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not so hot lipid profile despite healthy habits
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Anon_138261 posted:
I am a 43 yr old female with a few health issues: fibromyalgia, GERD, Hashimotos, IBS, & a severely herniated disc in my back. I do have lots of back problems but I am very active. I just started Zumba classes.
A few years ago, I found out my cholesterol levels were high, running 250 ish but my triglycerides 90ish & HDL 60ish were good & my LDL high at 180ish.
My diet at that time was & still is: no fried foods or white bread/ cereal, rarely whole grain breads & pasta, red meat, dairy, butter. I use olive oil. I do eat chicken, fish esp. salmon, salads, fruits, veges, nuts, beans, healthy yogurt. No soda. I drink 1 cup coffee a day. I drink decaf green tea in the evening.
I took Red Yeast Rice to lower the numbers, which it did lower a bit. I also take a fish oil.
In the past 2 months, even though I hate it, I started eating plain oatmeal. I also started making sure every meal was balanced with a healthy low carb, healthier fast carb, and protein, smaller meals more often.
I have been known for very good blood pressure, but that went up and wouldn't go down so I had to start a blood pressure med. My blood pressure is managed by the med.
I just had my lipid profile. My cholesterol went from 250 to 300. My Triglycerides went from 90 to 236. My thyroid levels are all good.
I am shocked to say the least. Did the Blood Pressure med affect these numbers? I had several Lumbar Steroid Injections over the past several months. Did they affect my numbers? Elevated Chol. Does run in my family. Although my father is in his 70's & very healthy, I had 2 uncles with fatal MI, 2 others who survived but had surgery. . So, these numbers concern me. Is this where I throw in the towel & start a medication?

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James Beckerman, MD, FACC responded:
There are some blood pressure medications (such as HCTZ or hydrochlorothiazide) that are associated with changes in lipid profiles - I would suggest talking to your doctor about what you're taking to see if there might be a link. If not, genetics and diet are likely playing a stronger role.