High Cholesterol. Need advice.

[ytp2000]

Any symptoms like breathlessnes

No breathlessness and chest pain.

During jogging, whenever I hit 1km mark, my heart will felt the sudden heartburn sensation. It will go off after I slow jog for the next 500m.
And my tiredness after a jog is really bad.

 

[SteamChicken8888]

Just did a health check and cholesterol numbers are:
- Total Cholesterol: 252 mg/dL
- HDL Cholesterol: 51 mg/dL
- LDL Cholesterol: 182 mg/dL
- TC/HDL Ratio: 4.95
- Triglycerides: 95 mg/dL

Need to start taking meds? Any other advice?

Doctor never prescribe you simvastatin ah? Usually Simvastatin 10mg eat two-years super huge improvement liao.

 

[ytp2000]

What test done to check the block?calcium score or directly check the vessels test?

Any symptoms?

If I remembered correctly, the hospital did an angiography scan to detect the blockage.
Immediately I were told to return back to the hospital the next morning to proceed with the stent n balloon operation.

 

[ninja99]

3 highs not common.

You happened to have the actual stat? I wish you are right, but people I know most of them have 3 high, few young colleagues also diagnose to have pre diabetes.

 

[ninja99]

If I remembered correctly, the hospital did an angiography scan to detect the blockage.
Immediately I were told to return back to the hospital the next morning to proceed with the stent n balloon operation.

You are lucky, the condition you have were really a silent killer, once occur high percent is gg.

 

[hmyoth]

No breathlessness and chest pain.

During jogging, whenever I hit 1km mark, my heart will felt the sudden heartburn sensation. It will go off after I slow jog for the next 500m.
And my tiredness after a jog is really bad.

Lucky u go for further check and problem fixed. Heng Ong Huat.

 

[carey]

Wow so far I can't pass 24..

Once we are fat adapted ie used to burning our own fats for fuel, it's easy

I sometimes fast for 100 hours with just water and coffee

 

[tricolours]

Bad cholesterol can be controlled and reduce if you manage your eating habits and do regular exercise well.

Everything can still be consume at a moderation level.

I am not going to tell you what you should avoid as everyone has a different eating habits.

Your LDL is most important which can lead to to heart disease. You need to also watch on your HDL which is your good cholesterol.

Your doctor can advise you but it is still up to you if you are not able to control what you eat and lazy to do exercise. I use to have high LDL and doctor gave me 3 months to lower down my LDL. Struggled at first when need to change the eating habits and maintaining regular exercise. After 3 months plus, went to see the doctor to do another blood test and manage to lower to normal range. If you know your own ideal weight, then make sure you reach that too.

Doctor told me, I will need to maintain what I do and continue to do what I did to lower my LDL. He was about to prescribe me cholesterol medicine. So manage to siam this.

Good luck as you will need it!

 

[fantasyrulz]

Having a healthy diet and regular exercise is definitely good for preventive health approach.

However life is not binary. I think people should not turn into nutrition zealots.

If it suits the elderly's mindset to take a statin daily or inclisiran jab every 6 months and have nice cholesterol results, who are you all to judge?

So don't jelly if he can eat fried carrot cake every morning while having ldl levels below 100mg/dl. lol

Besides, the definition of a healthy diet by mainstream medicine is far from a low carb, high saturated fat animal diet proposed by some forumers here.

healthy diet and regular exercise is a NON NEGOTIABLE
thats not to say that we cant have cheat day and rest dayt so we still eat our carrot cake drink our beer and party when we want it. its just not our baseline

its when u treat ur body like a rubbish dump and expect good result.
eat your kway chap eat your pizza, carrot cake, beehoon, cai png every single day no problem
some get it easy due to genetics but the majority?
just use ur eyes to see around, all the belly, balding, legs failing, mind failing zombies roaming around

burdening the health care is one thing but living a sub par life is another

 

[yondai2]

Hi I have similar stat line as you.

I tried cutting on red meat, stop eating pork literally.

I regularly exercise, cycle 70-80km every week if i can. Run at least once a week.

The exercise is a myth. It help for most people but not for me. Took another blood test [after going pork-less and beef-less, tri got down to normal below 42. LDL was still high AF. Doctor gave me another 6 months to try control my eating habits.

i began researching on this topic, LDL the so call bad cholesterol is not really the bad , u do need cholesterol to repair your cells technically. Then read further, different people, base on hormone level, will produce more cholesterol than others to begin with.

Reading further, i found out that over consumption of sugar and carbs, causes your liver to produce LDL.
I am 1.8m and 65kg. My weight is already within range but i still high LDL. I also realize Ultra processed food have freakishly high saturated fat. [I was avid fan of bread, biscuit and donuts during this period when i skip red meat]

I was at cross-roads, if u abide to traditions, avoid red meat, you arent left with much protein choice. And if you skip carbs, your meals gonna get very expensive.

