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Dr. Sharka, Please Look At My Below Blood Work
Question: Dr. Sharka,
Please look at my below blood work and tell me what you honestly think is going on with me now and what should I be doing to make things better health wise or should I start taking medication. I know you told me to wait a few months before taking my blood but my doctor wanted to see where my numbers were now considering everything that I had been feeling.
Results from 4/20/2021
Total Cholesterol : 206 High
HDL : 55
Triglyceride: 162 High
LDL : 123 High
CHOL/ HDLC RATIO : 3.7
NON HDL : 151 High
Glucose : 132 High
Hemoglobin A1C : 6.2 High
TSH: 0.84
Results from 4/3/2021
Total Cholesterol : 239
HDL : 51
Triglyceride: 97
LDL : 167
CHOL/ HDLC RATIO : 4.7
NON HDL : 188
Results from 3/29/21
Cholesterol, Total -- 255
Triglycerides -- 100
HDL Cholesterol ----- 52
VLDL Cholesterol ----- 18
LDL Chol Calc (NIH) --- 185
3/24/2021 Lipid Panel was:
Cholesterol, Total ---- 253 High normal range is 100 - 199
Triglycerides -------- 95 normal range is 0 - 149
HDL Cholesterol ------ 61 normal range is more > 39
VLDL Cholesterol ------ 16 normal range is 5 - 40
LDL Chol Calc (NIH) ----- 176 normal range 0 -99
Please look at my below blood work and tell me what you honestly think is going on with me now and what should I be doing to make things better health wise or should I start taking medication. I know you told me to wait a few months before taking my blood but my doctor wanted to see where my numbers were now considering everything that I had been feeling.
Results from 4/20/2021
Total Cholesterol : 206 High
HDL : 55
Triglyceride: 162 High
LDL : 123 High
CHOL/ HDLC RATIO : 3.7
NON HDL : 151 High
Glucose : 132 High
Hemoglobin A1C : 6.2 High
TSH: 0.84
Results from 4/3/2021
Total Cholesterol : 239
HDL : 51
Triglyceride: 97
LDL : 167
CHOL/ HDLC RATIO : 4.7
NON HDL : 188
Results from 3/29/21
Cholesterol, Total -- 255
Triglycerides -- 100
HDL Cholesterol ----- 52
VLDL Cholesterol ----- 18
LDL Chol Calc (NIH) --- 185
3/24/2021 Lipid Panel was:
Cholesterol, Total ---- 253 High normal range is 100 - 199
Triglycerides -------- 95 normal range is 0 - 149
HDL Cholesterol ------ 61 normal range is more > 39
VLDL Cholesterol ------ 16 normal range is 5 - 40
LDL Chol Calc (NIH) ----- 176 normal range 0 -99
Brief Answer:
I would explain as follows:
Detailed Answer:
Dear,
I read carefully your test results and would like to congratulate you as it seems that your are doing great, as your recent blood lipid profile is much better compared to the previous one.
Coming to this point, I would recommend performing aerobics to help reduce LDL values naturally and try to maintain a normal fasting glucose levels. I would not recommend starting statins considering this last blood lipid profile!
I would also like to know more about your blood pressure values. Are they within the normal ranges (below 130/85mm Hg) most of the time? A good control of blood pressure values would help reduce your cardio-vascular risk.
Continue on a healthy diet and regular physical activity.
Hope you will find this information helpful!
I remain at your disposal in case of further questions whenever you need!
Wishing all the best,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Dear,
I read carefully your test results and would like to congratulate you as it seems that your are doing great, as your recent blood lipid profile is much better compared to the previous one.
Coming to this point, I would recommend performing aerobics to help reduce LDL values naturally and try to maintain a normal fasting glucose levels. I would not recommend starting statins considering this last blood lipid profile!
I would also like to know more about your blood pressure values. Are they within the normal ranges (below 130/85mm Hg) most of the time? A good control of blood pressure values would help reduce your cardio-vascular risk.
Continue on a healthy diet and regular physical activity.
Hope you will find this information helpful!
I remain at your disposal in case of further questions whenever you need!
Wishing all the best,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dr. Sharka,
My blood pressure is a whole another topic meaning sometimes it's beautiful and sometimes
Our of no where it may go up. Usually my blood pressure doesn't creep up until early morning when I get up first thing on the morning. I think my medicine is not holding me all night till the morning. I take during the morning synthyroid 88mcg, losartan hctz 50mg /12.5 mg once a day in the morning and bystolic 5 mg once a day in the morning. My pulse is always around 85 and 90 or higher at a rested period.
Night time I take Norvasc 5 mg and that's all.
I have a concern about my triglycerides because that number changed from the last time for the worst and I don't know why??? So, to be clear aerobic exercise does that or can that consist of treadmill walking and if so, for how long and how many times a week should I focus on.
