost around 110 rupees.

Are the results of the treatment permanent?

The results of the treatment can be permanent in so far as the post-treatment guidelines which include lifestyle changes, exercising regularly and taking the medications on time, are strictly adhered to.

What are the alternatives to the treatment?

The alternative of a medical treatment for Hypercholesterolemia would be adopting some natural remedies such as making dietary changes that include foods rich in soluble fibres such as fruits, vegetables; olive oil; omega 3-fats; herbs; garlic. By eating the right foods and avoiding food that are high in saturated fats one can easily maintain their cholesterol levels.

type diabetes
Safety: High Effectiveness: High Timeliness: Medium Relative Risk: Low Side Effects: Medium Time For Recovery: Medium Price Range:

Rs. 100- Rs. 500

Popular Health Tips

7 Foods That Can Lower Your Cholesterol Level!

Dr. Rajiva Gupta 92% (3747 ratings)
MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
7 Foods That Can Lower Your Cholesterol Level!
Cholesterol is generally regarded as something bad for the health. As a part of diet, everyone tries to avoid anything that has cholesterol in it. What needs to be understood is that not all cholesterol is bad. There is also good cholesterol, which is actually very essential for body functions. This is required for the production of essential hormones. Inadequate amounts of good cholesterol can lead to problems ranging from simple hormonal imbalances to severe issues like infertility. The following are some food items, which contain sufficient amounts of good cholesterol and should find a place in your plate. They are essential for various body functions including hormone formation. Avocado oil: Most oil is considered bad, but avocado oil contains about 70% of good cholesterol and should be used for its heart-healthy benefits. Being a great antioxidant, it protects the heart by reducing inflammation and by improving blood pressure. Eating whole avocado is also beneficial for the heart and the body as a whole. Buckwheat: This whole grain is rich in many vitamins, quite a few minerals, and is a good provider of dietary fiber. It is also gluten-free and is rich in antioxidants, making it extremely cardio-friendly. Soy: Too much saturated fat in the diet cannot be digested and the liver converts these and stores it, which adds to obesity. Soy which is a good replacement for animal fat and even dairy products can help improve cholesterol levels and prevent fat accumulation. Salmon: This is one of the most heart-friendly food items, which is loaded with omega-3 fatty acids and good cholesterol. It lowers triglyceride levels and provides a good amount of protein for the body. Spinach: The cholesterol which settles against the blood vessels is washed off by consuming spinach in regular quantities at regular intervals. It is also the richest source of lutein, which is known as guardian against aging diseases including hypertension. Go the nutty way: While most would consider nuts as rich in oils, truth is they are loaded with good cholesterol. Therefore, whether it is almonds or pecans, ground nuts or walnuts, nuts are great for the heart. They are also rich in minerals including calcium, copper, magnesium, and potassium and contain various vitamins. So about a teaspoon of chopped nuts should be on your plate on any given day. Dark chocolate: Again, like nuts, most of us tend to avoid chocolate, but these restrictions are only for the white ones with sugar. The dark one is extremely healthy for the heart with loaded antioxidants, which prevents clogging of arteries. It is also rich in flavonoids, which are useful in controlling blood pressure and other heart diseases.
1 person found this helpful

Cholesterol - Facts You Must Know!

Dr. Pitamber Sadhwani 81% (22 ratings)
General Physician, Ahmedabad
Cholesterol - Facts You Must Know!
Do you know that cholesterol is found in baby formula and has got some surprising facts about them? Cholesterol is a waxy, fat like substance which is present in all your cells, and your body s cholesterol level says a lot about the health of your heart in the future. Having high cholesterol increases your risk of acquiring heart diseases and hence, you should try to maintain a normal cholesterol level. Here are some surprising facts about cholesterol, which you should know about: You cannot live without cholesterol: We are born with cholesterol in our bodies and infants get more cholesterol from mother s milk. This is why cholesterol is added to baby formula. All the hormones and cells of your body need cholesterol for proper functioning. It also builds the cells and helps the liver to prepare fat processing acids. One out of three adults have high cholesterol: It is important for all people above the age of 20 to get a cholesterol checkup every five years. According to studies, around 32% of adults in the USA have got high cholesterol levels. Your cholesterol levels may also be affected by factors such as your diet and stress. High cholesterol can be genetic: Genetics is a major influencing factor in high cholesterol levels. Research has proven that almost 75% of high cholesterol cases are genetic in nature while 25% occur because of diet. Children can have high cholesterol as well: There is a common misconception that high cholesterol is an issue involving adults only. However, children may also have high cholesterol and it is recommended for you to get your child tested at an early age. For children who are obese and have a family history of heart attacks and high cholesterol, a selective screening is important. Sweating raises the levels of good cholesterol: Sweating is good for increasing the levels of good cholesterol in your body. You should follow a healthy diet including food items like avocado and salmon. Working out is also important for raising your HDL levels, which prevent heart disease. Supplements may help in lowering cholesterol levels: The first option for controlling your cholesterol levels is to work out regularly. If you are at a risk of heart attack or have hypercholesterolemia, you have to bank on supplements such as plant stanols and sterols. You can also take cholesterol reducing medications such as statins. Earlier, the medical community was reserved about prescribing cholesterol lowering medicines and they were given only to critical heart patients. In modern day, statin treatment is recommended to people who have even little chances of heart attacks or stroke.
537 people found this helpful

