Understanding Cholesterol Numbers

Posted on January 15, 2026 by Patrick Hercules

Cholesterol is a type of waxy, fat-like substance, or lipid, that the body needs to function. It forms part of the cell membranes, helps the liver make bile, and serves as a building block for hormones.

There are several types of cholesterol. They include:

High-density lipoprotein (HDL) cholesterol is a good cholesterol that helps protect the arteries

Low-density lipoprotein (LDL) cholesterol is bad cholesterol that causes plaque buildup in the arteries

Very-low density lipoprotein (VLDL) cholesterol is another type of bad cholesterol that can also cause plaque buildup in the arteries

Non-HDL cholesterol- refers to all the cholesterol in the blood, except for HDL cholesterol

Cholesterol is vital for us to live, as it does many essential jobs in the body. However, too much cholesterol in the blood is harmful as it can enter the artery wall, weakening it, leading to hardened deposits of atherosclerotic plaque to form. This is called atherosclerosis, and it can lead to problems such as:

Coronary artery disease

Peripheral artery disease

Carotid artery disease

A person can live for many years with high cholesterol and not know it. High levels of cholesterol, or hyperlipidemia, can be a risk of a heart attack or stroke. That is why it is important to get your cholesterol numbers checked on a regular basis.

When getting your cholesterol numbers checked, a healthcare provider will use a blood test called a lipid panel. A healthcare provider will check the numbers of the main levels of cholesterol. They include:

Total cholesterol: Below 200

LDL cholesterol: Below 100

VLDL cholesterol: Below 30

HDL cholesterol: 40-80 for males. 50-80 for females

The lipid panel also measures another type of fat in the blood called triglycerides.

Normal cholesterol levels can vary based on age, ethnicity, and sex.

If a person has heart disease or several risk factors, the LDL target number may be different, and a healthcare provider will want the number to be below 70.

HDL numbers are typically better when higher rather than lower. An ideal number for HDL cholesterol should be between 60 and 80 to protect against heart disease. An HDL number over 80 is too high and can be unhealthy. HDL is the only number that has sex-based differences, as females need a higher HDL level than males.

High cholesterol means that total cholesterol is 200/mg/dl or higher, or higher than normal. “Borderline high” is a phrase that healthcare providers may use to break down the results of a lipid panel. If a person’s cholesterol numbers are close to normal, they may be easier to manage. High cholesterol numbers include:

Total cholesterol: Borderline high: 200-239

High: 240 or higher

LDL cholesterol: Elevated:100-129

Borderline high: 130-159

High: 160-189

VLDL cholesterol: 30 or higher

LDL cholesterol, VLDL cholesterol, and total cholesterol numbers should be lower rather than higher.

How often a person gets their cholesterol checked depends on their age, family history, risk factors for heart disease, and their sex, as males need more frequent tests starting at a younger age.

Males ages 20 to 44 should get their cholesterol checked every five years. Males ages 45 to 65 should get their cholesterol checked every one to two years. And males 65 years and older should get their cholesterol checked every year.

Females ages 20-54 should get their cholesterol checked every five years. Females ages 55 to 65 should get their cholesterol checked every one to two years. And females 65 and older should get their cholesterol checked every year.

It is important to know what your cholesterol numbers are, as they can help you learn about your potential risks for heart disease. A healthcare provider will look at your cholesterol numbers, as well as the other aspects of your health, to learn more about your risks of heart disease.

If you or a loved one would like to learn more about understanding cholesterol numbers, you can speak with a physician at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What is Dry January?

Posted on January 9, 2026 by Patrick Hercules

New Year’s has come and gone, and we are all trying to stick to the resolutions we made. For some, a common resolution is giving up alcohol.

Heavy social drinking can often be considered binge drinking. Binge drinking is when a man drinks five or more drinks and a woman drinks four or more drinks in one sitting.

This is why many people commit to Dry January, which is when a person gives up drinking alcohol for the entire month.

Dry January has become a very popular New Year’s resolution over the past few years. Recent research indicates that younger Americans are generally drinking less than previous generations. According to a poll released last summer, conducted by the analytics company Gallup, the percentage of Americans who said they drink fell to a record low of 54%. This is one percentage point lower than the previous record low in 1958.

