Talk to Internal Medicine on Derranged Lipid Profile
Asking for Other, Male, 36 years old, Lahore
Aoa,I want to ask a question on behalf of a family member.His age is 36 years and current weight is 105kg.His fasting lipid profile is derranged.cholestrol is 266 mg/DL, fasting triglycerides is 387mg/DL.rest of the values are also derranged.kindly advise if he requires any lipid lowering drug.he is non diabetic n non hypertensive,family history is positive for diabetes, hypertension,kidney disease and cardiac diseases.
Dr. Syed Sibtain Ul Hassan - Internal Medicine Specialist
MBBS, FCPS (Medicine) | Lahore
33 Positive Reviews
Yes definitely he need antilipid lowering medicine.need to calculate his BMI and screen for diabetes and metabolic syndrome
Please share LDL, HDL values. Height ?
Dr. Muhammad Nadeem - Internal Medicine Specialist
MBBS, FCPS (Medicine) | Karachi
7 Positive Reviews
Plz mention complete lipid profile, how much LDL & HDL, the patient is definitely over weight, weight reduction approach should be adopted, rest can be advised after checking complete profile of pt.
Dr. Muhammad Orakzai - Internal Medicine Specialist
MBBS, FCPS (MEDICINE) | Abbottabad
2 Positive Reviews
visit your nearby med specialist he is obese he may be having metabolic syndrome so need evaluation and proper treatment correcting his lipid profile isn't enough
MBBS, FCPS (MEDICINE) | Abbottabad | Book Appointment
2 Positive Reviews
start with cap orlislim 120 mg before each meal along with folister plus he will benefit both ways his weight will be reduced and lipids will be lowered need to do exercise cut off sugars...
3 years ago
Asst. Prof. Dr. Aneeqa Mansoor - Internal Medicine Specialist
MBBS, FCPS (MEDICINE) | Lahore
5 Positive Reviews
He should lose weight with regular exercise of any kind Needs diet modifications and also with this family history he should start lipid lowering drugs.
Patient
Post Owner
Kindly advise any lipid lowering drug.is it ok if he starts tab fenoget.
3 years ago
MBBS, FCPS (MEDICINE) | Lahore | Book Appointment
5 Positive Reviews
Yes you can . 20 mg once a day after dinner. Stop red meat. White meat twice week. Use olive oil for cooking . Use fresh vegetables and lentils. Repeat the test after three months.
3 years ago
Ask your family member to exercise half hour daily at least.
Make good meal plans with low carbs and fats.
Tab. Rosuva 10 mg BD (1+1)
Cap. Sangobian OD
Contact for detailed check up.
lipids are pretty high. he should do regular exercise (brisk atelast 5 days a week and 40 minutes per day) plus take tab. jezeta 10/10 mg at night for 3 months. Repeat lipids after 3 months.
He needs to be evaluated for metabolic syndrome. May have pre-diabetes and raised uric acid levels. Must loose weight by proper dietary and exercise counseling. Start statins (Rova 5mg) with followup after 3 months with lipid profile and CPK/ALT levels
Dr. Sana Salman - Internal Medicine Specialist
MBBS, FCPS-I (Medicine) | Lahore
Firstly i want to ask what is his height then we will be able to calculate his ideal weight for height. Secondly do regular walk and eat healthy to reduce weight. Thirdly keep an eye on your BP and BSR. Fourthly use Tab rovista 10 mg for 3 months and then repeat fasting lipid profile. Fifthly go for a ultrasound abd. and LFTS to check your liver status.
Your BMI is 31.4 ideally for 6 feet height weight should between 70 to 80 kg
3 years ago
Dr. Ayesha Khalil - Internal Medicine Specialist
MBBS, MRCP (Medicine) | Karachi
276 Positive Reviews
what is his height?
is there a family history of sudden death or if heart attack or stroke below age 55y?
He needs to decrease carbohydrates in diet and that will lead to automatic decrease of triglycerides and LDL.
Truglycerides less than 500 do not require specific fibrates, only weight reduction.
As Dr Sana Salman noted, because of his increased body weight, he is at high risk of diabetes, heart disease, stroke, as well as knee joint and back arthritis, kidney disease and fatty liver disease.
He may consult for a structured weight reduction plan.
https://www.marham.pk/doctors/lahore/internal-medicine/dr-ayesha-khalil
Patient
Post Owner
Attached is fasting lipid profile.
MBBS, FCPS ( Medicine) , FCPS Infectious Diseases | Peshawar | Book Appointment
1 Positive Reviews
According to guidelines he doesn’t need lipid lowering therapy he would have needed lipid lowering therapy if ldl was above 190 in the absence of co morbidities
3 years ago
Dr. Muhammad Awais Saleh - Internal Medicine Specialist
MBBS, FCPS (Medicine) | Sialkot
2 Positive Reviews
Get him checked
Dr. Muhammad Awais Saleh - Internal Medicine Specialist
MBBS, FCPS (Medicine) | Sialkot
2 Positive Reviews
Get him checked
Dr. Ayesha Khalil - Internal Medicine Specialist
MBBS, MRCP (Medicine) | Karachi
276 Positive Reviews
At height 6 feet and weight 105 kg, his BMI is 31.39 kg/sq.m
This is obesity, which can lead to all diseases already mentioned within 5 years. As Dr. Orakzai has said, his obesity needs to be managed: simply giving a medicine for "cholesterol" levels is not enough.
Assoc. Prof. Dr. Farah Sadiq - Internal Medicine Specialist
MBBS, FCPS (Medicine) | Lahore
3 Positive Reviews
aoa,weight is pretty high .Along with dietary modification and life style modification we have to start lipid lowering medicines too
Assoc. Prof. Dr. Farah Sadiq - Internal Medicine Specialist
MBBS, FCPS (Medicine) | Lahore
3 Positive Reviews
aoa,weight is pretty high .Along with dietary modification and life style modification we have to start lipid lowering medicines too
Dr. Muhammad Kashif Farooq - Internal Medicine Specialist
MBBS, FCPS ( Medicine) , FCPS Infectious Diseases | Peshawar
1 Positive Reviews
Plz send LDL then tell u
Dr. Muhammad Kashif Farooq - Internal Medicine Specialist
MBBS, FCPS ( Medicine) , FCPS Infectious Diseases | Peshawar
1 Positive Reviews
He needs strict caloric restriction upto 1000 calories per day for weight loss
Dr. Iftikhar Ahmad - Internal Medicine Specialist
MBBS, FCPS (Internal Medicine) | Swat
11 Positive Reviews
First of all dietry managment.. avoid oily food fast food start regular walk or mild exercise n look after three month its too early for medication if cholestrol remain high with then we can manage medically.
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Patient
Post Owner
His height is 6 feet.
3 years ago
Patient
Post Owner
Which medicine would u recommend?
3 years ago