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Elevate Your Cholesterol Profile, Elevate Your Health
It's interesting when I see a patient and go over their blood work. They're always most concerned about one thing – their cholesterol. Other blood levels could be significantly out of normal range, but typically most are worried if their cholesterol level is high, or not. Medical doctors, the media, and of course the pharmaceutical industry has ingrained in each person (including children) the notion that cholesterol is bad and if you don't lower it, you're gonna die. Really? I'm doing everything I can to raise mine.
Who is dying from high cholesterol?
Cardiovascular problems, such as heart disease and heart attacks, are a major health problem in today's societies – they're the number one cause of death. Cholesterol is often implicated as a major player in these types of problems. High cholesterol may be a factor of an underlying problem, or it may just be a coincidence that one's cholesterol is elevated due to other health problems, related or unrelated to the cardiovascular system. Typically, due to medical intervention, patients are already on cholesterol lowering medications yet they're still having health problems, and definitely not living any longer. So if it was just all about high cholesterol causing heart disease and lowering cholesterol resolving these problems then there would be a major improvement in this healthcare crisis.
Cardiovascular disease is caused by a wide range of nutritional, lifestyle and environmental factors that result in inflammation that gets out of control. Sure genetics most likely have some factor, but minimal compared to the rest. The genetic link is typically a cop-out when someone doesn't take control of their own health. Toxins, infections, excessive stress, lack of proper exercise and diet are far more damaging to the heart than high total cholesterol.
I'm not at all insinuating that high cholesterol is okay, but I am definitely saying that less is not necessarily better. There's more to it than just that. Cholesterol just doesn't shift to a dangerous level without other contributing factors. A poor diet and overall health lead to unhealthy cholesterol levels whether that's low, (as mine were back in the early 1990s), high, or imbalanced. I'll discuss this more in a bit.
Why do you need cholesterol?
I have been trying for years, decades actually, to raise my cholesterol. Finally after a more significant (call it strict if you like) change in diet, it's happening and that's a good thing. You see, low cholesterol is often much more dangerous than high cholesterol even though we're led to believe that cholesterol is evil. A cholesterol level below 160 mg/dl is said to increase one's risk of many cancers, stroke, neurological problems such as memory loss and dementia, and many other health problems ranging from digestive to hormonal. I often tell a patient that if they had to pick one, high cholesterol is better than low. Of course, a healthy level is best – which is based off the components that make up cholesterol as discussed below.
Some notable cholesterol functions:
- It acts as a precursor to vitamin D – low cholesterol means it will be more difficult to absorb this vitamin necessary for a healthy immune system, bones, and DNA. More on vitamin D here.
- It is the precursor to all steroid hormones such as glucocorticoids which control blood sugar, mineralcorticoids which regulate electrolyte balance and blood pressure, and sex hormones such as progesterone, estrogen, and testosterone.
- It is used to synthesize bile acids in the liver, which are important for the digestion of fats. These bile salts are then stored in the gallbladder.
- Cholesterol is found in every cell of your body and is a necessary component of a healthy brain that needs to store and recall memory, process ideas, and function at its highest level.
About 20 years ago my total cholesterol level dropped to 92 mg/dl. I was a student at the University of Miami, well known for its pre-med program. The leading physician at the student health center at that time thought I was extremely healthy; I had the "best" cholesterol level he had ever seen. As nice as he was, this unenlightened doctor did not realize that it was actually perhaps one of the worst he had discovered. I, at the time, knew no better and clearly didn't know the dangers of such a low level. I was training hard, studying hard, and following the low-fat, high carbohydrate diet of the late 1980s-early 1990s.
Good, bad & ratios
Most of us know that cholesterol is made up of HDLs, LDLs, and VLDLs (which are mostly triglycerides). The HDLs tend to remove cholesterol from tissues so many think of them as the "good" cholesterol whereas the LDLs tend to deposit cholesterol into tissues, so we are told this is the "bad" stuff. In reality it is not that cut and dry, because there are also good and bad LDLs, and good and better HDLs.
Triglycerides are major transporters of dietary fat in the bloodstream – especially fat that has resulted from excess carbohydrates in the diet. On average, a diet consisting of 60% or more of carbohydrates can increase triglyceride levels as can heavy alcohol use. I'll leave the determination of "heavy" up to you, but typically that means two or more drinks per night, sometimes less.
Your tissues need cholesterol or you will die; so not all LDLs are as bad as they're made out to be. All cholesterol particles can be either large or small. Ideally you'd like to have more large, buoyant HDLs and LDLs than small, and more small VLDLs/triglycerides than large. These can be measured through a more thorough lipid analysis, and are readily available today – click here for more info. One sign that your LDLs are most likely large (good) rather than small (bad) is your HDL to triglyceride ratio. If your HDLs are at least one-half of your triglycerides, then you most likely have large LDLs. So for example, if your HDLs are 40 and your triglycerides are over 80, you have some work to do.
Another good ratio to look at is the total cholesterol to HDL ratio. Most lab reports say this ratio is normal if it is 5:1 or lower. That is still very high, and in my opinion you should shoot for 3:1, if not lower. So if your total cholesterol is 180 and your HDL is 60 that is good. If your total cholesterol is 250 with a HDL of 100, LDL of 130 and triglyceride of 100 that is also good!
The LDLs really freak people out. I tell patients that it is almost impossible to pass a cholesterol test today. At least one result from the lipid panel is most likely going to be flagged. You're destined to fail – healthy or not. You see, what has happened is that the LDL upper limit was dropped several years ago by most labs from 138 to 100. So now a LDL of say 125 is considered high, regardless of whether they are the small or large LDLs. Interestingly, around the same time this happened, the pharmaceutical industry was trying to get the upper limit of total cholesterol lowered from 200 to 190. That way, if your cholesterol level was 195, your doctor would recommend a statin medication "for your health." This never happened, but the LDL was soon lowered – a whopping 38 points. Uncanny coincidence. So now a lipid panel of say 190 total cholesterol, 65 HDL, 105 LDL, and 100 triglycerides, (a triglyceride makes up 1/5 of the total cholesterol, so 100 = 20 of the total points), which is excellent, is flagged as having a high LDL. That's not cool.
LDLs however are the big issue when it comes to heart health but it is the oxidized LDLs rather than LDLs per se that contributes to atherosclerosis and "cholesterol problems." What causes LDLs to oxidize? Free radicals, unhealthy fats, and a high carbohydrate diet cause the oxidation.
Free radical damage is often the result of lack of antioxidants in the body, such as vitamins A, C, and E but perhaps more importantly are all the healthy antioxidants found in fruits, vegetables, and herbs. Vitamin D is also a very important antioxidant – and one that won't be well utilized by a low cholesterol body. Coenzyme Q10 is a very an important antioxidant needed by the heart and for the body to make energy. Statins (cholesterol meds) block CoQ10 from being made naturally in the body, therefore increasing free radical damage and further oxidizing LDLs. The more stress one is under – physical, nutritional, and emotional – the more free radical damage your body will succumb to.
Unhealthy fats mean partially hydrogenated "trans" fats as well as all polyunsaturated vegetable oils – corn, soy, sunflower, safflower, peanut, cottonseed, and yes definitely canola. More on that here.
And yes high carbohydrates (refined sugar especially) will lead to oxidized LDLs. More on cutting the carbs here.
Oxidized LDLs cause the body's immune system to respond by sending in specialized white blood cells to absorb the oxidized LDLs. This creates what are called foam cells which are not able to process the oxidized LDLs, so they ultimately grow then rupture, depositing a greater amount of oxidized cholesterol into the artery wall. This of course triggers more foam cells, continuing the cycle. Foam cells can accumulate and lead to atherosclerosis (inflammation in the vessel wall), a thrombus or emboli (properties of a stroke), from all the accumulated plaque (fats and cholesterol particles). The occlusion of small vessels results in ischemia and can also result in a stroke and myocardial infarction (heart attack).
The point here – small, dense LDLs are the problem because they're easily oxidized. Once you get more and more oxidized, you're in trouble.
Cholesterol and Satan (I Mean Statins)
Statins are known as HMG-CoA reductase inhibitiors – they stop the synthesis of a compound called mevalonate from being formed. Mevalonate is the precursor of cholesterol, but also the precursor of squalene and coenzyme Q10 (ubiquinone), as previously mentioned.
Statins, other than blocking how cholesterol and other compounds are made, are touted as beneficial as some studies show they greatly increase the amount of nitric oxide made by the blood vessel lining which results in stroke reduction and its residual neurological effects.Some also say that statins protect against stroke by increasing the body's ability to dissolve blood clots independently of both nitric oxide and cholesterol. Of course, as mentioned previously, you can significantly lower your risk of stroke by limiting your number of oxidized LDLs. Additionally, nitric oxide is made naturally in high amounts in healthy individuals with adequate protein intake (via the amino acid arginine) and proper cofactors (primarily manganese and vitamin B6).
The Lancet recently published a study saying how safe and effective statins are. These studies often come out to reassure doctors and patients that "all is good." This one is no different. You can see the study here. The participants in this study either had already had a heart attack or some other form of cardiovascular disease or a condition that would place them at high risk. Also they looked at cancers and non-vascular mortality, not "health." Oh yeah, it's worth mentioning that one of the two researches received funding from several drug companies that make statins and has been on drug company advisory boards and even received a honoraria from Pfizer.
How about Pfizer? They make Lipitor, the top-selling drug in history, which lost its patent on November 30, 2011. What a sad day. They pulled in $11 billion worldwide for Lipitor sales last year. Now that some new generics have taken 63% of sales recently they're down to just a measly $4 billion on the drug, if sales stay up. Speaking of money – here's an interesting preview of a film called "$29 Billion Reasons to Lie About Cholesterol". Remember Crestor was pulled off the market (2004 I believe) after being linked to kidney failure. It's back on the market with that nifty little black box warning. Ever read one of those? Nobody has.
So do you go on a statin if your cholesterol is too high or you're at some cardiovascular health risk? Personally I think most are putting themselves at more of health risk by doing so, but of course I'm not saying you should stop your medication if you're on one, but you should understand what they do and really look into why one has been recommended to you. I've seen patients on statins for cholesterol levels well below 200, but their doctor thinks "lower is better." I've seen many patients on them who have had pain and fatigue (shoulder pain is very common from statins) yet their doctor tells them to push through it. Many still have pain after they get off the meds. I even saw a guy who was on a statin to "prevent a heart attack" because his family member, a smoker, had a heart attack. Really. The statin brought his cholesterol down from the 170s to the 120s. These are scary, but true stories. High cholesterol is not the primary cause of heart disease and statins don't decrease this risk for most people. Statins do however impair vitamin D metabolism and CoQ10 production as previously mentioned, as well as squalene production.
