Advice on cholesterol blood test: Good afternoon... - Thyroid UK

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Advice on cholesterol blood test

Soaping profile image
32 Replies

Good afternoon lovely people, my GP has moaned at me that my cholesterol is too high and has advised healthy eating, well i do eat healthy and have told them that. I have stated if its too high its because of my thyroidectomy. My reults are as follows all mmol/l

Serum cholesterol 6.8

Serum triglycerides 0.88

Non HDL 4.7

Serim LDL 4.29

Serum ratio 3.3

They said they only count the non HDL, but doesnt the good LDL count?

Thank you for your time. They have threatened statins but i will not take those.

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Soaping profile image
Soaping
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32 Replies
shaws profile image
shawsAdministrator

If not on the optimum thyroid hormone replacements, our TSH will rise.

When we are prescribed a proper dose of thyroid hormones TSH should reduce TSH to around 1 and we should begin to feel better.

healthcentral.com/condition...

The following link is by a Researcher/doctor and expert on T3. Unfortunately Dr Lowe had a bad fall that caused his demise.

drlowe.com/thyroidscience/c...

.

humanbean profile image
humanbean

You might like the picture, but there is also this thread about his work on a diabetes forum :

diabetes.co.uk/forum/thread...

Info on cholesterol
Marz profile image
Marz in reply tohumanbean

Great pic hb 🌟

greygoose profile image
greygoose

Well, for a start, there's no such thing as good and bad cholesterol. It's all the same. When they do a blood test for cholesterol they don't actually test the cholesterol itself, just the protein carrier: HDL and LDL. So, I don't know what your doctor thinks he's doing. lol

There are many, many posts about cholesterol on here, if you do a search. Here's just one of them:

healthunlocked.com/thyroidu...

SlowDragon profile image
SlowDragonAdministrator

you need to retest thyroid and vitamin levels

Assuming Ft3 is still too low you’re going to need T3 prescribed alongside

Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Monitor My Health now offer thyroid and vitamin testing, plus cholesterol and HBA1C for £65

(Doesn’t include thyroid antibodies)

monitormyhealth.org.uk/full...

10% off code here

thyroiduk.org/getting-a-dia...

List of thyroid specialists and endocrinologists

healthunlocked.com/thyroidu...

Fruitandnutcase profile image
Fruitandnutcase in reply toSlowDragon

Can I throw in I used Monitor my Health recently and I was really pleased with them - results back in no time so I’ll definitely be using them again. At the same time I used City Assays for cholesterol (it was cheaper) and they were really, really slow in getting the results out so I’m not sure I’d use them again.

humanbean profile image
humanbean in reply toFruitandnutcase

Did MMH supply the actual reference ranges? A few people have posted results where they say the proper ranges are not supplied with the results.

Maztee profile image
Maztee

Hi Soaping my cholesterol had been high for ten years that I know of and I've been on levothyroxine for 40+ years since having thyroid removed. I was scared in to trying statins and they had a severe effect on me. Eventually consultant gave up but occasionally doctors try again. Suggested on here that I may be a poor converter which can be a culprit so am going to get T3 tested now though I think it's been ok in the past.

I have so many issues now I think they must be connected!

SlowDragon profile image
SlowDragonAdministrator in reply toMaztee

Low Ft3 is linked to high cholesterol

nhs.uk/conditions/statins/c...

If you have an underactive thyroid (hypothyroidism), treatment may be delayed until this problem is treated. This is because having an underactive thyroid can lead to an increased cholesterol level, and treating hypothyroidism may cause your cholesterol level to decrease, without the need for statins. Statins are also more likely to cause muscle damage in people with an underactive thyroid.

am going to get T3 tested now though I think it's been ok in the past.

I have so many issues now I think they must be connected!

Remember that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Essential to also test vitamin D, folate, B12 and ferritin

Soaping profile image
Soaping

Thank you all for your replies but my serum cholesterol ratio is 3.3 which is a good score so i an going to ignore my gp. Yes my t3 is still low at just over 3 and i am still trying to optimise everything as i dont want to trygoing down the private route of which i cannot afford. Xx

SlowDragon profile image
SlowDragonAdministrator in reply toSoaping

There are NHS thyroid specialist endocrinologists who will prescribe T3

Over 63,000 prescriptions in England in last year

openprescribing.net/analyse...

Soaping profile image
Soaping in reply toSlowDragon

Thank you slow dragon, I have enough going on at the moment been put on list for another hip replacement. My partner has throat cancer and im wrapped up with that at the moment attending therapy with him all too much at present to deal with. Xx

userotc profile image
userotc in reply toSoaping

To further support your argument, your HDL/triglyceride ratio is comfortably >1. Renowned consultant cardio Dr Aseem Malhotra (>21 yrs experience) prefers that ratio and certainly disputes total cholesterol value.

