I am 27 years old male and few months back during my regular checkup I was diagnosed with High cholesterol levels of LDL - 190 , HDL - 40 , Total cholesterol - 280 , Triglycerides - 90 , VIT B12 - 80. Doctor prescribed me with Crestor 20 mg and I took it for 3 months which reduced my Ldl count to normal but significantly increased my SGPT and SGOT levels. Then I took Prelipid Abbott company med which brought back my cholesterol levels to normal . But while taking these medicines I had constant muscle pain and anxiety and not a good feeling at all . I am regular lawn tennis player past 3 years . My father , uncle all have a history of high cholestrol. I want to know if I really need to take a statin or Prelipid for my whole life to keep my cholesterol level normal . I dont feel like taking medicines but when I stop them cholesterol levels jumps again . Please advice me what should I do and is medication really necessary . Is there any other way out of it ?? Please advice me.

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u have to continue with tab crestor 20 mg at bedtime continuosly ,and recheck the lipid panel once in 3 months, better to continue with the medications.Regular aerobic exercises, protein diet is advised.Alcholol and smoking cessation is needed.Also use of butter and ghee is not advised

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Understanding Your Lab Results
- Your LDL (190) and total cholesterol (280) are high, increasing cardiovascular risk. HDL (40) is low, which is less protective. Triglycerides (90) are normal. Vitamin B12 (80) is low, possibly affecting energy and nerve function.
Review of Medications Prescribed
- Crestor (rosuvastatin): Lowers LDL and total cholesterol, may affect liver enzymes.
- Prelipid: A supplement aimed at cholesterol management, effects vary.
Effects and Side Effects Experienced
- Crestor: Can lower cholesterol effectively but may cause muscle pain and liver enzyme changes.
- Prelipid: Generally well-tolerated; muscle pain and anxiety are less common but possible.
Considering Your Lifestyle and Family History
- Active lifestyle and family history necessitate vigilant cholesterol management.
Long-term Management Options
- Medication may be lifelong; consider diet, exercise, and regular monitoring.
Next Steps and Specialist Consultation
- Consult a cardiologist for personalized advice and potential medication adjustments.

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u have to continue with tab crestor 20 mg at bedtime continuosly ,and recheck the lipid panel once in 3 months, better to continue with the medications.Regular aerobic exercises, protein diet is advised.Alcholol and smoking cessation is needed.Also use of butter and ghee is not advised

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