Elevated Lipids - Advice Needed

I got my lipid panel results:

Cholesterol, total: 218
triglycerides: 153
HDL: 39
VLDL: 31
LDL: 148

All other tests were normal. All of the above were out of range except VLDL. 51 years old. 245 pounds. 25% body fat (guesstimate). Mother died of heart disease at age 49. Should I get on cholesterol medication? Which medicine does not interfere with TRT? Testosterone, HCG, & Anastrozole.

What would you do?

I have been getting similar results, low 200's, for last 8 years.

Thanks.
 
Before I offer any thoughts, may I ask if you have any blood sugar issues? Diabetes, pre-diabetes, insulin resistance? Would you be good enough to add the reference ranges to your test results? Many thanks.
 

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TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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