Squalene accumulates at the greatest concentrations in the skin, where it has a vital role as a free radical scavenger, preventing the harmful effects of the degeneration of fats. Adequate concentrations of squalene in the skin prevent oxidative damage from ultraviolet light. Squalene is also a substance that protects people from cancer, so yeah squalene is important. You may have heard of claims that "sharks don't get cancer." This is because squalene is super high in shark liver oil. I don't know if sharks get cancer and I don't think you should go shark hunting. But you should naturally keep your squalene levels high.
As a sort of side note – I think it's rather comical that medical doctors think they're protecting their patient by checking the liver enzymes (AST & ALT) when they prescribe a statin. The liver has to detox these meds and of course cholesterol is made in the liver but there are often functional problems (detoxification impairments) long, long before the enzymes become elevated. I've never seen a person taking a statin have elevated liver enzymes yet I've seen plenty of them with adverse statin reactions ("side-effects") – pain, fatigue, and memory problems are the most common.
Less is often not better when it comes to cholesterol
Sure you still need a lot of HDLs and healthy LDLs, but ultimately you need cholesterol. For years after coming off my 92 mg/dl cholesterol plummet, my total cholesterol level hovered between the 130-150 range. My HDLs were always around 50, so that was good, and my triglycerides were always between 70-90 – also good. My LDLs in the 60-80 range – also good. But overall – too low! So back in August 2011 I changed my already very healthy diet to one that was even more healthy for me. I had been eating a diet approximately 55-60% carbohydrate, 20-25% protein, and 20-25% fat. The fat was mostly extra virgin olive oil, butter, nuts, and seeds as well as some fish oil. In August I adjusted to approximately 10-20% carbohydrate, 20-25% protein, 60-70% fat. Additionally, for fats, I significantly reduced my nuts and seeds and added in a lot of coconut oil and coconut milk, more butter, avocados, and a lot of eggs, (pasture raised of course from my 12 hens). In the carbohydrate category I almost completely eliminated all grains with the exception of some corn, rice, and sweet potatoes which I eat on hard intensity or long duration exercise days – this amounts to anywhere from 0-4 times a week. The majority of carbohydrates are from vegetables and some fruit. Oh yeah, 80% dark chocolate too. Did I develop cardiovascular disease? Nope. For the first time ever my total cholesterol hit 170. My HDLs went up over 50% to 78 and my triglycerides dropped even lower to 48 while my LDLs stayed at 82. That's great to see. And if you're following, notice that my HDLs, which ideally should be at least one-half of the triglycerides, are actually 1.6X MORE than the triglycerides. What I've done is decrease my risk of cancer, stroke, and dementia. Now where was I…
So what's it all come down to? Diets high in saturated fat and cholesterol don't cause heart disease. Check out the cool video below to learn even more than what I have here. Actually it's the high carbohydrate diets and so-called "heart healthy" vegetable oils (corn, soy, canola, safflower, peanut, etc) that are linked to heart disease, cancer and most all diseases. A diet high in carbohydrates and inflammatory oils increase LDLs and oxidize them – and that can cause atherosclerosis.
How to naturally lower or raise cholesterol to a healthy level for you
Are you, "unable to control your cholesterol with diet and exercise"? What does that even mean? Most doctors don't exercise or eat well and they sure don't how to prescribe it. So they fall back on the "diet and exercise alone aren't enough" motto and recommend a statin. Proper exercise and a healthy diet can do wonders for your health and your cholesterol. That doesn't mean you cut out all the fat from your diet and get up from your desk a few times a day to walk to the water cooler. Here are some recommendations with the concept that maintaining heart health is about keeping inflammation at bay.
- Remove all refined sugar (that includes juice) and grains from your diet. Triglyceride levels quickly drop with a low carb diet. Check out the Paleo Diet and Two Week Test here to get started.
- Oatmeal? What a joke. Does Wilford Brimley look healthy to you?
- Exercise! Aerobic exercise is a great way to start especially if you're already on a statin (or any med for that matter). Strength training may be beneficial for you too. More here. It may be advised for you to have a stress test before engaging in any physical activity. Then again, if you don't move and engage in some physical activity, isn't that hazardous to your health?
- Eat a lot of organic vegetables – the more the better. Sorry, corn and potatoes are not veges.
- Keep the fruit to 1-2 servings a day; more only if you exercise intensely or for a long duration.
- Eggs don't raise cholesterol. Actually, they most likely will lower it. Make sure they're pasture raised. Butter, heavy cream, avocados, and my favorite – coconut milk & oil. Eat them up, yum.
- Ditch all the trans fats and polyunsaturated vegetable oils – more here and here.
- Consider a fish oil supplements too – not a rancid brand from Sam's Club but one such as Nordic Naturals.
- More on inflammation here.
Still want to pop that statin pill? Remember that the CoQ10 you'll deplete prevents atherosclerosis by reducing the accumulation of oxidized fats in blood vessels. It also can lower high blood pressure, regulate the rhythm of your heart, and improve chest pain and exercise toleration if you have angina. You can get CoQ10 naturally from red meat (grass fed), but it's tough to eat enough. You'll lose more CoQ10 over the age of 40 and with exercise too so if you take a statin then you'll quickly become depleted. A general recommendation is 200mg a day. But hey – remember – I'm not your doctor. If your current doctor won't work with you in your quest to become healthy then go find one who will. It's your heart and your health.
163 CommentsLeave a comment
jksnydernc permalink
I am surprised to read this about low cholesterol. Doctors have never mentioned the dangers of low cholesterol and have never suggested that I try and raise mine.
an incredibly well-researched article Dr – I had no idea about the eggs – so many myths need dispelling. If it's OK with you, I'll use this article with my clients…
susan permalink
a recent profile shows my HDL to be 3x higher than my Triglycerides. This concerns me in light of your own personal experience and guidelines. Is this completely abnormal??? . My chol/hdl ratio is 2.
susan permalink
Thank you Dr. G…truly appreciate your valuable input. may be half genetic predisposition/half my tri lifestyle.
Gina permalink
I was reading your page on cholesterol. My doc said he is giving me three months to lower my cholesterol, not sure what that means. Here are my numbers~
Total~ 226
Triglycerides~ 48
Is that terrible? Thanks!
Gina permalink
I had to laugh out loud at that comment : )
So, do you think they are normal numbers, or do you see something I need to work on? Thanks!
Laura permalink
Several years ago, I was told that I have an inherited condition which results in my liver making too much cholesterol and that my LDLs were almost as high as the HDLs. I have been on statins for many years.
After reading a similar article to yours, I asked my doctor if I could come off them. He agreed, but my cholesterol level shot up to 9.5, with a high number of LDLs.(Sorry, can't be specific, this all happened a few years ago. )This really scared me. I am now back on 5mg per day of Crestor. I am concerned about the kidney issue as my father died of kidney failure, but I am afraid to come off the tablets. The overall levels diminished, though I haven't had any tests for a year or so.
I eat fruit, eggs, vegetables, though only small amounts of chicken, meat and fish. I have been eating more sweet things lately and know I need to cut down!
I don't know if there is a connection, but my immune system seems to be weakened and I am prone to viruses and sometimes my legs feel heavy.
I recently started taking Zinc and Vitamin D and C supplements. At one time I took Q10 but found them really expensive. I am now in my early sixties and retired so I'm on a tight budget these days. I am concerned that cheaper Q10 may not be as effective.
Please advise.
David @ Normal Cholesterol Levels permalink
Thank you, thank you, thank you, for posting this. I'm seeing more and more than it's not just about numbers, and that – as I've long suspected – mainstream methodologies for dealing with this situation, as well as many touted dietary suggestions, are incorrect.
Hi Doc,
I know you can't be very specific online but some of us are VERY math challenged when it comes to ratios and all….yeah…me! Anyway, this is my husbands recent lipid panel. Can you just say yay or nay?
Total 232
Tri 80
His doc wanted to put him on statins, we said no and are trying red yeast rice instead. Thanks so much! Kim
P.s he has never smoked…drinks only red wine and very little….is 6'0″ weighs 186 lbs and is CRAZY about running and strength training.
Stacey permalink
My numbers are similar but my triglycerides are a bit higher. This year my HDL is about 10 points lower. Down from the 70″s. My doctor said no problem and I didn't need to be on a statin. I would tell him forget it anyway as the side effects are many.
Although my husbands numbers are a bit higher his last doctor put him
on a statin. Since he changed to my doctor the doctor told him since he
was already on a statin to keep taking it. I told him to stop and hope the doctor doesn't give him a hard time.
Doctor, could you recommend a good squalene moisturizer/lotion? Thanks!
Dave permalink
Hey Doc, Nice article! Have you seen the series on cholesterol being done by Dr Peter Attia on his website The Eating Academy?
Faith Harper permalink
I've had total cholestorol of over 200 since my 30's and it has gradually gone up. I was shocked to recently find out the total has jumped to 449 with my HDL at 68, TRIG at 76 and my LDL greater than 350. What shocks me is that I've almost completely cut out all forms of sugar (including fruit), starchy vegetables, cheese and dairy due to symptoms of intestinal yeast overgrowth. Because of cutting out cheese I've been eating 5-6 eggs a day for protein (I eat cage free, but not organic). My father and brother both died of heart attacks at 61 and 62 (I'm 54). Can you offer any guidance? Thanks.
Hi Doctor Gangemi,
I have a question about my cholesterol. It was tested a few weeks ago. It was:
Total -121
I'm assuming these are a bit too low? They have always been like this. I love red meat and eat it about 3 times a week….avocado's maybe once a week, olive oil maybe twice a week and full fat cottage cheese 3-4 times a week…..but it still stays low. I was wondering are there cholesterol supplements out there that might be a good idea for me? I suffer from a low level depression that has literally been hanging on for decades so I am thinking this might be causing it. Although, I know my total chol could be tons worse. Any help you could give would be very appreciated. Kim
I stumbled across some info today about how well Krill oil lowers cholesterol…and I've been taking it for 6 months. Ooops….I think I better stop.
Thank you so much for all your help. Your gracious help is valued more than you know.
God bless,
Kim : )
Don permalink
Well written article! I have been looking for information on raising cholesterol, because I have been too low (and congratulated by doctors) for years. Two years ago I had a TC of 95, a month ago, it was 111. I have been eating gluten free for 3 years, and mostly paleo for 2 years. Carbs seem to have minimal impact on my cholesterol numbers. I ham having a hard time finding a way to increase them.
