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Cholesterol level of 7.1 - age 33 - how bad is this?

20 replies

Panda368 · 24/01/2023 08:40

I had my cholesterol levels done for the first time as part of a study and was told it was high. But I don't really have much context for it. I know above 5 is considered high but other than that I don't know much.

Im otherwise pretty fit and healthy. Im 14 months PP with baby no 2.

I run regularly and did my first half marathon in October.

I'm 60KG at 5'3
27 inch waist

I thought my diet was ok ish although probably a bit heavier on crap and sugar due to a non sleeping baby

the break down is below:

total : 7.11
LDL : 4.40
HDL : 2.17
Triglycerides : 1.23

Ive been told I need too get it re-checked in 6 months

How concerned should I be by this?
How do I go about bringing down my cholesterol?

What do I need to do?

Thanks!

OP posts:
desperadodogface · 24/01/2023 08:46

It's a bit high but mine was sane at your age. The good thing is you have a lot of the good HDL cholesterol and they fo off your ratio of HDL to LDL rather than your total figure now. Best way to lower it is healthy diet, not too much saturated fat, oily fish etc but it's also genetic and if it runs in your family you probably won't be able to lower it that much through diet

desperadodogface · 24/01/2023 08:46

Did you fast before the test?

Panda368 · 24/01/2023 09:24

@desperadodogface no I didn’t fast.
had breakfast about 3 hours before and probably a coffee or something in between. Am I right in thinking what you have recently eaten can affect the score?

not sure about high cholesterol running in the family will have to ask mum.

OP posts:
desperadodogface · 24/01/2023 09:35

Yea, eating can affect the result. Best to fast from night before, at least 12h before test- water only. I read that it tends to pass down the paternal line but it was a preliminary study!

greenacrylicpaint · 24/01/2023 09:50

high cholesterol can be hereditary. in that case you can't help it much. in that case you mighg need medication. speak to your gp.

diet and lifestyle will help somewhat though.

AutisticLegoLover · 24/01/2023 09:54

What is your diet like? That's high. You'd have been referred for diet advice at the practice where I worked.

Rickiticki · 24/01/2023 09:58

Yup. Without statins*, my level was much higher than yours - unsuspected, alarming (and frustrating as mine’s inherited).
Your lifestyle is much to your benefit.
Porridge, pulses, oily fish, a plant-based rather than largely meat diet will help.
Avoid saturated fats, pastry, cakes, products which claim to lower cholesterol (they don’t).
How concerned should I be by this? If the HCPs we’re concerned, you wouldn’t be waiting 6 months for a repeat.

*my choice though not everyone’s I accept.

dontlookgottalook · 24/01/2023 10:45

Hi - I have high cholesterol, mine was 5.5 so a bit lower than yours. I started taking the Flora Activ range, it lowers cholesterol in 2 weeks and is backed by a lot of studies so quite rigorous. I would go down that route before trying medicine. Look on their website. I have a yoghurt a day and use the spread on toast. Came down from 5.5 to 5.3 in 2 weeks.

BobaTea · 24/01/2023 19:10

You need to fast overnight to get accurate results.

GoneToday · 24/01/2023 19:12

It may well be partly hereditary at your age.
Plant based diet is usually the best way to reduce cholesterol generally though.

Crikeyalmighty · 24/01/2023 19:31

I was horrified when I discovered mine was8.3 (I am 61 though) - combined with high blood pressure doctor put me on statins- which in 2 months took it right down to 5.5 - I'm reluctant to stay on statins long term though as some not great side effects in my case so have radically changed my diet- out with the toasties, white rice and pasta, in with whole grains and porridge and very little of anything sweet at all

Panda368 · 24/01/2023 19:41

Ive always thought my diet is “ok” not amazing.
Mostly I cook from scratch as I enjoy it always some veg and pulses involved but probably not enough. Usually have one or 2 meat free days per week. I eat some full fat dairy/butter.

Probably too much chocolate.
I’ve probably eaten more crap in the last few months since going back to work in September but I didn’t think it had become very out of hand.
Real junk food probably about once a month.

Other than switching out more refined carbs I’m not really sure what to do - I’ve seen some conflicting evidence on saturated fat etc.
should I be aiming for generally more veg/ less meat/ less sugar?

