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Medical Forum / General / Nutrition / October 2006

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Cholesterol test results

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stephen - 04 Oct 2006 04:53 GMT
Total = 212
HDL   = 48
TC/HDL ratio = 4.4
LDL = 155
Triglycerides = <45

I'm 41 years old 6' tall 155lbs. In good health, I ride bikes, jump on
trampolines, and feel like I'm 25 still. I don't eat fast food, but do eat
beef and pork fairly often.
My wife (a pharmacist) says my cholesterol is too high, I say phooey.
What do you think? Should I try and lower it?
Ron Peterson - 04 Oct 2006 05:27 GMT
> Total = 212
> HDL   = 48
> TC/HDL ratio = 4.4
> LDL = 155
> Triglycerides = <45

> I'm 41 years old 6' tall 155lbs. In good health, I ride bikes, jump on
> trampolines, and feel like I'm 25 still. I don't eat fast food, but do eat
> beef and pork fairly often.
> My wife (a pharmacist) says my cholesterol is too high, I say phooey.
> What do you think? Should I try and lower it?

You're OK, but cutting the more fatty cuts of beef should reduce your
cholesterol enough.

Substitute chicken, turkey, fish, and beans for some of that beef.

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   Ron

Juhana Harju - 04 Oct 2006 05:54 GMT
: Total = 212
: HDL   = 48
[quoted text clipped - 7 lines]
: My wife (a pharmacist) says my cholesterol is too high, I say phooey.
: What do you think? Should I try and lower it?

You did not mention anything related to omega-3 fatty acids. Independent of
cholesterol levels, it should be beneficial to increase the intake of these
healthy fatty acids either by eating fatty fish (salmon, small mackerel,
sardines) on a regular bases, or by taking fish oil capsules, or both. I
agree with the Ron's recommendation.

Signature

Juhana

CWAMD@EARTHLINK.NET - 04 Oct 2006 12:13 GMT
> : Total = 212
> : HDL   = 48
[quoted text clipped - 16 lines]
> --
> Juhana

Couldn't resist jumping in

Your lab values indicate that you eat a relatively good diet with low
saturated fat (trig<100) but you overeat (insulin usage per meal)
relative to your body's metabolism (determined by muscle mass and its'
hunger determined by exercise and thyroid hormone levels) giving you
elevated cholesterol.
Joe Doe - 04 Oct 2006 22:56 GMT
> Total = 212
> HDL   = 48
[quoted text clipped - 7 lines]
> My wife (a pharmacist) says my cholesterol is too high, I say phooey.
> What do you think? Should I try and lower it?

If you look at Statin studies where cardiovascular disease was measured
by IVUS any LDL level above 80 allowed disease progression.  (Search for
Asteroid or Reversal studies). .  

For example:
http://www.clevelandclinic.org/heartcenter/pub/news/archive/2004/reversal
5_2.asp

Or
http://www.clevelandclinic.org/heartcenter/pub/news/archive/2006/reverseC
AD3_13.asp

While these studies were done in people with disease, it is also a fact
that evidence for plaque buildup is seen even in young accident victims
and soldiers so it is highly likely that you (& everybody else) already
has some plaque burden.

The initiation of the disease requires endothelial damage of blood
vessels (say from smoking or high blood pressure or infection etc).  In
a perfect world where you knew your lifestyle left your endothelium in
perfect shape, your LDL levels may not be of concern.  In the real world
lower is probably better for everybody and aggressively lower is
probably best.

Roland
Susan - 05 Oct 2006 00:00 GMT
> Total = 212
> HDL   = 48
[quoted text clipped - 7 lines]
> My wife (a pharmacist) says my cholesterol is too high, I say phooey.
> What do you think? Should I try and lower it?

Your cholesterol isn't at all too high, and your HDL/TGL ratio is
remarkably good.  TGLs and HDL have been found to be of more predictive
value than LDL is; LDL has been found to be the least reliable
predictor.  Your low TGL suggests that your LDL particles are likely the
larger, fluffier, undamaging kind.

Susan
Jim Chinnis - 05 Oct 2006 01:40 GMT
stephen <sillyrabbit@trixareforkids> wrote in part:

>Total = 212
>HDL   = 48
[quoted text clipped - 7 lines]
>My wife (a pharmacist) says my cholesterol is too high, I say phooey.
>What do you think? Should I try and lower it?

Depends on your genes, which you didn't mention.
--
Jim Chinnis  Warrenton, Virginia, USA  jchinnis@alum.mit.edu
 
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