I have recently started taking a manganese supplement, as I have read manganese deficiency can increase incidence of hypocholesterolemia.
Recently I have been trying to research other ways to increase my TC by researching the cholesterol pathway. I am now thinking of trying to increase my squalene intake by using more olive oil, and considering shark liver oil supplements instead of the CLO I currently take.
I would also like to increase the amount of beef liver I eat, which is next to none, because I can't stand the taste, texture. I am still trying to experiment with different recipes to find one that is palatable.
The only other idea I have is increasing my intake of vinegar, as acetate is the most basic building block of the cholesterol molecule.
What have you found that helps? Thanks
Hi Doc, I am wondering if you have heard if there is any link between ADHD in children and low cholesterol? My 9 year old grandson just had his cholesterol checked and they appear very low to me. Here are his results:
Total 128 (range 121-203)
Tri 36 (0-200)
Ratio 2.4 (6-20)
If so….would you suggest just increasing his intake of butter, beef, coconut, olive oil, etc?
Thank you very much!
Grant permalink
Hi Doc,
Can I get your advice on my cholesterol numbers?
Triglycerides 101
I'm 25 and my health has seemed to be going downhill over the past few years. I've had chronic constipation with constant nagging type pains on my left side. I also have feelings of light-headedness and it seems like i am having trouble just thinking sometimes with funny feelings in my head. I am also extremely tired all the time. My blood work looked good except my cholesterol levels (which are supposedly great). I have had CT scans and MRIs with nothing showing up. I have also had a colonoscopy with stomach and large intestine looking ok. Could my cholesterol levels be related to some other health issue?
Hi Doc…
I asked the question above about my 8 years old grandson diagnosed with ADHD. His cholesterol is very low so my daughter and I are trying hard to get it elevated. I suddenly had a thought the other day. Would flax or fish oil actually be good for that…or bad? For unstance,…I know people have used these before to lower their high cholesterol……but I also know good fats are good to take when you have low cholesterol…so this is actually kind of confusing trying to figure out if this would be good for him…or just make his cholesterol even lower? Thanks so much doc…LOVE your articles!
Bert permalink
Great article thanks for the info. I am eating eggs every other day, cream, whole milk, coconut oil/ milk, olive oil, fruits veggies etc etc… im on board with all I read above thanks to you for sharing.
I have been on 20mg of lipitor / now generic version and
20 mg of benicar for about 5 years now. When I started these meds I was 255lbs @6′
total chol. 275
Hdl 26
Tri 500
I know i know pretty bad
Current results 45yrs old @210lbs
total chol. 190
hdl 40
tri 80
Funny thing is I didn't see huge improvement until I started running and eating more whole foods. Duh…
My Dr. will not agree to take me off meds and not 100% sure he's correct. so how do I find a Dr. in my community that agrees with your type of philosophy? I am a runner and currently run 17-25 miles per week with a hr monitor ) and see steady improvements and without major injuries to speak of.
Bob Crason permalink
My latest numbers are outstanding in my opinion.
Total Cholesterol is 217
Triglycerides – 56
When I first started eating a paleo diet, it shot up to over 300 but I stopped "overfatting" it and replaced some of the fat calories with what Paul Jaminet calls "safe starches." My HDL and triglycerides remained stellar but the LDL really dropped.
Moe permalink
Can you help me with my readings, please? I'm 56, 130 lbs, F. I just got my health fair results back.
Everything else in normal
Pntnike permalink
I have been looking for the answers to low cholesterol for about eight years now. Doctors never wanted to hear what I had to say. My son's total cholesterol was 72 in 2005. Fast forward and here is what. We are looking at…
Total 91
Suddenly, the doctor wants him to drop out of college and come home. My son is big like all of my family but knowing about the cholesterol, I have always told him that if he had a taste for steak, then eat the steak. Eggs, hamburger, I was always looking for answers by myself. Seven years it took me to find you. My question, is it too late to fix the damage that has been done?
Jeanette permalink
I will keep you posted. I do appreciate you sharing your time and knowledge with people that want to know their bodies and how they function. Thank you!
Wojtek Nowakowski permalink
I recently got my lipids tested. The doctor was concerned with my results. The total cholest. was: 271, which cinsisted of the following: Triglycerides: 56, HDL: 66 and LDL: 194. Should I be concerned? Btw, the number of small and large particles of LDL was unknown in that test.
Shadab permalink
Hi doc,
I am 29, and recently got a lipid profile done. My LDL was 350 and scared the hell out of me. My doctor wants me to take statins. I dont want to. I have made changes to my unhealthy lifestyle and started exercising and a balanced diet. Stopped sugar altogether.
I still feel scared. I know my LDL is too high. What can i do to reduce it. I would only try statins if all else fails.
P.s. I have some cellulite but i am not overweight. Doc thinks its genetic as my dad had a heart attack at 45.
Shadab permalink
Thanks for the response doc. Just 1 question. What are the lifestyle changes that can get me best results?
Jan permalink
These are the general guidelines in my country… are these compatible with your opinion? I'm asking since I'm not intimate enough with mmol/L to translate it to the values you're talking about :).
total cholesterol < 5,5 mmol/L
LDL-cholesterol 1,55 mmol/L
triglycerides than 20% of total
Deb P permalink
Great article. There is so much conflicting info out there, it is hard to sort it out sometimes. Though I am more and more convinced that drug companies dictate the so-called "safe" levels of cholesterol.
I am a 59 year old healthy, fit, ultramarathon runner. I switched to a whole foods, plant based diet a few years ago, and it works well for me. Recovery is fast, and energy levels are high. We eat no processed foods, no refined sugars, no refined oils, and no wheat. My carbs are starch based , not grain based. In fact, since I grind all grains with a manual hand grinder, thats a pretty good governor not to eat very many – its alot of work! I eat only whole foods, tons of greens and fresh veggies, and raw veggie juices. Small amounts of fruits. I dont use much oil in cooking, prefering to eat the whole food rather than the extracted oil but what we do use is virgin coconut or olive. We do eat nuts and avocados. I make my own coconut milk from fresh coconut, but use that sparingly too. The only animal products I consume are occasional eggs from our own pastured hens, and pastured organic butter, (maybe 1 tbs. a week) we do eat lots of legumes. Very occasional alcohol – perhaps one drink a week.
So imagine my surprise when a recent lipid profile showed a significant increase in cholesterol over a test a few years ago when I was eating a standard american diet of chicken fried steak and gravy, white flour, coke, pizza, cheese, etc. that t est showed a total of 156, with decent ratios, as I recall. I was so sure it was in error, i asked the doc to re-test. The numbers are consistent.
March test
Triglycerides 67
VLDL (not taken)
May test
Triglycerides 112
So the ratios are not horrible, but I just cant figure out how, on a diet of virtually zero saturated fat, they could have gone up a all, and they went up rather significantly. How is this possible? And what can I do to lower that LDL and triglyceride number? I cant see how we could eat any healthier than we do. I am baffled!
I am taking a thyroid med, the dosage was recently lowered, and levels seem to be right with current dosage.
James permalink
A few years ago. My cholesterol was 275 in which my doctor said it was alarming. Been on Lipitor for three years. 20 mg every day. I am a runner for 8+ years. 30-35 miles per week. I have changed my dietary dramatically. I hate the label stuff but more like flexitarian. I rarely eat red meat. My recent bloodwork:
Cholesterol: 154
Tri – 99
I feel that my doctor tried to keep it low. I do want to get off Lipitor badly. My doctor was against my idea and wants me to stay on it. He said that I have genetic thing in which my liver cannot keep my cholesterol level down but I am a hard-core runner and been eating strictly healthy food.
What your take?
Chris Southby permalink
Hi Doc
I recently had a blood test that included cholesterol and these where the results.
Chol: 5.5 mmol/L
Trigs: 0.52 mmol/L
The units are not consistent so I cannot directly compare them with the above article.
I am wondering if I should change my diet or not.
Pierre H Renevey permalink
Hi Doc,
Your text is very interesting. I just have a question about the polyunsaturated fats (omega-6) that don't have a good reputation. I live half of the year in the US and half of the year in Europe. And reading carefully the labels of those products on both sides of the Atlantic Ocean, I noticed that in the US, the one they called healthy are expelled processed and hexane free but are still heat processed even when it's written cold processed, it's heated over or around 120 degrees while the said unhealthy are pressed at around 400 degrees. In Europe, we have really cold processed pressed seeds to get our oils that are much more expensive than the heat processed ones that we also have. The real cold processed are said to be healthy and the literature I've read about this (mostly American) claims that if polyunsaturated and omega-6 are unhealthy, it's because of the heat process that denatures the omega-6 and all the stuffs like salad dressings, dips, mayonnaise, etc are made with adulterated polyunsaturated oils (omega-6). So getting real cold processed oils and raw nuts non roasted would provide healthy polyunsaturated oils and omega-6 (that should be kept in the refrigerator). I've also read that some molecules in the unadulterated omega-6 have even more anti inflammatory properties than the omega-3's. Can you please comment on that ?
Regarding my diet, I am supplementing every day with a teaspoon of extra virgin olive oil, fish oil, cold processed sunflower seed or walnut oil, and a tablespoon of extra virgin coconut oil.
Hi Doctor Gangemi…
We spoke about a year ago about my low cholesterol and you advised more nuts, butter, avocado, coconut oil, olive oil, etc….
So I did just that……plus, lots more red meat. I also take 3000 mg of fish oil a day. I got my latest cholesterol results back today and they haven't budged. Total chol is even a tad lower.
Total 118
Tri 51
This is so disappointing….seems like a wasted year. Do you have any idea what might be going on or what else I can do?
Also….what exactly causes low cholesterol, if anything, other than just not eating enough fat?
Thanks very much, Kimberly : )
sid permalink
Doctor. 4 years ago took a medical (30 years) and everything was fine. as part of routine had to take it again now and the results came back as follows:
I was completely shocked (and now worried). i am almost 35. regularly exercising for years. try to watch what i eat (though have a sweet tooth). i go to the gym or for a walk almost everyday of the week. I partly think there is a mistake and should take the test again. if i go to my doc I KNOW i dont want to take meds. please advise!!
