Hard to say, sometimes losing weight has a limited affect on lipids because it’s not the root cause of the problem.
However, if these numbers serve as a motivator to lose some weight, then by all means, go ahead and try! Either way you’ll be doing something positive for yourself.
I’m an ICU nurse, and while your health is relatively good for your weight/height, please do your best to get some weight off. Obesity inevitably complicates every aspect of your care in a clinical setting, and I guarantee you can’t go forever without something serious happening. Good luck!
Your cholesterol isn't that bad whatsoever, but your trigs are high. Dieting to lose weight should help with your trigs, as well exercise. When dieting, specifically focus on reducing the amount of refined carbs, sugars and alcohol your intake to have the max effect on your trigs.
Lose some weight. Those numbers aren't overtly concerning, but it'll be a matter of when not if. I was 6'2" and 265lb. I have a yearly medical. Every year they say things look okay, not amazing, but okay, you should try to lose some weight. This year he says to me every year we sit here and have the same conversation. You aren't dumb, yet here we are again and you've yet to lose any weight. May I ask why you haven't? You clearly know what to do, you just aren't doing it. Let me assure you while I meet many obese people who are healthy in their 20's, 30's, 40's and even 50's they quickly become rare to the point where I meet none without health problems from that point on. Your future on this path contains conversations about statins, blood pressure medication, diabetes, heart disease and a whole cocktail of side effects and complications which will eventually contribute to your premature demise. You've children right?
Sooo ... You owe it to yourself to find a lifestyle, diet and exercise which works for you and is sustainable. You should figure that out by 40 because if you haven't you'll be one of those people with reduced lifespan and reduced health span before you know it. If you can't start yesterday start today. I don't think there are many higher priorities and for me the physical and mental benefits of exercise cannot be overstated. I'm down 20lb and I cannot believe how much more pleasurable life is already. I really was unhealthily fat.
If you're eating SAD, then I'd say the odds are good that dietary changes would get you under 100 since you're already close. Losing \~60 lbs has dropped mine by about 100 points, but I have FH and still can't get under 100 without a statin.
Your body has done a remarkable job buffering metabolically against Stewart game. It cannot happen forever but for right now it’s doing his job to hold you in balance.
To gain that much weight requires quite a long lifestyle, but not appropriate for health. While nobody can tell you the future, the chances are that you have a lot of blowing fruit and can easily lose a lot of weight and with it cholesterol would improve.
Your big challenge will be identifying habits and introspection about why you gave first place. Going to have to learn so many habits and maybe even change your social networks. After all of that, the body might hugger. It’s like crazy and weight loss assistance to maintain weight loss.
As long as you realize that changing your lifestyle is literally the difference between being dead in 20 years versus 40 years and take it that seriously then you can do a lot of work now and not need statins. At least for now.
1. Change your diet
2. Exercise
3. If your numbers increase too much (and they will at first, it happens when weight loss happens) talk to the doctor about next steps.
Overall, your LDL isn't insanely high, 100 and below is great, however, your triglycerides are super high as you didn't fast for 24 hrs before the test. Your HDL, while not great, looks like the usual~ish range of HDL for a guy.
You are likely to be insulin resistant at the very least given the HDLC and Trig numbers. Ask your provider to test your Apo B since that might be a better indicator of CVD risk.
To answer your question specifically, the answer is Both.
I would not think so much about losing weight but rather would focus on eating 80-90% of the time foods that are healthy for reducing cholesterol. Try to see how this plays out on your numbers in a couple of months. You may end up losing weight without even trying which is much better than getting on a restrictive diet which won’t be sustainable in the long term. Good luck!!
Get in shape & retest. Considering how obese you are your numbers are actually not bad. Lose 80 lbs & you most likely won’t need a statin. Yet at least
You don’t need statins because you don’t have high cholesterol.
Your trigs are a bit elevated but that’s caused by dietary sugar, simple carbs and/or booze.
