With the improvement of living standards, the incidence of hyperlipidemia has increased. Experts point out that hyperlipidemia is divided into primary hyperlipidemia and secondary hyperlipidemia. Among them, primary hyperlipidemia may be caused by gene mutation, or it may be caused by bad living habits such as high-energy, high-fat, high-sugar diet and excessive drinking. Secondary hyperlipidemia is mostly secondary to various diseases such as diabetes, kidney disease, and liver disease. Among them, hypothyroidism, that is, hypothyroidism (referred to as hypothyroidism) is an important cause of elevated blood lipids. Therefore, many doctors will advise patients with hyperlipidemia to check thyroid function.
Experts recommend that patients with hyperlipidemia check thyroid function, and there is another reason that hypothyroidism is a common disease. In the general population, about 1 in 6 people has subclinical hypothyroidism (subclinical hypothyroidism without specific symptoms).
Among patients with subclinical hypothyroidism, there are not a few patients with dyslipidemia.
For elevated blood lipids caused by subclinical hypothyroidism, especially elevated serum total cholesterol and low-density lipoprotein cholesterol, the recommendations are as follows:
low-fat diet, especially low-cholesterol diet; increased exercise; thyroid hormone replacement therapy; Treatment with lipid-lowering drugs is generally not recommended.
If the patient does not have diseases such as acute coronary syndrome and acute ischemic stroke, it is recommended to correct hypothyroidism through lifestyle changes instead of taking lipid-lowering drugs immediately. If the patient's blood lipids are still high, then consider taking lipid-lowering drugs for treatment.