There are several health benefits to participating in Dry January, including:

Increased energy levels

Lower blood pressure and heart rate

A decrease in liver inflammation

Clearer skin and decreased facial puffiness and bloating

A decrease in calorie consumption

It helps shift your perspective and understanding of your relationship with alcohol

There are many tips to help you succeed during Dry January, including:

Reduce your alcohol consumption by half before you start

Write down the goals you want to achieve and document your progress

Abstain from drinking alcohol longer if you can

Ease back into drinking alcohol if you choose to go back to drinking, and drink in moderation

Surround yourself with supportive friends and family

Be mindful of withdrawal symptoms. Symptoms of withdrawal include:

- Abdominal cramping

- Anxiety

- Dizziness

- Headaches

- Nausea

- Shaking

- Sweating

- Vomiting

Avoid any situations that may tempt you to drink

Participate in hobbies and other interests that don’t involve drinking alcohol

Seek out extra help and resources if you need them

At Flushing Hospital Medical Center, our Psychiatry Department features a Division of Addiction Services where you or your loved one can receive comprehensive assessments and treatment for alcohol and chemical dependency. For more details about our unit, contact us at (718) 670-5693 or (718) 670-5540, or for additional information about our Reflections treatment program, please get in touch with us at (718) 670-5078.

How to Set Healthy Weight Loss Goals

Posted on January 8, 2026 by Patrick Hercules

Embarking on a weight loss journey can be a difficult and sometimes daunting experience. There are many factors that can affect a person’s weight management, such as medical conditions, certain medicines, stress, age, genes, hormones, and environment.

However, maintaining a lifestyle that consists of a good nutritional diet, regular physical activity, stress management, and proper sleep can support a healthy weight. Additionally, people who lose weight gradually, which is about one to two pounds a week, are more likely to keep the weight off than those who lose weight more quickly.

If a person is not at a healthy weight, moderate weight loss can help improve their cholesterol, blood pressure, and blood sugar levels. Just a 5% to 10% reduction of their current weight may lower their risk for some chronic diseases, such as heart disease, prediabetes, and type 2 diabetes. Other benefits of moderate weight loss include:

More energy

Better mobility

A boost in self-confidence

Improved fitness

Starting a weight loss journey can be challenging. However, having and following a plan can help make the journey easier. Here are five steps that can help guide you to a healthier weight:

Consider the reasons why you want to lose weight. Writing down your reasons and posting them where you can see them can help remind you why you are making this change and keep you focused on your weight loss goals

Keep track of where you are as you begin your weight loss journey. You can keep a journal of your nutrition to help you keep track of what you eat and drink in a day. Make note of your physical activity by including the time of day you exercised, what activities you did, and for how long. Maintain a chart of your sleep schedule, including what time you went to sleep and woke up, and the number of hours you slept. Monitor your stress levels and the healthy ways you are reducing your stress. You can also track how you felt during your meals, when you exercise, and any lifestyle challenges that have affected your progress

Set specific and realistic goals. Creating short-term goals with rewards can help prevent you from feeling frustrated when there is a setback. When setting short-term goals, focus on two or three goals at a time

Find a good support system. Surround yourself with family or friends who are supportive of your weight loss goals. If they have similar goals, they may share resources that have helped them on their weight loss journey

Stay up to date with your progress throughout your weight loss journey. Regularly evaluate your progress by revisiting the goals you set. Determine what has been working well and what hasn’t been, and use this information to make any changes to your goals and weight loss plan. If you are consistently meeting a particular goal, you can reward yourself for achieving your goals. It is important to recognize and be proud of your progress as you meet your goals. Rewarding yourself helps to keep you motivated and on the right path

Please note that before you start your weight loss journey, speak with your healthcare provider so you can decide whether or not it’s a good time to set a weight loss goal.

And if you do go on a weight loss journey, don’t get discouraged if you aren’t losing weight as quickly as you had hoped. Remember that sustainable weight loss takes time.

For more information about the Bariatric Surgery Services at Flushing Hospital or procedures performed by our doctors, please call 718-408-6977 or 718-670-8908.

Winter Dehydration

Posted on December 26, 2025 by Patrick Hercules

Dehydration in the winter may seem less likely than in the summertime, but it is still a risk. According to the U.S. National Academies of Sciences, Engineering, and Medicine, the recommended amount of daily fluid intake is around 15.5 cups for men and 11.5 for women. For many of us, it might be harder to reach these quantities during the winter months.

