How to manage high cholesterol levels?

Question

Hello doctor,

I am a 33-year-old with high cholesterol levels. I first discovered this high cholesterol five years ago. I have been doing some moderate walking, though not regularly. I experience general weakness, a lack of strength, and stamina. My hands tremble when I lift anything heavy, and there is also a slight tremor when I squat or do sit-ups. Until last week, I had a lot of red meat in my diet, along with frequent eating out, both of which I plan to reduce. I do not have high blood pressure, but my family has a history of diabetes.

However, my fasting blood sugar is normal. I have reduced my fat intake and included flaxseeds and almonds in my diet while cutting back on eating out. For the past month, I have been taking fish oil and Shuddha Guggulu (a Himalayan medicine) to help reduce my cholesterol. Should I consult a doctor about taking medication to lower my cholesterol? What should I do to further reduce my cholesterol or LDL levels?

Answer 1

Hello,

Welcome to icliniq.com.

At a young age, we typically do not start medication unless cholesterol levels are very high, specifically over 250 mg/dL for total cholesterol or over 160 mg/dL for LDL (low-density lipoprotein). Therefore, you need to focus on lifestyle changes first, including regular exercise for two to three months, and then repeat the lipid profile afterward. If your levels improve, we will continue with that approach; otherwise, we will consider starting medication after eight to ten weeks.

You should adopt a healthy lifestyle by avoiding fatty, oily, and high-calorie foods. Engage in regular exercise, such as brisk walking or jogging, for at least 30 minutes a day, five days a week, based on your capacity. Include plenty of green leafy vegetables, fruits, and fish in your diet one to two times a week, while avoiding meat. Additionally, avoid the yolk of eggs, as it is high in cholesterol. If you smoke or consume alcohol, please avoid them as well. It is important to prevent abdominal fat deposition and obesity, aiming for a BMI (body mass index) under 23.

I believe your elevated cholesterol should respond to dietary modifications. Your other symptoms may be due to general weakness and lack of regular exercise, but it would be wise to have yourself examined by a local doctor for muscle strength and reflexes to be extra sure.

I hope this helps, and please get back to me if you have any questions.

Also, be sure to upload the lipid profile report.

Thank you.