Can people with hyperlipidemia drink alcohol?

Written by Luo Juan
Endocrinology
Updated on January 18, 2025
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If hyperlipidemia can exclude some secondary causes or diseases, moderate alcohol consumption is permissible, because alcohol can increase the level of high-density lipoprotein (HDL) in the plasma. However, research has confirmed that long-term excessive drinking can inhibit the oxidation of fatty acids in the liver and increase the synthesis of fatty acids, leading to excessive production of triglycerides and raising the level of triglycerides in the plasma. Therefore, it is recommended that alcohol intake be generally less than 30 grams per day, and for spirits, not exceed 50 grams per day. Moderate drinking is acceptable, but of course, this excludes cases where alcohol consumption is not permissible, such as in patients with liver or kidney failure or acute complications of diabetes. If the overall physical function is stable and it is merely a case of hyperlipidemia, moderate alcohol intake is permissible.

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Written by Luo Han Ying
Endocrinology
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What is the standard for hyperlipidemia?

A lipid panel typically includes five tests: triglycerides, cholesterol, high-density lipoprotein (HDL), very low-density lipoprotein (VLDL), and low-density lipoprotein (LDL). If triglycerides are greater than 1.69 mmol/L, total cholesterol is greater than 5.2 mmol/L, HDL is lower than 0.78 mmol/L, LDL is higher than 0.78 mmol/L, and VLDL is higher than 3.64 mmol/L, these conditions can collectively be diagnosed as hyperlipidemia. Each component of the lipid panel can vary, and different elevations require different medications. For example, the drugs used to lower triglycerides are completely different from those used to lower cholesterol.

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Written by Luo Juan
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Does hyperlipidemia cause dizziness?

Hyperlipidemia can cause dizziness. Hyperlipidemia involves the deposition of lipids on the endothelial lining of blood vessels, which is a primary consequence of abnormal blood lipids. This can lead to the onset and progression of atherosclerosis. For instance, low-density lipoproteins tend to deposit on arterial walls and are ingested by mononuclear giant cells. This situation can lead to arteriosclerosis, such as atherosclerosis of the cervical and intracranial arteries. This condition can result in insufficient blood supply to the brain, thereby causing dizziness. Therefore, hyperlipidemia can indeed cause dizziness.

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Written by Luo Juan
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What fruits to eat for hyperlipidemia?

First, in adjusting the dietary structure for blood lipids, it is generally necessary to increase the intake of high-fiber foods. This is because it can increase the excretion of cholesterol in the intestines, reduce the absorption of cholesterol, and enhance the clearance of low-density lipoprotein, as well as reduce the synthesis of lipoproteins. Therefore, it can lower plasma cholesterol, especially the levels of low-density lipoprotein. Fruits contain abundant plant fibers, so it is advisable to consume a moderate amount of these fresh fruits in the diet. Of course, some cases of hyperlipidemia are related to obesity. Thus, for some high-calorie fruits such as grapes and watermelon, it is advised to limit their consumption. For example, consuming fruits like apples, cherries, and strawberries, which have relatively lower sugar content, might be better. Generally, all fruits can be eaten with hyperlipidemia, but the intake of fruits with high sugar content should be appropriately limited.

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What is good to eat for hyperlipidemia usually?

Patients with hypertension need to routinely use lipid-regulating drugs under the guidance of a doctor. Additionally, dietary adjustments are necessary. It is advisable to minimize consumption of foods high in cholesterol, such as fatty meats, offal, and fried foods. Instead, patients should eat foods rich in vitamins, dietary fiber, and minerals, such as fruits and vegetables, along with foods that are lower in calories and cholesterol, such as soy products, oatmeal, yogurt, sea cucumber, lean beef, lean pork, lean lamb, carrots, onions, cabbage, radishes, and hawthorn.

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What department should I go to for hyperlipidemia?

Patients with hyperlipidemia should visit the endocrinology department, as hyperlipidemia is a manifestation of lipid metabolism disorder and is classified as a metabolic disease. Therefore, it falls under the purview of the endocrinology department. Moreover, hyperlipidemia is typically divided into secondary and primary types. Many cases of secondary hyperlipidemia are associated with endocrine disorders such as diabetes, hypothyroidism, Cushing's syndrome, and polycystic ovary syndrome, which are primary diseases of the endocrine system that can lead to lipid abnormalities. Therefore, patients with hyperlipidemia should seek treatment in endocrinology to identify the underlying causes of the condition.