high cholesterol | Arthritis Information

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hi all .. i had high cholesterol  2 yrs ago on a test.. first i ever had.
6.4  i was told this was normal  by gp...  hospital recently retested 6.7
and said 6.4 was far from normal.. 40 mg of statins started and
level down to 4.7 .. i have read levels can be high whith ra..
i know the cholesterol can be high whith diet and other things..
i just wonderd  if any one been started on statins as part of
there treatment for ra..

Boney    had to do a edit as it reads i am on statins due to ra but they
are not part of my ra therapy as such..
making it look worse now .. put this down to 20mg pred
Boney2008-04-07 12:45:08I had high cholesterol before the RA, and now it is even higher.  I refused to let them give me statins because of the possibility of muscle pain side effects.  Between the Fibro and RA, I have more than enough pain.  My PCP said he had never seen anyone with those side effects, but my rheumy said he had seen many patients and the problem does not stop when you stop taking the statin.  Not trying to scare anyone, just relaying what my doctor said.

 
Anyway, I had to tell my PCP that I would rather have a heart attack than more daily pain.  That got his attention and he agreed to give me Zetia only.  I am still on it, and it has helped some, but not like the statins would.
 
A few months ago I started taking supplements with plant stanols and sterols (Nature Made's Cholest-Off).  Again, it has helped a little bit, but not like the statins would.
I'm sorry you guys are going through this.
And this is probably a dumb question, but how do you know if you have high cholesterol? Do you actually feel anything or is it determined by labs only?
Can't help with RA and elevated choles.  Just got my results and they're normal, for a fat girl that makes me happy.
 
Mrs. A., Usually there's no physical response to elevated choles.  Elevated labs are usually the first clue.  If there's a family history of evelvated choles, heart disease then your primary care will probably monitor your choles on a routine basis.  The tendency is inherited.  Lindy
hi innerglow i have read about the muscle probs and allso memmory lose on statins
but i thought for myself. and being pred may cause atherscolosis....spelling....
they would be good for me... i hopeyour alternatives work for you..

hi Mrs A   the test is done by blood test.. i hope this extract helps.....

High Cholesterol

What is it?

Cholesterol and triglycerides are the two major fats in the blood. Blood fats are also called lipids. Your body makes cholesterol (in the liver) and gets it from food, then uses it to build cell membranes and hormones. Cholesterol testing is an analysis of the cholesterol levels in a sample of your blood. High cholesterol is a total cholesterol reading over 240. However, a total cholesterol reading between 200 and 239 is considered borderline high. High levels of cholesterol in the bloodstream can block blood flow and increase your risk of health problems such as atherosclerosis and coronary artery or carotid artery disease. These diseases increase your risk of having a heart attack or stroke. However, not all cholesterol is bad. To travel through the bloodstream, cholesterol attaches itself to certain proteins. The combination of fats and proteins are called lipoproteins.

Cholesterol is carried by two types of proteins. A high level of low-density lipoproteins (LDL) increases the risk of heart disease because it leaves the fat on the inside walls of the blood vessels and deposits it in body tissues. You may have heard LDL referred to as the "bad cholesterol." The cholesterol carried by high-density lipoproteins (HDL) lowers your risk of heart disease, and is often called "good cholesterol." HDL actually helps your body get rid of cholesterol. Cholesterol is usually measured as total serum cholesterol. However, because the level of HDL cholesterol is so important, many doctors look at the ratio of the total cholesterol level to HDL cholesterol level to assess the risk of heart disease.

Who gets it?

Anyone can develop high cholesterol, but some people are more likely than others due to disease or a genetic disorder.

What causes it?

For many people, high cholesterol is caused by eating a diet that is high in saturated fats and cholesterol. Some people, however, have an inherited disorder in which the body cannot properly metabolize cholesterol. Others have a disease that causes high cholesterol levels, such as kidney and liver disease, hypothyroidism, an overactive pituitary gland, and diabetes mellitus.

What are the symptoms?

There are no symptoms of high cholesterol until the high levels of cholesterol in the bloodstream have blocked blood flow. This is signaled by health problems such as atherosclerosis or coronary artery disease, which can result in heart attack or stroke. Narrowed or blocked arteries to the legs can cause leg pain when walking.

How is it diagnosed?

Your doctor will take a complete medical history and perform a thorough physical exam. High cholesterol is diagnosed by a total serum cholesterol test. A small amount of blood (5 milliliters) is withdrawn from one of your veins while you are seated. Once the blood is removed, it will be carefully labeled with information such as your name, the time and date the blood was drawn, and your doctor's name. Then, the blood will be separated in a laboratory so the levels of cholesterol and HDL, as well as any other lipoproteins, can be measured. If you are having a cholesterol test, you should fast for at least 12 hours before the test. This means you may not eat anything, and may drink only water. Avoid alcohol for 24 hours before the test. Your doctor may recommend that you stop taking any medications that may affect the accuracy of the test results. However, do not stop taking any regularly prescribed medications unless your doctor tells you to. In general, desired test results for adults are as follows: Total cholesterol (TC): Below 200 milligrams of cholesterol per deciliter of blood (mg/dl). HDL cholesterol: Above 40 mg/dl LDL cholesterol: Below 130 mg/dl TC/HDL ratio: Below 4.0

What is the treatment?

