Doctor Benjamin Hagan, MD

Board Certified Internal Medicine

Dr. Benjamin Hagan is Board Certified Physician in Internal Medicine.  He completed his residency in Internal Medicine in 2001 at Columbia University College of Physicians and Surgeons at Harlem Hospital in New York. Dr. Hagan has practiced Medicine for over 18 years.  He is now a hospitalist at Grant Medical Center and President of Trust Medical Services in Central Ohio.  He's delighted to make time for all his patients.

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Internal Medicine

Trust Medical Services focus on adult medicine and our specialty is the study and training focusing on the prevention and treatment of adult diseases. We are dedicated to learning how to prevent, diagnose, and treat diseases that affect adults.

We are equipped to deal with whatever problem a patient brings no matter how common or rare, or how simple or complex. We are specially trained to solve puzzling diagnostic problems and can handle severe chronic illnesses and situations where several different illnesses may strike at the same time. We also help you to understand wellness (disease prevention and the promotion of health), women's health, substance abuse, mental health, as well as effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

We take pride in caring for our patients for life -- in the office, during hospitalization and intensive care, and in nursing homes. When other medical specialists, such as surgeons or obstetricians, are involved, we coordinate their patient's care and manage difficult medical problems associated with that care.

Cholesterol and Triglycerides

The medical term for high blood cholesterol and triglycerides is lipid disorder. Such a disorder occurs when you have too many fatty substances in your blood. These substances include cholesterol and triglycerides.

Treatment

Treatment depends on your age, health history, if you smoke, and other risk factors for heart disease, such as:

Diabetes

Poorly controlled high blood pressure

Family history of heart disease

The recommended values for adults are different depending on the above risk factors, but in general:

LDL: 70-130 mg/dL (lower numbers are better)

HDL: more than 40-60 mg/dL (high numbers are better)

Total cholesterol: less than 200 mg/dL (lower numbers are better)

Triglycerides: 10-150 mg/dL (lower numbers are better)

There are steps that everyone can take to improve their cholesterol levels, and help prevent heart disease and heart attack. Here are the most important ones:

Eat a heart-healthy diet with plenty of fiber-rich fruits and vegetables. Avoid saturated fats (found mostly in animal products) and tr ans-fatty acids (found in fast foods and commercially baked products). Instead, choose unsaturated fats

Exercise regularly to help raise your HDL ("good" cholesterol)

Get periodic health checkups and cholesterol screenings

Lose weight if you are overweight

Quit smoking

If lifestyle changes do not change your cholesterol levels, your doctor may recommend medication. There are several types of drugs available to help lower blood cholesterol levels, and they work in different ways. Some are better at lowering LDL cholesterol, some are good at lowering triglycerides, while others help raise HDL cholesterol.

The most commonly used and most effective drugs for treating high LDL cholesterol are called statins. You doctor will choose one of these: lovastatin (Mevacor), pravastatin (Pravachol), simvastatin (Zocor), fluvastatin (Lescol), torvastatin (Lipitor), rosuvastatin (Crestor).

Other drugs that may be used include bile acid sequestering resins, cholesterol absorption inhibitors, fibrates, and nicotinic acid (niacin).

Causes

A lipid disorder increases your risk for atherosclerosis, and thus for heart disease, stroke, high blood pressure (hypertension), and other problems.

There are many types of cholesterol. The ones talked about most are:

Total cholesterol - all the cholesterols combined

HDL cholesterol - often called "good" cholesterol

LDL cholesterol - often called "bad" cholesterol

There are several genetic disorders (passed down through families) that lead to abnormal levels of cholesterol and triglycerides. They include:

Familial combined hyperlipidemia

Familial dysbetalipoproteinemia

Familial hypercholesterolemia

Familial hypertriglyceridemia

Abnormal cholesterol and triglyceride levels may also be caused by:

Being overweight or obese, Metabolic syndrome

Certain medications, including birth control pills, estrogen, corticosteroids, certain diuretics, beta blockers, and certain antidepressants

Diseases such as diabetes, hypothyroidism, Cushing syndrome, polycystic ovary syndrome, and kidney disease

Excessive alcohol use

Fatty diets that are high in saturated fats (found mainly in red meat, egg yolks, and high-fat dairy products) and trans fatty acids (found in commercial processed food products)

Lack of exercise

Smoking (which reduces HDL "good" cholesterol)

Lipid disorders are more common in men than in women.

 

 
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