HomeAnswersCardiologyhigh ldlWill diet and exercise bring my raised LDL levels to normal?

Are diet and exercise enough to bring my elevated low-density lipoprotein (LDL) levels back to normal?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At May 12, 2022
Reviewed AtOctober 9, 2023

Patient's Query

Hi doctor,

I got my cholesterol test reports. I thought my low-density lipoprotein levels would be slightly elevated, but I have got more problems. I have been experiencing skipped heartbeats for some time now. Based on the reports, I am worried if I have any major heart problems. Does high low-density lipoprotein indicate high levels of inflammation and oxidized cholesterol? Can I correct this with diet and exercise? I am a little overweight. Thus, I exercise every day for an hour. I only eat low-fat red meat and larger portions of fruits and vegetables, but I do like some carbohydrates and sweets. If I change my diet and lose some pounds, will I be able to rectify this? I do not want to start on statins. Can you please help me, doctor? Thank you.

Hi,

Welcome to icliniq.com.

Your low-density lipoprotein (LDL) is higher. However, I would like to know a few more things. Do you have diabetes mellitus, and are you taking any diabetes medicine? Do you have a family history of high cholesterol? Do you have a family history of a heart attack? How old are you? I suggest you start on a mediterranean diet, exercise regularly, and reduce sugary and fatty foods. Thank you.

Patient's Query

Hello doctor,

Thanks for the response. Neither of my parents had high cholesterol. My grandfather had a heart attack. I am 60-years old, and as I say, I work out every day and try to eat right. Can I reverse this without statins by losing weight and watching what I eat? Am I in the danger zone now? Please let me know, doctor. Thank you.

Hello,

Welcome back to icliniq.com.

Your low-density lipoprotein (LDL) is high, and statin is recommended along with lifestyle measures such as exercise, diet, weight reduction, etc. I suggest you take (consult with a specialist doctor, talk with him or her and take the medicines with their consent) tablet Rosuvastatin 10 mg daily in the evening. If you have ever had a heart attack, angina, or stroke, 20 mg is recommended. But if you do not want to take a statin, there are two options. Get a coronary artery calcium score done. This is a computed tomography (CT) scan-based test. If the score is 0, you can omit statin (unless you are a smoker, in that case, even a 0 score mandates statin). But if it is non-zero, you will have to take a statin. Adhere to lifestyle, dietary, and weight reduction measures and repeat lipid profile after three months. Lifestyle measures include daily exercises such as a 30 minutes brisk walk, jog, swimming, cycling, or other activities. The best diet is the mediterranean diet. In addition, weight reduction to reach a body mass index (BMI) of less than 25 and waist circumference less than 40 inches (males) and less than 35 inches (females) is recommended. Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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