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Question
Posted by: Anne Anderson | 2012/03/09

Heart and diet

70 year old female, blocked carotid arteries (genetic) stent in left carotid arterie.Taking Lescol XL once a day and Ecotrin three times a week. Have low blood pressure which is normal for me. Should I be on any diet?

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Our expert says:
Expert ImageCardiologist

Dear Anne

I presume from what you’ve told me that you have an abnormal lipogram, ie you have a high level of bad (LDL) cholesterol or a low level of good (HDL) cholesterol or high triglycerides, or a combination of the above. The answer to your question is yes, you should be on a diet. The treatment of an abnormal cholesterol is not just drugs, but drugs and optimal diet.
What particular diet is recommended will depend on the abnormality, and is not just a question of what you should not eat but also what you should eat. Generally a vegetarian-type diet is best, in other words a diet which is high in fruit and vegetables and low in saturated fats. Moderate amounts of alcohol may be beneficial, eg 1-2 glasses of red wine daily.

I would suggest you see a dietician and also use whatever drug or drug combination will give you the lowest possible LDL cholesterol, the highest possible HDL cholesterol and normal triglycerides.

Best wishes, JT.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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Our users say:
Posted by: Cardiologist | 2012/03/22

Dear Anne

I presume from what you’ve told me that you have an abnormal lipogram, ie you have a high level of bad (LDL) cholesterol or a low level of good (HDL) cholesterol or high triglycerides, or a combination of the above. The answer to your question is yes, you should be on a diet. The treatment of an abnormal cholesterol is not just drugs, but drugs and optimal diet.
What particular diet is recommended will depend on the abnormality, and is not just a question of what you should not eat but also what you should eat. Generally a vegetarian-type diet is best, in other words a diet which is high in fruit and vegetables and low in saturated fats. Moderate amounts of alcohol may be beneficial, eg 1-2 glasses of red wine daily.

I would suggest you see a dietician and also use whatever drug or drug combination will give you the lowest possible LDL cholesterol, the highest possible HDL cholesterol and normal triglycerides.

Best wishes, JT.

Reply to Cardiologist

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