
Hello, I Need Some Info --- Here Are My #s

I would explain as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I understand your concern and would explain that the main problem in your blood lipid profile is not LDL ( whichis borderline), but very high HDL.
You should know that HDL levels higher than 95mg/dl are not considered good any more, as they lead at an increased cardiovascular risk.
These high cholesterol levels are probably related to the thyroid gland dysfunction.
For this reason, I would recommend some diet modifications in the next three months ( low fat and sugar intake, more food rich in fibers and omega 3 fatty acids).
If after repeating the test, after 3 months, such high HDL levels persist, starting stating may be needed.
Hope you will find this answer helpful!
I remain at your disposal for any further questions whenever you need!
Wishing all the best,
Dr.Ilir Sharka Cardiologist


And to clarify you are saying the LDL is borderline. What do you consider borderline? On he web it;s saying 100 to 150 is really o concern unless you have any health issues which I don't. Waiting to hear from you. Thank you

any diseases - except hypothyroidism. Last question are you then saying going on Statins right now for these numbers is not necessary? I will be awaiting for your answer --- Thank you

I would explain as follows:
Detailed Answer:
Hello again!
It is true that HDL cholesterol is the good one, and protects you against atherosclerosis, but many studies have shown that when it is extremely high (above 95 mg/dl), it is a risk factor, and doesn't prtect you any more.
Such high HDL levels are not related to physical activity, but are usually genetic ( bssed on many studies). Sometimes, they could be attributed to liver inflammation. That is why, I would recommend checking also apolipoprotein(a) plssms levels, which are genetic, and PCR plasma levels, which indicates possible inflammation.
I don't think that reducing your physical activity will help reduce HDL levels.
Regarding your heart rate during exertion, it is quite a normal physiological reaction and I don't think that there is anything concerning.
Regarding LDL levels I would explain that levels below 100 mg/dl are considered normal, if there are no other comorbidities like diabetes, arterial hypertension, etc. That is why 110-120mg/dl is considered borderline and not a matter of concern.
Anyway I don't think that you should start statins right now, but it would be better try diet modifications and see if they work.
Hope you will find this information helpful!
Kind regards,
Dr. Iliri

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