Ayurveda Tips To Reduce High Cholesterol!

Dr. Ashwin Nirmal 88% (198 ratings)
Ayurveda, Jamnagar
Ayurveda Tips To Reduce High Cholesterol!
High cholesterol has become a very common phrase nowadays. With excessive consumption of fast foods and sugar, lifestyle disorders such as diabetes and high cholesterol have become very common. In order to know what high cholesterol is, you should first know about cholesterol. Cholesterol is a type of fat present in the body which is needed for regulating hormones in the body. It also plays an important role in Vitamin D production. Though you get cholesterol from food, the body has its own supply of cholesterol as well. Excessive cholesterol in the body can lead to cholesterol build up in your arteries, resulting in blood circulation problems. The arteries tend to narrow down, not allowing the blood to flow properly. High cholesterol levels are linked to heart problems and strokes. Ayurveda is a holistic system of medicine, the treatments of which are based on natural ingredients. It is very effective and free from side effects, unlike conventional methods of treatment. Ayurvedic remedies for high cholesterol levels in the body aim to bring down the cholesterol level and improve your overall wellbeing. The Ayurvedic tips to lower cholesterol levels are: Eat healthy: Diet plays an important role in maintaining healthy cholesterol levels, so eating healthy is of paramount importance. Include plenty of vegetables and fruits in your diet to get the required amount of Vitamins and minerals in order to keep your body healthy. Avoid refined grains as they spike your blood sugar levels. Instead opt for whole grains such as brown rice. Eat healthy fats: Eat healthy fats such as unsaturated fats present in foods such as almonds and olive oil. Keep saturated and trans-fats at bay as they increase cholesterol levels in the body. Exercise regularly: Regular exercise keeps your weight levels optimal and also brings down your cholesterol levels. Simple cardiovascular exercises such as running and swimming can be done on a regular basis. Avoid smoking: Smoking causes your blood vessels to constrict, thus hampering the flow of blood. In addition to accumulation of plaque, this can further hamper blood flow. Maintain optimal weight levels: Following healthy eating habits along with regular exercise will allow you to maintain optimal weight levels. So if your weight is on the higher side, then re-evaluate your eating habits and make the necessary changes.

Good News: All You Lipitor Users Rejoice!

General Physician, Udaipur
Good News: All You Lipitor Users Rejoice!
Good news: All you lipitor users rejoice! Cholesterol is finally officially removed from naughty list. The us government has finally accepted that cholesterol is not a nutrient of concern. Doing a u-turn on their warnings to us to stay away from high-cholesterol foods since the 1970s to avoid heart disease and clogged arteries. This means eggs, butter, full-fat dairy products, nuts, coconut oil and meat have now been classified as safe and have been officially removed from the nutrients of concern list. The us department of agriculture, which is responsible for updating the guidelines every five years, stated in its findings for 2015" previously, the dietary guidelines for americans recommended that cholesterol intake be limited to no more than 300 mg/day. The 2015 DGAC will not bring forward this recommendation because available evidence shows no appreciable relationship between consumption of dietary cholesterol and serum (blood) cholesterol, consistent with the aha/acc (american heart association / american college of cardiology) The dietary guidelines advisory committee will, in response, no longer warn people against eating high-cholesterol foods and will instead focus on sugar as the main substance of dietary concern. When we eat more foods rich in this compound, our bodies make less. If we deprive ourselves of foods high in cholesterol - such as eggs, butter, and liver - our body revs up. The real truth about cholesterol. The majority of the cholesterol in you is produced by your liver. Your brain is primarily made up from cholesterol. It is essential for nerve cells to function. Cholesterol is the basis for the creation of all the steroid hormones, including estrogen, testosterone, and corticosteroids. High cholesterol in the body is a clear indication which shows the liver of the individual is in good health. Cholesterol is the biggest medical scam of all time. There is no such thing as bad cholesterol So you can stop trying to change your cholesterol level. Studies prove beyond a doubt, cholesterol doesn't cause heart disease and it won't stop a heart attack. The majority of people that have heart attacks have normal cholesterol levels. Our body needs 950 mg of cholesterol for daily metabolism and the liver is the main producer. Only 15% of cholesterol is being donated by the food we eat. Got to work more to maintain the level at 950 mg. If the cholesterol level is high in our body, it shows the liver is working perfect.