I up my exercise load, now i run 20km per week, try to cycle twice every month clocking 100km per month.
After workout, i don't load carbs or sugar. Just good protein and whole foods.

I dont want to start statin because GP told me after statin, you need do annual liver test. So end game its still your liver that's causing this cholesterol issue in the first place.

My non-doctor 2-cent on this.
- Improve diet [cut fast food, cut saturated fat [chocolate, skippy peanut butter] get good nuts and expensive peanut butter if u want that has lesser than 5g saturated fat ones [fcking expensive]
- Cut carbs, eat better protein and if possible sub fruits and nuts to get more satiable so you can keep full until you sleep
- Ramp up your exercise load - i am going to play cheat and just exercise like a dog before my next blood test to experiment if LDL can drop.
- Get better sleep - sleep and liver regen goes hand in hand. Cholesterol producing and hormones all go hand in hand as well to your sleep pattern and cycle.

Sorry for the long ass rant. I would love get more educated on this as we learn to keep within spec with this LDL benchmark thing.

 

[tricolours]

Hi I have similar stat line as you.

I tried cutting on red meat, stop eating pork literally.

I regularly exercise, cycle 70-80km every week if i can. Run at least once a week.

The exercise is a myth. It help for most people but not for me. Took another blood test [after going pork-less and beef-less, tri got down to normal below 42. LDL was still high AF. Doctor gave me another 6 months to try control my eating habits.

i began researching on this topic, LDL the so call bad cholesterol is not really the bad , u do need cholesterol to repair your cells technically. Then read further, different people, base on hormone level, will produce more cholesterol than others to begin with.

Reading further, i found out that over consumption of sugar and carbs, causes your liver to produce LDL.
I am 1.8m and 65kg. My weight is already within range but i still high LDL. I also realize Ultra processed food have freakishly high saturated fat. [I was avid fan of bread, biscuit and donuts during this period when i skip red meat]

I was at cross-roads, if u abide to traditions, avoid red meat, you arent left with much protein choice. And if you skip carbs, your meals gonna get very expensive.

I up my exercise load, now i run 20km per week, try to cycle twice every month clocking 100km per month.
After workout, i don't load carbs or sugar. Just good protein and whole foods.

I dont want to start statin because GP told me after statin, you need do annual liver test. So end game its still your liver that's causing this cholesterol issue in the first place.

My non-doctor 2-cent on this.
- Improve diet [cut fast food, cut saturated fat [chocolate, skippy peanut butter] get good nuts and expensive peanut butter if u want that has lesser than 5g saturated fat ones [fcking expensive]
- Cut carbs, eat better protein and if possible sub fruits and nuts to get more satiable so you can keep full until you sleep
- Ramp up your exercise load - i am going to play cheat and just exercise like a dog before my next blood test to experiment if LDL can drop.
- Get better sleep - sleep and liver regen goes hand in hand. Cholesterol producing and hormones all go hand in hand as well to your sleep pattern and cycle.

Sorry for the long ass rant. I would love get more educated on this as we learn to keep within spec with this LDL benchmark thing.

Nice explanation and you are right, it's not for everyone as everyone's body works differently.

Great point you made on sleeping as our body does need enough rest to regenerate and repair body cells.

 

[yondai2]

Nice explanation and you are right, it's not for everyone as everyone's body works differently.

Great point you made on sleeping as our body does need enough rest to regenerate and repair body cells.

Thank you. I guess everyone is on the same boat kind of **** so sharing and self educating is pretty critical i feel.

End of the day, i think no one want to experience sudden death despite having very lean bodies.
LDL might/might not a back marker to the downfall of your body but i personally feels, generic GP advice just doesnt work.

Cutting red meat for example, or even eggs, eggs have the highest vitamin to calories ratio. I am cutting this just cause my liver cant tame down on LDL production feels like i missing out alot.

Also, oatmeal is a myth. Oatmeal carb is damn high, take roll oat - that bob's mill xibei exp one, you eat that one pack, if you deciding to do IF and not exercise for that day, your liver easily will overproduce LDL.

Saturated fat is a bitch, almost every food outside is drizzle in it. Chilli sauce, brown sauce, watever good tasting ones that u cant figure out, they are laced in it probably.

I guess learning your body as you age is really important. Recently i am also adopting glucose goddess strategy of eating habits, eat vege, eat meat then end ur meal with carbs, to control the sugar spike your body experience.

She didnt explicitly mentioned sugar spike will produce LDL, but at this point of time, anything that can trick my liver into not overproducing LDL is worth a shot to try.

 

[fantasyrulz]

Hi I have similar stat line as you.

I tried cutting on red meat, stop eating pork literally.

I regularly exercise, cycle 70-80km every week if i can. Run at least once a week.

