High Cholesterol: Symptoms, Risks, and Treatment Options

High cholesterol can lead to fatigue?

Hello, Doctor: Recently, I have been experiencing worsening fatigue, along with persistent body aches, dizziness, chest tightness, shortness of breath, and palpitations.
I also tend to show signs of inflammation and often experience severe coldness and trembling in my hands and feet even in normal indoor temperatures.
Today, my blood test results showed a total cholesterol level of 235, low-density lipoprotein (LDL) at 175, and high-density lipoprotein (HDL) at 43.
Additionally, my neutrophil percentage is elevated at 70.2, and my red blood cell (RBC) count is 5.15, while other parameters like blood sugar and triglycerides are normal.
My blood pressure is also normal, and there is no relevant family history.
I do not have any bad habits, but I tend to stay up late and have poor sleep quality.
My diet is controlled, and I have not gained weight.
Previous echocardiograms and electrocardiograms were normal.
My job involves prolonged sitting and standing with high stress, and I am unsure if these issues are related to my elevated cholesterol levels.
Could these numbers increase my risk of cardiovascular disease? Would you recommend medication, and what issues should I be aware of? Alternatively, do you suggest seeing a specific specialist for further evaluation or treatment? Thank you! (My blood test results from a year ago showed cholesterol at 195, LDL at 130, and HDL at 40.)

Xiao Mao, 30~39 year old female. Ask Date: 2023/03/10

Dr. Wu Xueming reply Cardiology

Please engage in regular exercise and avoid high-fat foods.
After three months, have your blood drawn for follow-up.
If levels are still not within normal range, medication treatment is recommended.

Reply Date: 2023/03/10

More Info

High cholesterol is a significant health concern that can lead to various cardiovascular diseases, including heart attacks and strokes. Understanding the implications of your cholesterol levels, symptoms, and potential treatment options is crucial for managing your health effectively.

Understanding Cholesterol Levels
Cholesterol is a waxy substance found in your blood, and it is essential for building cells and producing hormones. However, too much cholesterol can lead to plaque buildup in your arteries, which narrows them and increases the risk of heart disease. Cholesterol is categorized into different types:
1. Low-Density Lipoprotein (LDL): Often referred to as "bad" cholesterol, high levels of LDL can lead to plaque buildup in arteries.

2. High-Density Lipoprotein (HDL): Known as "good" cholesterol, HDL helps remove other forms of cholesterol from your bloodstream.

3. Total Cholesterol: This is the overall amount of cholesterol in your blood, including LDL and HDL.

In your case, your total cholesterol is 235 mg/dL, with an LDL of 175 mg/dL and an HDL of 43 mg/dL. According to the American Heart Association, an LDL level above 160 mg/dL is considered high, and HDL levels below 40 mg/dL for men and 50 mg/dL for women are considered low. Therefore, your cholesterol levels indicate a higher risk for cardiovascular disease.

Symptoms and Risks
You mentioned experiencing fatigue, body aches, dizziness, chest tightness, shortness of breath, palpitations, and cold extremities. While these symptoms can be associated with high cholesterol, they may also indicate other underlying health issues, such as anxiety, stress, or even cardiovascular problems. It is essential to consult with a healthcare provider to evaluate these symptoms further.

Treatment Options
1. Lifestyle Modifications:
- Diet: Focus on a heart-healthy diet rich in fruits, vegetables, whole grains, and lean proteins. Limit saturated fats, trans fats, and cholesterol-rich foods.

- Exercise: Regular physical activity can help raise HDL cholesterol and lower LDL cholesterol. Aim for at least 150 minutes of moderate aerobic exercise each week.

- Weight Management: Maintaining a healthy weight can significantly impact your cholesterol levels.

2. Medications: If lifestyle changes are insufficient to lower your cholesterol levels, your doctor may recommend medications such as statins, which help reduce LDL cholesterol. Given your current levels, medication may be necessary, especially if lifestyle changes do not yield results.

3. Regular Monitoring: Regular check-ups and blood tests are essential to monitor your cholesterol levels and assess your risk for heart disease. Your healthcare provider may recommend follow-up tests every 3 to 6 months, depending on your treatment plan.

When to Seek Further Evaluation
Given your symptoms and cholesterol levels, it may be beneficial to consult a cardiologist. They can perform additional tests, such as a stress test or advanced imaging, to evaluate your heart's health and determine if there are any underlying issues contributing to your symptoms.

Conclusion
In summary, your elevated cholesterol levels and accompanying symptoms warrant a comprehensive evaluation and management plan. Lifestyle changes are crucial, but medication may also be necessary to reduce your risk of cardiovascular disease. Regular follow-ups and consultations with healthcare professionals will help you manage your cholesterol levels effectively and maintain your overall health. Always remember that early intervention is key to preventing serious health issues down the line.

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