Yes, cholesterol can be hereditary, meaning it can run in families even if your diet and lifestyle are healthy. A high heartbeat (palpitations) can result from stress, anxiety, thyroid issues, heart problems, or certain medications. To prevent a heart attack, eat a heart-healthy diet (low in fat, sugar, and salt), exercise regularly, avoid smoking and alcohol, manage stress, and take prescribed medicines regularly. If you feel chest pain, breathlessness, or dizziness, seek immediate medical help.

For high triglycerides, high TSH, and low vitamin D, eating fewer sugars and oily foods, including more fibre, nuts, and omega-3s, and doing regular walking and getting some morning sunlight may help. Along with lifestyle changes, take your medicines regularly if prescribed.

For fatty liver, poor LFT, back pain, high triglycerides, and high LDL, the goal is to reduce liver fat and improve metabolism. Eating fewer sugars, refined carbs, and oily foods helps the liver heal. Add more fruits, vegetables, oats, millets, and good fats like nuts and seeds. Regular walking or light exercise helps lower triglycerides and cholesterol. Avoid alcohol completely. Vitamin D and B12 checks can help with back pain. If your triglycerides or LDL are very high, your doctor may start medicines. With the right diet and lifestyle changes, fatty liver and LFTs usually improve within a few months.

Normal triglyceride levels are below 150 mg/dL. Levels between 150 to 199 mg/dL are borderline high, 200 to 499 mg/dL are high, and 500 mg/dL or more is very high. High triglycerides increase the risk of heart disease, but they do not directly cause a heart attack on their own. A heart attack happens when cholesterol plaques block blood flow in the heart. Keeping triglycerides low with a healthy diet, exercise, and proper medication helps reduce your overall heart risk.

Yes, you can lower cholesterol and triglycerides without medicines, especially if the levels are only mildly high. Eat less oily, fried, and sugary foods; avoid red meat and full-fat dairy; and include more fruits, vegetables, oats, nuts, and fish. Walk or exercise at least 30 minutes daily and maintain a healthy weight. Reduce alcohol and sugary drinks. These lifestyle changes can bring your levels down naturally, but if they stay high, you may still need medication as advised by your doctor.

If your triglycerides (TGA) and cholesterol are still high even after taking Lipvas 10 mg for three years, it is best to get a review with your doctor. They may increase the dose, change the medicine, or add another tablet for better control. Continue eating a low-oil, low-sugar diet, avoid fried foods, and walk daily. Since your BP is normal, that is good. Regular follow-ups will help keep your cholesterol under control.