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High Cholesterol Message Board

High Cholesterol Board Index

Hello everyone!!!

I hope everyone is doing well! I am just requesting some advice.

First of all, I had astronomically high cholesterol. It was measured at over 600, then 464 after fasting :eek:. With Lopid, however, I was able to get it down to 169 :)!

My triglycerides, on the other hand, remain at 600+. I'm not obese; in fact, I exercise at least 5 times a week. My only problem is that I eat a lot--and bad food like pizza! I have changed my diet significantly, though (will need to get another blood test).

As a result, the doctor put me on 10mg of Zocor, a simvastatin, in addition to the Lopid.

1. My question is, first of all, has anyone tried this mixture? I have been reading that it is a frightening combination, with side effects (though according to ultrasounds and MRIs I have no liver or kidney damage).

2. Is it common to have good levels of everything else--blood pressure perfect, low bad cholesterol, CPK 109, etc.--and high triglycerides? My good cholesterol does need to come up a bit--only 31.

3. Does the mixture between lopid and zocor really make much difference, esp. weighing the costs?

4. Are triglerydes that important, more so than other measurements.

5. What's the best way to reduce triglyc.? I have heard eating less, cutting out saturated fats etc. Well, I have been eating a lot of veggie--such as morning star, dinners!

Thanks so much for your advice!!

Best, Hightri :D
I will leave the Lopid/Zocor combination to someone more knowledgable, and speak to your trigylcerides (and frighteningly low HDL).

Personally, I think the combo of high triglycerides and extremely low HDL is probably more dangerous than high LDL (and there is some research to back this opinion up).

I doubt you will see much, if any, effect on your HDL and trigylcerides from Zocor.

The only thing that increased my HDL was Niaspan (the prescription version of time-release B vitamin niacin); it also helped lower my triglycerides a bit.

BUT, triglycerides do not respond well to medication. My cardiologist always says he can tell who is eating right and who isn't by their triglyceride level.

Yes, you need to reduce the saturated fat in your diet if you are eating huge amounts of cheese, fatty red meat, etc. But more important to triglyceride reduction, in my experience and what I have read, is "bad" carbohydrates, e.g. the "white stuff" like sugar, flour, and perhaps even white rice and white potatoes.

However, no amount of diet manipulation and medication would get my triglycerides down to normal (below 150; the best I could do was 159; at one time several years ago if I'm remembering correctly they were over 600) until I eliminated wheat and gluten from my diet. Within 2 weeks it was 129, and at my last check it was 106. I still eat a fair amount of white potatoes, white rice, and a bit of sugar now and then, but I will not touch wheat with a 10 foot pole (there are lot of non-cardiac symptoms it also aggravates).

My bet is the pizza crust is more a danger for you than the cheese.

I would recommend eliminating all "white stuff" (except cauliflower:)), and trying to eat low on the glycemic index.

If that doesn't work, then consider eliminating wheat completely and see what happens.
I agree with everything Connie suggested.

I'll also suggest fish oil, at 3 grams Omega 3/daily, broken up into 2-3 daily doses. It can help a lot with triglycerides.

I'm not personally a fan of fibrates, but it's better than having a cholesterol over 600. Niaspan might be the better choice though, as it will also help HDL.

As for why triglycerides are bad... they usually have bad friends... like low HDL and small particle LDL. With a triglyceride level of 600+, I'd wager you have mostly small particle LDL, which is dangerous. You can have this tested with a VAP test, by the way.

I also recommend getting your glucose and HA1c level checked. You may be pre-diabetic and/or have insulin resistance.

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