Treatment of high cholesterol depends upon its cause. Where high cholesterol is caused by a diet high in fatty foods, it can be lowered by altering your diet. Foods to avoid include whole eggs; shellfish; organ meats such as liver, brain, heart, kidneys, and sweetbreads; snacks and lunch meats that are high in saturated fats; fried foods; and desserts that are high in fats.

Some tips for lowering your fat intake include removing the fat from meats before cooking them, using egg whites instead of whole eggs, substituting applesauce for oil when baking, and using skim milk and other low fat dairy products. A diet high in fresh fruits, grains, vegetables, and beans is important to good health. Read the labels on the products you buy; sometimes just reading the ingredients of unhealthy foods is enough to prevent you from buying them! Some people, such as those whose high cholesterol is caused by an inherited disorder, must take medication to control their cholesterol levels, in addition to following a healthy diet. Commonly prescribed medications include cholestyramine, colestipol, lovastatin, pravastatin, simvastatin, probucol, gemfibrozil, or niacin. Like most drugs, these have possible side effects that your doctor should discuss with you. Where high cholesterol is caused by disease, treatment is specific to the underlying disease. Everyone with high cholesterol also benefits from a doctor-approved exercise program.

Self-care tips

Most people can control their total serum cholesterol by following a healthy diet; maintaining a healthy weight for their age, height, and body type; not smoking; and participating in a regular exercise program. A healthy diet includes the daily recommended servings of fruits, vegetables, beans, and whole grains. While you don't need to give up all red meats and foods containing saturated fats, they should be eaten in moderation. The key to a healthy diet is not to deprive yourself of foods you like, but to balance them with more healthy foods.


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My cholesterol is high- 240 and trigycerides are like 245 also high.
 
I was not put on any meds because my bad cholesterol number is low and my good cholestral number is really high. They also said both cholesterol & trigycerides could be elevated due to prednisone.
 
I know my cholesterol has always been this way but I did not pipe up because I don't want to swallow any more pills right now.
 
I was also told though that having RA makes the cholesterol adhere to your arteries more because of our inflammation.
 
Just great- and heart attacks run on my mother's side. Oh well cancer on my father's side... with both parents affected by their family histories....which will get me first?
hi wantobe ..i see from the spouse post you are one of the minority..
so you should be stress free and outlive us all.... hI BONEY WHEN I HAD MY BLOOD TESTS THEY SHOWED HIGH CHOLESTORAL SO THE DOC HAS PUT ME ON SIMVASTIN  THEY FOUND THIS OUT THE SAME TIME AS MY RHUEMATOID ARTHRITIS  LOVE DIANA hi diana.. same drug as me.. i wonder if they are including the test . as standard now.
iam on 40mg i never knew it worked so fast..

wishing you well  .... Boney

Hi boney i am on 40mg as well i wish you well too love diana god blessBoney,
 
Do you mean because I must be a tough old cuss who can't be kept down support or no support?
lol. Last year my choles. was really high, I just had the test done this year and my total was 174, but the HDL was 141. My dr and I were thrilled. I think it helped that I lost 50 lbs this winter....lol  hi tough old cuss  oooops i mean wanabefree.. i meant you have no partner
to stress your head ..  having a partner does not mean
lots of support.. it can allso put a lot of pressure on both partners..
very frustrating allso..
hope your feeling custy today...   Boney
back again... had a rethink..  being married for as long as i can remember   Hi Boney!
 
I actually do have a partner- just a non supportive one but you probably missed my earlier post in the thread LOL. I just meant I was lonely because everyone else has these fantastic, supportive partners and everyone is so blessed- I don't know where you all found them...
 
That's OK. When I was at my sickest and at the most vunerable point in my life I learned about a lot about the people in my life. Family members and friends alike- all fair weather people. Now that I could not do for them- I was of no use to them.  Yet I perservered and I fought to get better and I believed I would get better. I told myself if you get better you are going to have a diamond necklace made for yourself with the three letters O T B  because you are One Tough Bitch and you don't need anything from anybody! The only one you need is you.
 
Well I still haven't had the necklace made but I still plan too!
 
Guess I am pretty feisty today aren't I?  LOL
better watch what i say here     lol...  [QUOTE=Boney]better watch what i say here     lol...  [/QUOTE]
 
Awww, you don't have to worry about me Boney- I'm tough on the outside and just a big marshmellow on the inside....  :)
its the outside im worried about...i mean your not going to bash me whith a
internal organ... just a tough fist..  lol 

i understand what you say about fair weather freinds.. been there done that one..a long
time ago ..  i hope you get your necklace ..     Boney

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