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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Reduce High Lipid Profile Levels And Control Uric Acid?

Hi, I have high cholestrol level since 2003 when i checked it for first time. In 2010, i tested my colestrol, sgpt, uric acid and fasting sugar. the later two were found normal and the earlier were high. cholestrol was in range of 260 and sgpt in range of 75. In 2012, a doctor advised me to check my whole lipid profile. I carried tests for all and it wasfound that my cholestrol was in of 280, TG in range of 900, LDL 23, HDL 90, SGPT 72. The doctor prescribed some medicine for me which lower some cholestrol and TG level but did not help me in lowering SGPT level. I did not properly continued the medicines and stopped taking after a month or two. I had also carried tests for lever biopsy and Cardiac angio. Both are neomal. My age is 36 and i had fatty lever issue since long. My height is 7.5 and weight is 67Kg. At the moment i have cholestrol level at 257, TG 1027, LDL 27, HDL 77, Uric acid 8.25 and sgpt is 37. How can i overcome with my high lipid profile level and contorl uric acid.
Wed, 20 May 2015
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Cardiologist 's  Response
well you have distinct dyslipidaemia and mildly deranged liver dysfunction possibly pointing to metabolic syndrome.but since your weight is reasonable ,and your SGPT has returned to normal you should start rosuvastatin10mg with fenofibrocholic acid for treating lipids along with febuxostat 40 mg at bed time.follow regular exercise,fatt free diet and evaluate after 3 months.if sgpt is not rising and reports are within target range you may taper dose of rosuvastain to 5mg along with fibrates with regular follow up at 6 months.
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How To Reduce High Lipid Profile Levels And Control Uric Acid?

well you have distinct dyslipidaemia and mildly deranged liver dysfunction possibly pointing to metabolic syndrome.but since your weight is reasonable ,and your SGPT has returned to normal you should start rosuvastatin10mg with fenofibrocholic acid for treating lipids along with febuxostat 40 mg at bed time.follow regular exercise,fatt free diet and evaluate after 3 months.if sgpt is not rising and reports are within target range you may taper dose of rosuvastain to 5mg along with fibrates with regular follow up at 6 months.