Some causes of winter dehydration include:

Indoor heat
Bundling up in too many layers
Lack of thirst
Fluid loss from respiration
More frequent urination

There are many signs of dehydration, including:

The color of your urine
Constipation
Fatigue
Dry mouth and chapped lips
Dry skin
Headaches
Difficulty concentrating
Irritability
Feeling faint or dizzy
A rapid heart rate

Here are some tips for staying hydrated in the winter:

Drink warm fluids if it is too difficult to drink cold water when it’s cold outside.
Infuse plain water by adding flavorings such as a wedge of lemon or lime, other pieces of fruit, or unsweetened water enhancers.
Carry a reusable water bottle with you to encourage daily hydration.
Eat homemade soups and water-rich fruits and vegetables to help increase fluid intake.
Avoid drinking caffeine as it can contribute to dehydration.
Swap drinking an alcoholic beverage for a mocktail.
Make hydration a routine by drinking a certain amount of water daily.

If you have symptoms of dehydration, consult with a physician immediately. A severe case of dehydration can lead to complications and potentially death. For less severe cases, you can schedule an appointment with a physician at Flushing Hospital Medical Center by calling 718-670-5486.

Holiday Eating Tips After Bariatric Surgery

Posted on December 19, 2025 by Patrick Hercules

It’s the holiday season, and as we spend time with our family and friends, we enjoy each other’s company over delicious meals. Unfortunately, the holiday season can be a time when we run into problems with weight gain. It can be especially challenging after bariatric surgery. Fortunately, there are many ways to manage our weight during the holiday season. Here are 10:

Don’t save your calories. It may be tempting to skip meals to save calories for holiday treats, but it is better to stick to your regular eating patterns. You are more likely to overeat if you arrive at a holiday function hungry

Remember the basics. Just because it is the holidays doesn’t mean you can’t maintain the same healthy eating habits you had during the rest of the year. Pay attention to your portion sizes, start with protein, eat slowly, and track what you eat. Keeping these basic rules in mind can help you avoid overeating

Be mindful of how much you are eating. Eating while socializing can easily lead to eating too much. Enjoy the company and conversation and save eating for a time when you can focus on your meal

Avoid the buffet table and the kitchen. Standing close to where the food is being served may result in mindless noshing. Carefully select the food you truly want to try, and then walk away

Limit alcohol consumption. Drinks containing alcohol are full of empty calories. It is better to eat your calories than to drink them. Additionally, alcohol doesn’t just add calories; it can also dehydrate you. Be aware that alcohol can affect you differently after bariatric surgery. You may feel the effects much sooner, even after consuming less alcohol. You are also more likely to overeat at the buffet table after a couple of drinks

Stay hydrated. It is important to drink plenty of water and plan ahead. This ensures that you can avoid drinking within 30 minutes of eating and still get in the recommended 64 ounces a day

Exercise. The holiday season can be a busy time, and our exercise routines may suffer because of it. It is easier to get out of the habit of exercising than it is to get back into it after the holidays. Consider creating a workout schedule or organizing activities for the family that get everyone moving

Bring a healthy dish to share. This will ensure that there is a healthy food option at the gathering

Find healthy alternatives for your favorite recipes. Look for healthier substitutions that cut the fat and calories of recipes. Some examples include:

Using skim milk instead of whole milk in mashed potatoes

Using fat-free creamed soups in recipes rather than full-fat versions

Replacing sugar with unsweetened apple sauce or noncaloric sweeteners in desserts

Adding flavor with garlic, spices, and herbs rather than fats such as butter and gravy

Combining ¼ cup of Greek yogurt with ½ cup of butter to replace 1 cup of butter in a recipe

Replacing each egg with two egg whites and substitute evaporated skim milk in place of heavy cream when baking your favorite holiday treats

Be kind to yourself. You may overeat a bit or sample more treats than you should. However, that doesn’t mean all is lost. It is important to forgive yourself and recommit to healthy patterns and move forward. It is okay to have a treat once in a while.

Undergoing bariatric surgery requires preparation, dedication, and several lifestyle adjustments. Adopting a whole different way of eating can be challenging, and it will take some time to get used to it. Following these tips can help you plan and enjoy your food in moderation.

