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Click to view mrupert's profile Pro 74 posts since
Mar 24, 2006

Mar 14, 2007 9:51 AM

cholesterol question

When you get a "total cholesterol" number, what does that mean?

In my cholesterol screen my total cholesterol was 176. My good, HDL, was 73. Does this mean my bad cholesterol is 103? Or do I go by a ratio of HDL/Total Cholesterol?
Click to view savannahbanana's profile Expert 43 posts since
Dec 14, 2007
1. Mar 14, 2007 10:00 AM in response to: mrupert
My understanding is that Total Cholesterol = HDL + LDL +.2(Triglycerides). So taking your total number and backing out HDL will not tell you what your LDL is.
Click to view Ariann092's profile Legend 681 posts since
Jan 4, 2005
3. Mar 14, 2007 11:35 AM in response to: mrupert
The ratio is usually more important than the raw numbers (of course if your total cholesterol is 300, that's a different story) and under 200 is considered normal and healthy. There's an amazing range in cholesterol numbers among healthy people - one of my sisters, who runs and has a diet very similar to mine, has an LDL in the 40s, which I didn't know was even possible. My LDL is twice as high. But both of us have excellent ratios of total cholesterol to LDL and LDL to HDL. An HDL of 73 is excellent. If you got a total cholesterol workup, you should ask your doctor for a full copy of the results so that you can see the breakdown of HDL, LDL, and triglycerides, as well as ratios.
Click to view savannahbanana's profile Expert 43 posts since
Dec 14, 2007
4. Mar 14, 2007 11:42 AM in response to: mrupert
Just to be clear: your LDL is not 103, it is something less than that since a portion of your triglycerides is added into the total cholesterol number. The ratio is definitely more important than the raw total and it's also important to know what your triglyceride number is.
Click to view henriness1's profile Amateur 14 posts since
Dec 29, 2006
5. Mar 14, 2007 5:41 PM in response to: mrupert
I am not sure how they come up with the total number but for LDL (bad cholesterol) you want that under 100. HDL (good cholesterol) for men should be above 45-but there is a point that you do not want to exceed and I apologize that I do not know what that number is. And triclycerides should be under 150. A normal number for total cholesterol should be under 200.
Click to view henriness1's profile Amateur 14 posts since
Dec 29, 2006
6. Mar 14, 2007 5:51 PM in response to: mrupert
I may be wrong about high HDL- higher HDL can protect you from heart disease.
I know that in men, HDL usually averages 40-50, and 50-60 in women according to the AHA.
I believe the guidelines have just been changed. You used to want HDL above 40, I believe it is now 45. I remember a few years ago, my HDL was at 35 and I thought I was ok, but the goal at that time had just been changed from 35 to 40. So when the doc said, your HDL is a little low, I said I thought the goal was 35-he said no, the goal had just been changed to 40. Now it's 45.
So many numbers-it can get confusing.
Click to view DavidD063's profile Legend 361 posts since
Jan 25, 2007
8. Mar 15, 2007 8:53 AM in response to: mrupert
The cholesterol numbers don't include triglycerides, they're different. In general the triglycerides reflect how your body handles carbohydrates, and the cholesterol reflects how you handle saturated fat (mostly from dairy foods).

Triglycerides must be tested after a fast otherwise it's not accurate.
Click to view bigapplepie's profile We're Not Worthy 2,636 posts since
Dec 14, 2007
9. Mar 15, 2007 11:45 AM in response to: mrupert
quote:<HR>Originally posted by henriness1:

I believe the guidelines have just been changed. You used to want HDL above 40, I believe it is now 45. I remember a few years ago, my HDL was at 35 and I thought I was ok, but the goal at that time had just been changed from 35 to 40. So when the doc said, your HDL is a little low, I said I thought the goal was 35-he said no, the goal had just been changed to 40. Now it's 45.
So many numbers-it can get confusing.
<HR>

Oh dear.

I was tested last week. My HDL is only 41. My LDL is 67.

My VLDL cholesterol calc is 14 making a total cholesterol of 122.