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What Causes High Cholesterol Levels And Reduced HDL Levels?

Posted on Wed, 8 Jul 2015

Question: My cholesterol levels were quite high (above 200) 2 year back , since then i am taking statin drugs and now cholestrol levels are in normal range.

But am not able to increase my HDL level , Then many suggested my to loose weight , exercise , and some diet changes.

But in 5 months my HDL is decreased to 32 from 36 even i lost 5kg.

Which are the way to increase HDL..?

Answered by Dr. Rajesh Teli (1 hour later)

Brief Answer:
you may add Niacin

Detailed Answer:
Hello XXXXXXX
I am Dr.Rajesh Teli,
Thanks for using HCM.
Actually you are in right direction for managing high cholesterol and low HDL.HDL can increase with daily intake of almonds and brisk walk for 30 min.,which you are already following.So you may add medicine called Niacin.Though it decreases number ,but it has not shown any long term protection against event like stroke or heart attack.so its use is like getting right digit.Another suggestion is that you may reduce dose of Rozat F in consultation with your doctor ,If your cholesterol target is attained .otherwise as on today we have no other remedy to raise HDL.you need to keep bit above 35.
My best wishes
Dr.Teli,MD

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Rajesh Teli (3 hours later)

Thanks for your reply ...

Intake of Rozat-F can be the reason my HDL is not increasing....?

Usage of fish oil tablet such as Salmon oil or krill oil will be helpful..?

Answered by Dr. Rajesh Teli (2 hours later)

Brief Answer:
Rozat F is not responsible

Detailed Answer:
Hello XXXXXXX
Rozat F is not responsible for failure of HDL rise.
Regarding pills you mentioned have not been backed up by scientific data,hence can't be recommended.
My best wishes
Dr.Teli MD

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Rajesh Teli (25 minutes later)

Thanks.

Since my LDL and Triglycerides are normal in last few tests.

Can i stop the intake of Rozat f....?

My LDL: 110 , TG=70 , HDL:32

Answered by Dr. Rajesh Teli (7 hours later)

Brief Answer:
No you must not stop Rozat F

Detailed Answer:
hello XXXXXXX
you must not stop Rozat F.Your LDL 110 is bit high ,you should aim LDL below 100.If TG is 70 may discuss with your treating doctor about discontinuing F component of Rozat F.( it is combination of rosuvastatin and fenofibrate)however the decision will depend on your baseline level and fluctuations after stopping fenofibrate for few weeks.The cholesterol medicine need to be continued life long,unless there is any side effect .
keep up your healthy life style
My best wishes
Dr.Teli,MD

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Yogesh D