Do these cholesterol levels need further treatment or are they okay? Aged 21

[laceymolloy97]

Hi, I recently had a blood test at work and haven't had chance to take the results to my GP yet. I should start by saying I have a family history of heart disease/problems. My maternal grandmother had a stroke in her late 40s and died of a heart attack aged 54. My mother is displaying signs of what could be early heart problems (she's 48) but she refuses to go to the GP so we may not find out until something happens. I am 21 and female.

My blood test results (I have put the ranges in brackets):

Serum cholesterol 3.3mmol/L (<4.0), Serum HDL cholesterol level 1.1mmol/L (>1.2), Serum triglycerides 1.5mmol/L (0.3-1.8), Serum LDL cholesterol level 1.5mmol/L (<2.0), Serum cholesterol/HDL ratio 3 (<6), Se non HDL cholesterol level 2.2mmol/L.

It seems like the only one that isn't within range is the HDL level but I'm not sure what this means. Any insight would be appreciated. Thanks!

[laceymolloy97]

I am just on vitamin D due to a deficiency, my level was 33.7 (50-250). My B12 was 265 (160-820) and Serum free T4 level was 14.7pmol/L (9.5-22.0), Serum TSH level 1.8mU/L (0.50-4.40).

[sandybrown]

At your age you need to consult your GP, it is very good your work place blood test gave detailed information !!, normally it is only total cholesterol.

You an ask your GP to do a risk analysis, QRISK or JBS3. You may need other blood numbers as well.

Your GP should offer guidance towards life style consideration.

[laceymolloy97 in reply to sandybrown]

Okay I will do that thanks! I work at a GP practice so I got one of the other nurses to do the blood test for me and just sent it off haha so that's why I got detailed results. Thank you

[sandybrown in reply to laceymolloy97]

In this case you can get a print out and use your ipad to photo the results and give all the details.

You need to book an appointment to see your own GP to go further!

[sandybrown in reply to laceymolloy97]

May be one of the HCP can do all other blood check and do a JBS3 rick analysis.

[laceymolloy97]

I know my B12 is lower than it should be, the first time it was checked in Feb 2018 it was 167, they wouldn't treat it because it was in the ranges, and they still wont now even though I'm having symptoms. I will do that with my thyroid levels thanks, but can I just ask why you recommend I do that? Just that I thought they were normal and didn't need extra evaluation. Tha k you

[sandybrown]

I am very sorry to sat this you are playing with fire!!!, there are many people who need HNS blood tests are unable to get full blood tests on NHS because of the cost.

[laceymolloy97]

I have been taking Vit b12 supplements, although admittedly not as often as I should, sometimes I forget.

Ah I see, that's very helpful thank you! I will do.

[kathy24]

Hi, if you have high cholesterol, you need not worry. Follow a healthy lifestyle by eating fiber rich food like oatmeal, almonds, fruits and also a light workout. This would surely help you with your problem. Generally few cholesterol lowering medications can have serious side effects. It is better to incorporate safer method of controlling cholesterol. Healthy diet combined with light exercise is the key to control cholesterol. One must consume a diet rich in fibers such as whole grain food, salad, fruits, oatmeal etc. as advised Dr. Janet Brill, health, nutrition and fitness expert. You only need dedication to switch to a healthy lifestyle.

[sos007 Ambassador]

Your metrics appear to be very good you do not have any concerns at present. As a young person you should develop good dietary and lifestyle habits and maintain them throughout your life. This includes daily exercise as simple as walking for 30 to 60 minutes per day.

Your triglycerides although in the acceptable range should be a little lower. Try reducing your consumption of anything that contains sugar - limit to once per week. Foods that are high in simple carbohydrates should also be limited to once a week.

The Mediterranean Diet is a lifestyle diet, not necessarily designed for weight loss.

healthline.com/nutrition/me...

Watch this informative video on sugar - 13 minutes:

youtu.be/ZSpB-j5DL9E(Not working as expected?)

Good luck and spread this information to your family members.