Managing High Cholesterol: A Comprehensive Guide for Your Mother's Health

Cholesterol

I would like to ask you some questions: My mother is 45 years old, 145 cm tall, and weighs 45 kg.
A few days ago, she went to a large hospital for a blood test, and the following results were found to be elevated: Triglycerides (TG)..............
508 mg/dL, Total Cholesterol (T.CHOL)............
384 mg/dL, Alanine Aminotransferase (SGPT)............
47 U/L, Low-Density Lipoprotein Cholesterol (LDL-C)........
250 mg/dL.
Later, the doctor prescribed the following medications for my mother to take: (1) LIPITOR 10 MG F.C.
TAB (2) FENOLIP 200 MG CAP, one of each daily for three months.
Now I have also purchased: 1.
Seal Oil..................
2 capsules in the morning and evening 2.
Ginkgo Biloba Extract (40 mg )..........
1 capsule in the morning and evening.

Is the dosage and timing of the medications appropriate? In the morning - Seal Oil *2 + Ginkgo Biloba Extract *1; in the evening - Seal Oil *2 + Ginkgo Biloba Extract *1 + LIPITOR 10 MG F.C.
TAB *1 + FENOLIP 200 MG CAP *1? My mother previously had high cholesterol levels and took the doctor-prescribed U-PRAVA TAB 5 MG (one a day), after which her levels dropped to normal on the second test.
After stopping the medication, she switched to taking deep-sea fish oil daily for about three months, but her levels were elevated again during the recent check-up.
Why is this happening? My mother does not like to eat organ meats or egg yolks, her diet is generally normal, and she has a habit of exercising early in the morning.
Could you please provide detailed answers to my questions, including precautions and any necessary tests that should be conducted at the hospital? I greatly appreciate your time and assistance, and I wish you all the best.

P.S.
My mother also has osteoporosis (her menstrual period has not yet stopped), and the doctor suggested taking Calcium and Vitamin D supplements.
Is this appropriate?

KIKI, 20~29 year old female. Ask Date: 2005/02/03

Dr. Yan Sumei reply Traditional Chinese Medicine

After taking lipid-lowering medications, if the levels are controlled, but they rise again when not taken, it indicates that dietary adjustments in daily life need to be more meticulous.
Avoiding organ meats and egg yolks is good, but it is not sufficient.
Animal products such as whole milk, full-fat dairy products, fatty meats, the fat on meat, fried foods, seafood, eel, clams, shrimp, and crab are all high in cholesterol.
When cholesterol levels are high, consider fasting for a while! Incorporate more foods high in fiber, such as sweet potatoes, oat bran, and brown rice.
B vitamins can help reduce cholesterol levels in the blood.
Eating more fruits and vegetables, which are high in dietary fiber, can help bind and eliminate fats from the body.
Taking multivitamins or the aforementioned health foods is acceptable, but do not expect significant improvements just from consuming these.
The difference between health foods and medications lies in the significance of their effects.
Consider purchasing books from a bookstore for reference on issues related to high lipid levels, as many specialists have published works on this topic.
BE FINE!

Reply Date: 2005/02/03

More Info

Managing high cholesterol is a multifaceted approach that involves dietary adjustments, regular physical activity, and sometimes medication. Given your mother's recent blood test results, which indicate significantly elevated levels of triglycerides (TG), total cholesterol (T.CHOL), and low-density lipoprotein cholesterol (LDL-C), it is crucial to take immediate and effective steps to manage her health.

Understanding Cholesterol Levels
1. Total Cholesterol: Ideally, total cholesterol should be below 200 mg/dL. Your mother's level of 384 mg/dL is considerably high.

2. LDL Cholesterol: Often referred to as "bad" cholesterol, LDL levels should be less than 130 mg/dL. Your mother's level of 250 mg/dL is concerning.

3. Triglycerides: Normal levels are below 150 mg/dL. A level of 508 mg/dL is significantly elevated and poses risks for cardiovascular diseases.

4. SGPT (ALT): This liver enzyme level is slightly elevated, which may indicate liver stress or damage, often associated with high cholesterol and triglycerides.

Medication and Supplements
Your mother has been prescribed LIPITOR (Atorvastatin) and FENOLIP. These medications are commonly used to lower cholesterol levels. LIPITOR works by inhibiting cholesterol production in the liver, while FENOLIP (Fenofibrate) helps lower triglyceride levels and increase HDL (good cholesterol).

Regarding the additional supplements you mentioned:
- Seal Oil: This is rich in omega-3 fatty acids, which can help lower triglyceride levels. However, it should be taken with caution and under medical supervision, especially when combined with other medications.

- Ginkgo Biloba: While it has various purported benefits, its effect on cholesterol levels is not well established. It is primarily used for cognitive enhancement and improving circulation.

The dosing schedule you proposed (morning and evening) seems reasonable, but it is essential to consult with your mother's healthcare provider to ensure there are no interactions between the supplements and prescribed medications.

Dietary Adjustments
1. Reduce Saturated Fats: Limit intake of red meat, full-fat dairy products, and processed foods. Instead, focus on lean proteins such as chicken, fish, and plant-based sources.

2. Increase Fiber Intake: Foods high in soluble fiber, such as oats, beans, lentils, fruits, and vegetables, can help lower cholesterol levels.

3. Healthy Fats: Incorporate sources of healthy fats, such as avocados, nuts, and olive oil, while avoiding trans fats found in many processed foods.

4. Limit Sugar and Refined Carbs: High sugar intake can raise triglyceride levels. Encourage whole grains over refined grains.

5. Hydration: Ensure adequate water intake, as hydration supports overall metabolic processes.

Physical Activity
Regular exercise can significantly improve cholesterol levels and overall cardiovascular health. Aim for at least 150 minutes of moderate-intensity aerobic activity each week, such as brisk walking, swimming, or cycling. Strength training exercises should also be included at least twice a week.

Monitoring and Follow-Up
Given your mother's history of fluctuating cholesterol levels, regular follow-up appointments with her healthcare provider are essential. Blood tests should be conducted every 3 to 6 months to monitor her cholesterol levels and liver function, especially since she has elevated SGPT levels.

Osteoporosis Considerations
Your mother’s osteoporosis condition requires attention as well. Calcium and vitamin D are crucial for bone health. Foods rich in calcium include dairy products, leafy greens, and fortified foods. If her doctor has recommended a specific supplement like 銀寶善纯, it is likely to support her bone density, but this should be confirmed with her healthcare provider.

Conclusion
Managing high cholesterol effectively requires a comprehensive approach that includes medication adherence, dietary changes, regular physical activity, and ongoing monitoring. It is essential to work closely with healthcare professionals to tailor a plan that suits your mother's specific health needs while addressing her osteoporosis. Regular communication with her doctor will ensure that any adjustments to her treatment plan can be made promptly based on her progress.

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