The exercise is a myth. It help for most people but not for me. Took another blood test [after going pork-less and beef-less, tri got down to normal below 42. LDL was still high AF. Doctor gave me another 6 months to try control my eating habits.

i began researching on this topic, LDL the so call bad cholesterol is not really the bad , u do need cholesterol to repair your cells technically. Then read further, different people, base on hormone level, will produce more cholesterol than others to begin with.

Reading further, i found out that over consumption of sugar and carbs, causes your liver to produce LDL.
I am 1.8m and 65kg. My weight is already within range but i still high LDL. I also realize Ultra processed food have freakishly high saturated fat. [I was avid fan of bread, biscuit and donuts during this period when i skip red meat]

I was at cross-roads, if u abide to traditions, avoid red meat, you arent left with much protein choice. And if you skip carbs, your meals gonna get very expensive.

I up my exercise load, now i run 20km per week, try to cycle twice every month clocking 100km per month.
After workout, i don't load carbs or sugar. Just good protein and whole foods.

I dont want to start statin because GP told me after statin, you need do annual liver test. So end game its still your liver that's causing this cholesterol issue in the first place.

My non-doctor 2-cent on this.
- Improve diet [cut fast food, cut saturated fat [chocolate, skippy peanut butter] get good nuts and expensive peanut butter if u want that has lesser than 5g saturated fat ones [fcking expensive]
- Cut carbs, eat better protein and if possible sub fruits and nuts to get more satiable so you can keep full until you sleep
- Ramp up your exercise load - i am going to play cheat and just exercise like a dog before my next blood test to experiment if LDL can drop.
- Get better sleep - sleep and liver regen goes hand in hand. Cholesterol producing and hormones all go hand in hand as well to your sleep pattern and cycle.

Sorry for the long ass rant. I would love get more educated on this as we learn to keep within spec with this LDL benchmark thing.

woah ur 1.8 and 65kg only?
now ur low on protein plus high on carbs?

most low weight ppl like to cycle/run due to been lighter.. which i would advise AGAINST
your already under weight any more run/cycle just gonna make u look worst

is it possible to cut off carbs for all your meal? maybe half portion during lunch?

if i eat cai png 2 veg 1 egg and 1 meat its still not that expensive

instead of cycle/run i rather u gym and gain muscle, eat more meat, veg and fibres fruit.
no snack, no mcdonald, donuts, chips etc

more whole food less carbs

 

[yondai2]

woah ur 1.8 and 65kg only?
now ur low on protein plus high on carbs?

most low weight ppl like to cycle/run due to been lighter.. which i would advise AGAINST
your already under weight any more run/cycle just gonna make u look worst

is it possible to cut off carbs for all your meal? maybe half portion during lunch?

if i eat cai png 2 veg 1 egg and 1 meat its still not that expensive

instead of cycle/run i rather u gym and gain muscle, eat more meat, veg and fibres fruit.
no snack, no mcdonald, donuts, chips etc

more whole food less carbs

lol i got heavy bones. Actually, l was 72 when i got flagged for high LDL, my point was losing weight is not what most believe the main factor to reduce LDL for some.

FOr most maybe, but i cut 7kg, my LDL still high.

Losing the 7kg make me run more, cos i feel the impact on my joints is a lot lesser now. I feel more agile too.

But all these feel good factor still doesnt erase my LDL.

I nowadays if really budget, i chiong fish soup or YTF [all beancurd and bitter gourd] then meefen soup not dry with the chilli sauce and sweetsauce.


UPF is really the killer, totally not snacking alrdy now.

 

[fantasyrulz]

lol i got heavy bones. Actually, l was 72 when i got flagged for high LDL, my point was losing weight is not what most believe the main factor to reduce LDL for some.

FOr most maybe, but i cut 7kg, my LDL still high.

Losing the 7kg make me run more, cos i feel the impact on my joints is a lot lesser now. I feel more agile too.

But all these feel good factor still doesnt erase my LDL.

I nowadays if really budget, i chiong fish soup or YTF [all beancurd and bitter gourd] then meefen soup not dry with the chilli sauce and sweetsauce.


UPF is really the killer, totally not snacking alrdy now.

im 1.78kg @ around 77kg
72 is also too low

jialat sia eat like that really not much protein at all
cant grow muscle at all

i do a combination of run plus gym

unlike u every meal i eat has to have protein, steak, chicken, fish, etc

 

[fantasyrulz]

i would add extra protein into you meal, a portion of chicken breast meat from chicken rice store
or cai png store just get more protein

 

[1982-1994]

Hi I have similar stat line as you.

I tried cutting on red meat, stop eating pork literally.

I regularly exercise, cycle 70-80km every week if i can. Run at least once a week.

