What Does This Lipid Profile Test Report Indicate?
During my complete body health checkup, I have got high cholesterol level as per below details.
TOTAL CHOLESTEROL SERUM 242H 130 - 200 mg/dl
TRIGLYCERIDES SERUM 185.0H 40 - 160 mg/dl
High Density Lipoprotein Good Cholesterol 55.3 35.3 - 79.5 mg/dl
Low Density Lipoprotein Bad Cholesterol 149.70H 60 - 100 mg/dl
Very Low Density Lipoprotein VLDL 37.00H 4.7 - 22.1 mg/dl
Total Cholesterol / HDL Cholesterol 4.38
LDL / HDL Cholesterol Ratio 2.71 0.1 - 3.0 mg/dl
Need to know what should my next course of action for same. do I need to have some medicine or it can be cured by taking some precautions.
please provide morte information
Detailed Answer:
Dear Sir
1. Your vitamin D is low and serum folate is borderline.You should take a prescription of supplementation of these vitamins from your physician.
2. There is borderline increase in your liver enzymes and bilirubin. You need to keep a watch on them and can repeat them at about 3 months. This may have to be done earlier if you require a cholesterol lowering drug. I will tell you about that once you provide me relevant information as asked in next para.
3. Please share if you smoke.? Please also tell your usual blood pressure. IU assume that you do not have diabetes, high blood pressure , stroke , angina, heart attack or any other major illness ever. This will help me in calculating the need of medication for your cholesterol levels.
Sincerely
Sukhvinder
Please find response.
I never smoke and don't have any history of medical illness of heart and diseases.
However I am not sure of my BP on regular basis as I did not check it.
I got it checked around 6 months back and it was around 120-80.
In regard to vitamin d, I followed course of vitamin d pouches and injections prescribed by doctor 6 months back and it became normal.
Regards
XXXX XXXXXXX
no statins as yet
Detailed Answer:
Thanks XXXXXXX
Your ACC 2013 risk score is well below the limit for prescribing statins.
Your Q risk score is also <10% assuming you have a body was index of 25 (not overweight).
Hence you are not a candidate for statins as yet.
However you must continue with lifestyle modification like optimization of weight with a body mass index of 23. Daily morning walk after taking a prescription from your physician. Avoid sweets and oily items. Do not take fried items. Get your For my patients with such a profile, I normally get lipid profile repeated after 12 weeks.
Feel free to discuss further.
Sincerely
Sukhvinder