Dr. Sagar Ramesh Makode
Cardiology
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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Patient's Query
Hello doctor,
I am a 31-year-old male weighing 100 kg and height 174 cm. I have no health issues except being overweight. Recently, I had taken a general complete blood and urine checkup. Certain readings on my blood sample are not normal. They are as follows:
Please advice in regards to my report.
Hello,
Welcome to icliniq.com.
I have gone through your reports (attachment removed to protect patient identity). Your reports are fine with some derangements. Firstly, your LDL cholesterol is borderline elevated due to which lipoprotein (a) is elevated. So, since it is borderline elevated, there is no absolute need for medicines. You should follow a healthy lifestyle like having less of high-calorie food, low oily and spicy diet. Less of salt, light dinner, and avoiding rice. Regular exercises like running for at least 30 minutes a day. Repeat lipid profile after eight weeks and see for the response. If there is a response, then we will continue the same, and if no response, then we will add medicines. If you think, you are already having the best possible healthy lifestyle then should be started on tablet Rosuvastatin 5 mg bedtime. Your HDL (high-density lipoprotein) is fine.
GGT (glucose tolerance test) is borderline elevated and like due to obesity and fat deposition in liver and alcohol intake, weight loss and above lifestyle will help. Also, alcohol consumption should be reduced. Vitamin D is low, so should have tablet Uprise D3 60,000 units once a week for eight weeks and then, once a month for six months after a weekly course is finished. HsCRP (high sensitive C-reactive protein) is also elevated due to obesity and will gradually settle.
Next is elevated homocysteine which is likely due to low vitamin 12. So should have tablet ME12 (Methylcobalamin, Folic acid, and Pyridoxine) once daily for eight weeks for that. Also, get folate test done to look for the cause for elevated homocysteine.
For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
Patient's Query
Thank you doctor,
I appreciate your prompt response. As per your advice, please let me know if I have understood correctly. I should be taking the following medicines:
Also, please let me know if in future will I be diabetic. I have no family history of diabetic patients. I just want to be sure that I am not prone to get affected by diabetes or other cardiovascular diseases, according to my report.
Hi,
Welcome back to icliniq.com.
Yes, that is correct for both the medicines. Being overweight is the strong risk factor for diabetes, so you are certainly at risk of diabetes and hypertension in the future. So you should focus on diet and exercise in order to achieve weight loss.
For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
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Cardiology
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