Health Check Report
Hello, doctor! I am 55 years old and going through menopause.
I exercise regularly every day, maintain a light diet, and weigh 50 kg.
Two years ago, my blood test for EBV-VCA (IgA) was 8.9, and this year it is 8.8.
Should I undergo further testing? (ENT?) Two years ago, my total cholesterol was 5.7, and this year it is 5.52 (< 5.18).
My LDL was 3.3, and this year it is 2.91 (< 2.6).
My HDL was 3.68, and this year it is 3.39 (< 3.37).
Should I take medication to control this, or are there other methods to improve my condition? (Since I am already slim) With diet and exercise management, I really don't know what else I can do to lower my cholesterol.
(Do I really need to take medication? If so, will it be long-term? I've heard that the medication can be harmful to the liver.) Do I need to adopt a vegetarian diet?
Janice, 50~59 year old female. Ask Date: 2020/08/26
Dr. He Dongjin reply Cardiology
Hello, high cholesterol is related to your constitution.
If you do not have diabetes or hypertension, an LDL level below 160 is considered normal.
There's no need to worry; you should be able to manage it with lifestyle and dietary control without the need for medication.
You don't have to be vegetarian.
Take care, and best wishes from Changhua Hospital.
Reply Date: 2020/08/26
More Info
Managing cholesterol levels and maintaining heart health, especially at the age of 55 and during menopause, is crucial for preventing cardiovascular diseases. Your current health status, including regular exercise, a balanced diet, and a healthy weight, is commendable and forms a solid foundation for heart health.
Based on your cholesterol levels, your total cholesterol has decreased from 5.7 to 5.52, which is a positive trend, although it still exceeds the recommended level of less than 5.18. Your LDL (low-density lipoprotein) cholesterol, often referred to as "bad" cholesterol, has also decreased from 3.3 to 2.91, but it remains above the optimal level of less than 2.6. On the other hand, your HDL (high-density lipoprotein) cholesterol, known as "good" cholesterol, is within a healthy range, having slightly decreased from 3.68 to 3.39, which is still above the minimum threshold of 3.37.
The fact that you are physically active and maintain a healthy diet is significant. Regular exercise can help raise HDL cholesterol levels while lowering LDL cholesterol levels. It is also beneficial for weight management and overall cardiovascular health. Given your current lifestyle, here are some recommendations to further manage your cholesterol levels:
1. Dietary Adjustments: While you already maintain a light diet, consider incorporating more heart-healthy foods. Focus on:
- Fruits and Vegetables: Aim for a variety of colors and types to ensure a range of nutrients.
- Whole Grains: Foods like oats, brown rice, and whole-grain bread can help lower cholesterol.
- Healthy Fats: Include sources of omega-3 fatty acids, such as fatty fish (salmon, mackerel), nuts, and seeds. Use olive oil instead of butter or margarine.
- Limit Saturated and Trans Fats: Reduce intake of red meat, full-fat dairy products, and processed foods.
2. Regular Monitoring: Since your cholesterol levels are still above the recommended limits, it is essential to continue monitoring them regularly. You may not need to see an ear, nose, and throat specialist for your EBV-VCA levels unless you have specific symptoms. However, discussing your cholesterol levels with your healthcare provider is crucial.
3. Medication Consideration: If lifestyle changes do not yield significant improvements in your cholesterol levels, your doctor may recommend medication. Statins are commonly prescribed to help lower LDL cholesterol. While concerns about liver health are valid, regular monitoring of liver function tests can help manage these risks. It’s essential to have a thorough discussion with your healthcare provider about the benefits and risks of starting medication.
4. Lifestyle Modifications: In addition to diet and exercise, consider other lifestyle factors:
- Quit Smoking: If you smoke, quitting can improve your HDL cholesterol levels.
- Limit Alcohol: If you consume alcohol, do so in moderation.
- Stress Management: Engage in activities that reduce stress, such as yoga, meditation, or hobbies you enjoy.
5. Vegetarian Diet: You do not necessarily need to adopt a vegetarian diet unless you prefer it. However, incorporating more plant-based meals can be beneficial for heart health. Focus on legumes, whole grains, nuts, and seeds, which can help improve cholesterol levels.
In conclusion, while your cholesterol levels indicate a need for continued attention, your current lifestyle choices are positive. Regular follow-ups with your healthcare provider, combined with dietary and lifestyle adjustments, can significantly impact your heart health. Always consult with your doctor before making any significant changes to your health regimen or starting new medications.
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