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What Does High Triglycerides And Low HDL Indicate?

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Posted on Thu, 17 Jul 2014
Question: I am overweight, 80-100 lbs., not at risk for diabetes, have switched for over a month to a plant based diet (some fish), lost 20 pounds, have high ast - 51 high alt 68, high triglycerides 253, cholesterol not bad at 204, 36 good 117 bad, bilirubin pushing high end 1.1, sometimes brown urine with white foam (protein?). Good chance of NAFLD? (non drinker - non smoker) negative for hepatitis.
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Answered by Dr. Binu Parameswaran Pillai (1 hour later)
Brief Answer:
hello

Detailed Answer:
Hello
Good day.
The profile of high triglycerides and low HDL could suggest a diagnosis of metabolic syndrome and the liver function abnormalities may suggest a fatty liver with NAFLD. However you need to rule out other causes like hepatitis. Need hepatitis serology and an ultrasound of liver.

I noted that you mentioned, about low risk of diabetes. But NAFLD itself is a risk factor of diabetes.
Please get a sugar profile done.
Losing 5% of weight and regular exercise will improve the liver functions. Starting on a cholesterol pill will also improve the fatty liver as well as the cholesterol values.

Please monitor the liver functions a month later.
Regards
Binu
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1438 Questions

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What Does High Triglycerides And Low HDL Indicate?

Brief Answer: hello Detailed Answer: Hello Good day. The profile of high triglycerides and low HDL could suggest a diagnosis of metabolic syndrome and the liver function abnormalities may suggest a fatty liver with NAFLD. However you need to rule out other causes like hepatitis. Need hepatitis serology and an ultrasound of liver. I noted that you mentioned, about low risk of diabetes. But NAFLD itself is a risk factor of diabetes. Please get a sugar profile done. Losing 5% of weight and regular exercise will improve the liver functions. Starting on a cholesterol pill will also improve the fatty liver as well as the cholesterol values. Please monitor the liver functions a month later. Regards Binu