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Why does Choline fenofibrate cause loss of appetite?

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

Patient's Query

Hello doctor.

I am 35 years old, and my triglyceride level is 628. I am taking Choline fenofibrate 135. However, since I started taking the medication, I have lost my appetite, meaning I do not feel like eating anything, and I constantly feel like my stomach is heavy. At the same time, I am experiencing extremely dry lips all day long. I have started using olive oil in my food and drink one glass of non-creamy milk daily.

My diet consists of three chapatis in the morning, five chapatis at noon, one bowl of roasted chooda in the evening, three to four chapatis at night, and one glass of milk. I consume approximately 0.39 to 5 gallons of water daily. Could you kindly suggest why I am experiencing dry lips and loss of appetite? Do I need to change my diet?

Hello,

Welcome to icliniq.com.

I have thoroughly reviewed your case and completely understand your genuine concerns.

Please answer a few questions so I can guide you better:

  1. Is there a family history of high cholesterol?
  2. Is there a family history of diabetes?
  3. Is there a history of heart disease in your family?
  4. Does anyone in your family have diabetes?
  5. Are you diabetic? If not, have you ever been screened for diabetes?
  6. Do you have hypertension? If not, have you ever been screened for it?
  7. Are you taking any other medications for any reason?

Investigations to be done

Investigations to be done include fasting lipid profile and fasting blood sugar levels.

Treatment plan

Your best treatment is lifestyle modification. Add exercise to your daily routine. Jogging 10,000 steps at a healthy pace daily will lead to a significant decrease in your triglyceride levels.

Preventive measures

Olive oil is also good. Canola oil is also a good option for cooking. But try to cook in non stick utensils without using more than a few drops of oil. No meats, fried food, fast and junk foods, beverages, alcohol, and cigarettes. No added salts and sugars. No spices and caffeinated drinks for you. Avoid cheese, yogurt, ketchup, etc. You need to change the diet. One chapati for breakfast and one for lunch, half chapati at dinner. You are taking extra diet. Our diet makes cholesterol. Not only fatty and oily meals lead to the production of cholesterol, but also the sugars, carbohydrates, and proteins (amino acids) also lead to the manufacture of de novo cholesterol through a metabolic process called metabolic cross-talk. Take salads, vegetables, and fruits. Fish is better for protein intake.

Medically reviewed byDr. Vinodhini J.

Published At March 6, 2020
Reviewed AtMay 27, 2024

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