Join Our Community!
Conditions and Diseases > Heart Disease and Heart Attack Forum > High tryglicerides, HDL & LDL Levels
Avatar
Q: High tryglicerides, HDL & LDL Levels
asked by: DoctorQuestion on January 25th, 2007
Doctor Question
Dear Sir,
I am 38, I have high tryglicerides-417 with VLDL - 83, LDL - 106 & HDL - 39 three months back, so I put my self on controlled diet and did little excercise as well. I lose 8 Kg weight in three months and came down from 74 to 66 Kg which is ideal weight for my height. As prescribed by Doctor I also took Lipicard 160 mg for two & half months., I stoped Lipicard 160 mg and after three weeks my lipid figures are : tryglicerides - 188, VLDL - 37, LDL - 144, HDL - 30 . Its is surprising that tryglicerides have come down drastically to 188 (almost 110 % i.e. 230 points down ), VLDL come down from 83 to 37 (again more than 100 %) but contrarary LDL have gone up by 38 points to 146 (almost 38 % ) and HLD have come down to 30 from 39 (down by 30 % ). My question is why good cholesterol (HDL) have come down while bad Cholesterol (LDL) have gone up even after controlled diet ? How same diet bring down tryglicerides and VLDL but not LDL ? Why HDL (good cholesterole) have gone up even after good diet ? Is't it medically contrarary when tryglicerides and VLDL are coming down while LDL going up (at the same time HDL going down) ? My Doc. says Is hould do more excercise and it will settle down or he say take lipicard again for three months., I dont wish to make my self habitual of taking cholesterol control drug., as per weight I can not afford to lose more weight otherwise other complications may arise due to under weight., but I can do more excercise., Please guide me, I am confused, whether I should stop medicine & do only exercise or continue same drug or change the drug ?
Thanks


Did you find this post useful?
|


Replies(1)
User Profile
DoctorAnswer replied on January 31st, 2007
Doctor Answer
Heart Disease & Heart Attack Answer A2229
Lipicard (fenofibrate) mainly acts on triglycerides and VLDL. Lipicard does not act on LDL and HDL. Lipicard decreases triglycerides and VLDL but it may even increase LDL (as in your case). You may exchange Lipicard for another anti-hyperlipidemic medicine that acts strictly on LDL. Some pharmaceuticals work to inhibit the enzymes HMG CoA-reductaze (mevastatin, lovastatin, simvastatin…). A diet and increased physical activities are both recommended for treatment of high triglycerides, no matter the medicine you take.


DISCLAIMER: "Ask a Doctor" Questions are answered by family doctors who practice medicine for the general public. For more information about eHealthForum.com medical experts, please visit our About Us page. You may also visit our Heart Disease and Heart Attack Forum, for moderated patient to patient support and information.

The material presented in the eHealth Forum Discussion Forums and Ask A Doctor is in no way intended to replace professional medical care or attention by a qualified licensed medical professional. eHealth Forum and eHealth Forum's Ask A Doctor advises all users with health problems and concerns to consult their personal doctors. Furthermore, if you have any questions or concerns about your condition, you must consult your qualified licenseced medical professional before starting any treatment.

The materials in the eHealth Forum Discussion Forums and Ask A Doctor cannot and should not be used as a basis for diagnosis or choice of treatment. To the fullest extent possible, eHealth Forum and eHealth Forum's Ask A Doctor expressly excludes all liability in respect of the information and opinions contained in the Discussion Forums and Ask A Doctor, this Web site, or any sites linked to this Web site.
Did you find this post useful?
|
 
Jump to: