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Sunday, March 08, 2009 Debbie, Community Member, asks

Q: My total cholesterol is 230. Hdl is 80 and ldl 130. My doctor isn't concerned, should I be?

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Answers (1)
3/ 9/09 10:21pm

Hi Debbie,


Here are the recommendations of the American Heart Association:


Total cholesterol less than 200
HDL cholesterol at least > 40, ideally > 60
LDL cholesterol at least less than 130, ideally less than 100
Triglycerides less than 150


The best way to tell if your HDL and LDL levels are compromising your health is to get an expanded lipid profile. This would show you the particle size of your LDL and HDL molecules and provide a clear picture of your heart health and risk. Your physician could help you assess your risk factors for heart disease and if it'd be beneficial to obtain this lab work. If nothing else it'd put your mind at ease or show you where to take action!


Dr. Shelby-Lane discussed expanded lipid profiles in the following post:

Can My HDL Be Too High?

All the best,

Lisa Nelson RD
How to Lower Cholesterol Naturally


mizzemm, Community Member
4/25/13 8:51pm

If this is the case, why has every doctor I've ever gone to given me some stock answer rather than getting a more detailed profile done? I've had some doctors say not to worry, others say just to watch what I eat (I'm a vegetarian, active and on the low side of my healthy weight range, with a smaller than average waist size) and others say it's concerning. My last TC reading was 230, with an HDL of 100, LDL of 121, Triglycerides of 62 and TC/HDL ratio of 2.3. I have no idea what these numbers mean anymore. In the past I've never worried because the HDL is supposed to counteract the LDL, but now I'm hearing that sometimes high HDL can be concerning. Yet no doctor has ever told me to look into it further. I can't keep getting cholesterol checks, my insurance only pays for it once a year! 

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By Debbie, Community Member— Last Modified: 04/25/13, First Published: 03/08/09