Hello Doctor,
I’m a 30-year-old male, and I recently had a lipid profile test. My total cholesterol level came back at approximately 210 mg/dL. However, my HDL (good cholesterol), LDL (bad cholesterol), and triglyceride levels were all within the normal range. Given these results, should I consider taking medication to manage my cholesterol levels? I’ve heard mixed opinions about cholesterol levels and medication, and I want to ensure I’m making the right decision for my health. What are the potential risks and benefits of starting medication in my situation? Would lifestyle changes be sufficient instead?
Hello,
Thank you for reaching out to Dr. Galen. Please find the below response to your query.
Your total cholesterol level of 210 mg/dL is indeed slightly above the recommended threshold of less than 200 mg/dL for adults. The decision to start medication typically depends on your overall cardiovascular risk profile.
If you have additional risk factors—such as a family history of heart disease, high blood pressure, diabetes, or if you smoke heavily—these can increase your risk of cardiovascular issues. In such cases, starting medication may be appropriate to help manage your cholesterol levels more effectively.
On the other hand, if you do not have any of these risk factors, it’s often possible to manage your cholesterol through lifestyle changes alone. This includes adopting a healthier diet rich in fruits, vegetables, whole grains, and healthy fats, engaging in regular physical activity (aiming for at least 150 minutes of moderate exercise each week), and eliminating smoking if applicable.
Thanks
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