apollo
  • 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?

Doctor 1

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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I'm really worried about my health lately. I've been dealing with diabetes and high blood pressure for a year now. Last October, I went through some tests like an echo, and everything seemed normal except for some grade 1 diastolic dysfunction. The TMT was negative, and my ECG looked okay. But I'm still having chest pain and pain in my left hand every week, and my heart sometimes races to 150160 bpm, with blood pressure at 180110. I even feel like passing out once a month. I've got pain in my chest, left hand, and jaw too. The doctor said last year that it wasn't a cardiac issue, but I can't shake off these symptoms. Without my blood pressure meds, my blood pressure spikes to 170110 and my heartbeat to 130. I'm currently on metoprolol, talmisartan, and vildapride. Its been seven months since those tests; should I go for another echo or TMT? Ive attached my last years reports and recent ECG too. What do you think?

Based on your history and symptoms, it would be advisable to undergo a repeat echocardiogram and stress test (TMT) to assess your heart function and rule out any cardiac issues. Considering your persistent symptoms and the changes in your blood pressure and heart rate, it is crucial to ensure that your current medications are effectively controlling your conditions. In addition to your current medications (metoprolol 50mg twice a day, telmisartan 40mg twice a day, and vildagliptin-metformin 50500mg twice a day), your healthcare provider may need to adjust the dosages or consider adding other medications to better manage your blood pressure and heart rate. Please follow up with your healthcare provider for a thorough evaluation, including a repeat echocardiogram and stress test, to determine the underlying cause of your symptoms and to optimize your treatment plan. Regular monitoring and follow-up are essential in managing your diabetes, hypertension, and cardiac symptoms.

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What can I eat to lower my blood pressure immediately?

You cannot lower yout BP immediately. Follow a healthy life style and eat food rich in fibre and protein, exercise for 30-40 mins and reduce stress

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I'm really worried about my blood pressure. Are there any known cases of curing essential hypertension? It seems like my sympathetic nervous system is always in overdrive, causing my body to jump into fight or flight mode for no reason. There's no sign of any tumors on my pituitary or adrenal glands, and all my blood tests and ECGs have come back normal. Is it possible to permanently fix this by getting my sympathetic nervous system back to normal?

While essential hypertension may not be "cured" in the traditional sense, it can be effectively managed through a combination of lifestyle changes, stress management, and medication. Working with a healthcare professional to optimize treatment, including controlling SNS overactivity, is important to help manage your blood pressure and prevent complications.

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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.