apollo
  • Male
  • 25 Years
  • 23/01/2025

I'm struggling with high cholesterol levels and I'm trying to figure out what to do. My total cholesterol is sitting at 221, with an LDL of 146, HDL is 36, and VLDL is 39. Plus, my triglycerides are at 280. I also smoke, but I've been cutting back bit by bit. Do I need to start taking statins because of this? And if I do start them, is it possible to stop once my cholesterol levels go down?

Doctor 1

Answered by 1 Apollo Doctors

Yes you have to start statins and quit smoking completely,maintain healthy lifestyle and stay physically active,use statins for a period of 3 months and check your lipid profile for followup

Dr. Dr Khaleel Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've got a situation with my aunty that's worrying me a bit. She's been having chest pain and even though the doctor said her ECG and 2D echo are normal, the TMT showed some changes. She's 46, and I'm just wondering what this could mean? Should we be concerned about the TMT results despite the other normal tests? Any insight you could give would be really appreciated.

Hello, based on the information provided, it seems like your aunt is experiencing chest pain despite normal ECG and 2D echo results. In this case, the doctor may consider prescribing anti-anginal medications to help with the chest pain. One common medication that can be prescribed is "Nitroglycerin" sublingual tablets, to be taken as needed for chest pain. The usual dosage is 0.3 to 0.6 mg sublingually every 5 minutes as necessary, up to 3 doses. Additionally, the doctor may also consider prescribing medications like "Beta-blockers" such as Metoprolol, starting at a low dose of 25 mg once daily and titrating up as needed. These medications can help manage chest pain and improve symptoms.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm having this chest pain on the left side about 30 to 40 minutes after falling asleep, and it even comes with a bit of sweating. Once it starts, I can't find a comfortable position to sleep in without it hurting, so I've been sleeping in an easy chair for the past five days. I started taking Tonact TG for my high cholesterol, which is 290. I'm also on Thyronorm 75 and Telmisartan 40. My TSH levels and blood pressure are normal. Should I be worried about this chest pain and what should I do about it?

It sounds like you're experiencing discomfort that could be related to a few different factors, including your cholesterol and medications. Since the pain is persistent and affects your sleep, it's important to follow up with your doctor to rule out any heart-related issues and ensure the medications are working well for you. If the pain persists, consider an evaluation for possible musculoskeletal causes or other conditions that might be contributing.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm curious about what steps to take next for my health. I've been on medication for 10 months now dealing with mild cholesterol and hypertension, and I'm also diabetic. My LDL is currently 68 mgdl. The medications I'm taking include Metformin 500 mg, Ramipril 2.5 mg, Rosuvastatin, Aspirin, and Metoprolol Succinate 25 mg. I haven't done an angiography yet, and I'm wondering if that's necessary or if there are other actions I should consider for better health management. What would you suggest?

Based on your current medications and medical history, it seems like you are managing your hypertension, diabetes, and cholesterol levels effectively. Since you have a mildly positive TMT result and have not undergone angiography yet, it would be advisable to consult with your healthcare provider for further evaluation and management. You may consider discussing the possibility of undergoing angiography to assess the status of your coronary arteries. Depending on the findings, your healthcare provider may recommend adjustments to your current medication regimen or additional interventions to optimize your cardiovascular health. In the meantime, continue taking your medications as prescribed: - Metformin 500mg for diabetes - Ramipril 2.5mg for hypertension - Rosuvastatin for cholesterol - Aspirin for cardiovascular protection - Metoprolol succinate 25mg for hypertension Regular follow-up with your healthcare provider is essential to monitor your progress and make any necessary changes to your treatment plan.

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