- Male
- 31 Years
- 29/01/2025
I'm looking at my lipid profile and I'm a bit worried because my triglycerides are 361. My LDL is at 76, and my HDL is 35. The total cholesterol while fasting came out to 134. I'm not sure what steps I should be taking to bring my triglyceride levels down. Any advice?
Answered by 1 Apollo Doctors
To lower your triglyceride levels, you can start by making some lifestyle changes. You should focus on a healthy diet that is low in saturated fats, trans fats, and cholesterol. Increase your intake of fruits, vegetables, whole grains, and lean proteins. Regular exercise is also important in managing triglyceride levels. In addition to lifestyle changes, your doctor may prescribe medication to help lower your triglycerides. One common medication that is often prescribed for high triglycerides is Fenofibrate. The usual dosage for Fenofibrate is 145 mg once daily. Remember to always follow your doctor's advice and recommendations for managing your lipid profile.
Dr. Ibrahim Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI've been really worried about some recent health issues and could use some advice. I had an angioplasty back in 2013 and also dealt with Covid in August '20. Recently, I had some pain in my left arm, so I went to the cardiologist. The ECG came back normal, but some of my test results are concerning. My homocysteine level is at 44, triglycerides are sitting at 275, but my creatinine and cholesterol are normal. My SGPT is at 46 and B12 is at 218. I'm really anxious because I know the high homocysteine could mean a higher chance of another heart issue. Should I be considering more tests, like angiography, or is there a treatment plan you would suggest? Just hoping to get some peace of mind here.
Based on your history of angioplasty in 2013, recent Covid infection, left arm pain, and abnormal test results (homocysteine at 44, triglycerides at 275, B12 at 218), it is important to further evaluate your cardiac health to determine the best course of treatment. Given your elevated homocysteine levels and previous history of angioplasty, it is advisable to undergo further cardiac evaluation. I recommend that you undergo a coronary angiography to assess the status of your coronary arteries and determine if there is any significant blockage that may require intervention. In addition to the angiography, it would also be beneficial to optimize your lipid profile and homocysteine levels through lifestyle modifications and medications. Your cardiologist may prescribe medications such as Atorvastatin for cholesterol control, Folic Acid supplements for homocysteine reduction, and lifestyle changes such as a healthy diet and regular exercise. Regular follow-up with your cardiologist is crucial to monitor your progress, adjust medications as needed, and reduce the risk of a second cardiac event. It is important to prioritize your cardiac health and work closely with your healthcare team to manage your risk factors effectively.
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I've been noticing that every time I check my pulse rate, it's always above 100, sometimes even hitting 95 to 105. I'm worried about what could be causing this consistently high pulse rate. Can you help me understand the possible reasons behind it?
High pulse rate, also known as tachycardia, can be caused by various factors. Some common reasons for a high pulse rate in the range of 95-105 beats per minute include physical activity, stress, anxiety, caffeine intake, dehydration, fever, anemia, thyroid disorders, and certain medications. It is important to monitor your pulse rate at different times of the day and in different situations to see if there are any patterns or triggers. If your pulse rate consistently remains above 100 beats per minute, it is advisable to consult with a healthcare professional for further evaluation and management. In the meantime, you can try relaxation techniques, staying hydrated, and avoiding stimulants to see if there is any improvement in your pulse rate.
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I'm currently taking Olmezest H 20, but I'm thinking about switching to Olmezest AM 20. I'm not sure which combination is more effective for me. Can you help me figure out if it's a good idea to change my medication?
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Answered by 1 Apollo Doctors
Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.




