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What Does Serum Cholesterol Of 235 Indicate?

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Posted on Wed, 23 Jul 2014
Question: hi is a *Serum Cholesterol 235 dangerous level? what are the causes and how do we deal with it?
doctor
Answered by Dr. Michelle Gibson James (56 minutes later)
Brief Answer:
total cholesterol is a combination

Detailed Answer:
HI, thanks for using healthcare magic

Total cholesterol is a combination of LDL, HDL and VLDL (relates to triglycerides). This is the reason that the components of cholesterol are looked at along with the total cholesterol.

A high total cholesterol can occur due to high HDL which is a good thing since HDL is considered to be protective.

In your case, your LDL (one of the bad components ) is 158 which is borderline high and means that this is contributing to your increased total cholesterol.

High LDL and total cholesterol can be related to lifestyle or hereditary issues. IN terms of hereditary- it is possible to inherit problems with high cholesterol.

As it relates to lifestyle- high fat foods, low levels of fiber intake or decreased levels of activity also increase cholesterol levels.

Treatment involves initially lifestyle changes: (1)increase use of whole grains- barley, corn,oats, brown rice/pasta, quinoa, whole grain breads

(2)increase of fruits and vegetables to at least 5 portions a day- this means a portion with each meal and with snacks

(3)decrease the use of fried or fatty foods, use low fat diarry products

(4)weight loss of any excess weight

(5)exercise at least 150 minutes a week, more if possible

(6)avoid exposure to cigarette smoke which also increases the risk of heart disease

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (9 minutes later)
Thanks
1-Is this a high risk case?
2-Are there any recommended medication or vitamins?
3-I dont complain from overweight.. As a matter of fat I'm in good shape and I've started losing a lot of weight with no obvious reason.. I lost around 10 kgs in almost a month.. I feel tired all the time, no energy and always want to rest
4-Are the liver enzymes result in the report ok? Does the cholesterol affect the liver functions or do I have any liver inefficiency contributing to my weight or energy loss
5- Is there anything else in the report that I should worry about?
doctor
Answered by Dr. Michelle Gibson James (44 minutes later)
Brief Answer:
no not high risk

Detailed Answer:
Hi

No, the level is borderline high and is not high risk at this point.

Normally lifestyle changes are initiated first before medication is recommended. In your case, where the increase is borderline, the treatment would likely be only lifestyle (diet and exercise changes).

Weight loss would help to decrease the cholesterol levels. The full blood count and ESR are normal. ESR (erythrocyte sedimentation rate) determines if there is any evidence of inflammation in the body. Inflammation may be due to infection, trauma, autoimmune diseases, cancer.
Since it is normal, it indicates that none of these is likely present.
The normal full blood count would also rule out anemia as a cause of your fatigue.

The liver enzymes are normal.

In some persons high cholesterol can be associated with high liver enzymes because fat can be deposited in the liver. Your liver enzymes are completely normal so this is not the case for you.

There are no other abnormality in your results

Please feel free to ask anything else
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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What Does Serum Cholesterol Of 235 Indicate?

Brief Answer: total cholesterol is a combination Detailed Answer: HI, thanks for using healthcare magic Total cholesterol is a combination of LDL, HDL and VLDL (relates to triglycerides). This is the reason that the components of cholesterol are looked at along with the total cholesterol. A high total cholesterol can occur due to high HDL which is a good thing since HDL is considered to be protective. In your case, your LDL (one of the bad components ) is 158 which is borderline high and means that this is contributing to your increased total cholesterol. High LDL and total cholesterol can be related to lifestyle or hereditary issues. IN terms of hereditary- it is possible to inherit problems with high cholesterol. As it relates to lifestyle- high fat foods, low levels of fiber intake or decreased levels of activity also increase cholesterol levels. Treatment involves initially lifestyle changes: (1)increase use of whole grains- barley, corn,oats, brown rice/pasta, quinoa, whole grain breads (2)increase of fruits and vegetables to at least 5 portions a day- this means a portion with each meal and with snacks (3)decrease the use of fried or fatty foods, use low fat diarry products (4)weight loss of any excess weight (5)exercise at least 150 minutes a week, more if possible (6)avoid exposure to cigarette smoke which also increases the risk of heart disease I hope this helps, feel free to ask any other questions