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Dr. Frank
Dr. Frank, Board Certified Physician
Category: Medical
Satisfied Customers: 7201
Experience:  Neurologist/Internist with academic and clinical experience.
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A Dr that I have been seeing said that I have high cholesterol

Resolved Question:

A Dr that I have been seeing said that I have high cholesterol at 215 but my ratio is 4.1.
She wants to put me on meds.

Is it time to get another opinion
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Frank replied 1 year ago.

neuromd2012 :

Welcome, as an Internist I will try to answer your Medical Question, for informational purposes only, please see your doctor as needed.

neuromd2012 :

are you there?

Customer:

Yes

neuromd2012 :

you ratio is good, but I would want to know your HDL

neuromd2012 :

and your LDL

neuromd2012 :

as well

neuromd2012 :

if your LDL is over 100, that might be your doc's concern, or your HDL less than 40

Customer:

hdl is52 and ldl130

neuromd2012 :

so you HDL is ok

neuromd2012 :

it could be higher, but if you are exercising than it is what it is

Customer:

but my LDL

neuromd2012 :

and your LDL is a little higher than it should be

Customer:

my genetics are good parents to 90

neuromd2012 :

that is the one thing that statin meds can do, lower your LDL

neuromd2012 :

I see

neuromd2012 :

so maybe you should get a second opinion

neuromd2012 :

that is as good as anything

neuromd2012 :

you have a point with an HDL over 50

neuromd2012 :

and a ratio of 4.1

neuromd2012 :

I would also say that you might consider a newer statin, if you decide

neuromd2012 :

to take one

neuromd2012 :

there is a new med out by Lilly

neuromd2012 :

that is a statin with less side effects, like muscle pain is much less

neuromd2012 :

it is called Lovalo, hang on

neuromd2012 :

I will get you a webpage on it

Customer:

Are there holistic methods to lower the LDL

neuromd2012 :

http://reference.medscape.com/drug/livalo-pitavastatin-999209

neuromd2012 :

there are ways

neuromd2012 :

other than diet

neuromd2012 :

like adding specific B vitamins

neuromd2012 :

Niacin is common, but it has some side effects like flushing

neuromd2012 :

there is green tea extract

neuromd2012 :

and some others, hang on

neuromd2012 :

 






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Cholesterol-lowering supplements: Lower your numbers without prescription medication

By Mayo Clinic staff


If you're worried about your cholesterol level and have already started exercising and eating healthier foods, you might wonder if adding a cholesterol-lowering supplement to your diet can help reduce your numbers. Although few natural products have been proven to reduce cholesterol, some might be helpful. With your doctor's OK, consider these cholesterol-lowering supplements and products.














































Cholesterol-lowering supplementWhat it doesSide effects and drug interactions
Artichoke extractMay reduce total cholesterol and LDL, or "bad," cholesterolMay cause gas or an allergic reaction
BarleyMay reduce total cholesterol and LDL cholesterolNone
Beta-sitosterol (found in oral supplements and some margarines, such as Promise Activ)May reduce total cholesterol and LDL cholesterol

May cause nausea, indigestion, gas, diarrhea or constipation


May be ineffective if you take ezetimibe (Zetia), a prescription cholesterol medication


Blond psyllium (found in seed husk and products such as Metamucil)May reduce total cholesterol and LDL cholesterolMay cause gas, stomach pain, diarrhea, constipation or nausea
Fish oil (found as a liquid oil and in oil-filled capsules)May reduce triglycerides

May cause a fishy aftertaste, bad breath, gas, nausea, vomiting or diarrhea


May interact with some blood-thinning medications, such as warfarin (Coumadin)


Flaxseed, groundMay reduce triglycerides

May cause, gas, bloating or diarrhea


May interact with some blood-thinning medications, such as aspirin, clopidogrel (Plavix) and warfarin (Coumadin)


Garlic extractMay reduce total cholesterol, LDL cholesterol and triglycerides

May cause bad breath, body odor, heartburn, gas, nausea, vomiting or diarrhea


May interact with blood-thinning medications, such as warfarin (Coumadin)


Green tea extractMay lower LDL cholesterol

May cause nausea, vomiting, gas or diarrhea


May interact with blood-thinning medications, such as warfarin (Coumadin)


neuromd2012 :

here is a listing from the Mayo clinic.

neuromd2012 :

and maybe that is a good idea with your numbers, see if you can get your LDL fraction down over the next few months

Customer:

So that was my questioin how long does it take and how oftern should I get a blood test?

neuromd2012 :

oh

neuromd2012 :

any change, you need to wait around 3 months then recheck

neuromd2012 :

that is what I do, it has to do with turnover of fats as there is a equilibium that you make

neuromd2012 :

any other questions?

Customer:

Not at this time. Thank you

Customer:

Have a great day

neuromd2012 :

you are welcome

neuromd2012 :

come back anytime

neuromd2012 :

please rate my service if you can

neuromd2012 :

bye

neuromd2012 :

Dr Frank T

Dr. Frank, Board Certified Physician
Category: Medical
Satisfied Customers: 7201
Experience: Neurologist/Internist with academic and clinical experience.
Dr. Frank and other Medical Specialists are ready to help you
Expert:  Dr. Frank replied 1 year ago.
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