What can be done for high HDL levels, in a 52-year-old man with high BP?

Question

Hello doctor,

I got my blood results back, and apparently, my cholesterol, especially the high-density lipoprotein, is sky-high. I am a 52-year-old guy dealing with high blood pressure and taking those tablets faithfully. Now, I am scratching my head wondering, what is the deal with these cholesterol numbers? How do they affect my health, and what can I do to bring them back to earth? Are there any simple tweaks to my diet or lifestyle that could help? I am not a health nut, but I am willing to make some changes. Should I be worried about symptoms or anything specific?

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

HDL (high-density lipoprotein) is supposed to be good cholesterol and cardio-protective. But if it is going very high, it is a problem. Very high HDL cholesterol levels not only do not protect you more, but they might be harmful. In one study, people who had HDL cholesterol levels above 60 mg/dL were nearly 50 percent more likely to have a heart attack or die from heart disease than people whose HDL levels were between 41 to 60, which is considered good.

You can reduce HDL. So does a diet high in refined carbohydrates (white bread, sugars, etc.). Medications such as beta-blockers, anabolic steroids, progestins, and benzodiazepines can also depress HDL.

I hope this information helps you.

Thank you.