Brief Answer:
Should reduce gradually when lipitor is changed.

Detailed Answer:
Hi XXXX,

In your reports, there are only two causes for concern. One is the raised CPK level and the other is the deranged lipid profile with high LDL and triglyceride levels.

The CPK is high but not too high. It can be elevated in any condition that causes muscle injury, whether of skeletal muscles or heart. A subtype is also found in the brain. Since you were having muscle aches, the raised cpk is related to that. In your case, Lipitor seems the most likely culprit. It should gradually come down to normal after Lipitor is changed.

I am concerned about the deranged lipid profile. You have been on a statin for quite some time and yet, the values are abnormal. Everybody would have suggested diet control. In my opinion, in addition to any dietary modifications that may be possible, you also need to discuss this with the person who cooks your food. Cooking styles vary from person to person. If a family member is cooking, it will be easier for them to change their cooking style for improving the health of their loved ones. Just ask them to find out ways of cooking that use lesser oil. For example, cooking the same dishes either partly or completely in a microwave drastically reduces the amount of oil needed, as compared to cooking conventionally. Also many people believe that food cooked in less oil is not tasty, which is a myth. Ask your family members to try cooking with half the amount of oil currently being used and see whether the food is still palatable or not. Using non-stick utensils also makes a major difference.

In case you have employed a cook, it might be difficult to make changes. Employees obviously will be more concerned with the appearance and taste of the food they prepare rather than your health. Still, an effort can be made to cut down on oil. What I wish to say is that you can eat whatever you wish to, but it should be cooked in a more healthy way.

Best wishes.

Dr Preeti Parakh
MD Psychiatry

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