For more information about the Bariatric Surgery Services at Flushing Hospital or procedures performed by our doctors, please call 718-408-6977 or 718-670-8908.

How Long Should You Keep Thanksgiving Leftovers?

Posted on November 28, 2025 by Patrick Hercules

It is the day after Thanksgiving, and the refrigerator is full of leftovers. It is important to know how long these leftovers should actually last to avoid foodborne illnesses.

The U.S. Department of Agriculture’s (USDA) Food and Safety and Inspection Service recommends throwing out refrigerated leftovers after three to four days. If certain foods are kept in the freezer, they can still be eaten for three to four months after Thanksgiving.

It is important to properly store and refrigerate all leftovers within two hours at 40 degrees Fahrenheit or colder. To store them, pack the leftovers into small containers and resealable plastic bags. Storing food in smaller portions makes it easier and more convenient for them to be used when taken straight from the freezer. Using freezer or storage-specific plastic bags and plastic wrap helps prevent freezer burn because they are thicker than normal bags. Push out as much air as possible to limit exposure to the surface of the food, which also helps prevent freezer burn.

Throw away any food that doesn’t keep well in the refrigerator, such as salads, which can become soggy and wilted. Greens such as kale and cabbage can last for up to three days.

Remove any stuffing from inside the turkey and store it separately in airtight containers. Stuffing can last up to four days in the refrigerator and two to three months in the freezer.

When storing leftover turkey, cut the turkey into smaller pieces and store them separately in small airtight containers. Turkey can last for four days in the fridge and four months in the freezer.

Gravy can last for four days in the fridge and up to four months in the freezer. When reheating the gravy, add it to a saucepan and cover it with a lid, and bring it to a rolling boil.

Homemade cranberry sauce can stay good for a week to 10 days in the fridge. Canned cranberry sauce can be kept for up to two weeks when stored in an airtight container and refrigerated. It is not recommended to freeze cranberry sauce.

Potatoes and yams can be stored in the refrigerator for four days and up to two months in the freezer.

Desserts such as fruit pies can be kept at room temperature for two days. After two days, they can be stored in the refrigerator, loosely covered, for two more days.

It is important to note that you should always reheat leftovers to 165 degrees Fahrenheit, as it destroys most foodborne pathogens, preventing you from developing food poisoning.

If you or a loved one is experiencing symptoms of food poisoning, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

Healthy Holiday Recipe: Honey Roasted Sweet Potatoes

Posted on November 26, 2025 by Patrick Hercules

Thanksgiving is tomorrow, and as we’re preparing to have dinner with the turkey as the star of the show, the sides we have along with the turkey help make it a complete meal. Sweet potatoes are often a common side dish.

Sweet potatoes are high in fiber and vitamins A and C. Adding honey to your sweet potatoes adds natural sweetness with trace antioxidants, making this a nutritious and satisfying side.

Here is a recipe for honey-roasted sweet potatoes that will help elevate your Thanksgiving Day meal.

These sweet potatoes are lightly roasted with honey for a perfect balance of sweetness and caramelization.

Honey Roasted Sweet Potatoes Recipe | Ellie Krieger | Food Network

Common Misconceptions About Bariatric Surgery

Posted on October 27, 2025 by Patrick Hercules

Bariatric, or gastric bypass surgery for weight loss, is a surgical treatment for severe obesity that involves making changes to the digestive system. It is performed when diet and exercise haven’t worked, or when a person is at risk for serious health problems due to their weight.

There are several myths and misconceptions about bariatric surgery and its outcomes, including:

Bariatric surgery is unnecessary, and people just need to eat less and exercise more
Bariatric surgery is dangerous
Bariatric surgery will make a person thin
Bariatric surgery and weight loss will make a person happy and improve their relationships
Bariatric surgery will prevent a person from overeating
Bariatric surgery is an easy way out
Most people will gain the weight back after surgery

Bariatric surgery can be a lifesaving solution for many people who are overweight. Bariatric surgery, along with a commitment to lifestyle changes, not only provides long-term weight loss but it significantly improves the health and quality of life for many.

For more information about the Bariatric Surgery Services at Flushing Hospital or procedures performed by our doctors, please call 718-408-6977 or 718-670-8908.