Linda Smith permalink
I am a 63 year old female. I am on Atorvastatin 10 MG. My recent lipid panel:
Triglycerides 116
Cholesterol 193
Chol/HDL Risk Factor 4.1
The questions is do I need to up the Atorvastatin to 20 MG or can I lower my numbers naturally. I have started dieting, eating the right foods and exercising daily. I am just not sure if these numbers are dangerously high or if I have time to work on lowering them with diet and exercise. My father died of a heart attack when he was 53 so that is always in the back of my mind.
Tom A. permalink
Excellent article that I have keep coming back to every time I have a physical and get my cholesterol levels checked (total 208, HDL 55, LDL 139, VLDL 14, Trig 70). What I don't see mentioned in your article is "Non-HDL Cholesterol", which I have never seen listed in these standard lab reports until now (mine is 153 and flagged as high). How does non-HDL cholesterol figure into all of this? Thanks.
Daisy Reyna permalink
I am a 57 year old woman, I am not on any medications at all. My questions is with the numbers I have provided should I be?
This years Panel from Health Fair
(2014) (2013)
Cholesterol Serum – 233 252
Triglycerides, serum – 130 123
HDL Cholesterol – 52 50
LDL Direct Measurement – 151 173
I have lowered my numbers since last year tests (started Jan 1) by watching my diet a little closer and being more mobile. I would appreciate your expert advice on whether or not I should use medication to lower his numbers more so.
Thank you, Daisy
jack permalink
Tri- 175
is this values are normal for me (Weight 60 kg, age 26 ,sex- male).
Please advise me because my doc never concerned about this values.
MittenChick permalink
What? I'm so confused. I got a postcard, of all things, in the mail from my doc saying Cholesterol Level: 137; Triglyceride Level 128. Uh, does that mean I don't have any of those other VDL, LDL, HDL or whatever other abbreviations? The only other thing is a hand-written note at the bottom saying "you have very, very little Vitamin D and they sent in a script for me.
Now, this is the first article I have ever seen which connected Vitamin D with cholesterol. But, in trying to compare my numbers with the article and then other comments, I just got more confused. Nobody else's trigs are that close to their 'cholesterol' level.
I know you can't give advice, but is this something I need to investigate further? And, does my "very, very low" levels of vitamin D have anything to do with the above numbers?
Anne permalink
Love this article. I've been eating very low carb Paleo for nearly eight years now and my cholesterol levels have gone from strength to strength. They might scare conventional doctors but they don't scare me and they don't scare cholesterol sceptic doctors either:
Total: 294
HDL: 140 – yes 140 :)
Triglycerides: 44 – yes only 44 :)
LDL: 147 – but remember the LDL is only a calculated value based on the Friedewald formula which is inaccurate when trigs are lower than 100.
My Total to HDL ratio is 2:1 :)
Issho Genki permalink
Hey Doc! Thanks for sharing some really interesting insights on the good, bad and ugly side of cholesterol. What interested me the most about your piece was the bit on Squalene.
Patty permalink
Had my doc for 8 years. Decided to go to his partner for routine labs for refill on my BP meds (10mg lisenpril). He requested an LDL-P and we had no clue. I have health panic disorder and my husband doesn't but our labs came back with high LDL Particles. My numbers are below
Trigs: 135
Glucose: 100
Took 2 weeks before he called with our results..In this time I had extreme anxiiety and when he did call I had a major panic attack..I was on Lexapro for 7 years and weaned off, thinking I can handle myself when it comes to certain circumstances..It didn't work..He requested me to take Simvistatin 20mg and being so undecided and anxious.. I wasn'st able to sleep for 2 nights..Finally went to my shrink and had him put me back on meds. I just don't know what to do. I'm a mess and don't want to go on statins. there are too many cons and believe me doctor when I tell you this..I have had WORSE labs and this test was never requested by my DO.
So why now? I have started a low carb diet, yes I'm overweight and can lose 40lbs but walk 6 out of 7 days over an hour and living in GA, these hills are steep but it looks like I need to do more than walk? Biking outside is dangerous so I may have to bike indoors which I hate. I know weight lifting would help but I also am hearing impaired and it bothers my head when I lift weight..I get dizzy and sometimes sick. I always ate good fats but loved my pasta and bread and have put that behind me now. I don't eat sweets or sugar in any form except for unsweetened applesauce.
I dont' drink sodas, don't touch HFCS (got rid of all that a while back)
No trans fats and cook mostly with olive oil and organic coconut oil.I eat good foods and love my beans and greens of all sorts. Love veggies and eat many without added dressings ect..just trying to do it all right and here I am writing to you because I fear statins.. My family said NO! get a new doctor..I know you can't tell me what to take but I don't know what to do. Maybe take it for 6 months (he wants me back in 3 to see if they're working) I want to be cholesterol drug free..I know I will have to take my SSRI' for got knows how long cuz I have a hard time dealing with bad news..Please tell me what you think. I feel like I'm going to have a heart attack if I say no to statins and if I say yes, I'm going to get diabetes and all the other cons it has to offer too :(
Michelle Muir permalink
I'm wondering if I should be worried with what nurse says is elevated cholesterol. Here are my numbers: HDL=62, LDL=121, Triglycerides=193, & total cholesterol is 222. Thank you!
bruce krug permalink
My total cholesterol is 196. LDL is 138, HDL 47 and triglycerides 57.
My Doc just "strongly" recommended that I go on statins.
I have been resisting for some time.
I am being treated for high blood pressure.
I still am refusing to take statins… what do you think.
Chad Musgrove permalink
To anyone with cholesterol UNDER 250 that is asking if they should be worried – GO BACK AND READ THE ARTICLE AGAIN (the entire article this time). Calculate your ratio's and you will know the answers.
For most of you that posted your numbers and asked the question – the answer is no – nothing to worry about. 200 is a made up number that has been brainwashed into us as being "bad".
My Total cholesterol is 384 – but my risks factors are "low" when based on some of the more relevant markers. In some ares – my risks are high, in others they are low.
I am curious as to what Dr Gangemi thinks about my numbers after 6 months of Low Carb High Fat… I see reduced risk, but think there is still room for improvement. Rather than post them here – you can see my before and after (as well as percent of increase or decrease) on my blog here:
Thanks for the great right up…
Judy permalink
Thank you for your high cholesterol! I am a 58 year old female and my doctor has been trying to put me on statins for years! My total cholesterol is 271 but my HDL has always been off the charts, this time 86. LDL 164, triglycerides 107.
I feel fine. Doc is trying to hedge her bets. I've made it this far without any major health problems. So just give me this drug that's bad for my liver just in case? Not happening. Couldn't see your blog link but would like to read it.
layla permalink
What do these numbers tell you Doctor?
Matt permalink
Besides diet changes, is there anywhere else in the body you might look to when explaining low cholesterol and low triglycerides? Is it not necessary to increase animal fats to increase cholesterol or is increasing vegetable fats like coconut oil and avocados sufficient?
Bethany permalink
How do you bring up treating or looking into low cholesterol with a doctor who is not concerned about numbers like a Total C. of 101? I'm sure this is a totally unique circumstance. But it is affecting me I feel, and I don't think my dr sees it as a serious problem.
Donna permalink
MY TOTAL CHOSTEROL level is 248. LDL LEVEL IS 125, HDL IS 112 AND TRIGLYCERIDES IS 53. DOCTOR WANTS TO PUT ME ON MEDICINE. AFTER READING YOU ARTICLE I DON' T THINK I SHOULD DO THIS. WHAT DO YOU THINK ABOUT LEVELS.
Danilo permalink
I just ck my cholesterol in Italy, I'm italian…..so I like my red wine.
My result
Total 239
Hdl 53
Triglycerides is 181
LDL 149 ( if I calculate correct. 239-53-(181/5))
I'm 40 and work a lots in construction but no more fitness like when I was young.
I eat a lotz of vegetables and very little pasta or bread. I'm a great chief on italian cousin. So wine is the answer to all my problems?
Thanks again.
sk permalink
Total cholesterol 236
Hdl 43
Ldl 159
Trig 172.
I am an Indian ….age 30…suggest me something…doctor says very alarming numbers..taking ozone medicine and doing exercise and running 2 miles daily
Shawn permalink
I have extremely low numbers, so this article alarmed me a bit. I was feeling happy that I had low numbers! But the doctor hasn't said anything, though, so I guess I'll just keep on eating/living the way I do. I'm a female, 40, 6'2″ and do regular swim training.
Cholesterol: 121
Triglyceride: 45
sh permalink
I recently took my eight year old son for a physical, approx. 58lbs. He was sent for some routine lab work. His doctor advised that his cholesterol was too high considering his age/weight and that his diet would need to change. He is being tested again in six months. His results were as follows:
Cholesterol, Total: 174 (125-170)
HDL Cholesterol: 85 (38-76)
Triglycerides: 53 (30-104)
LDL Cholesterol: 78 (<110)
I read that HDL is good cholesterol, and his LDL cholesterol seems normal. Do I need to be concerned and change his diet?
Srinivasan permalink
Dear Dr,
today i test my Lipid profile , that details are
Total cholesterol 198,
Triglycerides 153
Sir, i have a mild check pain from past 10 days, i have taken ECG , it says normal, my BP also 160/100 for 10 days ago, for that i am taking concor 5 mg morning, i need your advice
treena permalink
I have been taking statins for around a year now 10mlg a day. I just came off the medication because I have a few side effects and really do not like the idea of taking medication when your not sure weather you should be taking them in the first place or not totally confused.com.
Total 253 mg/dL
Tri 170 mg/dL (seems a little high)
HDL 59 mg/dL
LDL 160 mg/dL
VLDL 34mg/dL
Any insight would be much appreciated
I just got my lab results and I'm confused. My Cholesterol is 225. My triglycerides are 173, my hdl is 39 and my ldl is 151.
I work out four times a week. I eat really healthy. I'm 61 years old.
I'm 5'8 at 160 lbs. I'm strong and feel great. I hardly eat any carbs. I eat lots of vegetables and fish. I eat eggs, almonds, fish, and meat.
How do I adjust to get to healthy numbers?
Mario permalink
I just read your article and it is amazing. My doc tried to push cholesterol drugs on me based upon my test results.