PS my mum's TC is stable 7.1 but HDL/trig good. We believe TC likely high due to post menopause.

userotc profile image
userotc

Can't argue with the healthy eating - just as long as those untrained doctors don't offer the advice!

Soaping profile image
Soaping in reply touserotc

GP's have no idea about anything the only thing they are good at are dishing out drugs or if your lucky making referrals.

Leaney profile image
Leaney

My doctor takes the approach that age has to be taken into the equation when deciding whether cholesterol is too high or not. He runs the diagnostic tool but takes out the age factor for people over 65. If it then shows up as normal he leaves well alone.

Soaping profile image
Soaping in reply toLeaney

I put my figures into diabetes dot co and nhs check your cholesterol website calculators and they both came out as healthy?

Singwell profile image
Singwell

Yes, the 'good cholesterol' does count becauseit helps break down the bad! Your overall is better than mine and I've no intention of taking statins. Thing is they all have to do this cardiovascular disease risk score, and if you don't score well on that then waive the statins card at you. You can take plant sterols that help break down the cholesterol. They're quite pricey but I'd rather have those than statins.

Soaping profile image
Soaping in reply toSingwell

I agree with you Singwell. Have a good day x

greygoose profile image
greygoose in reply toSingwell

Yes, the 'good cholesterol' does count becauseit helps break down the bad!

I've never hear anything like that before. Where did you get that information? Sounds very dubious to me.

High cholesterol is not a disease, it's a symptom.

Marz profile image
Marz

As Dr Kendrick stated at the Thyroid UK Conference a few years back - " cholesterol is a chemical so cannot be both good AND bad "

Clever marketing created by Big Pharma to capture the minds of millions....

greygoose profile image
greygoose in reply toMarz

Absolutely agree Marz. So much rot is talked about cholesterol - especially by doctors!

Marz profile image
Marz in reply togreygoose

Think I read somewhere that Drug Reps are a big source of knowledge for Docs 🫢

greygoose profile image
greygoose in reply toMarz

Oh yes! That's where they get all their info about cholesterol and statins. You know, an independant source, with no conflict of interests!!! Not.

Marz profile image
Marz in reply togreygoose

Along with all the desk accessories !

greygoose profile image
greygoose in reply toMarz

Oh absolutely! Those desk accessories are so necessary to being a good doctor!

BlueMoon65 profile image
BlueMoon65

I refused statins, because when they first emerged, my husband had a very serious reaction to them ( he has Hughes Syndrome, so that may be why…). At the time, he was told by a consultant that ‘the liver produces cholesterol and consumption of fats is a complicated factor…’ Recently I read Malcolm Kendrick’s book on cholesterol…it may put your mind at rest even more.

Maztee profile image
Maztee in reply toBlueMoon65

Thank you. I did read some very interesting articles on how cholesterol is actually used in your body some years ago but I've forgotten so I will read that. I don't know enough to face down GPs about it and I don't think I should tbh but I do need to be armed with some facts.

greygoose profile image
greygoose in reply toMaztee

Your body is made of cholesterol! The brain, cell walls, sex hormones... all made of cholesterol. And it's used for reparation and regeneration. That's why low cholesterol is more dangerous than high.

buddy99 profile image
buddy99

We need cholesterol for so many functions in our body and I suspect that the levels chosen are rather random and not individual. Just as many people with "normal" cholesterol die of CVD as do with "high" cholesterol. My uncle lived to 96 with very high LDL. The statins he was prescribed caused him enormous muscle pain, so he stopped taking them and lived happily ever after. My LDL went down after I started taking T3 (and I also feel a lot better as a bonus :) ), but still is not within "normal" interval. To me this hype about getting the cholesterol down is just a way to sell statins to unsuspecting patients. Over time the acceptable "healthy" LDL levels were lowered more and more and the sale of statins skyrocketed. What did your doc say would be a healthy diet for you? My advice would be to stick to your determination not to take statins. If LDL is dangerous, statins are definitely more dangerous. I have said before, that I would rather give birth to 10 more children than ever touch statins again. The muscle pain all over my body was indescribable and in muscles I did not even know I had (like around my eyes and the front of my neck). My whole body hurt to the point that I cried in pain. And I can be a tough cookie. If you can find it, watch "Statin Nation". If you have the time, start looking into it and don't take my word for it. Good luck.

Miffie profile image
Miffie

My diabetic nurse is actually the most reasoned voice re cholesterol at the surgery I use. She pretty much ignores everything except triglycerides. The are the bad boys. Apparently low fat low sugar diet helps to reduce but in my case that appears to be be having the opposite effect at present. No idea why and she ifs also stumped. We did discuss asking the endocrinologists for input but thought better of that one. Yours are deliciously low so I’d just ignore the GP comments. He/ she is very unlikely to remember it anytime soon.

Soaping profile image
Soaping in reply toMiffie

Thank you all so much for your responses, now I know I am doing the right thing. I will never accept statins xxxx

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