I am 54y age weight 84 kg height 6.2 inch no alcohol no cigarette no tobacco use. My fbs is 108 pp 154 earlier past 15 y ws fatty liver n on tonact 10 one a day. But lipid was hdl 42 ldl 100 total cholesterol was 145 triglycerides was 65 now before 2 month a md physician stopped tonact then after a month I check lipid lad 165 hdl 37 total cholesterol 223 triglycerides 150. Then I started statin 5 mg once a day then after 45 days lad become 87 hdl 46 triglycerides 62 total cholesterol 143. Fir sugar since 5 y now triglimisave 1 once morning once night taking so fbs 109 po 155. Please advice wat to do next now I am taking statin 2.5 mg at night only along with health ok multivitamin tablet 1 a day. Should I take 2.5 mg statin whole life. Or 5 mg advice me. I walk 4 km daily. Eating green veg daily along with salad now. Also on depression since 13 y due to loss in business n on xet cr 25 once + trika. 25 mg + lonazep. 25 mg daily for panic disorder suffocation issue. Please advice me for avoid heart issues. Coz looks like cholesterol issues.
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You should take atorvastatin 5 mg per day as prophylaxis for heart issues, preferably indefinitely or life long. There is no issue in taking same for this long. It would be wise to consult a psychiatrist for depression and panic disorder or suffocation issue. You are not on the appropriate combination of meds for same. It contains 2 habit forming/addictive pills i.e alprazolam and clonazepam. You need to get your psychiatric treatment optimized so that addictive pills can be tapered off gradually and stopped and dose of other safer antidepressant or anti-anxiety pills optimized further.
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From the information you've provided, it seems you have a history of fatty liver and lipid (cholesterol) issues. It's positive to hear that you've made lifestyle changes such as abstaining from alcohol, cigarettes, and tobacco use, as well as incorporating exercise and a healthy diet into your routine. It's important to manage your cholesterol levels to reduce the risk of heart issues. Statins are commonly prescribed to lower cholesterol levels, and it seems you've been taking them in different dosages. The decision about the appropriate dosage and duration of statin therapy is typically made by a physician based on various factors, including your overall cardiovascular risk profile. Factors such as your age, gender, blood pressure, smoking history, family history of heart disease, and other medical conditions will be taken into account. Given your specific situation, it's best to discuss with your physician or cardiologist regarding the most suitable dosage of statins for you. They can assess your overall cardiovascular risk and help determine the appropriate medication regimen. It's also essential to continue managing your blood sugar levels, as you mentioned you are taking triglimisave for that purpose. Regular monitoring and following the advice of your healthcare professional regarding diabetes management are crucial. Additionally, since you mentioned experiencing depression and panic disorder, it's important to address these mental health concerns as well. Your current medication regimen for these conditions should be discussed with a mental health professional who can evaluate your symptoms and determine if any adjustments are necessary.
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