Eating a plant-based (vegan) diet drastically reduces cholesterol, Debbie, and is worth considering. Check out PCRM.org and Forks Over Knives websites for more info on this if interested.
There's a newer type of cholesterol med, too, the PCSK9 inhibitors, that you can ask your doctor about.
March 5, 2025
Managing cholesterol with lupus requires special attention since people with SLE have a significantly higher risk of heart disease and atherosclerosis compared to those without lupus. Your HDL of 83 is actually quite good, as it's considered the "good" cholesterol, but your total cholesterol is elevated.
Since you can't Show Full Answer
Managing cholesterol with lupus requires special attention since people with SLE have a significantly higher risk of heart disease and atherosclerosis compared to those without lupus. Your HDL of 83 is actually quite good, as it's considered the "good" cholesterol, but your total cholesterol is elevated.
Since you can't tolerate statins, it's important to work with your healthcare team to find alternative approaches. This might include lifestyle modifications like following a heart-healthy diet, regular exercise within your capabilities, and maintaining a healthy weight. Your rheumatologist and cardiologist should work together to develop a treatment plan that takes into account both your lupus and cardiovascular health. They may consider other cholesterol-lowering medications that aren't statins. Regular monitoring of your heart health through checkups and screenings is essential, as is managing other risk factors like blood pressure and inflammation from lupus.
March 4, 2025
Thank you ! I will look into this.
March 5, 2025
I started on a PCSK9 inhibitor. So far no reactions!
June 23, 2025