Dietary Management for High Cholesterol

Dr. Akanksha Tayal 96% (2675 ratings)
Homeopath, Delhi
DIETARY MANAGEMENT: Eat plenty of vegetables and fruits - 7 servings or more each day Eat whole grain foods rich in soluble fibre oats, psyllium and barley Include 2 Omega 3 rich fish meals per week salmon, trout, sardines Include 2 bean based meals per week kidney beans, chickpeas, lentils Eat nuts such as almonds and walnuts small portions 5 times a week Improve the quantity and quality of fats you eat. A diet rich in saturated fat increases the LDL level. Saturated fats are found in sausages, butter, meat pies, ghee or clarified butter, lard, cream, cheese, cakes, and coconut or palm oil. Saturated fats should be replaced by unsaturated fats, which increase the level of high-density lipoproteins (HDLs) or "good" cholesterol. HDLs carry cholesterol away from cells to the liver, where it can be broken down and processed as waste. Foods that are high in unsaturated fats include avocados, nuts, seeds, oily fish, sunflower oil, rapeseed oil and olive oil. Oils are best for added fat use small amounts, avoid frying If your triglycerides are high, limit sugars and alcohol. Fibre is found in plant based foods. Vegetables, fruit, whole grains, nuts, seeds, beans, peas and lentils are all great fibre sources.Functional or "soluble" fibre helps to reduce cholesterol by binding with cholesterol in your stomach and bowel. Eat more barley, oatmeal, sunflower seeds, almonds, soy, tofu,chickpeas, black beans, kidney beans, lentils, Brussels sprouts, carrots, apples, bananas, pears, oranges, grapefruit, prunes, blackberries. Note[Note] Be active move your body 30 minutes each day If you are overweight, work to reduce your weight by 10%

Popular Questions & Answers

I am 53 years old from last 15 to 30 days I found little amount of blood while nasal mucus spiting through mouth I done almost all test but there is nothing to worry. I use to smoking from many years is this is the cause for blood from nasal mucus I am worried about my health I am also blood pressure patient my cholesterol level is also high please help me in brief.

Dr. Annapurna Gupta 93% (1493 ratings)
Homeopath, Bareilly
sir, if you are worrying about your health then why not giving up the habit of smoking . This may be the cause for that. Long duration history of smoking make lungs weak and prone for various infection. Blood pressure and cholesterol problem are also directly related to smoking. Daily do pranayam for increasing lung efficiency. Hard clearing of throat should also be avoid Best wishes

My husband full body profile is done. His has iron deficiency. His thyroid n cholesterol levels are high.

Endocrinologist, Pune
Start him on hematinic for low iron and for high cholesterol regular exercise, and diet low in saturated fats.

Sir I want to know the side effects of eating whey protien powder And is it good for high cholesterol.

Dr. Rajiv Bajaj 97% (794 ratings)
MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
Whey protein is from milk. Like other animal proteins it's composition matches human proteins, so it is called first class protein. Protein is essential food, you can eat it. BUT excess cannot be stored in body. Excess beyond 50 gm protein daily means there will be extra work for liver to break it into urea and triglycerides. Liver will make extra cholesterol to ship these triglycerides into blood, and your kidney will work extra to throw out the extra urea from body. Please discuss your diet for more information, or discuss with an intelligent biochemistry graduate. Avoid discussing science with your friends who are general experts.

My age is 42. I have triglycerides 367 (serum turbid seen), VLDL 73.4 and CHO/HD Ratio 5.9. Please give me a suggestion.

Dr. Jatin Soni 94% (33007 ratings)
General Physician, Mumbai
Apart from taking medication treatment , few tips on diet say no to maida items like toast , khaari ,naan ,white bread . can drink tea but without sugar say no to Buffalo milk and can drink cows milk can eat brown bread can eat sprout’s can eat green vegetables, can eat chappati ,bajra ka rotla can eat one katori of rice twice a day with dal to avoid farsan food items can eat fruits say no to coconut water
1 person found this helpful

My lipid profile cholesterol-197, Triglyceride-218, hdl-33, ldl-120 Vldl-44 Should I take any medicine for it.

Dr. Pulak Mukherjee 91% (3703 ratings)
Homeopath, Hooghly
Do regular exercise,, jogging or walking,,avoid fatty food,,avoid junk food,,this will help,,i think u don't need medicine
1 person found this helpful

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