Hiroki Nakatsu writes:

        Patient A and Patient B are the same in that they lack proper exercise and both like fatty foods such as dairy products. But for the most part these patients are different. First, Patient A has "angina" chest pains, but Patient B feels "OK" although she is overweight. Probably this is due to the difference of there LDL-cholesterol level. In comparison with Patient B, the LDL-cholesterol level of Patient A is higher than the standard level and therefore he has narrowing of the arteries. On the other hand, unlike Patient A, Patient B smokes and there is a history of diabetes in her family.

        Patient A must take exercise. Because exercise changes LDL-cholesterol into HDL-cholesterol, his LDL-cholesterol level will come down to the standard level and his narrowing of the arteries may be relieved. In addition, he should avoid high fatty foods and eat more of less fatty foods like fruits, vegetables, boiled or grilled fishes, and skinless chicken.

        For Patient B it is important to lose weight. Because there is a history of diabetes in her family, she must pay attention to diabetes, too. She should take more exercise and stop smoking. And she should eat wholegrain breads, lowfat dairy products, and fiberrich foods.

         

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