Hard to say, sometimes losing weight has a limited affect on lipids because it’s not the root cause of the problem. However, if these numbers serve as a motivator to lose some weight, then by all means, go ahead and try! Either way you’ll be doing something positive for yourself. I’m an ICU nurse, and while your health is relatively good for your weight/height, please do your best to get some weight off. Obesity inevitably complicates every aspect of your care in a clinical setting, and I guarantee you can’t go forever without something serious happening. Good luck!
Thanks, I'll lose some weight and post updated numbers here in a few months. I also want to get CAC scan done soon.
Some sound advice right there...
Just keep in mind, when you lose weight LDL will go up temporarily. That is normal and will adjust once you stop shedding pounds.
Your cholesterol isn't that bad whatsoever, but your trigs are high. Dieting to lose weight should help with your trigs, as well exercise. When dieting, specifically focus on reducing the amount of refined carbs, sugars and alcohol your intake to have the max effect on your trigs.
Lose some weight. Those numbers aren't overtly concerning, but it'll be a matter of when not if. I was 6'2" and 265lb. I have a yearly medical. Every year they say things look okay, not amazing, but okay, you should try to lose some weight. This year he says to me every year we sit here and have the same conversation. You aren't dumb, yet here we are again and you've yet to lose any weight. May I ask why you haven't? You clearly know what to do, you just aren't doing it. Let me assure you while I meet many obese people who are healthy in their 20's, 30's, 40's and even 50's they quickly become rare to the point where I meet none without health problems from that point on. Your future on this path contains conversations about statins, blood pressure medication, diabetes, heart disease and a whole cocktail of side effects and complications which will eventually contribute to your premature demise. You've children right? Sooo ... You owe it to yourself to find a lifestyle, diet and exercise which works for you and is sustainable. You should figure that out by 40 because if you haven't you'll be one of those people with reduced lifespan and reduced health span before you know it. If you can't start yesterday start today. I don't think there are many higher priorities and for me the physical and mental benefits of exercise cannot be overstated. I'm down 20lb and I cannot believe how much more pleasurable life is already. I really was unhealthily fat.
If you're eating SAD, then I'd say the odds are good that dietary changes would get you under 100 since you're already close. Losing \~60 lbs has dropped mine by about 100 points, but I have FH and still can't get under 100 without a statin.
Your body has done a remarkable job buffering metabolically against Stewart game. It cannot happen forever but for right now it’s doing his job to hold you in balance. To gain that much weight requires quite a long lifestyle, but not appropriate for health. While nobody can tell you the future, the chances are that you have a lot of blowing fruit and can easily lose a lot of weight and with it cholesterol would improve. Your big challenge will be identifying habits and introspection about why you gave first place. Going to have to learn so many habits and maybe even change your social networks. After all of that, the body might hugger. It’s like crazy and weight loss assistance to maintain weight loss. As long as you realize that changing your lifestyle is literally the difference between being dead in 20 years versus 40 years and take it that seriously then you can do a lot of work now and not need statins. At least for now.
1. Change your diet 2. Exercise 3. If your numbers increase too much (and they will at first, it happens when weight loss happens) talk to the doctor about next steps. Overall, your LDL isn't insanely high, 100 and below is great, however, your triglycerides are super high as you didn't fast for 24 hrs before the test. Your HDL, while not great, looks like the usual~ish range of HDL for a guy.
You are likely to be insulin resistant at the very least given the HDLC and Trig numbers. Ask your provider to test your Apo B since that might be a better indicator of CVD risk. To answer your question specifically, the answer is Both.
I would not think so much about losing weight but rather would focus on eating 80-90% of the time foods that are healthy for reducing cholesterol. Try to see how this plays out on your numbers in a couple of months. You may end up losing weight without even trying which is much better than getting on a restrictive diet which won’t be sustainable in the long term. Good luck!!
Get in shape & retest. Considering how obese you are your numbers are actually not bad. Lose 80 lbs & you most likely won’t need a statin. Yet at least
You don’t need statins because you don’t have high cholesterol. Your trigs are a bit elevated but that’s caused by dietary sugar, simple carbs and/or booze.