Question 1

I'm 27 and just found out I have high cholesterol. My LDL was 190, HDL was 40, total cholesterol hit 280, and triglycerides were at 90. My B12 levels were at 80. The doctor had me on Crestor 20 mg for a few months, which got my LDL back to normal, but it messed with my SGPT and SGOT levels. Then I switched to Prelipid and my cholesterol levels stabilized, but I've been having muscle pain and anxiety with it. Also, my family's got a history of high cholesterol. I've been playing lawn tennis regularly for the past few years and I really dont love the idea of staying on medication forever. Once I stop taking them, my cholesterol spikes again. Is there any way I can manage my cholesterol without being on meds for life? Would really appreciate some advice on if these medications are a must or if there's something else I can try!

Accepted Answer

u have to continue with tab crestor 20 mg at bedtime continuosly ,and recheck the lipid panel once in 3 months, better to continue with the medications.Regular aerobic exercises, protein diet is advised.Alcholol and smoking cessation is needed.Also use of butter and ghee is not advised

Question 2

My mom's blood pressure is reading 10090, and the doctor told her to take Losar 50. Should she take it in the morning or at night? A couple of months ago, she was on Amlodipine 5, but she'd stop when her blood pressure looked normal. Is that okay, or should she stick with the medication even if she feels better?

Accepted Answer

Unwanted 72 is an emergency contraceptive pill.

_Frequency of Use_

1. _Not recommended for frequent use_: Unwanted 72 is designed for emergency situations, not regular contraception.
2. _Maximum frequency_: Not more than 2-3 times in a year, as frequent use can lead to hormonal imbalances.

_Twice in a Month_

1. _Not recommended_: Taking Unwanted 72 twice in a month can disrupt your menstrual cycle and hormonal balance.
2. _Potential problems_:
    - Irregular periods
    - Heavy or prolonged bleeding
    - Mood swings
    - Breast tenderness
    - Nausea and vomiting
    - Headaches

_Long-term Consequences_

1. _Hormonal imbalance_: Frequent use can lead to hormonal imbalances, affecting fertility and menstrual regularity.
2. _Impact on fertility_: Repeated use may affect ovulation and fertility.

_Alternative Contraception Methods_

1. _Consult a gynecologist_: Discuss long-term contraception options, such as oral contraceptives, IUDs, or condoms.
2. _Regular contraception_: Switch to a regular contraception method to avoid frequent use of emergency contraceptive pills.

Question 3

I'm really worried about my heart health. I had an echocardiogram about 7 months ago, and it showed a 60% ejection fraction with trace mitral regurgitation and aortic regurgitation. I've been asking my doctor for another echo for weeks, but he's not keen on it, saying the heart structure won't change that quickly. I'm experiencing what I think are classic heart failure symptoms thoughevery heartbeat feels weak and faint, like my heart's struggling to pump blood. When I stand up, I get short of breath, and my heart rate shoots up. Should I keep pushing for a repeat echo? Is it possible for my heart to get worse in less than a year?

Accepted Answer

ECHO is done atleast every 6-12 months.

I'm 24 and I spend a lot of time sitting because of my job. My pulse rate seems to bounce between 92 and 110. Is it normal for it to be that high at my age? I'm a bit worried if it's something I should be concerned about.

ecg and echo advised to the pt..

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