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Hyperlipidaemia -

Hyperlipidaemia means elevated blood levels of cholesterol and triglycerides. This is commonly found in obese individuals.

Cholesterol comprises different fractions: 1. LDL, the so-called “bad cholesterol” 2. HDL, the so-called “good cholesterol” 3. Triglycerides.

LDL and HDL also occur in different forms, with the small, dense LDL being a particularly dangerous form of this cholesterol.

Intra-abdominal obesity typically results in a slightly or modestly elevated LDL cholesterol (often with a propensity for the small, dense LDL particles), a low HDL and elevated triglycerides.

This type of cholesterol profile is often found in obese individuals who have insulin resistance and the metabolic syndrome and may result in arterial damage, heart disease, strokes, peripheral vascular disease and erectile dysfunction.

Diet, weight loss and exercise help to normalize the cholesterol profile, but medication often has to be prescribed for high risk patients.
Bariatric surgery, resulting in significant, permanent weight loss, will either correct or ameliorate the abnormal cholesterol profile, so helping to prevent the serious consequences that may otherwise occur.