My numbers are
Tri: 44
I thought the numbers were fine but she told me a drug for cholesterol for someone who is pre-diabtic would be ideal for me. My A1c was a 6.0. I told her nooooooooooooo!!!!
ragesh permalink
Please see my Lipid profile
With out medication am doing regular excersize and reducing my body weight from 95 to 91 kgs now.
my age is 36 , please suggest i need medication i don't have sugar, B.P etc all normal
Alan permalink
Thanks for this article. I'm a 31 y/o male with Low T, chronic heart burn and skin issues (face) the last couple of years. I have been very overweight my entire life. I'm about 375 now. But my cholesterol is always very low. If I'm eating badly, it's about 120. If I diet, it drops. It's been as low as 90 before. I truly believe this is the reason for my Low T and other problems. Is it genetics? Why does my body not produce enough cholesterol? I will try this diet again (I tried for a little while, but it's very hard for me to eat that much good fat..addicted to carbs!) I would love for my total to be 180 or so. I think a lot of my problems would disappear as I approach 200 total.
asraya permalink
total cholestrol 203,triglycerides-83 HDL 41,LDL 14506
VLDL 16.6.LDL/HDL ratio 3.55
Gerardo permalink
Thank you, Doctor, for your article. It has made me think again about my numbers and my doctor's recommendations.
My numbers:
Chol/HDL ratio — 3.8
I am taking Atorvastatin 40mg.
I'd like to hear your opinion about my numbers and what to do.
Thank you.
Anuruddha permalink
dear doctor, my recent profile report is as follows,
Blood sugar 78
please comment whether these result are normal
Just got results of my bloodwork My Total cholesterol is 218
Triglycerides are 73
HDL cholesterol is 68
VLDL cholesterol is 15
LDL cholesterol is 135
What does this mean??
my bad cholesterol was 275 in scared !
Non hdl 294
Hdl 50
ldl 271
Triglycerides 116
Jen B permalink
Hi, Dr. Gangemi,
Thank you for writing the above article. That was exactly the information I had been looking for. I am not looking for an analysis of my labs. I used your ratios and know that my levels are very good: total cholesterol: 157. HDL: 106. LDL 44. Triglycerides: 86. I have been an insulin dependent diabetic for almost 25 years. I don't exercise much anymore and am pregnant with baby number 5. I make everything homemade from scratch and use real butter, cream, eggs, olive oil, etc. even though I was told not to do by the nutritionist. I am curious as to why all of my doctors are "shocked"… They make me feel abnormal because none of my labs are crazy and even wanted to refer me for research blood work. Do diabetics typically have problems here? Thanks in advance for your insight here. :-)
Rolando permalink
Hi Dr
Thx for this article. Even though I excercise and try to eat "healthy" I need to change my diet. For some reason I cant increased my HDL. Again, I thought more than 3 eggs was bad :)
I'm 34 and my last test showed Total Chol=177, Trigly=99 LDL=126 and HDL=31 :( . Last 3 years my 30< HDL <40 .Any suggestions?
Hi Doc,
Your article on cholesterol came just at the right time. Today I got my blood results and have a cholesterol total of 8.1mmol/l. My HDL is 1.7. My LDL 6.1 and my Trigs 0.64. My Hba1c was 5.3.
I smssed a doctor friend who said my HDL/Trig ratio was excellent. Through your article, I read that this ratio could mean my LDL particles are nice and big and fluffy! That was the reassurance I needed. It's tough to get advice from regular medical practitioners who give it from the statin-promoting point of view.
Any advice, I'd love to hear it.
Sherri permalink
My levels just came back saying i have low cholesterol. This articl was a couple of years ago since then do recommend any other great supplements to higher it?
Katelyn permalink
Great article! I am 24 years old and currently 8 weeks pregnant and just got these numbers back from my doctor:
I didn't get a total cholesterol number….I'm guessing somewhere around 162? Are these good numbers? What can I do to raise my HDL? Thank you.
Hi, I just received my lab results and am confused. I had a couple if "H"s next to numbers. I am concerned, but my doc isn't. I tried plugging my numbers into your formula, but still don't understand if the numbers are good or bad? Would love your guidance. Thanks
Hi, I just received my lab results and am confused. I had a couple if "H"s next to numbers. I am concerned, but my doc isn't. I tried plugging my numbers into your formula, but still don't understand if the numbers are good or bad? Would love your guidance. Thanks
Chol 232 H
Trig. 109
MaegenMarie Jones permalink
I am a 39 year old female with nothing but minor, more irritating than unbearable, random health issues. My insurance sent me a letter about needing to consult a doctor to further check on my dropping cholesterol numbers that were showing up in my routine physicals. So my lipid screen 1 year ago was Chol-130, Tri-83, HDL-61 , LDL-50 , CH/HDL-2.3 , & VLDL-17.
6 months ago was Chol-128, Tri-54, HDL-60 , LDL-53 , CH/HDL-2.1 , & VLDL-11.
Current was Chol-100, Tri-46, HDL-51 , LDL-38 , CH/HDL-2.0 , & VLDL-9.
I did some research online but I am not really understanding anything! I have not changed my diet or anything else that would account for this and I am actually considered obese for my BMI. Should I be worried and if so where do I need to start?
Trivikram permalink
Hi Doctor,
Two months before I had a lipoprotein test done and the reading were 176 total cholesterol, 52 HDL and 91.3 LDL…now from past 2 months I'm on diet consuming more fibre foods like oats, vegetables and fruits and I do cardio exercise daily like jogging and walking. I ear less meat even if i take it'll be a fish. I weigh 66kgs, height 5'8.
Your advice on my inputs will help me a lot…:)
Charlotte permalink
Thank you so much!! After my doctor visit today, I ran to the grocery store and bought a load of fruits and veggies thinking I was a ticking time bomb!! I had no plans of taking the Rx statin I was given, so I was going on a rabbit food diet to stay around for my 7 kiddos!
My total was 222. I'm not overweight and I'm active, and I love the same diet you eat, so I'll be making some adjustments using your suggestions ;)
I'll ask for the remaining numbers and cross my phalanges they are good like the ones you mentioned! If so, I will let my petrified hubby know I am not having a heart attack tonight as I previously thought! I'm sure he'll be delighted!! ;)
Thanks again!!
Charlotte permalink
Okay, so apparently I am back to dying!! I just got all my numbers and according to my numbers and your statement, I "have some work to do." I just don't know what kind of work I need to do. Please help!! Here are my numbers:
Total 222
Triglycerides 169
I am 43, 5′ 7″ and, weigh 135 pounds (this is recent weight gain that I tried to gain because I felt I looked too skinny) – I don't really exercise except chasing children, cleaning my home constantly, and refurbishing furniture. Other than that, I have never exercised a day in my life; just don't have time. All of my other blood work was fine (CBC, TSH, etc.). I do not have high blood pressure (actually, it's too low at times, but so are my siblings' and my father's), and my sugar levels were "slightly high." I'll be honest, I downed two Cokes before doing my blood work…bad, I know, but it was mid afternoon and it was my only chance to get the blood work done. But I know my sugar is normal because my husband is a diabetic and I randomly check mine and it's always around 110-120 after eating and I feel fine.
At any rate, should I stock up on avocados?? Please let me know…I'm trippin'! I don't want to have a stroke and stuff!!
Thanks so much!!
Grace permalink
Hi..thanks for this article I'm a little bit worried with the result of my cholesterol it is 121mg/dl and the normal range is 140-199 mg/dl I'm on a diet of juicing I eliminate meat I just eat eggs once in a while for my protein I'm scared because I have lump on my breast and armpit that's why I do juicing. As of ow I feel weak sometimes.. What do wan with the % of your diet so I can also follow your diet to raise my cholesterol. Thank you so much and God bless!
patty permalink
just got some of my blood test results
cholesterol total =232
chol/hdlc ratio =8.6
ldl/hdl ratio=6.1
non hdl cholesterol= 205
how bad or good are these?
Karen lepik permalink
I really like your thorogh discussion on cholesterol . Could you read my lipid panel? They are Total – 306.
HDL 84 Tryglycerides – 111 and LDL-200. Chol/HDL ratio is 3.6 . I have been tracking my numbers for over a decade and this is typical but is a little higher now that I have hit menopause . I am 54. Thank you , karen from Mobile Alabama.
Hello Dr. Gangemi,
Thank you for sharing your helpful information. I'm going to try to try the diet you recommend to raise my cholesterol (Total Cholesterol-121, HDL-63, LDL-55, Triglycerides-65, Chol/HDLC Ratio 2.1, NON HDL Cholesterol-68). How did you incorporate cream into your diet? Can you share recipe names I can google or do you drink it as is? Will eating coconut help, or is coconut milk and coconut oil better? Do you eat the salted or unsalted butter? Will drinking whole milk vs 1% milk help raise my levels in a good way, or only coconut milk? What does your daily diet look like (specifically what do you eat/recipes for breakfast, lunch, supper, and supplements)? My last and important (to me) question is: although raising your low levels will improve your health, did it effect the way you feel? If so, in what way(s)? I'm wondering if I can raise my levels, maybe my body will make more vitamin D & hormones (including thyroid hormones (currently taking synthroid)) and help me feel even better. I sincerely appreciate you taking the time to write your article to help people, and to read this and any more information you can share. Wishing you good health and happiness:) Thank you, Heidi from KY
Neethi permalink
Very informative article Doc :)
Am 28 yr old female and these are the readings.
Have been getting recurrent sprains on my right scapula immobiliIng my neck and shoulder so was advised to take these. I am 5 8 and weigh 72 kgs.
Cholesterol- 106 mg/dl
Triglycerides -50 mg/FL
VLDL- 10 mg/dl
HDL – 40 mg/dl
Ldl/hdl ratio – 1.4
Vitamin d3 -22.4 ng/dl
U have mentioned that cholesterol is a precursor to vitamin d absorption. Could that be the reason for.my back pain and sprains?
Namaste :)
Abid permalink
Hi doc.
Currently my lipid profile is
Chol. 192
Trig 228
While five months before it was as
Chol. 158
Trig. 138
How are the results. Is it fine.
chuck crigger permalink
Cholesterol total 206, triglyceride 177, Hdl 34, LDL 135. thx doc
Laila permalink
Hi Doc,
I am only 41 and my NP has prescribed 20 mg of simvastatin. Total cholesterol is 245
Triglycerides – 217 HDL – 44 LDL – 158
Do I need to take it? I prefer to work on it first through diet and exercise. I have seen my mother suffer from pain by taking statin. I cannot function that way as I care for my disabled child and his 2 younger siblings… Please advise… Thank you!
elizabeth permalink
my dad is 55 and his cholesterol numbers are
triglycerides – 130
what is your suggestion for him ?
BTW loved your article …..
Virat permalink
Hi doc..