The exercise is a myth. It help for most people but not for me. Took another blood test [after going pork-less and beef-less, tri got down to normal below 42. LDL was still high AF. Doctor gave me another 6 months to try control my eating habits.

i began researching on this topic, LDL the so call bad cholesterol is not really the bad , u do need cholesterol to repair your cells technically. Then read further, different people, base on hormone level, will produce more cholesterol than others to begin with.

Reading further, i found out that over consumption of sugar and carbs, causes your liver to produce LDL.
I am 1.8m and 65kg. My weight is already within range but i still high LDL. I also realize Ultra processed food have freakishly high saturated fat. [I was avid fan of bread, biscuit and donuts during this period when i skip red meat]

I was at cross-roads, if u abide to traditions, avoid red meat, you arent left with much protein choice. And if you skip carbs, your meals gonna get very expensive.

I up my exercise load, now i run 20km per week, try to cycle twice every month clocking 100km per month.
After workout, i don't load carbs or sugar. Just good protein and whole foods.

I dont want to start statin because GP told me after statin, you need do annual liver test. So end game its still your liver that's causing this cholesterol issue in the first place.

My non-doctor 2-cent on this.
- Improve diet [cut fast food, cut saturated fat [chocolate, skippy peanut butter] get good nuts and expensive peanut butter if u want that has lesser than 5g saturated fat ones [fcking expensive]
- Cut carbs, eat better protein and if possible sub fruits and nuts to get more satiable so you can keep full until you sleep
- Ramp up your exercise load - i am going to play cheat and just exercise like a dog before my next blood test to experiment if LDL can drop.
- Get better sleep - sleep and liver regen goes hand in hand. Cholesterol producing and hormones all go hand in hand as well to your sleep pattern and cycle.

Sorry for the long ass rant. I would love get more educated on this as we learn to keep within spec with this LDL benchmark thing.

Your second post after 6 years, wow

 

[s_mario]

Yeh, will substitute white rice with rolled oats. I also cutting down my coffee intake to 1 cup a day. Can confirm that exercise don't lower LDL. 2 years back, my LDL was 161 and was running 760km that year. Now I'm running 50% more and LDL 181 . In mid 30s so will remedy thru diet while possible

i run more 3000km this year my ldl also not good. haha but my hdl is good.. lol..

 

[coolhead]

i run more 3000km this year my ldl also not good. haha but my hdl is good.. lol..

I'm convinced it is diet issue. I think exercise did help increase HDL to 63.
Tonight gonna go ntuc buy rolled oats to substitute white rice starting next week. But I dun like the creamy texture so I'll boil it to be drier.

Only having 2 shots of coffee now instead of 4. Coffee can increase LDL apparently.

 

[s_mario]

What's your age?

Any medical history of diabetes, hypertension etc?

Think you need to do quite a bit of reading up on cholesterol and why numbers are "high" sometimes

From a non-medical reading - HDL does seem a bit on the low side

But triglycerides are still okay under 100 mg/dl

Anyway, it is not meaningful to look at absolute numbers - instead, ratios are a better indicator

Total cholesterol HDL ratio = total cholesterol ÷ HDL​

To obtain their total cholesterol HDL ratio, a person can divide their total cholesterol level by their HDL level. Generally, higher ratios relate to a higher risk of health problems, such as heart disease.
For example: 240 (total cholesterol) ÷ 60 (HDL) = 4 (total cholesterol HDL ratio).
Health experts designate the following total cholesterol HDL ratios as follows:

• ideal: under 3.5
• good: under 5
• bad: over 5

LDL-HDL ratio = LDL ÷ HDL​

People can work out their LDL-HDL ratio by dividing their LDL level by their HDL level. This ratio is one of the most popular measures to see a person’s risk of heart disease.
For example: 100 (LDL) ÷ 55 (55) = 1.8 (LDL-HDL ratio).
Health experts designate the following LDL-HDL ratios as follows:

• ideal: under 2.0
• good: under 5.0
• bad: over 5.0

A 2017 studyTrusted Source found that the LDL-HDL ratio had links to an increased risk of sudden cardiac death in the middle-aged male population.

Triglyceride HDL ratio = triglyceride level ÷ HDL​

People can calculate their triglyceride HDL ratio by dividing their triglycerides by their HDL level. This is not a common measurement method, but it can help determine a person’s risk of heart disease. Some evidence also suggests that high triglyceride HDL ratios could indicate a higher risk of metabolic syndrome.
For example, 200 (triglyceride level) ÷ 55 (HDL) = 3.6 (triglyceride HDL ratio).
Health experts designate the following triglyceride HDL ratios as follows:

• ideal: 2.0 or less
• good: 4.0 to 6.0
• bad: over 6.0 or above

My readings are 3.3, 2.25 and 0.8625.. but my LDL is 180 haha. is it any concern??

my doc didnt ask me to take medicine.. just keep asking me to reduce my eggs intake..lol..

i am now increasing my fiber intake..