National Primary Care Week

Posted on October 10, 2025 by Patrick Hercules

National Primary Care Week is celebrated from October 6^th through October 11^th. It is a time to raise awareness about family medicine and to thank the doctors, physician assistants, nurses, and healthcare teams who help keep us healthy every day.

Primary care is the first stop you make when you’re sick, require a checkup, or have any questions about your health. These are the family doctors, pediatricians, or nurse practitioners who know you best and help you to stay healthy, catch problems early, and guide you when you need more care. They don’t just treat you when you are ill; they help keep you well.

Primary care providers do more than administer shots or check blood pressure. They listen to a patient’s concerns, help manage long-term conditions such as diabetes or asthma, and refer you to specialists when needed. They also help with mental health, food and housing needs, and other factors that may affect your well-being.

Here are some ways you can participate in National Primary Care Week:

Schedule a checkup if you haven’t had one in a while
Update your health records to make sure your healthcare provider has your latest information
Thank your doctor or nurse for the care they give
Learn more about what your primary care provider can do for you
Talk to family and friends about the importance of having a primary care provider

If you would like to receive a checkup, you can receive treatment from a doctor at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

What Are the Symptoms of Celiac Disease?

Posted on October 3, 2025 by Patrick Hercules

Celiac disease is an autoimmune condition where the immune system reacts to gluten, a protein sometimes found in foods containing wheat, barley, and rye.

When a person has celiac disease, eating gluten triggers an immune response to the gluten protein in the small intestines. The immune system sends inflammatory cells and antibodies to destroy the gluten molecules. Over time, this reaction can damage the lining of the small intestine, which prevents it from absorbing nutrients. This condition is called malabsorption. It can also lead to malnutrition and many other conditions that follow from the lack of different nutrients.

The symptoms of celiac disease can vary greatly. They can also be different in children and adults. Digestive symptoms for adults include:

Diarrhea
Fatigue
Weight loss
Bloating and gas
Belly pain
Nausea and vomiting
Constipation

However, more than half the adults with celiac disease have symptoms that are not related to the digestive system, including:

Anemia
Osteoporosis
Dermatitis herpetiformis
Mouth ulcers
Headaches and fatigue
Nervous system injury, including numbness, tingling in the feet and hands, as well as possible problems with balance, and cognitive impairment
Joint pain
Hyposplenism
Elevated liver enzymes

Children with celiac disease are more likely than adults to have digestive problems, including

Nausea and vomiting
Chronic diarrhea
Swollen belly
Constipation
Gas
Pale, foul-smelling stools

For children who aren’t able to absorb nutrients, it may cause:

Failure to thrive in infants
Damage to tooth enamel
Weight loss
Anemia
Irritability
Short stature
Delayed puberty
Neurological symptoms, including attention-deficit/hyperactivity disorder (ADHD), learning disabilities, headaches, lack of muscle coordination, and seizures

Celiac disease is most commonly found in people of Northern European descent. It is estimated to affect 1% of the populations of Europe and North America. A person has a 10% chance of developing the disease if they have a first-degree relative, such as a parent or child, who has it. About 97% of people diagnosed with celiac disease have a recognizable gene variant associated it with it.

A person’s genes, combined with eating foods with gluten and other factors, can contribute to celiac disease. However, the precise cause isn’t known. Sometimes celiac disease becomes active after surgery, pregnancy, childbirth, viral infection, or severe emotional distress.

Several risk factors cause celiac disease to be more common in people who have:

A family member with celiac disease or dermatitis herpetiformis
Type 1 diabetes
Down syndrome, Williams syndrome, or Turner syndrome
Autoimmune thyroid disease
Microscopic colitis
Addison’s disease

Many people with celiac disease don’t know they have it. However, two blood tests can help diagnose it:

Serology testing
Genetic testing

It is important to be tested for celiac disease before trying a gluten-free diet. Eliminating gluten from your diet might make the results of the blood tests appear in the standard range.

The first and most important step in treating and the only way to manage celiac disease, is to stop eating gluten and adopt a strict, lifelong gluten-free diet. You can’t change the way your body reacts to gluten, but you can prevent gluten from triggering a reaction. Additional treatments may include:

Nutritional supplements
Specific medications
Corticosteroids
Continuous follow-up care

To schedule an appointment with a gastroenterologist or dietitian at Flushing Hospital Medical Center, please call 718-670-5486.