Low Total Cholesterol: Causes and Solutions

Q: Low Total Cholesterol: Causes and Solutions

Hello, internet user： Generally, cholesterol levels are rarely as low as you described. <br>I recommend that you confirm this with the hospital where you had your tests done, or consult a family medicine specialist for a re-evaluation. <br>Positive urine protein can also be monit

Low total cholesterol

Hello Doctor, today I received the health examination report for new staff, which has four items highlighted in red: 1.
BMI = 25.5, 2.
Total serum cholesterol 67 (high-density lipoprotein 49, normal with no red flag), 3.
Triglycerides 171, 4.
Urinary protein (my menstrual period started a week after the examination).
I would like to ask how long before the menstrual period is it considered normal to have urinary protein (is my situation normal?).
Additionally, I am more concerned about my total cholesterol being too low; the report states that the normal range is 130-200 mg/dL, but mine is only 67 mg/dL.
I couldn't find anyone online with such a low level.
I don't usually eat much meat; I might have a small piece of chicken or none at all in a meal.
I would like to ask the doctor how I can improve this or which specialty I should see for further examination.

Hong, 20~29 year old female. Ask Date: 2021/12/28

Dr. Hou Angting reply Family Medicine

Hello, internet user: Generally, cholesterol levels are rarely as low as you described.
I recommend that you confirm this with the hospital where you had your tests done, or consult a family medicine specialist for a re-evaluation.
Positive urine protein can also be monitored in family medicine.
Wishing you good health.

Reply Date: 2021/12/28

More Info

Low total cholesterol levels, such as the 67 mg/dL you reported, can be concerning, especially when the normal range is typically considered to be between 130-200 mg/dL. While high cholesterol levels are often associated with cardiovascular risks, low cholesterol can also indicate underlying health issues or nutritional deficiencies.

Understanding Low Total Cholesterol
1. Causes of Low Cholesterol:
- Dietary Factors: A diet low in saturated fats and cholesterol can lead to low total cholesterol levels. Since you mentioned that you do not consume much meat and only occasionally eat chicken, your dietary habits may contribute to your low cholesterol.

- Malnutrition: Insufficient intake of calories or essential nutrients can lead to low cholesterol levels. If your overall diet lacks variety or is not balanced, this could be a factor.

- Hyperthyroidism: An overactive thyroid can increase metabolism and lower cholesterol levels. Although you did not mention any symptoms of thyroid issues, it might be worth considering.

- Chronic Diseases: Conditions such as liver disease, cancer, or infections can also result in low cholesterol levels. If you have any chronic health issues, these could be contributing factors.

2. Health Implications:
- Low cholesterol levels can be associated with various health risks, including hormonal imbalances, mood disorders (like depression), and potential issues with cell membrane integrity. Cholesterol is vital for producing hormones and vitamin D, and it plays a role in brain health.

- Some studies suggest that low cholesterol may be linked to an increased risk of certain types of cancer and hemorrhagic stroke, although more research is needed to fully understand these associations.

Recommendations for Improvement
1. Dietary Adjustments:
- Increase Healthy Fats: Incorporate sources of healthy fats into your diet, such as avocados, nuts, seeds, and olive oil. These foods can help raise your cholesterol levels while providing essential nutrients.

- Include More Protein: Since your protein intake seems limited, consider adding more protein-rich foods, such as legumes, dairy products, eggs, and fish (if you are open to it). These can help improve your overall nutritional status.

- Balanced Meals: Aim for a balanced diet that includes a variety of food groups. This can help ensure you are getting all the necessary nutrients your body needs.

2. Medical Evaluation:
- Given your low total cholesterol and the presence of protein in your urine, it would be prudent to consult with a healthcare professional. A visit to an endocrinologist or a primary care physician would be appropriate to evaluate your overall health, including thyroid function and potential nutritional deficiencies.

- You might also consider seeing a nutritionist who can help you develop a meal plan tailored to your needs and preferences.

3. Monitoring and Follow-Up:
- Regular monitoring of your cholesterol levels and overall health is essential. If dietary changes do not improve your cholesterol levels, further investigations may be necessary to rule out underlying health issues.

Conclusion
In summary, while low total cholesterol can be concerning, it is essential to approach this issue holistically. By making dietary adjustments, seeking medical advice, and monitoring your health, you can work towards achieving a healthier cholesterol level. Remember that cholesterol is just one aspect of your overall health, and a balanced approach to nutrition and lifestyle is key to maintaining well-being.

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