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 Zhang Yue Mei
Cardiology
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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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Written by Zhang Yue Mei
Cardiology
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Early clinical symptoms of hyperlipidemia

Hyperlipidemia early on does not show specific clinical symptoms and is typically indicated by increased blood lipid levels during physical examinations. If it is not taken seriously and left untreated, long-term hyperlipidemia can lead to noticeable clinical symptoms. Mild cases may experience fatigue and weakness. Prolonged elevated blood lipid levels can cause the blood to become viscous and flow slowly, affecting the supply of blood to the heart, leading to palpitations and shortness of breath that worsen with activity. It can also affect blood supply to the brain, causing irritability, restless sleep, frequent nightmares, and even sleepiness. Therefore, it is crucial to treat hyperlipidemia actively upon diagnosis to prevent it from impacting the blood supply to vital organs.

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Written by Zhang Yue Mei
Cardiology
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How is hyperlipidemia formed?

The formation of hyperlipidemia is a very complex physiological process, simply related to the dysregulation of lipid metabolism. Disorders in lipid metabolism are related to some diseases, common ones include diabetes, nephrotic syndrome, liver damage, and gallbladder disease. These diseases can cause increased blood lipids. It is also directly related to an unreasonable dietary structure. Consuming foods that are high in calories and cholesterol, which exceed the body's needs, can lead to increased blood lipids. Examples include animal organs and some high-cholesterol seafood, excessive intake of which can lead to hyperlipidemia.

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Written by Li Hui Zhi
Endocrinology
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How to test for hyperlipidemia?

First, we can take a blood test to check our cholesterol, triglycerides, low-density lipoprotein, and high-density lipoprotein levels. Second, we can also have a carotid ultrasound to look at the condition of the blood vessels, to see if there is high blood lipid levels, if it has affected the blood vessels, if there is arteriosclerosis, and if plaques have formed. If the diagnosis confirms these conditions, it is advised to control the diet and eat lightly. If diet control is insufficient, then it may be necessary to go to the hospital and choose lipid-lowering medication under the advice of a doctor.

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Written by Luo Juan
Endocrinology
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Can people with hyperlipidemia eat peanuts?

People with high blood lipids can eat peanuts. Peanuts contain a rich amount of unsaturated fatty acids, which are beneficial to the human body in proper amounts. Firstly, they can regulate blood lipids, reduce some harmful cholesterol and triglycerides in the blood, effectively control the concentration of blood lipids, and can increase the content of beneficial high-density lipoproteins. Secondly, they can help clear blood clots, remove or alleviate the harm caused by animal fats from food, especially visceral fats, and prevent these lipid components from depositing on the walls of blood vessels to combat the formation and development of arteriosclerosis. Additionally, studies have shown that supplementing with DHA (an unsaturated fatty acid) can also enhance some of the body's immunity and improve self-immune function. Furthermore, it has some effects on improving arthritis or alleviating pain. Therefore, consuming peanuts in moderation is beneficial to the human body. However, peanuts are also high in calories, and excessive intake can lead to overweight or obesity, so they should not be consumed in excess and should be eaten in moderation.