Dear Doctor Emmanuel

I have been trying to get a diagnosis from Willow Tree for over twelve months and you seem to be concerned only with my cholesterol.  Tests find absolutely nothing wrong with me in spite numerous of blood counts over the past year, ECGs, X-rays, a CT scan, blood pressure monitoring and even a day at Huntington for extensive examination which showed nothing wrong with heart function.

The practice is willfully or innocently avoiding the pulmonary option which is strange since I have complained of breathlessness, dizziness on exertion, profound fatigue at times, tired after sleep, fatigue in variable muscles after small exertion, difficulty with inclines and stairs for no obvious reason.

You notice (among the most recent data) a slightly raised cholesterol level and home in.  When I refuse to countenance statins you offer alternatives in spite of there being clear evidence I will not take any drug unless it shows an immediate beneficial effect, and no side effects.  I

insist that my medical condition is ME/Chronic Fatigue and there is no proven relationship between that and cholesterol levels.  Indeed the is no relationship with Fibromyalgia either., which is the stated medical condition on my record.  I have requested those records recently but they have not yet been made available and this issue is now on a separate trajectory.

I manage cholesterol levels by diet and my record indicates that.  I have been eating too much cheese recently and included too many sausages. I know this but you did not ask me about my diet  I live 'in the outdoors' by choice engaging in energetic activity which requires that I eat to provide the energy.  You have not asked me how I manage my diet or how I maintain my weight within acceptable BMI but your concern is that my cholesterol levels are 'high'. 

To be as positive as I can among all the negativity coming at me. I am going t help you. Starting immediately, I am going to minimise all foods currently in mt diet which are accused of raising cholesterol readings in the blood. I will  include as few dairy and red meat products as possible and reduce the quantities of those items I cannot or will not give up. 

I will target butter cheese cream for reduction  ........ and will confine my milk intake to not more than a litre a day of Jersey Milk.  Since you invited me to repeat the bloods late in January this should give us a clearer picture ...