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High cholesterol ldl
Hello doctor, I am 39 years old, I am a cricketer, my weight is 89, height is 5'11, I got my lipid profile tested, in which total cholesterol was 225 and LDL is 161, what should I do to reduce it and why does LDL increase
triglycerides -131
Answers (13)
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Do the following,
1. Reduce oil in food, have BP checked
2. Do Fasting Lipid profile along with TSH, LFT and HbA1C
3. If LDL still high, and based on your other readings and family history of heart disease or strokes- need medication
All the best.
www.jgsr-health-education.in
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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It is mildly elevated. Cut down on fatty, sugary, food. Continue to be physically active. Repeat lipid profile after 3 months.
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Change life style n diet plan drastically first.
Consult superspecialist like cardiologist.
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Please connect me through practo or wattsap nine zero seven two twozero seven zero nine three. I will give you lifestyle modification and medications
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Investigation -
Hba1c, fasting and PP blood glucose
Do exercise and take healthy diet.
Avoid sugar ,oily food, junk foods
Reduce weight and correct your BMI
No need to take any medication now
Next Steps
report me after HBA1C
Health Tips
Consult me For proper evaluation and further investigation and management.
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You are:
• 39 years old
• 5’11” (180 cm approx)
• 89 kg → BMI ~27.5 (Overweight range)
• Active (cricketer)
Your Lipid Values:
• Total Cholesterol: 226
• LDL: 161 → High
• Triglycerides: 131 → Normal
• HDL: ~40 → Borderline
Interpretation:
Your main issue is elevated LDL (161).
LDL above:
• 130 = borderline high
• 160+ = high
Even though you are active, LDL can rise due to:
• Genetics (most common at your age)
• High saturated fat intake
• Excess red meat / fried food
• Refined carbs
• Weight gain
• Visceral fat
• Stress
• Poor sleep
Being a cricketer does not automatically protect from high LDL.
Triglycerides are fine → good sign.
HDL is borderline → needs improvement.
This is not dangerous immediately, but long-term high LDL increases risk of:
• Coronary artery disease
• Plaque formation
• Heart attack risk after 45–50
Next Steps
✔ 1. First Step: Lifestyle Correction (3 months trial)
Since you are 39 and otherwise healthy:
Try aggressive lifestyle modification for 12 weeks before medication.
Target:
• Lose 5–7 kg
• Bring weight to 82–83 kg
⸻
✔ 2. Dietary Strategy (Very Important)
Reduce:
• Ghee, butter
• Red meat
• Fried snacks
• Bakery items
• Cheese
• Processed food
Increase:
• Oats
• Flax seeds
• Almonds
• Walnuts
• Fish (2–3 times/week)
• Olive oil
• Green vegetables
Protein from:
• Dal
• Paneer (limited)
• Eggs (whites more, yolk limited if LDL high)
⸻
✔ 3. Add Structured Cardio
Even if you play cricket, add:
• 30 min brisk walking 5 days/week
• Strength training 3x/week
Structured exercise lowers LDL better than only sports.
⸻
✔ 4. Repeat Lipid Profile After 3 Months
If LDL still >150 → consider statin therapy based on overall risk assessment.
Health Tips
✔ Sleep 7–8 hours
✔ Avoid smoking completely
✔ Reduce alcohol
✔ Add soluble fiber daily
✔ Check blood pressure
✔ Check fasting sugar
Also consider doing:
• hs-CRP
• Lp(a) (once in lifetime)
• ApoB (more accurate than LDL alone)
At 39, this is the right time to correct it before plaque builds up.
If you want, I can calculate your 10-year cardiovascular risk and decide whether lifestyle alone is enough or you need medication — a structured online review would help you make a precise, prevention-focused plan rather than waiting for numbers to worsen.
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Lipid profile is deranged slightly due to dietary habits.you need to change your dietary habits like avoid oily food as much as you can, avoid street food .and shifted to its more fibrous diet
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Mild elevated
Lifestyle modification
Physical activity
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Since you are physically active (cricketer) and relatively young, this is usually lifestyle-related and reversible in many cases.
Why LDL increases:
• High intake of saturated fats (fried food, butter, ghee, red meat)
• Weight gain / abdominal fat
• Genetics (family tendency)
• Low fiber intake
• Stress, poor sleep
• Alcohol excess
• Thyroid problems (sometimes)
What you should do
✔ Increase soluble fiber: oats, barley, fruits, vegetables, flaxseed, psyllium
✔ Healthy fats: almonds, walnuts, olive oil, fish
✔ Avoid: fried food, bakery items, processed snacks, excess ghee/butter
✔ Stop smoking if applicable
✔ Limit alcohol
Natural LDL-lowering foods:
• Oats / oat bran
• Garlic
• Green tea
• Nuts
• Soy protein
• Isabgol (psyllium husk)
Repeat lipid profile after 8–12 weeks.
With proper lifestyle, LDL can drop 20–30% naturally.
text me anytime if you want a personalized diet or treatment plan.
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