HomeAnswersInternal Medicinehigh ldlI have increased LDL levels. Should I be concerned?

What are the ways to manage high LDL cholesterol levels?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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iCliniq medical review team

Published At February 23, 2023
Reviewed AtOctober 11, 2023

Patient's Query

Hi doctor,

I am a 53-year-old male. I took blood tests recently, and my HDL is 72 mg/dl, LDL is 192 mg/dl, and my Total HDL ratio is 3.9:1. My blood pressure is normal, and I do not have any other issues. Is this high LDL a concern? Kindly suggest.

Hello,

Welcome to icliniq.com.

I understand your concern. I have noted your medical history. I will read your laboratory reports and get back to you.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply.

I have uploaded my reports. Kindly suggest.

Hi,

Welcome back to icliniq.com.

I understand your concern. From the reports attached (attachment removed to protect the patient's identity), the HDL (high-density lipoproteins) is 72 mg/dl, the LDL (low-density lipoproteins) is 192 mg/dl, and triglycerides are 90 mg/dl. Ideally, the LDL level should be less than 100mg/dl in individuals with diabetes or heart disease. Your value is 192 mg/dl, which is in the high range. Your HDL level is 72 mg/dl, which is good for your heart and overall health. The high LDL level should be managed with lifestyle modifications, diet changes, and medications. Your triglyceride value is 90 mg/dl, which is normal. The leading risk factors for heart disease and stroke are high blood pressure, high low-density lipoprotein (LDL) cholesterol, diabetes, smoking and secondhand smoke exposure, obesity, unhealthy diet, and physical inactivity. Do you have any of these risk factors? I suggest you reply to assist you further. I hope this helps you.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply.

Apart from high LDL levels, I do not have any other risk factors. Also, I do a lot of physical activities. Kindly help.

Hi,

Welcome back to icliniq.com.

I understand your concern. As you do not have any risk factors except high LDL, I suggest you a diet that is low in fat and fatty foods. Diet modification is the initial step to control the high LDL level without any other risk factors. I also suggest you redo the lipid profile test after two weeks, and if the LDL level is again in the similar range, then low-dose anti-lipid medications like statins should be started. Since you do not have any other risk factors, you need not worry. I hope this helps you.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Basuki Nath Bhagat
Dr. Basuki Nath Bhagat

Family Physician

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