I am 36 years old male and I just tested my lipid profile and I have
Cholesterol -143
Triglycerides – 65
HDL Cholesterol – 38
LDL Chloesterol – 92
So I was wondering is my level normal or not please give me some advice how to maintain my level thank you😁👍
Paul Torres permalink
hi Doc, my total cholesterol is 245
, my triglycerides 196, ldl 164, my ratio is 5:8, hdl 42, I wonder how bad it is
Prabhat permalink
Hello Doc,
Very interesting article, loved it for its genuine truth, wanted to know if adding eggs would help my case (specially I try to avoid egg yolk)
I am 45 years old male and I had my lipid profile tests and I have
Triglycerides – 99
HDL Cholesterol – 44
LDL Chloesterol – 125
I am worried about these results as they are continuously more or less same from past 4 years, I am already on a very fat deprived vegetarian eating habits and try to use only olive oil from past 7 years, also do aerobic exercise every week (jogging for about 3 miles).
Any advice would be of great help …
Rosy permalink
I am worried about my cholesterol
Cholesterol 220
Triglycerides 71
Is it too bad?
My Dr put me on simvastatin 10mg…I filled it but do not want to take it
I also have hep B..any suggestions
Cholesterol Total 220 (H)
Triglycerides 38
Cho/HDLC ratio 2.8
Non HDL Choles 140
MrA permalink
I have low cholesterol – after being told to lower it.
I have never felt worse! How best to increase it safely?
TC down from 216 to 135! & I have always struggled with HDL (35-39)
Joe permalink
I'm fighting this now:
NON Fasting figures:
Total 202
Doc wants to put me on atorvastatin 40mg
Sally permalink
What is your opinion about elderly people taking statins? My Mom is 86 and has always had high cholesterol. She recently starting taking statins and they are making her feel very fatigued and depressed. Her cholesterol was 338, HDL 68, LDL 245, Chol/HDL ratio 5.0, and triglycerides 127. I know this is not great, but I am just wondering if taking statins is worth the lower quality of her everyday life at her age. Her only other health issue is osteoporosis. Her blood pressure is fine and she is active (walks outside 3x per day).
kim Colwell permalink
Hi, I am 49 and experiencing extreme memory loss and fatigue. My immune system however seems to be working well and overall my health issues seem to be at a minimum, but I am wondering if my low cholesterol or TRIGLYCERIDES could be effecting these issues or if there is something you can think of that I can do. My levels all seem a little low and wondering what your perspective is.
Carbon 26
Chloride 104
Protein 7.5
Calcium 9.5
Globulin 2.8
White Blood Count 3.8
Trina permalink
Hi, my case is a bit different compared to everyone..my HDL and LDL are both very high. I eat a low carb diet, exercise about 5x a week I'm 26 years old 120lbs BMI 20. My BP is normal as well but my dr said I need to diet and exercise better?
HDL: 139 (she said this is the highest she has ever seen on a patient)
Triglyceride: 41
Chol/HDL ratio: 2.05
I also eat a lot of animal protein not sure if that has to do with a high LDL? She's giving me 6 months to lower it..
Hi, I am 65 years old, male.
My Lipid Profile investigation results, carried out on the blood samples taken on 18 April 2016 are:
Total Cholesterol : 204 mg/dl
HDL: 47 mg/dl
LDL: 135 mg/dl
VLDL: 22 mg/dl
Triglyceride: 98 mg/dl
Chol/HDL ratio:4.3
Sugar (Fasting): 96 mg/dl
Sugar (PP): 105 mg/dl
I walk for about 1 hour every morning.
Kindly advice if I need to take medicine or try to improve the parameters by better diet and continuing with the daily walking
Zach permalink
Hi, should i be worried as 34yo with 217? I exercise 3-4x's per day (usually no cardio) but walk a lot daily and drink a lot of beer (lol oops)
Thank you Dr Gangemi :)


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March 27, 2014
By Elly Walker
By Elly Walker
FRESNO, Calif. -- The Fresno State men's golf team will compete in the Stanford-hosted tournament The Goodwin on March 28-30 in Stanford, Calif.
The 54-holes tournament is held at 70-par, 6,727-yard Stanford Golf Course, which overlooks Stanford's campus and is rated one of the finest courses in the world.
The Bulldog lineup includes Nate Jessup, Keenan Nelson, Troix Tonkham, Michael Pugh, and Neil Bautista.
Competing in the tournament is host Stanford, UAB, Northwestern, Colorado State, San Jose State, Fresno State, Washington, TCU, Oregon, UC Davis, USC, St. Mary's, UCLA, USF, Washington State, San Diego State, UNLV and Loyola Marymount.
Competition will begin 8 a.m. PT with tee times set for each day. Follow live scoring of the tournament on www.golfstat.com and check www.gobulldogs.com for the recap.
"Catch The Wave!" -- Stay connected with the Bulldogs on Facebook (fresnostateathletics), Instagram (fresnostateathletics) and Twitter (@FSAthletics).
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SuperHeroes Girl
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Girl's Wonder Woman Tutu Costume
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Toddlers DC Comics Infant Wonder Woman Jumper Costume
Toddler's Pink Ranger Dino Charge Deluxe Toddler Costume Kit
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In addition to comic book characters like Batgirl and Super Girl, there are also superhero girl characters like Power Rangers and video game characters that fit this theme.


text: Hello to all. I am a 73 year old male. Been bicycling off and on all my life. Mostly Schwinns and an old Workman. I was at an estate sale Saturday {6-11-2011] and there was a Centurian 12 speed there with a $25.00 price tag on it. I asked what was the least they would take for it. They said $15.00 and I took it. Both tires were flat so I had new tires and tubes put on it and it is a sweet ride. Now have app. $100.00 in it. I can ride faster and farther then ever on it. I usually put in an hour every other day at the local gym and most evenings bicycling. I am very healthy, no aches and pains and plan on living another 30 or so years. I live in south/east Texas near the Louisiana border. Any Orange County, Texas riders here?


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By Phillip Whitten
INDIANAPOLIS. April 26. THE NCAA is likely to approve a measure this week that would allow college athletes to accept prize money for their performances in the Olympics, World Championships and other top-level meets.
The measure is one of several the organization's board of directors is considering in meetings in Indianapolis that would affect the financial situations of college athletes. Other measures would allow athletes to accept fees for teaching lessons in their sport, to take out loans based on projected future income and permit the NCAA to pay disability premiums for qualified athletes. The vote comes amid a growing sentiment that athletes should be compensated for their services.
If the measure allowing athletes to accept money for their Olympic performances passes it may open the door for such swimmers as Ed Moses, Megan Quann and Diana Munz to compete at the collegiate level. At the very least, it will allow future Olympic medalists to accept their prize money and still retain their college eligibility.
In the past, the NCAA has enforced its restrictions prohibiting athletes to accept compensation for their performances or expertise to extreme measures:
* 1992 Olympian Scott Jaffe was suspended from NCAA eligibility for six months after it was revealed that he had been teaching swimming lessons to young children for $7.50 an hour to raise money for his college tuition.
* Following the 1996 Olympics, Tom Malchow, silver medalist in the 200m fly, asked permission to have his prize money donated to a scholarship fund for needy student athletes at the high school from which he graduated. The NCAA refused.
The NCAA calls the moves "consistent with proposals to deregulate NCAA amateurism rules." The organization sees them as steps to ward off talk of paying athletes, rather than as measures that will lead, eventually, to paying athletes.
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The People Who lagged Behind:
Due to its particular circumstances, this invasion was a peculiar severe trial provided by Allâh only to try the believers'Faith and sort them out of others. This is Allâh's permanent Will in such circumstances. In this respect He says:
• "Allâh will not leave the believers in the state in which you are now, until He distinguishes the wicked from the good." [3:179]
Lagging and hanging back from full participation in that invasion amounted to the degree of hypocrisy. Whenever the Messenger of Allâh was informed of a man's lingering, he would say: "Leave him alone! If Allâh knows him to be good He will enable him to follow you; but if he were not so, Allâh would relieve us of him."
Nobody stayed behind except those who were either hindered by a serious excuse or the hypocrites who told lies to Allâh and His Messenger.
Some of those hypocrites' lingering was due to an excuse based on forgery and delusion. Some others tarried but didn't ask for an instant permission. But there were three believers who unjustifiably lingered. They were the ones whom Allâh tried their Faith, but later on He turned to them in mercy and accepted their repentance.
As soon as the Messenger of Allâh had entered Madinah, he prayed two Rak'a then he sat to receive his people. The hypocrites who were over eighty men came and offered various kinds of excuses and started swearing. The Prophet acknowledged their excuses and invoked Allâh's forgiveness for them but he entrusted their inner thoughts and Faith to Allâh.
As for the three faithful believers — Ka'b bin Malik, Murara bin Ar-Rabi', and Hilal bin Omaiyah — who favoured telling the truth, the Messenger of Allâh bade his Companions not to talk to them.
Consequently they were subject to a severe boycott and were excluded from the life of the community. Everybody turned them their back. So they felt as if the whole land had become constrained to them in spite of its spaciousness and they felt awkward and uneasy. The hard times they lived and which lasted for over forty days were towered by an order to them to forsake their wives. After fifty days' boycott Allâh turned to them and revealed that in Qur'ân:
• "And (He did forgive also) the three (whom the Prophet ) left (i.e. he did not give his judgement in their case, and their case was suspended for Allâh's Decision) till for them the earth, vast as it is, was straitened and their ownselves were straitened to them, and they perceived that there is no fleeing from Allâh, and no refuge but with Him. Then, He accepted their repentance, that they might repent (unto Him). Verily, Allâh is the One Who accepts repentance, Most Merciful." [9:118]
Allâh's turning to them was a great joy for both Muslims and the three concerned. The joy of the stayers behind was unaccountable in aim and degree. It was the happiest day in their lives. The good tiding cherished them and filled their hearts with delight. As for those who lingered due to disability or sickness or any other serious excuse, Allâh, the Exalted said about them:
• "There is no blame on those who are weak or ill or who find no resources to spend [in holy warfare (Jihad)], if they are sincere (in duty) to Allâh and His Messenger." [9:91]
When he approached Madinah, the Messenger of Allâh said:
• "Inside Madinah, there are certain men, who though being left back due to serious excuses, they have, all the time, been with you. Lingerers as they are, they have been while you were passing valleys or walking along roads." "Do you mean that they have done that while they are still in Madinah?" They wondered. "Yes though they are in Madinah." The Prophet said.