My blood pressure is a whole another topic meaning sometimes it's beautiful and sometimes
Our of no where it may go up. Usually my blood pressure doesn't creep up until early morning when I get up first thing on the morning. I think my medicine is not holding me all night till the morning. I take during the morning synthyroid 88mcg, losartan hctz 50mg /12.5 mg once a day in the morning and bystolic 5 mg once a day in the morning. My pulse is always around 85 and 90 or higher at a rested period.
Night time I take Norvasc 5 mg and that's all.
I have a concern about my triglycerides because that number changed from the last time for the worst and I don't know why??? So, to be clear aerobic exercise does that or can that consist of treadmill walking and if so, for how long and how many times a week should I focus on.
Brief Answer:
I would recommend as follows:
Detailed Answer:
Dear XXXXXXX
Thank you for the additional information!
The changes in triglyceride levels are not concerning about anything serious. They are related to your diet.
Regarding aerobics, it consists of rhythmic activity, which does not cause anaerobic muscle . So, it is ok to treadmill, but just for 20 minutes walking, no straining physical every day.
You can watch aerobic exercise on youtube too.
Hope you will find this information helpful!
Wishing all the best,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Dear XXXXXXX
Thank you for the additional information!
The changes in triglyceride levels are not concerning about anything serious. They are related to your diet.
Regarding aerobics, it consists of rhythmic activity, which does not cause anaerobic muscle . So, it is ok to treadmill, but just for 20 minutes walking, no straining physical every day.
You can watch aerobic exercise on youtube too.
Hope you will find this information helpful!
Wishing all the best,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dr. Sharka, it's it ok and healthy for me to eat these crackers daily? Also, can I take niacin or what other natural supplement to help lower my triglycerides faster but safely? If so, how much niacin. Please keep in mind that I have terrible hot flashes and night seats. Also, the doctor would like for me to consider taking a low estrogen - progesterone hormone pill to help with these hot flashes etc and claims it should help my cholesterol as well. What's your opinion on this? I really don't want to take anymore medicine. I would live to be off of it all it I could at this point. Below is the ingredients for the crackers I like daily. I hope they did not raise my triglycerides because I just started eating them a few weeks before having the blood work.
Simple Mills - almond flour crackers
Calories - 150
Total fat - 8g
Saturated fat - 1g
Trans fat - 0g
Cholesterol - 0mg
Sodium - 180mg
Total carbohydrates - 18g
Dietary fiber - 2g
Total sugar less than - 1g
Includes 0g added sugars
Protein - 3g
Vitamin D - 0mcg 0%
Calcium - 41mg. 4%
Iron - 1mg. 6%
Potassium - 132mg. 2%
Ingredients:
Nut and seed flour blend
Tapioca starch
Cassava flour
Organic sunflower oil
Sun- dried tomatoes
Sea salt
Organic onion, organic XXXXXXX organic garlic, organic oregano, organic pepper, XXXXXXX extract
Simple Mills - almond flour crackers
Calories - 150
Total fat - 8g
Saturated fat - 1g
Trans fat - 0g
Cholesterol - 0mg
Sodium - 180mg
Total carbohydrates - 18g
Dietary fiber - 2g
Total sugar less than - 1g
Includes 0g added sugars
Protein - 3g
Vitamin D - 0mcg 0%
Calcium - 41mg. 4%
Iron - 1mg. 6%
Potassium - 132mg. 2%
Ingredients:
Nut and seed flour blend
Tapioca starch
Cassava flour
Organic sunflower oil
Sun- dried tomatoes
Sea salt
Organic onion, organic XXXXXXX organic garlic, organic oregano, organic pepper, XXXXXXX extract
Dr. Sharka,
You have not responded to my previous question. Please respond asap. Thanks
You have not responded to my previous question. Please respond asap. Thanks
Brief Answer:
I would recommend as follows:
Detailed Answer:
Dear XXXXXXX
I understand your concern and would explain Niacin may worsen the hot flashes.
That is why I recommend taking a low dose of Niacin daily ( 50-100mg).
Regarding estrogen/ progesterone pills, they may help improve your situation but there are a lot of adverse effects. Anyway, I would not recommend taking such pills for your blood lipid profile.
Regarding your diet, I would recommend reducing the amount of crackers, as they contain saturated fat, which may increase triglycerides and cholesterol levels.
Hope you will find this information helpful!
Wishing all the best,
Dr.Iliri
I would recommend as follows:
Detailed Answer:
Dear XXXXXXX
I understand your concern and would explain Niacin may worsen the hot flashes.
That is why I recommend taking a low dose of Niacin daily ( 50-100mg).
Regarding estrogen/ progesterone pills, they may help improve your situation but there are a lot of adverse effects. Anyway, I would not recommend taking such pills for your blood lipid profile.
Regarding your diet, I would recommend reducing the amount of crackers, as they contain saturated fat, which may increase triglycerides and cholesterol levels.
Hope you will find this information helpful!
Wishing all the best,
Dr.Iliri
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Above answer was peer-reviewed by :
Dr. Prasad
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