Question 1

I'm 36 years old and my cholesterol levels are quite high. I've got the details here: Total cholesterol is 212 mgdL, triglycerides are 333 mgdL, HDL is 33.60 mgdL, LDL is 143 mgdL, VLDL is 35.4 mgdL, and Non-HDL is 178 mgdL. My liver function tests show bilirubin total at 0.42 mgdL, bilirubin direct at 0.07 mgdL, and bilirubin indirect at 0.35 mgdL. My SGOT is 40 UL, SGPT is 34 UL, GGTP is 28 UL, ALP is 121 UL, total protein is 7.20 gdL, and albumin is 4.48 gdL with an AG ratio of 1.65. My fasting blood sugar is 102 mgdL. The doctor recommended taking Rozavel F 10 mg twice a day, but I'm really concerned and wondering if there's anything else I can do to lower my cholesterol quickly. Any advice or tips would be greatly appreciated.

Accepted Answer

"Based on your cholesterol levels and liver function test results, I recommend adding Ezetimibe 10 mg once daily to your current treatment with Rozavel F 10 mg twice a day. This combination can help in faster reduction of cholesterol levels. Additionally, you can consider adding Omega-3 fatty acids supplement to further improve your lipid profile. Make sure to follow a healthy diet low in saturated fats and engage in regular physical activity to complement the medication therapy."

Question 2

I'm a bit worried about some stuff I've been experiencing. Sometimes when I talk loudly, I feel this pain in my chest. I usually masturbate maybe twice or thrice a month, often while watching porn or imagining naked women, and that always made my heart race. Recently, I've tried to stop watching but still experience the pain whenever I shout. Could there be a link between these things, or should I be concerned about the pain when speaking loudly?

Accepted Answer

ecg and cardiac markers for evaluation f your chest pain is advised..

Question 3

I've been dealing with palpitations since 2009, and although I've had some treatment, they haven't completely stoppedjust reduced in frequency. The doctor advised me to take Rivotril when they start, since they never seem to stop on their own. I'm worried about why they persist and if there's something else I could try? Could there be long-term effects if I'm taking Rivotril for so long? Any advice would be appreciated.

Accepted Answer

Since you have been experiencing palpitations since 2009 and have been advised to take rivotril when they occur, I recommend discussing with your doctor about trying beta-blockers such as Metoprolol at a low dose to help manage the palpitations more effectively. The usual starting dose for Metoprolol is 25mg once daily, which can be adjusted based on your response. Beta-blockers are commonly used to reduce the frequency and severity of palpitations by regulating the heart rate and rhythm.

I've been experiencing some mild chest pain and discomfort when I breathe. It's a bit concerning, and I'm wondering what could be causing this. Should I be worried about this, or is it something that could resolve on its own? Could it be related to stress, or should I get it checked out immediately?

Ecg and x-ray chest pa view is advised to the patient.

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