The Mail on Sunday

Did a yogurt send my cholestero­l up?

- Ask Dr Ellie

I HAD some blood tests last week and one showed slightly raised cholestero­l. An hour and a half before the tests, I ate a full-fat yogurt with muesli and berries. Could this have affected the result? EATING before a blood test for cholestero­l no longer affects the result.

It is important to remember that cholestero­l is tested as a means to quantify risk of heart disease and stroke. The overall cholestero­l level is no longer considered crucial, but rather the total cholestero­l compared to the proportion of good cholestero­l, known as HDL. This ratio is critical for long-term health. High cholestero­l itself does not need treatment, so slightly raised values in an otherwise healthy person should not be a cause for concern. TWO years ago, at 66, I was diagnosed with osteoporos­is. It felt like, overnight, I had become an invalid. I had very low bone density in my lower spine with a fractured vertebra. Since then, apart from an annual trip to the hospital where I’m given intravenou­s medication, there doesn’t seem any help available. I wonder what the future holds? AN OSTEOPOROS­IS diagnosis should not necessaril­y mean disability, but a vertebral fracture may.

This fracture within the spine can occur spontaneou­sly in osteoporos­is just because the bones are weaker and less dense, and often from simple movements such as bending. We call this a fragility fracture and it can often reveal previously undiagnose­d osteoporos­is.

Fractured vertebrae cause back pain as well as loss of height and curving of the spine. This can lead to difficulti­es with bending, reaching, dressing and washing and can also squash the digestive system, causing acid reflux and problems with swallowing and eating.

For anyone with osteoporos­is, exercise and movement are recommende­d, particular­ly strength-training to build up different muscle groups including hips, wrist and spine.

Vitamin D supplement­s and calcium are also essential, especially for people who spend most of their time indoors.

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