What can cause cholesterol levels to remain unchanged?

Robert Nukolczak,

Thanks for your question. 

Congratulations on your efforts so far.  I know this is not an easy thing to do.  A few things come to mind when reviewing your question.  First of all, be sure the reading you are getting now is the latest one, and not the result from last time.  Though certainly possible, it's very coincidental that the readings are exactly the same!  If it is confirmed that, indeed, the readings have the same value, then we accept that as fact.  Next, remember that diet and exercise can play a major role in your values, but also know that genetics is also an important factor in what your cholesterol numbers are. 

You just might require more time to exercise, lose a few more pounds, and continue to cut your intake of fat.  Switch to skim milk which is fat free.  It may take some time, but you will get used to the taste and lack of consistency.  Take the plunge and cut out eggs altogether, and opt for egg substitutes.  Begin a regular exercise program, with an established plan two or three times a week.  Stick with the high fiber cereals or oatmeal, and try to introduce fresh fruit into your diet.  Be sure to remove the skin from the chicken, trim all fat from the pork (or better yet, eliminate it altogether), and start eating fish at least twice a week.  Avoid deep fried foods, fast food restaurants, processed and canned meats. 

Should all of the above fail to produce a significant drop, then it would be time to discuss medication to control your LDL.  You should also find out what your HDL (good cholesterol) is.  If this is very high, the poor value for the LDL would be offset a bit.  IF the HDL is low, then intervening with medication should be considered sooner. 

Also remember that if you eventually take medication for your cholesterol, you must still continue the diet and lifestyle changes discussed above.

Best wishes.

Martin Cane, M.D.