Dwarka, New Delhi

High Cholesterol and Triglyceride Treatment in Dwarka

Cholesterol is not treated by the number alone. It is treated according to your overall risk of a heart attack or stroke.

Reading a lipid profile properly

LDL cholesterol is the main treatment target. Triglycerides respond strongly to sugar, refined carbohydrates and alcohol. HDL matters, but raising it artificially has not been shown to help.

Indian patients frequently show a pattern of high triglycerides with low HDL, often alongside fatty liver and insulin resistance — which is why lipids, sugar and liver are assessed together.

Who needs medication

The decision depends on your calculated cardiovascular risk, not on whether one value is flagged high on the report.

  • Existing heart disease or previous stroke — treatment is standard
  • Diabetes with additional risk factors
  • Very high LDL suggesting a familial lipid disorder
  • Strong family history of early heart disease
  • Otherwise, a defined trial of diet and activity with repeat testing first

What changes actually work

Cutting refined carbohydrate and sugar lowers triglycerides quickly. Reducing fried and processed food, losing visceral fat and consistent aerobic activity all improve the profile. These are not a substitute for statins in high-risk patients, but they change the dose required and the rest of your health.

Frequently asked questions

Are statins safe long term?
For people at genuine cardiovascular risk, the benefit clearly outweighs the risk. Muscle aches occur in a minority and are usually manageable by changing the drug or dose. Liver enzymes are checked when starting and periodically thereafter.
Do I need to fast before a lipid test?
Non-fasting samples are acceptable for most screening. A fasting sample is preferred when triglycerides are very high or when treatment decisions depend on a precise value.
My cholesterol is high but I am thin. Why?
Lipid levels are substantially genetic. A normal weight does not exclude a significant lipid disorder, and familial patterns need specific evaluation.

Consult Dr. Brijmohan Arora

MBBS, M.Med (CMC Vellore) · 23+ years in internal medicine and metabolic care. Palam Extension, Sector 7, Dwarka, New Delhi.

Mon–Sat · 11 AM–2 PM & 4–8 PM · Sunday closed