General News about the Byzantines and Ghassanide Preparations for War
Particular News about the Byzantine and Ghassanide Preparations for War
The Muslim Army is leaving for Tabuk
The Invasion of Tabuk and its Far-Reaching Ramifications
The Qur'ânic Verses Relating to this Invasion
For you, Muhammad peace be upon him Network
For you, Muhammad peace be upon him Network
Script for a book THE SEALED NECTAR 4muhammed.com 2011 - 1432


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Billing itself as the first "Bangla Western," "The Last Thakur" is an admirably ambitious first feature by British-Bangladeshi helmer-d.p Sadik Ahmed that's more of an extended mood-piece than a full-fledged oater.
Billing itself as the first "Bangla Western," "The Last Thakur" is an admirably ambitious first feature by British-Bangladeshi helmer-d.p Sadik Ahmed that's more of an extended mood-piece than a full-fledged oater. Still, this good-looking HD low-budgeter reps an impressive calling card for Ahmed, a grad of Blighty's National Film & TV School whose short docu "Tanju Miah" played Sundance and Toronto in 2007. Positive reviews should yield modest returns in specialized situations.It's Independence Day in Doulathpur, a riverside shanty town in rural Bangladesh (Byron Broadbent did the flavorsome production design), whither arrives a mysterious, rifle-carrying stranger, Kala (Tanveer Hassan), looking for payback over an injustice against his mom. Power in the town is split between a corrupt Muslim, the Chairman (Ahmed Rubel), who just rigged the local election, and a manic Hindu landlord, Thakur (Tariq Anam Khan), who's ruthlessly bought up indebted land to build a temple commemorating his family. In the course of 12 hours — dawn to dusk — the penniless but focused Kala plays off both sides prior to a final outbreak of violence. With an offbeat voiceover by a young teaboy (Tanju Miah, from Ahmed's docu), compressed depth-of-field in the zoomed-in widescreen images and perilously little plot, pic maintains a gently simmering atmosphere but starts to feel stretched after the first few reels. Finale isn't as confidently handled as the buildup. Gentle, fretted score adds plenty of ambience but not much tension to sustain the drama.
The Last Thakur
A Curzon Artificial Eye release of an Artificial Eye, National Film & Television School presentation, in association with Film4 Films, Aimimage Prods., BreakThru Films, Screaming Girl Prod. (International sales: Artificial Eye, London.) Produced by Atif Ghani, Tamsin Lyons. Executive producers, Philip Knatchbull, Nik Powell, Daniel Chamier. Directed by Sadik Ahmed. Screenplay, Heather Taylor, Ahmed; story, Ahmed.
Camera (color, widescreen, HD), Ahmed; editor, Hugh Williams; music, Kishon Khan, Birger Clausen; production designer, Byron Broadbent; costume designer, Anwar Hossain Chowdhury; sound (Dolby Digital), Ayush Ahuja; sound designer, Kieron Teather; associate producers, Ahmed Ahmadzadeh, Nazim Farhan Choudhury, Hugh Welchman. Reviewed at London Film Festival (New British Cinema), Oct. 28, 2008. Running time: 79 MIN.
Tariq Anam Khan, Ahmed Rubel, Tanveer Hassan, Tanju Miah, Anisur Rahman Milon, Jayanto Chattopadyahay. (Bangla dialogue)


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VIA Contributors
Behind every VIA article there's an intrepid reporter risking sunburn on an exotic Tahitian cruise, indigestion on San Francisco's best food tours, and over-exfoliation in the West Coast's most relaxing spas. These are the men and women who lived to tell the tale.
Lucy Burningham
With an enduring weakness for the people and places of the Rockies, freelance writer Lucy Burningham now finds herself equally attached to the Pacific Northwest and her home base, Portland, Oregon. Her work has appeared in Sunset, Men's Journal, Hemispheres, Imbibe, and Portland Monthly magazine. In the November 2006 issue of VIA, Burningham introduces a new player in the Portland arts scene, the restored Armory building.


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November 2014
November 26, 2014
Undefeated Warhawk men's rugby team crushes its way to the Final Four
Averaging more than 82 points per game, and outscoring opponents 908-72, the University of Wisconsin-Whitewater men's rugby team is one match away from playing for a national championship.
November 26, 2014
Find great gifts at the Ceramics and Jewelry Sale
The 37th annual UW-Whitewater Ceramics and Jewelry Sale will take place Dec. 8 - 10 in the Greenhill Center of the Arts Atrium.
November 26, 2014
Warhawk Winter Wonderland: 2014 Gala Holiday Concert
An annual musical event that entertains audiences with just the right amount of holiday warmth and cheer returns to campus.
November 21, 2014
Warhawks top nation in football attendance
Enthusiastic crowds packed Perkins Stadium this fall to cheer on their team.
November 21, 2014
Q&A with Katy Heyning
Katy Heyning leads one of the largest teacher education programs in Wisconsin.
November 19, 2014
Scholarship and Creative Achievement Exhibit Nov. 25
The event honors faculty and staff who published, created or demonstrated scholarly work or research in the past academic year.
November 18, 2014
Best-selling author of "Into the Beautiful North" gives lecture at UW-Whitewater
Luis Urrea, will speak at 7 p.m. Monday, Dec. 1, at Young Auditorium.
November 17, 2014
Chancellor Richard Telfer to retire
After 30 years of service to UW-Whitewater, Richard Telfer will retire at the end of the 2014-15 academic year.
November 17, 2014
Making the case for UW-Whitewater
For UW-Whitewater, it's time to renew accreditation with the Higher Learning Commission of the North Central Association of Colleges and Schools.
November 17, 2014
UW-Whitewater hosts wheelchair basketball tournament Nov. 21-22
The defending national champion Warhawk men's and women's wheelchair basketball teams host competitors from across the United States.
November 17, 2014
Samantha Zaddack named student commencement speaker
After four years and 12 theatre productions, Samantha Zaddack, from Shawano, is graduating from UW-Whitewater with a Bachelor of Fine Arts and preparing to pursue her dream of becoming a professional actress.
November 03, 2014
UW-Whitewater junior awarded national academic scholarship
Chelsey Schoenberger, a junior social work major from Beaver Dam, is the winner of the prestigious Herb Songer Scholarship.
media contact
Sara Kuhl


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Oneonta Ranked No. 16 Among Public Colleges
SUNY Oneonta is among the top 100 colleges in the Northeast for the eighth consecutive year, according to the U.S. News and World Report's 2014 ranking of "Best Colleges," released Tuesday, Sept. 10. The college sits at No. 66 in the "Best Regional Universities—North" category, which includes institutions in New York, Pennsylvania, New Jersey, Maryland, Delaware and all of New England that offer a full range of undergraduate and master's degrees, but few if any doctoral programs. Among public institutions in the region, SUNY Oneonta ranks No. 16.
"As we continue to work with Governor Cuomo to position SUNY and New York to lead in affordability, access and quality, and President Obama puts these issues into focus nationally, we are proud to be recognized and ranked favorably by U.S. News & World Report," said SUNY Chancellor Nancy L. Zimpher. "Congratulations to SUNY Oneonta and the many campuses representing SUNY on this list."
Over the past several years, SUNY Oneonta frequently has been recognized for providing an excellent education at an affordable cost. In addition to its consistent inclusion in the U.S. News rankings, SUNY Oneonta has been named to the Kiplinger's Personal Finance magazine "Top 100 Best Values in Public Colleges" list for seven years running.
U.S. News surveyed nearly 1,800 colleges and universities nationwide to compile the 2014 list. Rankings are based on several factors, including data from each school and secondary sources, such as the American Association of University Professors, the National Collegiate Athletic Association, the Council for Aid to Education, and the U.S. Department of Education's National Center for Education Statistics. Peer reviews by officers of other colleges also are considered.
The Best Colleges 2014 guidebook is available online. A complete explanation of the U.S. News college ranking methodology is available at


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Sadly this has always been teh case in motorsport - the guy with the biggest cheque book wins - and the need for new drivers is always based on "how much can you bring?" - F1's been the same since time began...
Talent alone has never been enough - even in my day when Mike Thackwell completely blew the F2 field away and could never get into a decent F1 seat & when a certain son of a famous "nightclub owner" was presetned with a full-on Class A F3 drive & spun 5 times in one lap!! This may sounds like sour grapes, but its not - just recognition that t'was ever thus & t'will ever be........


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What should I do if my co-worker's upset by my pregnancy?
A co-worker of mine has been trying to get pregnant unsuccessfully for some time now. Recently, another person in the office asked me to stop talking about my pregnancy around this lady because it makes her upset. But this is a happy time for me, and I want to be able to share it with people at work. What should I do?
