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What could be done to reduce a high TG/HDL ratio?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I got a complete medical checkup done today. My lipid profile reads total cholesterol 145 mg/dL, HDL 27.5 mg/dL, LDL 93.3 mg/dL, triglyceride 195 mg/dL and VLDL 39 mg/dL. Is this very concerning? Especially, I am concerned regarding the TG/HDL ratio. My echo, ECG, and stress test were all normal. Please advise.

Thank you.

Answered by Dr. Prashant Valecha

Education:

MD Physician

Professional Bio:

Dr. Prashant Valecha is a General Practitioner and an expert in Preventive and Noninvasive Cardiology and completed his MD Physician from Yerevan State Medical University, Armenia, in 2009. He is an expert in treating all cardiac ailments. He has 14 years of clinical experience and is currently practicing in Bhopal.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Most of the population has low HDL (high-density lipoprotein). More than 50 is a good thing which rarely people have. The triglyceride range is up to 150. Can be more if no fasting is done prior test or seen in diabetics.

Overall your test is good. You do not need cholesterol medicine. Exercise can increase your HDL. So, please check your FBS (fasting blood sugar) and post-prandial blood sugar too.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.

Patient's Query

Hi doctor,

Thank you very much for your reply.

My FBS is 82. I am concerned as the net said TG/HDL ratio of more than 2 is alarming and mine was 7. What to do?

Thank you.

Answered by Dr. Prashant Valecha

Education:

MD Physician

Professional Bio:

Dr. Prashant Valecha is a General Practitioner and an expert in Preventive and Noninvasive Cardiology and completed his MD Physician from Yerevan State Medical University, Armenia, in 2009. He is an expert in treating all cardiac ailments. He has 14 years of clinical experience and is currently practicing in Bhopal.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

You can reduce triglycerides by avoiding fried items, mainly by avoiding reused oil. Only a few studies say about the importance of this ratio, but we concentrate mainly on LDL (low-density cholesterol) and total cholesterol.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply.

I have an anxiety disorder. My lipid profile now reads TC 128, LDL 76, TG 136, and HDL 25. I am in constant fear of CVD because of low HDL. Any advice?

Thank you.

Answered by Dr. Prashant Valecha

Education:

MD Physician

Professional Bio:

Dr. Prashant Valecha is a General Practitioner and an expert in Preventive and Noninvasive Cardiology and completed his MD Physician from Yerevan State Medical University, Armenia, in 2009. He is an expert in treating all cardiac ailments. He has 14 years of clinical experience and is currently practicing in Bhopal.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

You are not at risk as your cholesterol test is normal. Please do not worry about the HDL values. Do brisk walking every day for 30 minutes.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.

Medically reviewed by Dr. Sneha Kannan
Published At February 20, 2016
Reviewed At September 20, 2024

Education:

MD Physician

Professional Bio:

Dr. Prashant Valecha is a General Practitioner and an expert in Preventive and Noninvasive Cardiology and completed his MD Physician from Yerevan State Medical University, Armenia, in 2009. He is an expert in treating all cardiac ailments. He has 14 years of clinical experience and is currently practicing in Bhopal.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

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Education:

MD Physician

Professional Bio:

Dr. Prashant Valecha is a General Practitioner and an expert in Preventive and Noninvasive Cardiology and completed his MD Physician from Yerevan State Medical University, Armenia, in 2009. He is an expert in treating all cardiac ailments. He has 14 years of clinical experience and is currently practicing in Bhopal.

This doctor is not available for online consultations on the platform anymore.

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