Cholesterol is a waxy and fat-like substance your body uses to protect nerves and make hormones, bile acid, and vitamin D. The cholesterol needed by the body is produced by the liver and from the food you eat. The two types of cholesterol carried by the lipoproteins are low-density lipoproteins LDL (bad cholesterol) and high-density lipoprotein HDL (good cholesterol).

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I am planning to start a family, but have low libido and weight issues. Please advise.

Query: Dear doctor, I have been married for four years, and I am planning to start a family. I have been facing low libido and fluctuating weight issues for four years. I consulted an andrologist three years back who conducted a blood test and found my TSH level at 4.81 IU/mL, which he said was slightly o...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to I just read your query and went through your reports (attachment removed to protect patient identity). From what you have mentioned, it appears that you have subclinical hypothyroidism and low libido. Your testosterone levels are good. So, they are not responsible fo...  Read Full »

Please suggest ways to lower triglycerides and cholesterol levels.

Query: Hi doctor, I am a 36 year old male with borderline cholesterol. Total cholesterol 200 and triglyceride 200 to 350 mg/dL. I had TMT test and heart echo last year, which were normal. This year, I checked homocysteine, troponin-I and myoglobulin, which were also found to be normal. My three months old ...  Read Full »

Dr. Rishu Sharma

Answer: Hi, Welcome to I have seen all your reports in detail (attachment removed to protect patient identity). Firstly, I would say that you are a non-smoker and a normotensive person. You are in late 30s. Your TMT and echo were normal and all the cardiac enzymes are normal. Your only sole ...  Read Full »

My test reports show elevated triglyceride and ESR levels. Should I be concerned?

Query: Hi doctor, I had an annual health checkup. Are the elevated levels of cholesterol, triglycerides, urine tests, and high ESR in the reports cause of concern? Also, are there any other abnormalities in the reports?  Read Full »

Dr. Vijaykumar Mundeshi

Answer: Hello, Welcome to I have reviewed your test results. There are some abnormal values in your reports. However, the significance of these values depends on the presence of symptoms. Your ESR (erythrocyte sedimentation rate), triglycerides and cholesterol levels are borderline high; you can...  Read Full »

I have elevated triglycerides levels. How do I manage it?

Query: Hi doctor, Are triglycerides, lymphocytes, and ESR out of range? Please check and confirm whether any other values need to be verified.  Read Full »

Dr. Sreejith. M. G

Answer: Hi, Welcome to Your cholesterol and triglyceride levels are high, which will increase the risk of cardiac and cerebrovascular disease. To reduce the risks, you can make some healthy lifestyle habits such as: 1. Improve your fitness by doing aerobic exercises like walking, swimming, a...  Read Full »

Are medicines necessary for elevated LDL levels?

Query: Hello doctor, I am 43 years old. I do not smoke or drink, but my food habits are not very good. Recently, I got my blood checked for Apo B/Apo A and the ratio was really bad at 1.6. The triglyceride is around 474 mg/dL and this rose from 270 mg/dL around three months back. My HDL is 26 mg/dL, LDL 11...  Read Full »

Dr. Anshul Varshney

Answer: Hi, Welcome to We are here to help you. You definitely need treatment for high cholesterol along with dietary modifications. You need to be started on a combination of Atorvastatin and Fenofibrate. Start regular exercise and avoid oil, rice and potatoes. For blood sugars, you can wait ...  Read Full »

I have elevated HbA1c and cholesterol levels with tiredness and sweet cravings. Please help.

Query: Hello doctor, I am 40 years old and my HbA1c has gone to 6.2 and I have high cholesterol and lipids. I am attaching my report. The HbA1c was 6.0 when checked six months back. I have undergone a full body checkup. Please suggest whether I need to take any medicines or preventive steps. I also take m...  Read Full »

Dr. J N Naidu

Answer: Hello, Welcome to There are no serious health problems. It appears to be a prediabetes condition. Life style changes are essential. Walk at least 5 kms daily. Eat more boiled vegetables and fruits. Avoid junk foods, fruit juices, carbonated beverages, icecreams, cool drinks, and coo...  Read Full »

Can a low carbohydrate diet, high-fat diet, and intermediate fasting make my glucose and lipid levels normal?

Query: Hello doctor, I am a 54 year old male, and I do not smoke or drink. I am prediabetic and overweight from the past five years. I have started LCHF (low carb high fat) and IF (intermediate fasting) diet for seven weeks. This has given very good results, I was 220 lbs, and now I weigh 198.4 lbs. And my...  Read Full »

Dr. Deep Dutta

Answer: Hello, Welcome to LCHF diet is a good short-term option for weight loss. But it is not a good option for long-term weight loss. Prolonged use of this diet is associated with increased risk of hypercholesterolemia and fatty liver disease, which limits their long-term use. Based on your m...  Read Full »

Is it normal to have variation in the pulse rate during walking and at rest?

Query: Hi doctor, I am 28 year old. My sugar level is normal, TSH is 2.91 mIU/L and cholesterol is 203 mg/dL. I am facing a problem with my pulse rate. It is between 115 to 120 beats per minute when I walk or do any activity. But when I am in rest, it ranges between 80 to 100 beats per minute. I feel light...  Read Full »

Dr. Prashant Valecha

Answer: Hello, Welcome to Cholesterol is in upper borderline. It will come down with low cholesterol diet and exercise daily. Heart rate more than 100 beats per minute while walking is fine. From your history lightheadedness is the only problem. Is this lightheadedness significant? Do you fee...  Read Full »

How can the TG/HDL ratio be reduced?

Query: Hi doctor, I got a complete medical checkup done today. My lipid profile reads total cholesterol 145 mg/dL, HDL 27.5 mg/dL, LDL 93.3 mg/dL, triglyceride 195 mg/dL and VLDL 39 mg/dL. Is this very concerning? Especially, I am concerned regarding the TG/HDL ratio. Please advice. My echo, ECG, and stres...  Read Full »

Dr. Prashant Valecha

Answer: Hi, Welcome to Most of the population has low HDL (high density lipoprotein). More than 50 is a good thing which rarely people have. Triglyceride range is up to 150. Can be more if no fasting done prior test or seen in diabetics. Overall your test is good. You do not need cholesterol me...  Read Full »

Why do I have breathlessness while walking?

Query: Hello doctor, I am a normal healthy individual with a sedentary lifestyle. I weigh 147 pounds and my height is 5'4" feet. I experience some breathlessness when I walk. Hence, I want to understand if there is something wrong with me. My annual medical checkup (over the last three years) shows my chol...  Read Full »

Dr. Vivek Singla

Answer: Hi, Welcome to I have gone through your reports (attachment removed to protect patient identity). I would like to know about your diet. Do you have any allergies? Do you smoke? My suggestion would be to reduce saturated fats and trans fats intake in your diet. I suggest you start taki...  Read Full »

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