Posted: 02/27/2004 by a BabyCenter Member
Mom Answers
Sort by: best answers | most recent answers
221 - 230 of 369 answers
JOANNE, you are an insensitive bleep!! "sooner or later she'll get pregnant," PLEASE!?! many women who suffer from infertility never get pregnant. Callie, I think the fact that this situation troubles you shows that you are sensitive to this woman's feelings. If you are close, maybe you could have a talk about how you are hopeful for her and you know this situation is hard for her? If you are not close, maybe you could just tone it down a little when she is obviously having a bad day. Studies show that women suffering from infertility undergo similar emotional stress/strain as women undergoing cancer treatment. It is unbelievably hard. Any small consideration on your part will be appreciated. And your joy at this wonderful gift that you have been given should not be diminished. Instead, you are getting an early start to being a good example for your child by thinking about others.posted 03/08/2004 by melanieb29
I think you should tone down the "baby talk" at work. Not everyone enjoys hearing about the details of your pregnancy. It can make some people very uncomfortable, not just women who are trying to conceive. I had a co-worker who was constantly talking about her pregnancies, how long her labor was, how many stitches she had to have, blah, blah, blah. I'm sorry but no one wants to hear that. Work should be more professional and conversations should be more work-related and appropriate than that. If you are close to some co-workers, than talk about it after work or save the pregnancy details for friends and family who really care.posted 03/08/2004 by mommy2bee4
As someone who has had great difficulty conceiving, I would urge you to have some compassion and empathy for your co-worker. That doesn't mean not including her or avoiding her, but some sensitivies would be useful. From my perspective, I appreciated open, honest information and sharing. What I found hard to hear were comments such as, "geez, it was the first time we tried" or "my husband calls me fertile myrtle because all he has to do is look at me and I got pregnant." The other thing I find difficult is when pregnant women complain about their pregnancies. For me, I was so happy when I felt nauseous and sick becaue it meant that the baby was alive and well, and I can soon enjoy a baby of my own. I hope that's helpful and good luck!posted 03/08/2004 by a BabyCenter Member
Speaking as someone who has gone through infertility, i believe it is one of the hardest things a woman can go through emotionally. It is especially difficult when people around you are pregnant and it's all they talk about. I wouldn't expect you not to never talk about it, just be sensitive to your coworkers feelings and realize how hard it has got to be to hear about something that you want more than anything and may never be able to have. Whatever you do DO NOT ever complain about being pregnant around her. Just be thankful that you are having pregancy symptoms that your coworker would give anything to have. It definitely makes a big difference when someone is sensitive and acts like they realize how hard it must be to be around someone who is pregnant all day. I'm sure there are plenty of times when this girl is not around for you to talk about you pregnancy.posted 03/08/2004 by a BabyCenter Member
Although I don't have any co-workers who take issue to my pregnancy, I try to let them lead into any conversations about it. After all, I'm at work to work, so that's where I try to keep my focus. However, if others wish to discuss it, then I'm happy to keep them up-to-date!posted 03/08/2004 by LuckyCallerNine
Every new life is exciting but...having been through infertility myself. (took 2 years to conceive first baby) I understand how your co-worker feels....it's very hard to always be excited for everyone else..when your heart is aching. The last thing you need is to go to work and hear about it all day. Save it for your friends away from work and family. Try to see it from her side. good luck with the pregnancyposted 03/08/2004 by a BabyCenter Member
I think that you should be happy about your pregnancy and ask this other co-worker if she is uncomfortable about your talking about it. I am over 4 months pregnant and trying to wait until the last possible minute to tell my co-workers! Not that they would be unhappy--just the opposite. I don't want to come in every day to questions and have to tell them daily updates on how it is going. As it is, I have had bad morning sickness for the past 2 months but managed to hide it from the office (somehow!) and the one time I did call in sick, they thought I had the flu. Just try and be sensitive to the unfortunate co-worker who can't get pregnant--I tried for over 2 years before I became pregnant so I know how someone feels when it seems like everyone around them has baby fever!!posted 03/08/2004 by kristenman
It is completely inappropriate for you to talk about your pregnancy in a professional setting. I endured 2 years of Infertility treatment and became pregnant with the use of donor egg and donor sperm. It was a painful and life altering experience and required a lot of therapy. Some people can not become pregnant, like me, with out a lot of medical help. It is devastating and makes a woman feel useless and worthless. Furthermore you should know that anger and jealousy are the most common emotions that women feel during Infertility treatment. It's truly awful, and while your co-worker is probably not a bad person your conversation will bring out those emotions. You could actually cause anger in your co-worker which could affect all people in your office in a very negative way. A baby shower or lunch or even a chat in the ladies room is more appropriate than a discussion of your condition in a professional setting. Compassion is a wonderful trait and something that every mother should cultivate. This situation is a wonderful opportunity for you to grow in that way.posted 03/08/2004 by a BabyCenter Member
I know this is an extremely happy time for you, however, you should be conscious of her feelings and try not to talk "baby talk" in front of her. I'm sure she's happy for you, but she probably so desperately wishes to be in your shoes. Trust me, I lost my first baby, & shortly after everyone around me seemed to be pregnant, it was very difficult!! I'm now very sensitive to others feelings b/c I know how it feels!posted 03/08/2004 by KelliW.
If folks don't ask me about the pregnancy or how the baby's doing, I don't volunteer much of anything. I don't think other people find it quite as fascinating as we might like to think! And I have a co-worker who has had some reproductive issues -- although she says it doesn't bother her, I would hate to inadvertently cause her pain.posted 03/08/2004 by a BabyCenter Member
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Happy Birthday to our Champion Carl Froch
By Hilmar Rojas Erazo 02/07/2014
Froch, WBA Super Middleweight world champion was born on this dy in 1977.
He has a record of 33-2, 24KO´s and was awarded the Boxer of the Month of May. He won the title on May 25, 2013 when he defeated Mikkel Kessler, and has made two successful title defenses against the British George Groves.
The WBA family, wishes this very special member a happy birthday and make vows for continuous success.


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There's nothing like the first kiss…You're Too Familiar. Here's a fresh remix by Tensei. This version will be featured on Ill Legit's new album Audio Innuendo. The Ill & The Restless can't wait to perform for you at North Coast Music Fest, Sunday Sept. 4th at 4pm in Chicago. I don't want to change my lane. Much love.
Click the link below to listen/download for free.


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Back to Hawaii News index
Posted: Tuesday, March 11th, 2014 11:18 AM HST
Am. Samoa passes first anti-human trafficking law
By Associated Press
PAGO PAGO, American Samoa (AP) Legislators in American Samoa have approved the territory's first anti-human trafficking law after several unsuccessful attempts over more than a decade.
Gov. Lolo Matalasi Moliga, who initially proposed the bill, is expected to review it when he returns to the territory from Honolulu by the end of this week.
Deputy Attorney General Mitzie Jessop says she is relieved and excited about the bill passing because it gives prosecutors another tool in addressing human trafficking cases. Jessop drafted the bill and testified during legislative hearings.
Jessop says the bill makes human trafficking illegal under penalty of five to 10 years in prison, with a mandatory 10 years if the trafficking involves a minor.
The territorial Senate approved the measure last week. It passed the House late last year.


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Super Bowl SnacksSurprise Me!
First up is the best ball watching dip out there!
Spicy Buffalo Dip
2 – 8 ounce packages of cream cheese (softened)
1 cup bottled Ranch Salad Dressing
1 cup Louisiana Hot Sauce
2 boneless chicken breasts, cooked and chopped OR 2 cans of chicken drained
Soften cream cheese, mix together all ingredients and bake at 350 degrees for about 30 minutes until bubbly. Serve with celery and Chicken in a Biskit crackers.
Next up, these lightly seasoned pretzels make a great crunchy snack!
Honey Mustard Glazed Pretzels
1 – 15 to 16 oz bag mini pretzels
1/4 cup honey
3 Tablespoons Dijon mustard
1/4 tsp garlic powder
1/2 tsp onion powder
1/2 tsp dried mustard (you can add more if you would like a more mustard flavor)
2 Tablespoons butter (melted)
Melt butter and mix in other ingredients. Pour over pretzels. Place pretzels in a large pan and bake at 250 degrees for 1 hour, stirring every 15 minutes. Remove from oven and separate pretzels before completely cooling (they have a tendency to stick together while cooling).
Have a fun Super Bowl!


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Hello all,
Was surfing through the San Francisco International Airport Webpage and found a really cool flight tracker for aircraft in the SFO area. Shows speed and alt. along with live time updates as the aircraft moves along. Much faster than FBOweb.com but only for the SFO area. Few screen shots for those who want to see before clicking. Warning, it does freeze up if you are not patent with it.
Thanks again!
Please check your spelling (press "Check Spelling" above)
©Copyright 2016 Demand Media, Inc. All Rights Reserved


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A Guide for Adults with Chronic Kidney Disease or Kidney Failure Living on Dialysis or with a Kidney Transplant
Why do I need a vaccination?
Vaccinations, usually given as a shot, protect you from serious diseases. Some common diseases you may already know about are the common flu, diphtheria, tetanus, hepatitis B and pneumococcal disease. Some of these diseases can make you very ill, and may have no cure. You may even risk dying from certain diseases if you have not received a vaccination for them.
Vaccinations not only protect you from diseases, they protect others around you. The elderly, people with chronic illness or children in your household could become seriously ill if they are exposed to certain diseases.
How do vaccines work?
Vaccines usually contain parts of the dead or weakened bacteria or virus. Once you have received the vaccine, your body begins to produce antibodies to protect you as though you had actually been exposed to the disease. Should you actually come in contact with the disease, your body will begin fighting it off again, but you will not become ill. Some vaccines, like tetanus, require a booster to remind your body how to fight off the bacteria again.
What vaccinations do I need?
Your doctor is the best person to ask about which vaccinations you should receive. Because you have kidney disease, you may be at greater risk for contracting certain illnesses or you may need a different form of vaccine. Certain vaccines should not be given to adults with a kidney transplant or suppressed immune systems.
How often do I need a vaccination?
Depending on the vaccine, you may need only one shot to protect you for life. Other vaccines may require booster shots or a series of shots. Some vaccines are needed only if you travel to a place where you are likely to contract a disease that is common to that area. (See chart below for a list of vaccinations commonly recommended for adults with kidney disease.)
Where do I get my vaccinations?
You should first talk with your doctor to find out which vaccines you need. They can be given by your doctor or through your public health department or a pharmacy. Local health agencies and hospitals often conduct clinics during the year to provide vaccinations.
What do these shots cost?
The cost of these vaccines vary and may be covered by your insurance. Local health departments may provide them free of charge or at a reduced cost. Remember, flu, pneumococcal and hepatitis B vaccines are paid for by Medicare Part B. Shingles and Tdap vaccines are covered if you've elected to have Medicare Part D benefits.
Are vaccines safe?
Vaccines are among the safest medications available. Some common side effects are a sore arm or low-grade fever. As with any medication, there is a very small risk that serious problems could occur after a vaccination. However, the risks from the disease are much greater than the risks from the vaccines.
What if I have more questions?
If you have additional questions about vaccinations, speak to your doctor and health care team. You may also be interested in reading What You Should Know About Infectious Diseases: A Guide for Patients and Their Families, available by contacting your local National Kidney Foundation Affiliate or by calling the national toll-free number: 800-622-9010.
|Vaccinations Recommended for Adults With Kidney Disease or a Kidney Transplant
|Kidney Disease
|Influenza (flu)
|Recommended, 1 dose annually
|Recommended, 1 dose annually
|Tetanus, Diphtheria-acellular Pertussis (whooping cough)
|Recommended 1-time dose of Tdap, then Td booster every 10 years
|Recommended 1-time dose of Tdap, then Td booster every 10 years
|Hepatitis B
|Recommended, 3 doses
|Recommended, 3 doses
|Herpes Zoster (shingles)
|Recommended (age 60 and older), 1 dose only
Persons on immunosuppressive therapy should not receive the shingles vaccine
|Pneumococcal (pneumonia)
|Recommended, ask your healthcare provider about the timing and spacing
|Recommended, ask your healthcare provider about the timing and spacing
|Meningococcus (meningitis)
|Use if needed*, 1 or more doses
|Use if needed*, 1 or more doses
|Recommended (females up to age 26, males up to age 21), 3 doses
|Recommended (females up to age 26, males up to age 21), 3 doses
*Recommended if some other risk factor is present; for example, on the basis of medical, job-related, lifestyle, or other reasons.