Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Borderline high cholesterol

Resolved Question:

Hello-

I am concerned with the results of a recent blood chemistry test I had to take for new insurance.

I am a 27 year old, white male, 6 feet tall, weighing 238lbs. I was a college athlete five years ago and in good shape, I have since digressed into a sedentary lifestyle.

The two levels noted as elevated:

Cholesterol at 206 MG/DL (accepted range 140-200 MG/DL)
SGPT (ALT) at 56 U/L (accepted range 0-45 U/L)

-How concerned should I be about these numbers?
-What can I do to improve my health?

Thank you and Happy Holidays.

Category: Internal Medicine Specialist

Ask Your Own Question

Category: HIV- AIDS Specialist
 24 Doctors Online

Hello,

Thank you for your consult at DoctorSpring.com. You don't have to worry much about these values. They are pretty much borderline and can be corrected with certain lifestyle changes like increasing physical activity, considering dietary changes, limiting alcohol intake etc.

Your BMI is slightly on the higher side(BMI>30 obese), hence trying to keep your weight under control becomes important. Eating right, following a regular exercise regime, losing weight would be the first step to manage cholesterol levels. If this does not help taking medicines called statins would help in managing high cholesterol levels.

Your SGPT values are slightly higher than normal and it could be related to obesity as well. Alcohol, certain drugs like antibiotics, tylenol, ibuprofen can affect SGPT levels.

Your report does not suggest of anything serious.

I would recommend that you consult your family physician for prescription medications.

Hope this helps. Do write to me for any follow ups.
Thank you.


Patient replied :

Thank you. I am on 80mg prozac a day. Could this bump my ALT?


Theoretically yes, it could be one of the reason as the the drugs is eliminated via the liver. But it is not prudent to zero in Prozac without further evaluation.

First of withdraw any OTC medication (except Prozac) , excessive alcohol use for 3-4 weeks . If you are at risk of Hepatitis B or C (if not vaccinated against Hep and has high risk sexual behaviour) consider getting tested for this. Get a repeat test of AST alone after 3-4 weeks. Make sure you are not exercising too much during the week prior ( as AST is also produced from skeletal muscle).

Most likely the repeat AST should be normal. If not, further evaluation may be warranted.

Hope this helps
Feel free to ask followups
Thank you


Patient replied :

Ok thank you and happy holidays


Happy holidays !
Wish you good health


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news