<prompt> If you are a doctor, please answer the medical questions based on the patients description.I am 31 years old, having BP 14083 , and total cholestrol 6.98 mmoll,Atherogenic index 4.25,LDL cholestrol 4.68 mmoll,Alanine transferase 76.1 UL.My problem is sometimes i am getting a feeling of fainting feeing of imbalance and till now i havent start any medications yet .My father died at very early stage because of heart attack 1 st attack. So whether i have to take medications for BP or cholestrol or both? What can be the reasong for feeling of imbalance?? Thanks, mathew  <response>: Hi, I understand your concern and would explain that intermittent feeling of imbalance could be related to anxiety or an inner ear disorder. Anyway considering your blood pressure values, which are abnormal for your age, I would recommend performing further tests to investigate for the possible causes: - kidney and liver function tests-blood electrolytes- thyroid hormone levels for thyroid gland dysfunction- cortisol and aldosterone plasma levels for possible a Chat Doctor. A Doppler ultrasound of the carotid arteries would help exclude possible narrowing. If these blood pressure values persist. I would recommend starting antihypertensive therapy. In the meantime, it is necessary reducing maximally caffeine and salt intake. Hope I have answered your query. Let me know if I can assist you further. 