OP posts:
AutisticLegoLover · 24/01/2023 19:50

Mine went up to a total of 4.1 when I was pregnant and I was horrified because it's usually 2 point something/3.

The advice we gave was to start eating porridge for breakfast as a starting point. Your hdl acts likes Pac-Man and eats up the ldl. H for happy L for lousy 😁 Porridge/oats are really good but with that reading and your weight and activity levels being ok and your diet being good it might be hereditary.

Toddlerteaplease · 24/01/2023 19:52

Is this that NHS study. I've signed up for that. Intrigued to know what my cholesterol is. Im 41.

Toddlerteaplease · 24/01/2023 19:54

I can't fast from the night before as my appointment is at 15.20 and I'm on nights the night before!

AutisticLegoLover · 24/01/2023 20:16

We didn't do fasting cholesterol bloods in either hospital or the Gp practice.

RandomPerson42 · 24/01/2023 20:30

Mine was over 11 a few years ago so I made it my business to look into the subject deeply.

There is still a lot of perpetuated misinformation on this subject.

Firstly, cholesterol is usually not a problem, we need it to live, if we eat less of it our liver makes more and vice versa.

In the 1960s the medical profession spoke about high cholesterol versus low cholesterol. By the 1990s they had changed to speaking about good cholesterol versus bad cholesterol. Nowadays the real experts talk about cholesterol particle size not LDL versus HDL. Small particles of LDL being sometimes bad in that they can get behind endothelial layer - most often when the artery is damaged due to smoking or excessive glycatation damage, insulin resistance or diabetes from long-term high carb diets.

In more medically advanced countries like australia they do LDL-p tests to determine cholesterol particle size counts but over here on our poor NHS they don’t do that - most UK doctors and nurses won’t even know what an LDL-p test is - we are not as far ahead medically.

A very small percentage of people have Hypercholestemia a genetic condition in which cholesterol level is elevated - your levels are not high enough to indicate that.

Around 25% of people (like me) however have something called LP(a) - this is also a genetic condition but much more common - in this condition Lipoprotein particles made by the liver cannot be recycled efficiently by the liver so they build up resulting in higher cholesterol scores. You might have this, but again don’t hold your breath trying to get tested for it on the NHS - it’s not seen as important, they’d rather just prescribe statin drugs in this country than get to the root of peoples problems as there are not many drugs here yet that can be effectively used to treat LP(s) - PSK9 inhibitors and the like. More money is made with statins. Of course dietary cholesterol does not have LP(a) so eating more dietary cholesterol for these people can result in better scores as the liver will make less LP(a) cholesterol If someone eats lots of cholesterol.

Other people are what are sometimes called hyper-absorbers - they have more receptors in their body so they absorb more dietary cholesterol than normal. These people can mitigate their absorption by eating more foods with stenols in (stenols compete with cholesterol at the receptor level) - Benecol is made with stenols for this reason.

Around 80% of the cholesterol in a person’s body is made by the liver, and if we eat less the liver makes more to keep equilibrium, so dietary changes can only make small changes, especially if you are not a hyper-absorber.

If you want to improve your health keep exercising, eat real food (eggs, meat, vegatables, small amounts of fruit) and cut down the grains (sugar, flour, rice).

I’m on the maximum statin dose and not had any side-effects but FIL was on statins and had awful side-effects. Statins do not just lower cholesterol btw, they have other good effects for people with arterial damage such as leading to plaque stabilising or even reduction - that is why I stay on them, I’m not actually concerned about cholesterol itself - I eat plenty of eggs, dairy and meat and my consultant cardiologist is also said it was okay for me to go on a keto diet if I wanted. Saturated fat is not the enemy; man-made trans fats in vegetable oils are the enemy.

Noimaginationhere · 24/01/2023 20:34

You don't need to fast to get an accurate cholesterol result.
Remember that only around one third of cholesterol is from dietary sources - your body makes the other two thirds. It sounds like it is genetic in your case. Have you got a family history of heart disease?

CornishGem1975 · 24/01/2023 22:30

I'd say that was high. My cardiologist told me mine was 5.2 and that was average for the UK and my age (43). With statins it's now down to 3.4.

GoneToday · 24/01/2023 23:12

The sources for this article are really useful reading.
Plant based diets proven to lower cholesterol

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