• Neil MD
    Health Pro
    August 28, 2008
    Neil MD
    Health Pro
    August 28, 2008

    Hello PJ,


    I agree with the advice above, but let me make one additional comment.  The reason that you do not have a LDL number is likely because your triglyceride number is so elevated.


    Almost always, your LDL is calculated in a complicated formula from the direct measurement of HDL, total cholesterol and triglycerides.  When your triglycerides are so high, the calculation is thrown way off, and gives a falsely low number.  


    You'll definitely need to make an appointment with your doctor about ways to lower your triglycerides and improve your HDL.

  • Lisa Nelson, RD, LN
    Health Pro
    August 27, 2008
    Lisa Nelson, RD, LN
    Health Pro
    August 27, 2008

    Hi PJ,


    Great question and I can see why you're confused.  Let me make it simple for you.


    HDL - 27

    HDL is the "good" type of cholesterol.  The more you have the better.  You want your HDL to be above 40 and ideal if it's above 60.  Physical activity is the best way to elevate HDL.  Being physically active 5 or more days each week for at least 30 minutes will boost your HDL higher.


    LDL - Since you do not have an exact number on your triglycerides, I'm not able to calculate your LDL accurately.  I think it's safe to say that your LDL is less than 130, which is good.  You want to keep LDL (bad) cholesterol less than 130.


    Triglycerides - > 400

    Triglycerides should be less than 200 and some MD's prefer less than 150.  I recommend you check out this article - Triglycerides: Why they matter and how to lower them.


    Total cholesterol - 199

    Your total cholesterol is perfectly fine.  You want it to be below 200. 


    So, to recap the areas to improve:


    HDL - You want to increase this number through physical activity, limiting unhealthy fats, increasing healthy fats, and increasing dietary fiber.


    Triglycerides - You want to decrease your triglycerides (see article above for tips).


    As you make these changes, your ratio of total cholesterol to HDL will improve.  You want a ratio that is less than 5 (ideally 3.5 or less). 


    All the best and if you have more questions be sure to ask!


    Lisa Nelson, RD, LN

    The Heart of Health - Tips to Lower Cholesterol

    • adonis88es
      December 03, 2014
      December 03, 2014
      Thank you for your answer, I was little worry with my lab test, your information help me a lot. Thank you very much READ MORE
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