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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Improve TG 743 And VLDL 148.60?

HELLO DR, I AM 38 YEARS MALE, TAKING ALCOHAL FOR LAST MORE THAN TEN YEARS REGULARLY, MY SGPT IS 62.10,SGOT IS 42.00, GGT IS 156.00 U/I, MY TG IS 743 AND VLDL IS 148.60 REST ALL VALUES ARE WITHIN NORMAL LIMITSIN HEAMOGRAM REPORT MY MEAN CARPUSCULAR VOLUME IS 107.7, WCICH MAY BE A SIGM OF MACROCYTOSIS, PLEASE SUGGEST ME HOW TO IMPROVE ALL THESE .
THANKS
Wed, 16 Jul 2014
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Internal Medicine Specialist,  's  Response
Thank you for the query.
As per the history, you a 38yrs old male, chronic alcoholic (more than 10years), with deranged liver function test and hypertriglyceridemia (TG-743). You also have macrocytic Red blood cell.
My first advise to you would be to cut down your intake of alcohol (gradually you can stop it completely). Increased alcohol consumption is associated with hypertriglyceridemia which can lead to complications like acute pancreatitis. Chronic alcohol consumption can also lead to severe conditions like chronic liver disease and cirrhosis. Cardiac arrythmia and alcoholic cardiomyopathy may also occur. Neuropathy may also occur. Infact, Macrocytosis also occurs due to long term alcohol consumption.

I would recommend you to reduce the intake of aerated drinks and refined carbohydrates. If possible, please get a blood sugar screening done. You may need to start medications to reduce your TG levels (fibrates and statins, after consulting your physician). Vitamin supplements are needed in this case. Psychological counselling may help you to quit alcohol.
It is suggested you visit your treating physician for management of your condition.
Hope this helps you out.
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How To Improve TG 743 And VLDL 148.60?

Thank you for the query. As per the history, you a 38yrs old male, chronic alcoholic (more than 10years), with deranged liver function test and hypertriglyceridemia (TG-743). You also have macrocytic Red blood cell. My first advise to you would be to cut down your intake of alcohol (gradually you can stop it completely). Increased alcohol consumption is associated with hypertriglyceridemia which can lead to complications like acute pancreatitis. Chronic alcohol consumption can also lead to severe conditions like chronic liver disease and cirrhosis. Cardiac arrythmia and alcoholic cardiomyopathy may also occur. Neuropathy may also occur. Infact, Macrocytosis also occurs due to long term alcohol consumption. I would recommend you to reduce the intake of aerated drinks and refined carbohydrates. If possible, please get a blood sugar screening done. You may need to start medications to reduce your TG levels (fibrates and statins, after consulting your physician). Vitamin supplements are needed in this case. Psychological counselling may help you to quit alcohol. It is suggested you visit your treating physician for management of your condition. Hope this helps you out.